Original Article

Knowledge, attitudes, and perceptions of the Greek population regarding the COVID-19 pandemic during the national lockdown (March 23 - May 03, 2020): A web-based cross-sectional study

Abstract

Objective: The study assessed the knowledge, attitudes, and perceptions toward the COVID-19 pandemic during the total lockdown of spring 2020 in Greece.

Methods: A web-based cross-sectional study was conducted from April 13 to May 5, 2020 using snowball sampling method. Adult residents of Greece anonymously completed an online survey that was distributed through email and social media. Demographic questions, questions regarding the knowledge about the disease etiology, diagnosis and prevention, and questions related to the respondents’ attitude and perception toward the restriction measures and the confidence in different kinds of institutions were included in the survey items. The appropriate statistical analyses were conducted according to the type of variable and the research question.  

Results: A total of 1396 fully complete questionnaires were collected. A moderate-high knowledge about COVID-19 was found in the study population (median 74.8%). The highest knowledge scores were found in females (74.8%, p = 0.015), individuals over 60 years old (77.3%, p < 0.001) and individuals having completed post-secondary or tertiary education (76.5%, p < 0.001). Five attitude patterns toward the pandemic were identified: “trust in institutions”, “trust in the restriction measures”, “trust in media and the internet”, “trust in traditional institutions”, and “measures deniers”. Age, education, and knowledge score were the factors defining the attitudinal patterns revealed.   

Conclusions: Education and public awareness seem to be the factors defining the successful management of the pandemic’s first wave in Greece. Repeated observations of attitudinal patterns are important for eliminating irresponsible behaviors in periods of health crises.

Team E editorial. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern. Eurosurveillance. 2020 Feb 6;25(5):200131e.

Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Bio-Medica Atenei Parm. 2020 Mar 19;91(1):157–60.

Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected [Internet]. [cited 2020 Dec 17]. Available from: https://www.who.int/publications-detail-redirect/10665-331495

Policy Responses to COVID19 [Internet]. IMF. [cited 2020 Dec 17]. Available from: https://www.imf.org/en/Topics/imf-and-covid19/Policy-Responses-to-COVID-19

Sinanidis M. Five possible reasons for Greece’s rise from “black sheep” to a shining example in its handling of the coronavirus crisis [Internet]. NEOS KOSMOS. 2020 [cited 2020 Dec 17]. Available from: https://neoskosmos.com/en/162985/five-possible-reasons-for-greeces-rise-from-black-sheep-to-a-shining-example-in-its-handling-of-the-coronavirus-crisis/

Vincelette II Sandeep Mahajan, Lalita Moorty, and Gallina A. A policy framework for mitigating the economic impact of COVID-19 [Internet]. Brookings. 2020 [cited 2020 Dec 17]. Available from: https://www.brookings.edu/blog/future-development/2020/04/20/a-policy-framework-for-mitigating-the-economic-impact-of-covid-19/

Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019 Apr;13(Suppl 1):S31–4.

Sample Size Calculator by Raosoft, Inc. [Internet]. [cited 2020 Dec 17]. Available from: http://www.raosoft.com/samplesize.html

Greece in Figures - ELSTAT [Internet]. [cited 2021 May 11]. Available from: https://www.statistics.gr/en/greece-in-figures

Introduction to COVID-19: methods for detection, prevention, response and control [Internet]. OpenWHO. [cited 2020 Dec 19]. Available from: https://openwho.org/courses/introduction-to-ncov

The jamovi project [Internet]. 2020. Available from: https://www.jamovi.org

Bro R, Smilde AK. Principal component analysis. Anal Methods. 2014;6(9):2812–31.

Reliability and validity of “Job Satisfaction Survey” questionnaire in military health care workers. :5.

Knowledge, Perceptions, and Attitude of Egyptians Towards the Novel Coronavirus Disease (COVID-19) | SpringerLink [Internet]. [cited 2020 Dec 19]. Available from: https://link.springer.com/article/10.1007/s10900-020-00827-7

Zhong B-L, Luo W, Li H-M, Zhang Q-Q, Liu X-G, Li W-T, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745–52.

Ferdous MZ, Islam MS, Sikder MT, Mosaddek ASM, Zegarra-Valdivia JA, Gozal D. Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. PLOS ONE. 2020;15(10):e0239254.

