Did Iranians respect health measures during Nowruz holidays? A study on Iranian’s knowledge, attitude and practice toward COVID-19




Introduction. Since December, 2019, COVID-19 outbreak has affected almost every country in the world including Iran. General awareness and commitment to recommendations made by health official have important rules in control of the outbreak. The aim of the current study was to assess the knowledge, attitude, and practice of Iranians concerning COVID-19 after New Year’s holiday in Iran and identifying its determining demographic and socioeconomic factors.

Methods. A cross-sectional study was designed. In the first, step we translated and culturally adopted Zhong’s questionnaire to Persian which is questionnaire designed to assess people’s knowledge, attitude, and practice toward COVID-19. In the second step, using online Google forms, we sent the questionnaire via social platforms throughout the country. A total of 1015 Iranians participated in the study.

Results. The mean knowledge score among our participants was 10.60, with an overall correct response rate of 88.35%. Higher Knowledge score was associated with higher education, being a professor, and residing in cities. Lower knowledge score was associated with being unemployed, marital status other than single or married, and living in rural areas. 91.55% and 93.84% of our participants had favorable attitudes and practices toward COVID-19, respectively.

Conclusion. Overall, Iranians showed a satisfactory KAP towards COVID-19. We suggest more attention to informing younger and lower socioeconomic populations, as they were related to more risky behaviors and had lower knowledge scores regarding COVID-19.



Zhu, N., et al., A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med, 2020. 382(8): p. 727-733.
2. WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

3. 2020 coronavirus pandemic in Iran. https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_Iran#cite_note-NYT_Iran_19Feb_first2-3.
4. WHO COVID-19 situation report - 89. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200418-sitrep-89-covid-19.pdf?sfvrsn=3643dd38_2.
5. WHO, Coronavirus disease (COVID-19) advice for the public. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
6. How to Protect Yourself & Others. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html.
7. Iran's ministry of Health https://behdasht.gov.ir/%D8%B1%D8%A7%D9%87%D9%86%D9%85%D8%A7%D9%87%D8%A7%DB%8C-%D8%A2%D9%85%D9%88%D8%B2%D8%B4%DB%8C-%DA%A9%D8%B1%D9%88%D9%86%D8%A7.
8. Iranians ignore requests to stay home for new year celebrations. https://www.theguardian.com/world/2020/mar/20/iranian-new-year-self-isolate-covid-19.
9. Niroomand, M., et al., Diabetes knowledge, attitude and practice (KAP) study among Iranian in-patients with type-2 diabetes: A cross-sectional study. Diabetes Metab Syndr, 2016. 10(1 Suppl 1): p. S114-9.
10. Zhong, B.-L., 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. 2020. 16(10): p. 1745.
11. WHO Portal. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
12. Iran population statistics. https://www.amar.org.ir.
13. Questionnaire. https://docs.google.com/forms/d/e/1FAIpQLSetE78l9dnhYbFTRNlRv0NPQG3reaDajBHmDXaOhXDO74LZUQ/closedform.
14. Clements, J.M.J.m., Knowledge and behaviors toward COVID-19 among US residents during the early days of the pandemic. 2020.
15. اطلاع‌نگاشت آمار بی‌سوادان ایران در سال ١٣٩٥. https://www.amar.org.ir/news/ID/10059/%D8%A7%D8%B7%D9%84%D8%A7%D8%B9%D9%86%DA%AF%D8%A7%D8%B4%D8%AA-%D8%A7%D9%85%D8%A7%D8%B1-%D8%A8%DB%8C%D8%B3%D9%88%D8%A7%D8%AF%D8%A7%D9%86-%D8%A7%DB%8C%D8%B1%D8%A7%D9%86-%D8%AF%D8%B1-%D8%B3%D8%A7%D9%84-1395.
16. Zahra, P., et al., Study of the rate of Hopelessness and its associated factors in Youth of Yazd city, Iran. 2010. 5: p. 2108-2112.
17. مبتلایان به کرونا در قم جان باختند. https://www.imna.ir/news/411252/%D9%85%D8%A8%D8%AA%D9%84%D8%A7%DB%8C%D8%A7%D9%86-%D8%A8%D9%87-%DA%A9%D8%B1%D9%88%D9%86%D8%A7-%D8%AF%D8%B1-%D9%82%D9%85-%D8%AC%D8%A7%D9%86-%D8%A8%D8%A7%D8%AE%D8%AA%D9%86%D8%AF.
18. Han, P., V. Balaban, and C. Marano, Travel characteristics and risk-taking attitudes in youths traveling to nonindustrialized countries. J Travel Med, 2010. 17(5): p. 316-21.
19. Pawlowski, B., R. Atwal, and R.I.M. Dunbar, Sex differences in everyday risk-taking behavior in humans. Evolutionary Psychology, 2008. 6(1): p. 29-42.