ArticleJournal of general internal medicine2020
Changes in COVID-19 Knowledge, Beliefs, Behaviors, and Preparedness Among High-Risk Adults from the Onset to the Acceleration Phase of the US Outbreak.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.
- Toward compassionate communication: a rapid review on facilitating the dementia disclosure process.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Pooled it
- Modelling the Structural Relationships Between COVID-19 Knowledge, Attitudes and Behaviours in Jordanian Undergraduates.International journal of environmental research and public health · 2026Article
- Health Literacy in Inflammatory Bowel Disease: A Systematic Review of Health Outcomes, Predictors and Barriers.Journal of clinical medicine · 2025Review
- Validation of the consumer health activation index (CHAI) among community-dwelling adults in primary care clinics in Singapore.Population health metrics · 2025Article
- A Cross-Sectional Study of COVID-19 Knowledge, Attitudes, and Practices Among Black Communities in the Greater Toronto Area.Journal of racial and ethnic health disparities · 2025Article
- Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults.Scientific reports · 2025Article
- Health and Financial Literacy and the Acquisition of COVID-19 Knowledge in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- The relationship between safety measures, preparedness, and mental health outcomes in New York City during the COVID-19 pandemic.Frontiers in psychiatry · 2025Article
- Determinants of Glycemic Control in Thai Adults with Insulin-Treated Type 2 Diabetes Mellitus: A Cross-Sectional Study.Patient preference and adherence · 2025Article
- Exploring the COVID-19 Knowledge, Attitudes, and Practices (KAPs) in the Black Community: a Scoping Review.Journal of racial and ethnic health disparities · 2024Article
- Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians.PEC innovation · 2023Article
- Difference in the risk of discrimination on psychological distress experienced by early wave infected and late wave infected COVID-19 survivors in Japan.Scientific reports · 2023Article
- Mental well-being and patient activation during the first eight months of the COVID-19 pandemic in Denmark - a cohort study among 710 Danish adults with chronic conditions.BMC public health · 2023Article
- Three dimensions of COVID-19 risk perceptions and their socioeconomic correlates in the United States: A social media analysis.Risk analysis : an official publication of the Society for Risk Analysis · 2023Article
- Development and Validation of COVID-19 Vaccine Messaging Materials for Latinx Communities.Journal of health communication · 2023Article
- Communication inequalities and health disparities among vulnerable groups during the COVID-19 pandemic - a scoping review of qualitative and quantitative evidence.BMC public health · 2023Article
- Political views, health literacy, and COVID-19 beliefs and behaviors: A moderated mediation model.Social science & medicine (1982) · 2023Article
- Navigating a Pandemic: A Qualitative Study of Knowledge, Sources of Information, and COVID-19-Related Precautions Taken by HBCU Students.Journal of racial and ethnic health disparities · 2023Article
- Local and regional factors of spatial differentiation of the excess mortality related to the COVID-19 pandemic in Romania.Letters in spatial and resource sciences · 2023Article
- Cognitive and emotional factors related to COVID-19 among high-risk ethnically diverse adults at the onset of the New York City outbreak: A cross-sectional survey.Humanities & social sciences communications · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe US outbreak of coronavirus disease 2019 (COVID-19) accelerated rapidly over a short time to become a public health crisis.
objectiveTo assess how high-risk adults' COVID-19 knowledge, beliefs, behaviors, and sense of preparedness changed from the onset of the US outbreak (March 13-20, 2020) to the acceleration phase (March 27-April 7, 2020).
designLongitudinal, two-wave telephone survey.
participants588 predominately older adults with ≥ 1 chronic condition recruited from 4 active, federally funded studies in Chicago. MAIN MEASURES: Self-reported knowledge of COVID-19 symptoms and prevention, related beliefs, behaviors, and sense of preparedness. KEY
resultsFrom the onset to the acceleration phase, participants increasingly perceived COVID-19 to be a serious public health threat, reported more changes to their daily routine and plans, and reported greater preparedness. The proportion of respondents who believed they were "not at all likely" to get the virus decreased slightly (24.9 to 22.4%; p = 0.04), but there was no significant change in the proportion of those who were unable to accurately identify ways to prevent infection (29.2 to 25.7%; p 0.14). In multivariable analyses, black adults and those with lower health literacy were more likely to report less perceived susceptibility to COVID-19 (black adults: relative risk (RR) 1.62, 95% confidence interval (CI) 1.07-2.44, p = 0.02; marginal health literacy: RR 1.96, 95% CI 1.26-3.07, p < 0.01). Individuals with low health literacy remained more likely to feel unprepared for the outbreak (RR 1.80, 95% CI 1.11-2.92, p = 0.02) and to express confidence in the federal government response (RR 2.11, 95% CI 1.49-3.00, p < 0.001)
conclusionsAdults at higher risk for COVID-19 continue to lack critical knowledge about prevention. While participants reported greater changes to daily routines and plans, disparities continued to exist in perceived susceptibility to COVID-19 and in preparedness. Public health messaging to date may not be effectively reaching vulnerable communities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.