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International Journal of
            Population Studies                                     Knowledge, attitudes, practices, and COVID-19 in Lebanon




            knowledge, attitude, and practice among the general population during the COVID-19 outbreak in Lebanon. Our
            findings suggest the need for health education programs tailored differentially according to sex, taking into account
            education, age, and socioeconomic status to raise awareness of COVID-19 and promote more acceptable attitudes and
            sustained safe practices among the general Lebanese population.


            Keywords: Coronavirus disease 2019; Knowledge; Attitude; Practice; Fear of COVID-19; General population


            1. Introduction                                    According to the literature, people are more likely to practice
                                                               prevention if they have confidence in its effectiveness, have
            Caused by the SARS-CoV-2 virus, coronavirus disease   a good level of knowledge and awareness of the disease,
            (COVID-19) is a rapidly spreading disease that led to a   and perceive the risks (Lin et al., 2014, Brug et al., 2004,
            global public health issue classified as a pandemic in March   Aburto et al., 2010). Previous findings indicate that a higher
            2020 by the World Health Organization (WHO) (WHO,   level of knowledge is associated with the use of prevention
            2020). In September 2022, the WHO which declared that   strategies and behaviors and subsequent better attitudes
            the end of the pandemic is now in sight (United Nations,   Afzal et al., 2020; (Papagiannis et al., 2020; Tamang et al.,
            2022). In Lebanon, the first confirmed COVID-19 case was   2020). Moreover, fear of the consequences of the pandemic
            reported on February 21, 2020 (Bizri et al., 2020), and on   and the perception of risks are crucial in decision-making
            March 10, the first coronavirus-related death was recorded.   to halt disease progression and transmission (Baldassarre
            On March 15, the Lebanese government declared a state of   et al., 2020). Lessons from the SARS epidemic in 2003 in
            medical emergency to control and curb the rapid spread of   China show that people’s lower attitudes and knowledge
            the COVID-19 outbreak in the country (Bizri et al., 2020).   of infectious illnesses are related to more panic feelings,
            As of November 30, 2022, the total of COVID-19 deaths   making preventative efforts more difficult (Zhong  et al.,
            in Lebanon was 10,736 from a total number of 1,220,443   2020).
            reported cases (WHO, 2022).
                                                                 Furthermore, contagious disease propagation rates
              Public health and social interventions are required to   might vary depending on several demographic and
            prevent disease transmission. Several measures were adopted,   socioeconomic characteristics and aspects of health-
            such  as the ban  on  public  gatherings and  the  closures  of   care system of a society (Buja et al., 2020). Public health
            borders (the airport, seaports, and land entrances), daycare   systems  should  identify  these  factors  to  provide  reliable
            centers, schools, universities, nightclubs, pubs, gyms, theaters,   information that can guide mitigation strategies since
            malls, restaurants, and public gardens (Bizri et al., 2020). These   viruses have deleterious effects on the economy and health
            measures were successful in handling the pandemic at its   (Buja et al., 2020). The latter can be significantly affected
            beginning. However, people’s commitment to these measures,   by deteriorated economic situations through lower income
            which is influenced by their level of knowledge, attitudes, and   and more unemployment, leading to increased morbidity
            practices (KAP) regarding COVID-19, is crucial for their   and decreased use of private health-care services
            success (Al-Hanawi et al., 2020).                  (Musgrove, 2004). For example, poor economic and
              It is well known that a confused understanding and a   demographic conditions contributed to the spread of the
            pessimistic outlook toward an emerging infectious disease   Ebola virus through restricted access to food, education,
            will contribute to unnecessary worry and chaos, even   and adequate living conditions (Mun, 2017).
            excessive panic,  thus  exacerbating the  disease  outbreak   Another notable factor is sex. Indeed, males and
            (Blendon et al., 2004). Prior evidence indicates that good   females differ in their preventive practices, attitudes, and
            public knowledge, behaviors, and practices are crucial for   perceptions of COVID-19 (Galasso et al., 2020; Li et al.,
            effective pandemic management and disease avoidance   2020). Women seem to be more knowledgeable and have a
            (Tooher et al., 2013; Bell, 2004; Lau et al., 2003; Tang &   better attitude toward disease preventive measures (Alnakli,
            Wong, 2003), such as the 2003 severe acute respiratory   2016; Alshammary et al., 2021; Sultana et al., 2022). They
            syndrome (SARS) outbreak (Bell, 2004). Understanding   are more likely than men to apply the restrictions and
            perception and current practices can help determine the   perceive the  epidemic  as a  severe  health issue  (Galasso
            factors that encourage the population to adopt healthy   et al., 2020). Men appear to be more ready than women to
            practices and responsive behaviors; also, adequate   tolerate the disease risks and often have lower estimations
            control of COVID-19 relies on community involvement,   of COVID-19-related threats (Lewis & Duch, 2021). Thus,
            which influences the application of preventive measures.   it is decisive to understand the differences in knowledge,


            Volume 7 Issue 2 (2021)                         94                     https://doi.org/10.36922/ijps.v7i2.342
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