江汉大学学报（自然科学版）

目的 了解遵义市城乡居民对新型冠状病毒（COVID-19）肺炎的认知、态度、行为（knowledge,attitude and practice,KAP）的现况及其对疫情防控工作的满意度，供针对性地开展相关健康教育和疫情防控工作参考。方法 通过问卷星及纸质问卷，采用分层多阶段抽样的方法 对遵义市城乡居民新冠疫情防控KAP及其满意度进行调查，分析不同特征居民间KAP差异和影响因素。结果 共收到有效调查问卷603份，总知晓率为79.43%。不同年龄、文化程度、职业对COVID-19认知情况差异有统计学意义（P <0.05）；居民对COVID-19持积极态度的比例为87.23%，不同特征的居民对COVID-19的态度差异均无统计学意义（P> 0.05）；对病毒的防护措施采取良好行为比例为93.37%，不同文化程度和职业间行为差异有统计学意义（P <0.05）。多因素分析显示：文化程度越低的居民对COVID-19的认知越低于文化程度高的居民OR=0.647(95%CI 0.548,0.764)；低认知居民采取良好防护行为低于高认知居民OR=0.531(95%CI 0.328,0.860)。结论 城乡居民对新冠肺炎疫情防控的满意度较高，KAP较好、防控积极性较高，但应加强脆弱人群（低文化、年龄较长/幼）的新冠知识的宣传教育，更好推进新冠病毒的精准防控。

Objective To investigate the knowledge,attitude,and practice(KAP)related to COVID-19 and the satisfaction with the prevention and control of COVID-19 in urban and Rural Residents in Zunyi City,and provide a reference for the health education and prevention and control of COVID-19. Methods Through online and offline questionnaires,the stratified multistage sampling method was used to investigate the KAP and satisfaction of urban and rural residents in Zunyi City for the prevention and control of the COVID-19epidemic,and to analyze the differences and influencing factors of KAP among residents with different characteristics. Results A total of 603 valid questionnaires were collected. The total awareness rate of COVID-19 among residents was 79. 43%. There was a significant difference in the awareness of COVID-19 among different ages,educational levels,and occupations(P < 0. 05). The proportion of residents with a positive attitude towards COVID-19 was 87. 23%,while there was no significant difference in the attitude of residents with different characteristics(P > 0. 05). Moreover,93. 37% of them had good behavior in preventing the COVID-19 virus,while the differences among residents with different education and occupation were statistically significant(P < 0. 05). The result of multivariate analysis showed that residents with low education levels had lower cognition of COVID-19 than those with high education levels OR = 0. 647(95%CI 0. 548,0. 764).The residents with high cognition took better protective behavior than those with low cognition OR = 0. 531(95%CI 0. 328,0. 860). Conclusion Urban and rural residents have a high degree of satisfaction,a good KAP,and a high level of enthusiasm for COVID-19prevention and control. However,it is necessary to strengthen the publicity and education of COVID-19 in vulnerable groups(such as low education levels and older/younger) to better promote the precise prevention and control of COVID-19.