Depoux A, Martin S, Karafillakis E, Preet R, Wilder-Smith A, Larson H. The pandemic of social media panic travels faster than the COVID-19 outbreak. J Travel Med [Internet]. 2020 May 18 [cited 2020 Dec 19];27(taaa031). Available from: https://doi.org/10.1093/jtm/taaa031

The Lancet. COVID-19: fighting panic with information. The Lancet. 2020 Feb;395(10224):537.

Carius BM, Schauer SG. Ibuprofen During the COVID-19 Pandemic: Social Media Precautions and Implications. West J Emerg Med. 2020 May;21(3):497–8.

Sypsa V, Livanios T, Psichogiou M, Malliori M, Tsiodras S, Nikolakopoulos I, et al. Public perceptions in relation to intention to receive pandemic influenza vaccination in a random population sample: evidence from a cross-sectional telephone survey. Eurosurveillance. 2009 Dec 10;14(49):19437.

Grady C, Shah S, Miller F, Danis M, Nicolini M, Ochoa J, et al. So much at stake: Ethical tradeoffs in accelerating SARSCoV-2 vaccine development. Vaccine. 2020;38(41):6381–7.

Effects of maternal and provider characteristics on up-to-date immunization status of children aged 19 to 35 months - PubMed [Internet]. [cited 2020 Dec 19]. Available from: https://pubmed.ncbi.nlm.nih.gov/17194865/

Maternal Characteristics Associated With Vaccination of Young Children | American Academy of Pediatrics [Internet]. [cited 2020 Dec 19]. Available from: https://pediatrics.aappublications.org/content/111/supplement_1/1215

The source model of group threat: Responding to internal and external threats. - PsycNET [Internet]. [cited 2021 May 11]. Available from: /doiLanding?doi=10.1037%2Famp0000321

Rose C. WM. The role of paranoia in a dual-process motivational model of conspiracy belief. In: Power, Politics, and Paranoia: Why People are Suspicious of their Leaders. Prooijen J-Wvan, Lange PAMvan. Cambridge: Cambridge University Press; 2014. p. 273–91.

Dussaillant F, Guzmán E. Trust via disasters: the case of Chile’s 2010 earthquake. Disasters. 2014;38(4):808–32.

Falcone R, Colì E, Felletti S, Sapienza A, Castelfranchi C, Paglieri F. All We Need Is Trust: How the COVID-19 Outbreak Reconfigured Trust in Italian Public Institutions. Front Psychol [Internet]. 2020 Oct 2 [cited 2021 May 11];11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7562978/

Bavel JJV, Baicker K, Boggio P, Capraro V, Cichocka A, Crockett M, et al. Using social and behavioural science to support COVID-19 pandemic response [Internet]. PsyArXiv; 2020 [cited 2021 May 11]. Available from: https://psyarxiv.com/y38m9/

Bangerter A, Krings F, Mouton A, Gilles I, Green EGT, Clémence A. Longitudinal Investigation of Public Trust in Institutions Relative to the 2009 H1N1 Pandemic in Switzerland. Wu JT, editor. PLoS ONE. 2012 Nov 21;7(11):e49806.

Maher PJ, MacCarron P, Quayle M. Mapping public health responses with attitude networks: the emergence of opinion-based groups in the UK’s early COVID-19 response phase. Br J Soc Psychol. 2020;59(3):641–52.

McGarty C, Bliuc A-M, Thomas EF, Bongiorno R. Collective Action as the Material Expression of Opinion-Based Group Membership. J Soc Issues. 2009;65(4):839–57.

Garcia D, Galaz V, Daume S. EATLancet vs yes2meat: the digital backlash to the planetary health diet. The Lancet. 2019 Dec 14;394(10215):2153–4.

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IssueVol 8 No 2 (2022) QRcode
SectionOriginal Article(s)
Keywords
COVID-19 pandemic Greece knowledge attitude perception

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How to Cite
1.
Anestis A, Lomvardeas O, Papadakis N. Knowledge, attitudes, and perceptions of the Greek population regarding the COVID-19 pandemic during the national lockdown (March 23 - May 03, 2020): A web-based cross-sectional study. JBE. 2022;8(2):115-127.