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Risk perception and knowledge of COVID-19 in patients with celiac disease
BACKGROUND: We recently demonstrated that the odds of contracting coronavirus disease 2019 (COVID-19) in patients with celiac disease (CeD) is similar to that of the general population. However, how patients with CeD perceive their COVID-19 risk may differ from their actual risk. AIM: To investigate...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006100/ https://www.ncbi.nlm.nih.gov/pubmed/33828395 http://dx.doi.org/10.3748/wjg.v27.i12.1213 |
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author | Zhen, Jamie Stefanolo, Juan Pablo Temprano, María de la Paz Seiler, Caroline L Caminero, Alberto de-Madaria, Enrique Huguet, Miguel Montoro Santiago, Vivas Niveloni, Sonia Isabel Smecuol, Edgardo Gustavo Dominguez, Luis Uzcanga Trucco, Elena Lopez, Virginia Olano, Carolina Mansueto, Pasquale Carroccio, Antonio Green, Peter H Duerksen, Donald Day, Andrew S Tye-Din, Jason A Bai, Julio César Ciacci, Carolina Verdú, Elena F Lebwohl, Benjamin Pinto-Sanchez, M Ines |
author_facet | Zhen, Jamie Stefanolo, Juan Pablo Temprano, María de la Paz Seiler, Caroline L Caminero, Alberto de-Madaria, Enrique Huguet, Miguel Montoro Santiago, Vivas Niveloni, Sonia Isabel Smecuol, Edgardo Gustavo Dominguez, Luis Uzcanga Trucco, Elena Lopez, Virginia Olano, Carolina Mansueto, Pasquale Carroccio, Antonio Green, Peter H Duerksen, Donald Day, Andrew S Tye-Din, Jason A Bai, Julio César Ciacci, Carolina Verdú, Elena F Lebwohl, Benjamin Pinto-Sanchez, M Ines |
author_sort | Zhen, Jamie |
collection | PubMed |
description | BACKGROUND: We recently demonstrated that the odds of contracting coronavirus disease 2019 (COVID-19) in patients with celiac disease (CeD) is similar to that of the general population. However, how patients with CeD perceive their COVID-19 risk may differ from their actual risk. AIM: To investigate risk perceptions of contracting COVID-19 in patients with CeD and determine the factors that may influence their perception. METHODS: We distributed a survey throughout 10 countries between March and June 2020 and collected data on demographics, diet, COVID-19 testing, and risk perceptions of COVID-19 in patients with CeD. Participants were recruited through various celiac associations, clinic visits, and social media. Risk perception was assessed by asking individuals whether they believe patients with CeD are at an increased risk of contracting COVID-19 when compared to the general population. Logistic regression was used to determine the influencing factors associated with COVID-19 risk perception, such as age, sex, adherence to a gluten-free diet (GFD), and comorbidities such as cardiac conditions, respiratory conditions, and diabetes. Data was presented as adjusted odds ratios (aORs) RESULTS: A total of 10737 participants with CeD completed the survey. From them, 6019 (56.1%) patients with CeD perceived they were at a higher risk or were unsure if they were at a higher risk of contracting COVID-19 compared to the non-CeD population. A greater proportion of patients with CeD perceived an increased risk of contracting COVID-19 when compared to infections in general due to their CeD (56.1% vs 26.7%, P < 0.0001). Consequently, 34.8% reported taking extra COVID-19 precautions as a result of their CeD. Members of celiac associations were less likely to perceive an increased risk of COVID-19 when compared to non-members (49.5% vs 57.4%, P < 0.0001). Older age (aOR: 0.99; 95%CI: 0.99 to 0.99, P < 0.001), male sex (aOR: 0.84; 95%CI: 0.76 to 0.93, P = 0.001), and strict adherence to a GFD (aOR: 0.89; 95%CI: 0.82 to 0.96, P = 0.007) were associated with a lower perception of COVID-19 risk and the presence of comorbidities was associated with a higher perception of COVID-19 risk (aOR: 1.38; 95%CI: 1.22 to 1.54, P < 0.001). CONCLUSION: Overall, high levels of risk perceptions, such as those found in patients with CeD, may increase an individual’s pandemic-related stress and contribute to negative mental health consequences. Therefore, it is encouraged that public health officials maintain consistent communication with the public and healthcare providers with the celiac community. Future studies specifically evaluating mental health in CeD could help determine the consequences of increased risk perceptions in this population. |
format | Online Article Text |
