Health Psychology Research / HPR / Volume 9 / Issue 1 / DOI: 10.52965/​001c.24595
GENERAL

The relation between knowledge and concern: A global study of  children and COVID-19 

Dina L. G. Borzekowski1* Christopher R. Lane2 Ankit Chandnani1 Maya Götz3
Show Less
1 Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD
2 Milken School of Public Health, George Washington University, Washington D.C
3 International Central Institute for Youth and Educational Television (IZI), Bayerischer Rundfunk (Bavarian Broadcasting Corp.), Munich, Germany
Submitted: 4 June 2021 | Accepted: 7 June 2021 | Published: 11 June 2021
© 2021 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

COVID-19 messages vary around the world, and populations receive these messages in different ways. Children are a vulnerable audience, especially in terms of risk communication. As messages are being developed, communicated, and disseminated about this pandemic, it is important to know the relation between COVID-19 knowledge and concern among preadolescents. In Spring 2020, children (N= 4,249) from 8 global regions completed an online survey (Mage= 11.0, 54% female, 46% male). We assessed children’s COVID-19 knowledge by asking about prevention and symptoms, as well as myths about the virus. We also assessed children’s concerns by asking about worries about self and others getting sick, missing school, and interruption of activities. Our analyses revealed different relations between knowledge and concern by region. Among children from Sub-Saharan Africa, the Arabian region, Asia, and North America, there was a positive relation between knowledge and concern. For those from Latin America, Oceania, Europe, and Southeast Asia, the relation was flat or negative. When producing messages for children during a public health crisis, health communicators must know that more knowledge is not always associated with less concern.

Keywords
health information
crisis communication
global health
children
risk communication
References

1. World Health Organization. Timeline of WHO's response to COVID-19. Published June 29, 2020. https://www.who.int/news-room/detail/29-06-2020-covid-timeline
2. UNESCO. Education: From disruption to recovery. Published September 8, 2020. https://en.unesco.org/covid19/educationresponse
3. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395(10227):912-920. doi:10.1016/s0140-6736(20)30460-8
4. Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-947. doi:10.1016/s0140-6736(20)30547-x
5. Abrams EM, Greenhawt M. Risk Communication During COVID-19. J Allergy Clin Immunol Pract. 2020;8(6):1791-1794. doi:10.1016/j.jaip.2020.04.012
6. The World Bank. COVID-19 (Coronavirus) Policy Response to Enhancing Institutions for Effective and Transparent Management. Published June 5, 2020. https://www.worldbank.org/en/country/russia/brief/covid-19-response-enhancing-institutions-russia
7. Clark-Ginsberg A, Petrun Sayers EL. Communication missteps during COVID-19 hurt those already most at risk. J Contingencies and Crisis Management. 2020;28(4):482-484. doi:10.1111/1468-5973.12304
8. Patel S, Moncayo O, Conroy K, Jordan D, Erickson T. The Landscape of Disinformation on Health Crisis Communication During the COVID-19 Pandemic in Ukraine: Hybrid Warfare Tactics, Fake Media News and Review of Evidence. DASH Home. https://dash.harvard.edu/handle/1/37364388
9. Gozansky Y, Ortner C. Knowledge, fear, and children's media. Why being informed in a pandemic is important for children. In: Gotz M, Lemish D, eds. Children and Media Worldwide in a Time of a Pandemic.
10. Eiser JR. Communication and interpretation of risk. British Medical Bulletin. 1998;54(4):779-790. doi:10.1093/oxfordjournals.bmb.a011729
11. Vaughan E, Tinker T. Effective health risk communication about pandemic influenza for vulnerable populations. Am J Public Health. 2009;99(S2):S324-S332. doi:10.2105/ajph.2009.162537
12. Biehl M, Halpern-Felsher BL. Adolescents' and adults' understanding of probability expressions. Journal of Adolescent Health. 2001;28(1):30-35. doi:10.1016/s1054-139x(00)00176-2
13. Gotz M. “I Know that it is Bush's Fault”: How children in Germany perceived the war in Iraq. In: Lemish D, Gotz M, eds. Children and Media in Times of War and Conflict. Hampton Press; 2007:15-36.
14. Lemish D. “This is our War”: Israeli children domesticating the war in Iraq. In: Lemish D, Gotz M, eds. Children and Media in Times of War and Conflict. Hampton Press; 2007:57-74.
15. Seiter E. US Children negotiating the proactive silence of parents and teachers on war in Iraq. In: Lemish D, Gotz M, eds. Children and Media in Times of War and Conflict. Hampton Press; 2007:37-56.
16. Ferrara P, Corsello G, Ianniello F, Sbordone A, Ehrich J, Pettoello-Mantovani M. Impact of Distressing Media Imagery on Children. J Pediatr. 2016;174:285-286.e1. doi:10.1016/j.jpeds.2016.03.075
17. Bray L, Carter B, Blake L, et al. “People play it down and tell me it can't kill people, but I know people are dying each day.” Children's health literacy relating to a global pandemic (COVID-19); an international cross-sectional study. PloS one. 2021;16(2):e0246405.
18. Alon-Tirosh M, Lemish D. If I was making the news”: What do children want from news. Participations. 2014;11(1):108-129.
19. Dryhurst S, Schneider CR, Kerr J, et al. Risk perceptions of COVID-19 around the world. Journal of Risk Research. 2020;23(7-8):994-1006. doi:10.1080/13669877.2020.1758193
20. Sjoberg U. It is not about facts- it is about framing. The app generation's Information-Seeking tactics: Proactive online crisis communication. J Contingencies Crisis Man. 2018;26(1):127-137. doi:10.1111/1468-5973.12145
21. Taylor M. Toward a holistic organizational approach to understanding crisis. In: Coombs WT, Holladay SJ, eds. The Handbook of Crisis Communication. Wiley-Blackwell; 2010:698-704. https://doi.org/10.1002/9781444314885.ch36

Conflict of interest
The authors disclose that they have no conflict of interest with this research and paper.
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research