COVID-19 Knowledge, Perceptions, and Behaviors: A Multinational Comparative Study among Bangladesh, Pakistan, and the United States
DOI:
https://doi.org/10.54536/ajmhc.v1i2.6749Keywords:
Bangladesh, COVID-19, Health Behavior, Pakistan, Principal Component Analysis (PCA), Socio-demographics, United StatesAbstract
Control measures for the COVID-19 outbreak involve adequate public awareness and evaluation. These psychological and social aspects are effective in developing appropriate prevention and health communication strategies for mitigating the risk of an outcome. While a number of studies have investigated knowledge and awareness in response to the COVID-19 pandemic in specific populations, overall evaluation of these behavioral parameters in the context of different nations remained unexplored. This multinational comparative study is the first to comprehensively investigate COVID-19 knowledge, perceptions, and behavioral patterns among Bangladeshi, Pakistani, and United States individuals, incorporating principal component analysis (PCA) alongside traditional statistical analyses. Data from 646 participants of Bangladesh, Pakistan, and the United States were collected through an online questionnaire focusing on socio-demographics, information on knowledge, risk perception, precautionary measures, major information sources, and their trustworthiness. The findings revealed that participants from the United States were more knowledgeable (89.1%) than Pakistan and Bangladesh, respectively, whereas social media-based information was found to be a key predictor for lower knowledge levels (p = 0.04). Besides, females showed higher knowledge scores, while information from doctors and international health authorities positively influenced higher knowledge levels. Although the highest percentage of correct precautionary behavior was observed among the participants from the United States (85%), participants from Bangladesh showed a higher degree of worries. In addition to that, Pakistani people showed lower risk perception in response to this pandemic. Though further studies are needed to be address these circumstances, findings from this study might help implement pandemic management policies, harm-reduction protocols, and risk communication protocols.
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References
Abdi, H., & Williams, L. J. (2010). Principal component analysis. Wiley Interdisciplinary Reviews: Computational Statistics, 2(4), 433–459.
Alahdal, H., Basingab, F., & Alotaibi, R. (2020). An analytical study on the awareness, attitude and practice during the COVID-19 pandemic in Riyadh, Saudi Arabia. Journal of Infection and Public Health, 2. https://doi.org/10.1016/j.jiph.2020.06.015
Azlan, A. A., Hamzah, M. R., Sern, T. J., Ayub, S. H., & Mohamad, E. (2020). Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS ONE, 15(5), 1–15. https://doi.org/10.1371/journal.pone.0233668
CDC. (2020). COVID-19 and Animals | CDC.
Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). (n.d.). Coronavirus COVID-19 (2019-nCoV). COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU).
Clements, J. M. (2020). Knowledge and behaviors toward COVID-19 among us residents during the early days of the pandemic: Cross-sectional online questionnaire. Journal of Medical Internet Research, 22(5), 1–11. https://doi.org/10.2196/19161
Czeisler, M. É., Tynan, M. A., Howard, M. E., Honeycutt, S., Fulmer, E. B., Kidder, D. P., Robbins, R., Barger, L. K., Facer-Childs, E. R., Baldwin, G., Rajaratnam, S. M. W., & Czeisler, C. A. (2020). Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance — United States, New York City, and Los Angeles, May 5–12, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(24), 751–758. https://doi.org/10.15585/mmwr.mm6924e1
Farhana, K., & Mannan, K. A. (2020). Knowledge and Perception Towards Novel Coronavirus (COVID-19) in Bangladesh. SSRN Electronic Journal, 6(2). https://doi.org/10.2139/ssrn.3578477
Franke, T. M., Ho, T., & Christie, C. A. (2012). The chi-square test: Often used and more often misinterpreted. American Journal of Evaluation, 33(3), 448–458.
Hayat, K., Rosenthal, M., Xu, S., Arshed, M., Li, P., Zhai, P., Desalegn, G. K., & Fang, Y. (2020). View of Pakistani residents toward coronavirus disease (COVID-19) during a rapid outbreak: A rapid online survey. International Journal of Environmental Research and Public Health, 17(10), 1–10. https://doi.org/10.3390/ijerph17103347
Hussain, I., Majeed, A., Imran, I., Ullah, M., Hashmi, F. K., Saeed, H., Chaudhry, M. O., & Rasool, M. F. (2020). Knowledge, Attitude, and Practices Toward COVID-19 in Primary Healthcare Providers: A Cross-Sectional Study from Three Tertiary Care Hospitals of Peshawar, Pakistan. Journal of Community Health, 0123456789. https://doi.org/10.1007/s10900-020-00879-9
Khan, S., Khan, M., Maqsood, K., Hussain, T., Noor-ul-Huda, & Zeeshan, M. (2020). Is Pakistan prepared for the COVID-19 epidemic? A questionnaire-based survey. Journal of Medical Virology, 92(7), 824–832. https://doi.org/10.1002/jmv.25814
Pandis, N. (2016). The chi-square test. American Journal of Orthodontics and Dentofacial Orthopedics, 150(5), 898–899.
Parry, N. M. A. (2020). COVID-19 and pets: When pandemic meets panic. Forensic Science International: Reports, 2(April), 100090. https://doi.org/10.1016/j.fsir.2020.100090
Saqlain, M., Munir, M. M., Rehman, S. U., Gulzar, A., Naz, S., Ahmed, Z., Tahir, A. H., & Mashhood, M. (2020). Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. Journal of Hospital Infection, 105(3), 419–423. https://doi.org/10.1016/j.jhin.2020.05.007
Taghrir, M. H., Borazjani, R., & Shiraly, R. (2020). COVID-19 and iranian medical students; A survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian Medicine, 23(4), 249–254. https://doi.org/10.34172/aim.2020.06
The Conversation. (2020). #COVID19: Social media both a blessing and a curse during coronavirus pandemic. https://theconversation.com/
UN DESAPD. (2019). World population prospects 2019. In Department of Economic and Social Affairs. World Population Prospects 2019. (26th ed., Issue 141).
United Nations Development Programme. (2020). COVID-19: A reality check for Bangladesh’s healthcare system. https://www.undp.org/
World Health Organization. (2020a). Timeline: WHO’s COVID-19 response. https://www.who.int/
World Health Organization. (2020b). Density of physicians (total number per 1,000 population, latest available year). https://www.who.int/data
World Bank. (2020). Current health expenditure per capita (current US$). https://data.worldbank.org/
World Health Organization. (2020). 2019 novel coronavirus (2019-nCoV): Strategic preparedness and response plan. https://www.who.int/
South China Morning Post. (2020). Coronavirus: How the WHO is leading the social media fight against misinformation. https://www.scmp.com/
Statista. (2020). Online food delivery worldwide: Market forecast. https://www.statista.com/
Zhong, B. L., Luo, W., Li, H. M., Zhang, Q. Q., Liu, X. G., Li, W. T., & Li, Y. (2020). 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. International Journal of Biological Sciences, 16(10), 1745–1752. https://doi.org/10.7150/ijbs.45221
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Copyright (c) 2026 Md. Abdur Rahman, Saiful Islam, Md. Shakibul Hasan, Md. Mostafizur Rahman, Md. Abdul Khalek, Md. Palash Bin Faruque, Most. Shabrina Afroz (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
