Community Knowledge, Attitudes and Behaviors in Prevention of COVID-19 Transmission: a Systematic Review

Kholis Ernawati, Istri Bela Cantika, Riska Rammadita Isaputri, Atika Wahyu Andari, Muhammad Fajar Ramadhan, Shifa Khaunan Nathasia, Rifqatussa’adah Rifqatussa’adah, Hayati Sari Hasibuan, Lina Tri Mugi Astuti, Yunita Ismail


The research objective was to determine the community's knowledge, attitudes, and behavior in preventing the transmission of COVID-19 with a systematic review approach. The research method used the PRISMA protocol (Preferred Reporting Items for Systematic Review and Meta-Analysis). The research variables were sociodemography, knowledge, attitudes, and behaviors to prevent COVID 19. The search process for articles was accessed on three electronic journal databases. The article inclusion criteria are quantitative research, primary data, year of publication (January 2020 - July 2020), in English, open access, have gone through the peer review stage, and full-text articles. A descriptive analysis was carried out on each research variable. The results showed ten articles that fit the inclusion criteria, consisting of 100% sociodemographic variables, 90% knowledge, 90% attitude, and 80% behavior. The number of articles with significant research results on knowledge variables (covering aspects of disease recognition, modes of transmission, general symptoms, and methods of prevention) was 61.11% of articles. The number of significant articles on attitude variables (including self-isolation, use of masks, social distancing, COVID-19, and government) was 35.54%. The number of substantial articles on the variable of preventive behavior (including handwashing, social distancing, hand sanitizers, use of masks, and self-isolation) was 45%.


Kemenkes RI, Pedoman Pencegahan dan Pengendalian Corona Virus Disease (Covid-19). 2020.

Z. Wang, W. Qiang, and H. Ke, A Handbook of 2019-nCoV Pneumonia Control and Prevention. 2020.

WHO, “Coronavirus disease (COVID-19) Situation Report – 203,” A A Pract., vol. 14, no. 6, p. e01218, 2020, DOI: 10.1213/xaa.0000000000001218.

World Health Organization, “Transmisi SARS-CoV-2 : implikasi terhadap kewaspadaan pencegahan infeksi,” Pernyataan keilmuan, pp. 1–10, 2020, [Online]. Available:

World Health Organization, “COVID‑19 STRATEGY UPDATE,” no. April, p. 18, 2020, [Online]. Available:

D. K. Sari, R. Amelia, R. Dharmajaya, L. M. Sari, and N. K. Fitri, “Positive Correlation Between General Public Knowledge and Attitudes Regarding COVID-19 Outbreak 1 Month After First Cases Reported in Indonesia,” J. Community Health, no. 0123456789, 2020, DOI: 10.1007/s10900-020-00866-0.

B. Yanti et al., “Community Knowledge, Attitudes, and Behavior Towards Social Distancing Policy As Prevention Transmission of Covid-19 in Indonesia,” J. Adm. Kesehat. Indones., vol. 8, no. 2, p. 4, 2020, DOI: 10.20473/jaki.v8i2.2020.4-14.

P. and R. R. Shyam Prakash*, Akanksha Priya, “CURRENT PERSPECTIVE OF COVID-19 IN INDIA AND A GLOBAL PANDEMIC CHALLENGES,” Int. J. Public Heal. Clin. Sci., vol. 7, no. 3, pp. 111–128, 2020.

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, pp. 1745–1752, 2020, DOI: 10.7150/ijbs.45221.

L. Shamseer et al., “Preferred reporting items for systematic review and meta-analysis protocols (prisma-p) 2015: Elaboration and explanation,” BMJ, vol. 349, no. January, pp. 1–25, 2015, DOI: 10.1136/bmj.g7647.

M. Mulyadi, “Partisipasi Masyarakat Dalam Penanganan Penyebaran Covid-19,” Info Singkat, Pus. Penelit. Badan Keahlian DPR RI, vol. XII, no. 8, pp. 13–18, 2020.

M. S. Afzal et al., “Community-Based Assessment of Knowledge, Attitude, Practices and Risk Factors Regarding COVID-19 Among Pakistanis Residents During a Recent Outbreak: A Cross-Sectional Survey,” J. Community Health, no. 0123456789, 2020, DOI: 10.1007/s10900-020-00875-z.

L. L. Lau et al., “Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study,” J. Glob. Health, vol. 10, no. 1, 2020, DOI: 10.7189/JOGH.10.011007.

E. Hager, I. A. Odetokun, O. Bolarinwa, A. Zainab, O. Okechukwu, and A. I. Al-Mustapha, “Knowledge, attitude, and perceptions towards the 2019 Coronavirus Pandemic: A bi-national survey in Africa.,” PLoS One, vol. 15, no. 7, p. e0236918, 2020, DOI: 10.1371/journal.pone.0236918.

