Knowledge, attitude, and practice towards COVID-19 among students in Kirkuk Medical College, Iraq

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Zahraa Ahmed Hassan
Areej Muthana Noaman
Wafa Mahmood Jasim


COVID-19, understanding, outlook, application, medical college, Kirkuk


On March 11, 2020, the World Health Organization (WHO) designated the new coronavirus COVID-19 to be epidemic. Adherence to infection control methods is strongly affected by an individual’s knowledge, attitudes, and practices (KAP). The study aimed to evaluate medical students' understanding, and attitudes toward COVID-19 at the Kirkuk Medical College in Iraq. From October 16 to October 26, 2020, a cross-sectional online study was conducted, among a sample of students in Kirkuk Medical College, one of the Iraqi governorates. A total of 214 students were included in this research, and the age varied between 20–25 years. The questionnaire was divided into demographic data, knowledge, attitudes, and practices, modified from an online questionnaire regarding COVID-19 previously used. Descriptive statistics and t-tests were conducted. Among the study sample (n=214), age ranged between 20–25 years, 72.9% were females, and 86.9% resided in urban areas. The learning questionnaire's total accuracy rate was 96.3%. 98.1% of the students know that the virus is spreading by respiratory droplets from infected individuals, 30.4% have a good attitude towards COVID-19, and 100% have good practice dodging crowded places and practicing appropriate hand hygiene. The majority of students are knowledgeable of disease transference prevention and good practices. Female gender and urban residency play a positive role in knowledge and practice in respect to COVID-19 but not in what concerns the attitude. It is recommended to continue health education programs to correct the negative attitude among students, especially those who reside in rural areas.

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1. F. Wu et al., “A new coronavirus associated with human respiratory disease in China,” Nature, vol. 579, no. 7798, pp. 265–269, 2020.
2. K. N. A. A. Mousa, M. M. Y. Saad, and M. T. B. Abdelghafor, “Knowledge, attitudes, and practices surrounding COVID-19 among Sudan citizens during the pandemic: an online cross-sectional study,” Sudan J. Med. Sci., vol. 15, no. 2, pp. 32–45, 2020.
3. S. Rugarabamu, M. Ibrahim, and A. Byanaku, “Knowledge, attitudes, and practices (KAP) towards COVID-19: A quick online cross-sectional survey among Tanzanian residents,” MedRxiv, 2020.
4. N. Coronavirus, “situation reports [Internet]. Who. int. 2020 [cited 2 April 2020].” 2019.
5. B.-L. Zhong 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., vol. 16, no. 10, p. 1745, 2020.
6. null The Lancet, “Emerging understandings of 2019-nCoV,” Lancet Lond. Engl., vol. 395, no. 10221, p. 311, Feb. 2020, doi: 10.1016/S0140-6736(20)30186-0.
7. “WHO Coronavirus (COVID-19) Dashboard.” (accessed Jan. 26, 2022).
8. A. Azlan, M. Hamzah, T. Sern, S. Ayub, and E. Mohamad, “Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia.,” PLoS One, vol. (5), no. 15, p. 21, May 2020, doi: 10.1371/journal.pone.0233668.
9. A. Asaad, R. El-Sokkary, M. Alzamanan, and M. El-Shafei, “Knowledge and attitudes towards Middle East respiratory sydrome-coronavirus (MERS-CoV) among health care workers in south-western Saudi Arabia.,” vol. 26, no. 4, pp. 435–442, Apr. 2020, doi: 10.26719/emhj.19.079.
10. M. Z. Ferdous, M. S. Islam, M. T. Sikder, A. S. M. Mosaddek, J. A. Zegarra-Valdivia, and D. Gozal, “Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study,” PloS One, vol. 15, no. 10, p. e0239254, 2020.
11. M. Haftom et al., “Knowledge, attitudes, and practices towards covid-19 pandemic among quarantined adults in Tigrai region, Ethiopia,” Infect. Drug Resist., vol. 13, p. 3727, 2020.
12. N. S. Khalil, D. B. Al-Yuzbaki, and R. S. Tawfeeq, “COVID-19 knowledge, attitude and practice among medical undergraduate students in Baghdad City,” EurAsian J. Biosci., vol. 14, no. 2, pp. 4179–4186, 2020.
13. X. Chen, L. Ran, Q. Liu, Q. Hu, X. Du, and X. Tan, “Hand hygiene, mask-wearing behaviors and its associated factors during the COVID-19 epidemic: A cross-sectional study among primary school students in Wuhan, China,” Int. J. Environ. Res. Public. Health, vol. 17, no. 8, p. 2893, 2020.
14. H. Alzoubi, N. Alnawaiseh, A. Al-Mnayyis, M. Abu-Lubad, A. Aqel, and H. Al-Shagahin, “COVID-19-knowledge, attitude and practice among medical and non-medical University Students in Jordan,” J Pure Appl Microbiol, vol. 14, no. 1, pp. 17–24, 2020.
15. Y. Bai et al., “Presumed asymptomatic carrier transmission of COVID-19,” Jama, vol. 323, no. 14, pp. 1406–1407, 2020.
16. S. H. Wong et al., “COVID-19 and public interest in face mask use,” Am. J. Respir. Crit. Care Med., vol. 202, no. 3, pp. 453–455, 2020.
17. A. Kimball et al., “Asymptomatic and presymptomatic SARS-CoV-2 infections in residents of a long-term care skilled nursing facility—King County, Washington, March 2020,” Morb. Mortal. Wkly. Rep., vol. 69, no. 13, p. 377, 2020.
18. N. R. Hussein, I. A. Naqid, K. Jacksi, and B. A. Abdi, “Assessment of knowledge, attitudes, and practices toward COVID-19 virus among university students in Kurdistan region, Iraq: Online cross-sectional study,” J. Fam. Med. Prim. Care, vol. 9, no. 9, p. 4809, 2020.
19. G. Huynh, T. N. H. Nguyen, K. N. Vo, and L. A. Pham, “Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City,” Asian Pac. J. Trop. Med., vol. 13, no. 6, p. 260, 2020.