Awareness, Attitudes, and Practices towards COVID-19; a population of Older Clinic Attendees with Psychiatric disorders and their caregivers in Southwestern Nigeria

Trefwoorden

caregivers
COVID-19
mental health
older adults
precautionary measures
psychogeriatric

Samenvatting

Background: Due to prevailing low levels of formal

education and access to information, older Nigerians

with mental illness may constitute a potentially

neglected population in efforts to mitigate the spread

of the novel Coronavirus Disease 2019 (COVID-

19).

Methods: A cross-sectional study using a mixed

method approach to assess 173 patient-caregiver

dyads attending an outpatient mental health clinic for

older people in Nigeria. A purpose-designed semi

structured questionnaire was used to assess the

awareness, atitudes and practices(AAP) of older

adults with psychiatric disorders and their caregivers

towards COVID 19 pandemic. Key informant

interviews (KII) were carried out with 10 patients’-

caregivers’ dyads to further explore participants’

awareness about the pandemic and their perspectives

towards the lockdown.

Results: Majority (96.5%) of the patients and all

caregivers were aware of the existence of the

COVID-19 pandemic. However, many of the patients

were unaware of the cause (71.7%), mode of

transmission (85.0%), symptomology (63.0%) and

75.2% were indifferent towards the pandemic.

Female patients compared to the males had higher

odds of poor awareness about COVID-19 (O. R=2.6,

95% C. I=1.4-4.9). Responses from the KII showed

that participants were either indifferent, surprised or

afraid of the lockdown.

Conclusion: The poor awareness of thecause,

modes of transmission,symptomatology of COVID-

19 as well as the indifferent attitude towards the

pandemic amomg majority of the older adults with

psychiatric disorder underpina need for health

education activities, targeted at improving their AAP

towards COVID-19 and its related public health

concerns.

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