Y. Kebede, Y. Yitayih, Z. Birhanu, S. Mekonen, and A. Ambelu, “Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma university medical center visitors, Southwest Ethiopia,” PLoS One, vol. 15, no. 5, pp. 1–15, 2020, DOI: 10.1371/journal.pone.0233744.

A. A. Azlan, M. R. Hamzah, T. J. Sern, S. H. Ayub, and E. Mohamad, "Public knowledge, attitudes, and practices towards COVID-19: A cross-sectional study in Malaysia," PLoS One, vol. 15, no. 5, pp. 1–15, 2020. DOI: 10.1371/journal.pone.0233668.

H. Seale et al., “COVID-19 is rapidly changing: Examining public perceptions and behaviors in response to this evolving pandemic,” PLoS One, vol. 15, no. June 6, pp. 1–13, 2020, DOI: 10.1371/journal.pone.0235112.

S. K. Almofada et al., “Knowledge, Attitudes, and Practices Toward COVID-19 in a Saudi Arabian Population: A Cross-Sectional Study.,” Cureus, vol. 12, no. 6, p. e8905, 2020, DOI: 10.7759/cureus.8905.

P. A. Parikh et al., “COVID-19 Pandemic: Knowledge and Perceptions of the Public and Healthcare Professionals,” Cureus, vol. 12, no. 5, 2020, DOI: 10.7759/cureus.8144.

N. Duell, L. Steinberg, G. Icenogle, J. Chein, N. Chaudhary, and L. Di Giunta, “Age patterns in risk taking across the world,” J. Youth Adolesc., vol. 47, no. 5, pp. 1052–1072, 2018.

X. Zhang, Y. Sun, D. Ye, Z. Sun, H. Su, and J Ni, “Analysis on mental health status of community residents in Hefei during SARS spread,” Chinese J. Dis. Control Prev., vol. 7, pp. 280–282, 2003.

N. M. Ferguson et al., “Impact of non-pharmaceutical interventions ( NPIs ) to reduce COVID-19 mortality and healthcare demand,” Imp. Coll. London, no. March, 2020, DOI: 10.25561/77482.

C. J. M. Koenraadt, W. Tuiten, R. Sithiprasasna, U. Kijchalao, J. W. Jones, and T. W. Scott, “Dengue knowledge and practices and their impact an aedes aegypti populations in kamphaeng phet, Thailand,” Am J Trop Med Hyg, vol. 74, no. 4, pp. 692–700, 2006, PMID: 16607007.

G. Leung, T. Lam, L. Ho, S. Ho, B. Chan, and I. Wong, “The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong,” J. Epidemiol. Community Health, vol. 57, p. 857, 2003, DOI: 10.1136/jech.57.11.857.

J. Lau, X. Yang, H. Tsui, and J. Kim, “Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62,” J. Epidemiol. Community Health, vol. 57, p. 864, 2003, DOI: 10.1136/jech.57.11.864.

H. Marshall, P. Ryan, D. Roberton, J. Street, and M. Watson, “Pandemic influenza and community preparedness,” Am. J. Public Health, vol. 2, no. 2, pp. 365–71, 2009, DOI: 10.2105/AJPH. 2008.153056.

B. Cowling, D. Ng, D. Ip, Q. Liao, W. Lam, and J. Wu, “Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong,” J Infect Dis, vol. 202, pp. 867–76, 2010, DOI: 10.1086/655811.

P. Srichan et al., “Knowledge, attitudes and preparedness to respond to COVID-19 among the border population of northern Thailand in the early period of the pandemic: a cross- sectional study,” WHO South-East Asia J. Public Heal., vol. 9, no. September, pp. 118–125, 2020, DOI: 10.4103/2224-3151.294305.

A. J. Cowell, “The relationship between education and health behavior: Some empirical evidence,” Health Econ., vol. 15, no. 2, pp. 125–146, 2006, DOI: 10.1002/hec.1019.

S. Notoatmodjo, “Promosi Kesehatan & Ilmu Perilaku,” Jakarta: Rineka Cipta, 2014.

Ahmadi, Kesehatan masyarakat, teori dan aplikasi. 2013.

K. G. Betford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, “COVID-19: towards controlling of a pandemic,” Lancet, vol. 395, no. January, pp. 1015–8, 2020, DOI: 10.1056/NEJMoa2002032.9.

L. Garrett, “COVID-19: the medium is the message,” Lancet, vol. 395, no. January, pp. 942–3, 2020.

C. K. L. Pastor, “Sentiment Analysis on Synchronous Online Delivery of Instruction due to Extreme Community Quarantine in the Philippines caused by COVID-19 Pandemic,” Asian J. Multidiscip. Stud., vol. 3, no. 1, pp. 1–6, 2020.

