How Covid-19 literacy influences fear, protective behaviour, and conspiracy beliefs among university students in Pakistan?

Background Covid-19 literacy, a social vaccine, is crucial to cope pandemic situations as it helps individuals to manage panic situations, adopt health preventive behaviours and adapting to the new normal. Objectives This research examined the effects of Covid-19 literacy on fear, protective behaviour, and conspiracy beliefs of university students using an online questionnaire. Methods A cross-sectional survey was conducted at two universities from Lahore with permission from concerned authorities. A total of 301 received responses were analyzed by applying descriptive as well as inferential statistics in SPSS. Results The results indicated that Covid-19 literacy appeared to predict negatively fear of Covid-19 and conspiracy beliefs and positively health-protective behaviours. In other words, the university students with better Covid-19 literacy appeared to have less fear of Covid-19, more likely to adopt health-protective behaviours and believe less in conspirative information. Conclusions These results demonstrated the potential benefits of Covid-19 literacy to respond proactively to the fear caused by the Covid-19 pandemic, managing infodemic and adoption of health-protective behaviours. These results would be useful for policymakers, NGOs, health professionals, and university librarians in planning health education and promotion for not only university students but also for general public. This research contributed to the existing research on health literacy related to the Covid-19 pandemic in general and Covid-19 literacy in particular as limited studies have been published so far.

Epidemiology, Clinico-Pathological Characteristics, and Comorbidities of SARS-CoV-2-Infected Pakistani Patients.

SARS-CoV-2 is a causative agent for COVID-19 disease, initially reported from Wuhan, China. The infected patients experienced mild to severe symptoms, resulting in several fatalities due to a weak understanding of its pathogenesis, which is the same even to date. This cross-sectional study has been designed on 452 symptomatic mild-to-moderate and severe/critical patients to understand the epidemiology and clinical characteristics of COVID-19 patients with their comorbidities and response to treatment. The mean age of the studied patients was 58 ± 14.42 years, and the overall male to female ratio was 61.7 to 38.2%, respectively. In total, 27.3% of the patients had a history of exposure, and 11.9% had a travel history, while for 60% of patients, the source of infection was unknown. The most prevalent signs and symptoms in ICU patients were dry cough, myalgia, shortness of breath, gastrointestinal discomfort, and abnormal chest X-ray (p < 0.001), along with a high percentage of hypertension (p = 0.007) and chronic obstructive pulmonary disease (p = 0.029) as leading comorbidities. The complete blood count indicators were significantly disturbed in severe patients, while the coagulation profile and D-dimer values were significantly higher in mild-to-moderate (non-ICU) patients (p < 0.001). The serum creatinine (1.22 µmol L-1; p = 0.016) and lactate dehydrogenase (619 µmol L-1; p < 0.001) indicators were significantly high in non-ICU patients, while raised values of total bilirubin (0.91 µmol L-1; p = 0.054), C-reactive protein (84.68 mg L-1; p = 0.001), and ferritin (996.81 mg L-1; p < 0.001) were found in ICU patients. The drug dexamethasone was the leading prescribed and administrated medicine to COVID-19 patients, followed by remdesivir, meropenem, heparin, and tocilizumab, respectively. A characteristic pattern of ground glass opacities, consolidation, and interlobular septal thickening was prominent in severely infected patients. These findings could be used for future research, control, and prevention of SARS-CoV-2-infected patients.

Health literacy predicts Covid-19 awareness and protective behaviours of university students.

BACKGROUND: Health literacy is expected to help individuals deal with the required infection control and knowledge to cope with the COVID-19 pandemic. OBJECTIVES: This study examined the impact of health literacy on Covid-19 awareness and protective behaviours of university students in Pakistan. METHODS: An online questionnaire was used to collect data from students at three universities in Punjab. The approved questionnaire contained 12 statements related to HL, 21 items towards Covid-19 awareness, and 11 statements related to protective behaviours, along with some demographic data. Data analysis used Pearson correlation and simple linear regression. RESULTS: Health literacy of university students positively predicted their Covid-19 awareness and protective behaviours indicating that students with high health literacy were likely to be more aware of Covid-19 and adopt health protective behaviours. There were gender and rural/urban differences. CONCLUSIONS: The results demonstrated an urgent need for planning a needs-based health literacy programme focusing specifically on Covid-19 literacy in Pakistan. This research might help policy-makers, NGOs, and health librarians devise suitable programme.