Awareness, perceived risk and protective behaviours of Myanmar adults on COVID-19

Kyaw S. Mya, Aye S. M., Win A. Hlaing, Su S. Hlaing, Thida Aung, Swe M. M. Lwin, Ei S. U., Thandar Tun, Kyawt S. Lwin, Hla H. Win


Background: COVID-19 was originated from Wuhan city, China in December 2019 and spread very fast to all over the world. This study was carried out to assess the awareness, perceived risk and protective behaviours of Myanmar adults on COVID-19.

Methods: The cross-sectional study was conducted using face to face interview method among 597 adults from Yangon and Bago regions. Binary logistic regression analysis was done to determine the factors influencing on practicing protective behaviours and the results were described by adjusted odds ratios (aOR) with 95% confidence intervals (CI).

Results: Almost all, 584 (98%) of 597 respondents, have heard about COVID-19. Among those 584 respondents, 87% had low knowledge level. Risk perception level towards COVID-19 was moderate to high. Regarding perception to information in social media, about 36% of the respondents agreed on sharing news from social media without verifying the sources. Only 22% reported good protective behaviours. Multivariable analysis revealed that knowledge score (aOR=1.19, 95% CI- 1.08-1.30) was significantly and positively influenced the protective behaviours. The odds of protective behaviour of participants from Ayeyarwaddy (aOR=0.41, 95% CI- 0.19-0.91) and other states and regions (aOR=0.49, 95% CI- 0.24-0.99) were significantly less than those of participants from Yangon.

Conclusions: The study concluded that community has no enough knowledge and inadequate protective behaviours to prevent COVID-19. The awareness raising activities and mass media health education should urgently be conducted focusing on hand washing, cough etiquette, social distancing behaviours and responsibility to inform suspected cases to local health authority to prevent COVID-19. Further research using nationally represented sample are warranted.


COVID-19, Awareness, Perceived risk, Protective behaviour, Adults, Myanmar

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World Health Organization. Naming the coronavirus disease (COVID-19) and the virus that causes it. 2020 Available at: emergencies/diseases/novel-coronavirus-2019/tech-nical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it. Accessed on 23 March 2020.

Hui DS, Azhar EI, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health the latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020;91:264-6.

World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Available at: Accessed on 23 March 2020.

World Health Organization (WHO). Novel Coronavirus (2019-nCoV) Situation Report- 1. WHO Bulletin; 2020.

World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). 2020. Available at: https://www.who. int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-internation al-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov). Accessed on 23 March 2020.

Mahtani S, Berger M, Grady SIM. Hundreds of evacuees to be held on bases in California; Hong Kong and Taiwan restrict travel from mainland China - The Washington Post. 2020. Available at: 114ced8a-479c-11ea-bc78-8a18f7afcee7_story.html. Accessed on 23 March 2020.

Ministry of Health and Sports. Newspaper COVID-19 news (18.3.20) (8_15 pm); 2020. Available at: Accessed on 24 March 2020.

World Health Organization (WHO). Coronavirus Disease 2019 (COVID-19) Situation Report- 61. WHO Bulletin; 2020. Available at: https://www. ce5ca11c_2. Accessed on 24 March 2020.

Ministry of Health and Sports. Newspaper COVID-19 news (24.3.20) (8_15 pm); 2020. Accessed on 24 March 2020.

Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA, Bandari DK. Novel Coronavirus (COVID-19) Knowledge and Perceptions: A Survey on Healthcare workers. Med Rxiv. 2020;2020.03.09.20033381.

Kwok KO, Li KK, Chan HH, Yi YY, Tang A, Wei WI, et al. Community responses during the early phase of the COVID-19 epidemic in Hong Kong: risk perception, information exposure and preventive measures. medRxiv. Available at: 2020.02.26.20028217. Accessed on 22 March 2020.

Brug J, Aro AR, Richardus JH. Risk perceptions and behaviour: Towards pandemic control of emerging infectious diseases: Iional research on risk perception in the control of emerging infectious diseases. Int J Behav Med. 2009;16(1):3-6.

Vartti AM, Oenema A, Schreck M, Uutela A, De Zwart O, Brug J, et al. SARS knowledge, perceptions, and behaviors: A comparison between finns and the dutch during the SARS outbreak in 2003. Int J Behav Med. 2009;16(1):41-8.