Y. Shi et al., “Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19,” Brain, Behav. Immun. - Heal., vol. 4, no. March, 2020, DOI: 10.1016/j.bbih.2020.100064.

P. Geldsetzer, “Knowledge and perceptions of COVID-19 among the general public in the United States and the United Kingdom: A cross-sectional online survey,” Ann. Intern. Med., vol. 15, no. March, pp. 1–4, 2020, DOI: 10.1101/2020.03.13.20035 568.

A. Finset, H. Bosworth, P. Butow, P. Gulbrandsen, R. Hulsman, and A. Pieterse, “Effective health communication– a key factor in fighting the COVID-19 pandemic,” Patient Educ Couns, vol. 103, no. January, pp. 873–876, 2020, DOI: 10.1016/j.pec.2020.03.027.

R. J. Glass, “Targeted social distancing design for pandemic influenza,” Emerg. Infect. Dis., vol. 12, no. 11, pp. 1671–81, 2006, DOI: 10.3201/eid1211.060255.

S. P. Robbins, Perilaku Organisasi. Jakarta: Salemba Empat, 2007.

D. Albarracin, “Theories of reasoned action and planned behavior as models of condom use: A meta-analysis,” Psychol. Bull., vol. 127, no. 1, pp. 142–161, 2001, DOI: 10.1037/0033-2909.127.1.142.

B. Person, F. Sy, K. Holton, B. Govert, A. Liang, and N. Sars, “Fear and Stigma : The Epidemic within the SARS Outbreak,” Emerg. Infect. Dis. Centers Dis. Control Prev., vol. 10, no. 2, pp. 358–363, 2004.

A. Erfani, R. Shahriarirad, and K. Ranjbar, “Knowledge , Attitude and Practice toward the Novel Coronavirus ( COVID-19 ) Outbreak : A Population-Based Survey in Iran,” Bull World Heal. Organ, no. March, 2020, DOI: 10.2471/BLT.20.256651.

A. Bandura, “Social Cognitive Theory and Exercise of Control over HIV Infection,” DiClemente RJ, Peterson JL, Ed. Prev. AIDS Theor. Methods Behav. Interv. Boston, MA Springer US, pp. 25–59, 1994.

J. A. Lewnard and N. C. Lo, “Scientific and ethical basis for social-distancing interventions against Covid-19,” Lancet Infect. Dis. Elsevier Ltd, vol. 20, no. January, pp. 1–2, 2020, DOI: 10.1056/NEJMoa2002032.5.

T. C. Reluga, “Game Theory of Social Distancing in Response to an Epidemic,” PLoS Comput. Biol., vol. 6, no. 5, pp. 1–9, 2010, DOI: 10.1371/journal.pcbi.1000793.

WHO, “WHO SAVE LIVES : Clean Your Hands In The Context Of COVID-19,” no. May, pp. 19–20, 2020.

F. Ahmed, N. Zviedrite, and A. Uzicanin, “Effectiveness of workplace social distancing measures in reducing influenza transmission: A systematic review,” BMC Public Health, vol. 18, no. 518, pp. 1–13, 2018, DOI: 10.1186/s12889-018-5446-1.

S. Maharaj and A. Kleczkowski, “Controlling epidemic spread by social distancing : Do it well or not at all,” BMC Public Health, vol. 12, no. 679, pp. 1–16, 2012, DOI: 10.1186/1471-2458-12-679.

M. Salman, Z. Ul, M. Noman, H. Abbas, and Z. Khalid, “Knowledge , attitude and preventive practices related to COVID ‑ 19 : a cross ‑ sectional study in two Pakistani university populations,” Drugs Ther. Perspect., no. March, 2020, DOI: 10.1007/s40267-020-00737-7.

J. Kumar, M. S. Katto, A. A. Siddiqui, B. Sahito, M. Jamil, and N. Rasheed, “Knowledge, attitude, and practices of healthcare workers regarding the use of face mask to limit the spread of the new coronavirus disease (COVID-19),” Cureus, vol. 12, 2020.

I. Azjen, “Perceived Behavioral Control, Self-Efficacy, Locus of Control, and the Theory of Planned Behavior,” J. Appl. Soc. Psychol., vol. 32, no. 4, pp. 665–683, 2002, DOI: 10.1111/j.1559-1816.2002.tb00236.x.

K. A. Pawelek, C. Salmeron, and S. Del Valle, “Connecting within and between-hosts dynamics in the influenza infection-staged epidemiological models with behavior change,” J. Coupled Syst. Multiscale Dyn., vol. 3, no. 3, pp. 233–243, 2015.

Total views : 136 times


  • There are currently no refbacks.

International Journal of Public Health Science (IJPHS)
p-ISSN: 2252-8806, e-ISSN: 2620-4126

View IJPHS Stats

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.