Table 5.
Factors correlated with knowledge and attitude among international migrants, a national wide cross-sectional survey in China, 2020 (N=1426)
| Characteristics | Knowledge | Attitude | ||
|---|---|---|---|---|
| cOR (95%CI) | aOR (95%CI) # | cOR (95%CI) | aOR (95%CI) # | |
| Health insurance in China (ref no.) | 1.1 (0.8-1.5) | 1.0 (0.8-1.3) | 1.0 (0.8-1.3) | 1.1 (0.8-1.4) |
| Having had infection diseases in the past year (ref no.) | 1.1 (0.9-1.5) | 1.0 (0.8-1.3) | 0.8 (0.7-1.0) | 0.9 (0.7-1.1) |
| Receiving information through social media (Wechat/Microblog) (ref no.) | 2.0 (1.2-3.2) * | 2.0 (1.2-3.2) * | 1.3 (0.8-2.1) | 1.4 (0.9-2.2) |
| Receiving information through Internet (website/app related to news) (ref no.) | 1.5 (1.2-1.8) ** | 1.4 (1.2-1.8) ** | 1.0 (0.8-1.3) | 1.0 (0.9-1.3) |
| Receiving information through television (television/newspaper) (ref no.) | 1.1 (0.9-1.4) | 1.1 (0.9-1.4) | 1.1 (0.9-1.3) | 1.1 (0.9-1.3) |
| Receiving information through community (community/friends/leaflet) (ref no.) | 1.4 (1.2-1.8) ** | 1.5 (1.2-1.8) ** | 0.9 (0.8-1.2) | 1.0 (0.8-1.2) |
| Encountering language barriers when receiving medical services a (ref no.) | 0.8 (0.7-1.0) * | 0.8 (0.7-1.0) * | 0.9 (0.7-1.1) | 0.9 (0.7-1.0) |
| Encountering medical system barriers when receiving medical services b (ref no.) | 0.9 (0.7-1.2) | 0.9 (0.7-1.2) | 0.9 (0.7-1.1) | 0.8 (0.7-1.1) |
| Encountering discrimination barriers when receiving medical services c (ref no.) | 1.0 (0.7-1.5) | 1.0 (0.7-1.5) | 0.8 (0.5-1.1) | 0.8 (0.5-1.1) |
| The quality of medical service regarding COVID-19 in China | ||||
| good | 0.8 (0.6-1.1) | 0.8 (0.6-1.1) | 1.7 (1.3-2.2) ** | 1.7 (1.3-2.2) ** |
| moderate | 0.9 (0.7-1.4) | 1.0 (0.7-1.4) | 1.4 (1.1-1.9) * | 1.5 (1.1-2.0) * |
| poor | ref | ref | ref | ref |
| The Central Government | ||||
| High trust | 1.1 (0.8-1.6) | 1.1 (0.8-1.6) | 1.5 (1.1-2.2) * | 1.6 (1.1-2.2) * |
| Moderate trust | 1.2 (0.8-1.9) | 1.2 (0.8-1.8) | 0.6 (0.4-1.0) * | 0.7 (0.4-1.0) |
| Low trust | ref | ref | ref | ref |
| The department that handles health | ||||
| High trust | 1.1 (0.7-1.6) | 1.1 (0.7-1.6) | 1.6 (1.1-2.3) * | 1.6 (1.1-2.3) * |
| Moderate trust | 1.0 (0.6-1.5) | 0.9 (0.6-1.5) | 0.8 (0.5-1.3) | 0.8 (0.5-1.3) |
| Low trust | ref | ref | ref | ref |
| The department that handles immigration | ||||
| High trust | 1.3 (0.9-1.9) | 1.3 (0.9-1.9) | 1.5 (1.0-2.2) * | 1.5 (1.0-2.2) * |
| Moderate trust | 1.2 (0.8-2.0) | 1.2 (0.8-2.0) | 0.9 (0.6-1.5) | 1.0 (0.6-1.5) |
| Low trust | ref | ref | ref | ref |
| The hospital system | ||||
| High trust | 1.2 (0.8-1.7) | 1.1 (0.8-1.6) | 1.7 (1.2-2.5) * | 1.8 (1.2-2.6) * |
| Moderate trust | 1.0 (0.6-1.6) | 1.0 (0.6-1.6) | 1.1 (0.7-1.7) | 1.1 (0.7-1.8) |
| Low trust | ref | Ref | ref | ref |
| Doctors and medical professionals | ||||
| High trust | 1.1 (0.8-1.7) | 1.0 (0.7-1.5) | 2.0 (1.4-3.0) ** | 2.1 (1.4-3.1) ** |
| Moderate trust | 0.9 (0.6-1.5) | 0.9 (0.5-1.4) | 1.2 (0.7-1.9) | 1.2 (0.7-1.9) |
| Low trust | ref | ref | ref | ref |
| The information you are receiving about the COVID-19 | ||||
| High trust | 0.8 (0.6-1.1) | 0.8 (0.6-1.1) | 1.9 (1.4-2.5) ** | 1.8 (1.3-2.5) ** |
| Moderate trust | 0.8 (0.5-1.2) | 0.8 (0.6-1.2) | 1.2 (0.9-1.8) | 1.2 (0.9-1.8) |
| Low trust | ref | ref | ref | ref |
| The police | ||||
| High trust | 1.3 (0.9-1.8) | 1.2 (0.9-1.8) | 1.7 (1.2-2.3) * | 1.7 (1.2-2.4) * |
| Moderate trust | 1.2 (0.8-1.8) | 1.2 (0.8-1.8) | 0.8 (0.5-1.2) | 0.8 (0.5-1.2) |
| Low trust | ref | ref | ref | ref |
| The Chinese people | ||||
| High trust | 1.1 (0.9-1.4) | 0.8 (0.6-1.1) | 1.7 (1.3-2.3) ** | 1.7 (1.3-2.3) ** |
| Moderate trust | 1.4 (1.0-1.9) * | 1.1 (0.8-1.6) | 0.8 (0.6-1.2) | 0.8 (0.6-1.2) |
| Low trust | ref | ref | ref | ref |
Note: * P<0.05, **P<0.001; The outcome of knowledge was categorized into poor, moderate and good; The outcome of attitude was categorized into negative, neutral and positive;
#Multivariable ordinal logistic regression adjusted for gender, age, legal marital status, highest educational attainment, annual income (USD), original country, religion, reasons for migration;
OR: crude odds ratio; aOR: adjusted odds ratio; CI: confidence interval;
a Language barriers include: language communication barriers, and do not understand the drug instruction;
b Medical system barriers include: too long waiting time, not familiar with the medical procedure of seeking care, cannot receive medical services due to foreign identity, having problems related with medical insurance reimbursement;
c Discrimination barriers include: discriminated/insulted by doctor/nurse and suffer to discrimination/insult of other patients.