id | pubmed-8006100 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-80061002021-04-06 Risk perception and knowledge of COVID-19 in patients with celiac disease Zhen, Jamie Stefanolo, Juan Pablo Temprano, María de la Paz Seiler, Caroline L Caminero, Alberto de-Madaria, Enrique Huguet, Miguel Montoro Santiago, Vivas Niveloni, Sonia Isabel Smecuol, Edgardo Gustavo Dominguez, Luis Uzcanga Trucco, Elena Lopez, Virginia Olano, Carolina Mansueto, Pasquale Carroccio, Antonio Green, Peter H Duerksen, Donald Day, Andrew S Tye-Din, Jason A Bai, Julio César Ciacci, Carolina Verdú, Elena F Lebwohl, Benjamin Pinto-Sanchez, M Ines World J Gastroenterol Observational Study BACKGROUND: We recently demonstrated that the odds of contracting coronavirus disease 2019 (COVID-19) in patients with celiac disease (CeD) is similar to that of the general population. However, how patients with CeD perceive their COVID-19 risk may differ from their actual risk. AIM: To investigate risk perceptions of contracting COVID-19 in patients with CeD and determine the factors that may influence their perception. METHODS: We distributed a survey throughout 10 countries between March and June 2020 and collected data on demographics, diet, COVID-19 testing, and risk perceptions of COVID-19 in patients with CeD. Participants were recruited through various celiac associations, clinic visits, and social media. Risk perception was assessed by asking individuals whether they believe patients with CeD are at an increased risk of contracting COVID-19 when compared to the general population. Logistic regression was used to determine the influencing factors associated with COVID-19 risk perception, such as age, sex, adherence to a gluten-free diet (GFD), and comorbidities such as cardiac conditions, respiratory conditions, and diabetes. Data was presented as adjusted odds ratios (aORs) RESULTS: A total of 10737 participants with CeD completed the survey. From them, 6019 (56.1%) patients with CeD perceived they were at a higher risk or were unsure if they were at a higher risk of contracting COVID-19 compared to the non-CeD population. A greater proportion of patients with CeD perceived an increased risk of contracting COVID-19 when compared to infections in general due to their CeD (56.1% vs 26.7%, P < 0.0001). Consequently, 34.8% reported taking extra COVID-19 precautions as a result of their CeD. Members of celiac associations were less likely to perceive an increased risk of COVID-19 when compared to non-members (49.5% vs 57.4%, P < 0.0001). Older age (aOR: 0.99; 95%CI: 0.99 to 0.99, P < 0.001), male sex (aOR: 0.84; 95%CI: 0.76 to 0.93, P = 0.001), and strict adherence to a GFD (aOR: 0.89; 95%CI: 0.82 to 0.96, P = 0.007) were associated with a lower perception of COVID-19 risk and the presence of comorbidities was associated with a higher perception of COVID-19 risk (aOR: 1.38; 95%CI: 1.22 to 1.54, P < 0.001). CONCLUSION: Overall, high levels of risk perceptions, such as those found in patients with CeD, may increase an individual’s pandemic-related stress and contribute to negative mental health consequences. Therefore, it is encouraged that public health officials maintain consistent communication with the public and healthcare providers with the celiac community. Future studies specifically evaluating mental health in CeD could help determine the consequences of increased risk perceptions in this population. Baishideng Publishing Group Inc 2021-03-28 2021-03-28 /pmc/articles/PMC8006100/ /pubmed/33828395 http://dx.doi.org/10.3748/wjg.v27.i12.1213 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Observational Study Zhen, Jamie Stefanolo, Juan Pablo Temprano, María de la Paz Seiler, Caroline L Caminero, Alberto de-Madaria, Enrique Huguet, Miguel Montoro Santiago, Vivas Niveloni, Sonia Isabel Smecuol, Edgardo Gustavo Dominguez, Luis Uzcanga Trucco, Elena Lopez, Virginia Olano, Carolina Mansueto, Pasquale Carroccio, Antonio Green, Peter H Duerksen, Donald Day, Andrew S Tye-Din, Jason A Bai, Julio César Ciacci, Carolina Verdú, Elena F Lebwohl, Benjamin Pinto-Sanchez, M Ines Risk perception and knowledge of COVID-19 in patients with celiac disease |
title | Risk perception and knowledge of COVID-19 in patients with celiac disease |
title_full | Risk perception and knowledge of COVID-19 in patients with celiac disease |
title_fullStr | Risk perception and knowledge of COVID-19 in patients with celiac disease |
title_full_unstemmed | Risk perception and knowledge of COVID-19 in patients with celiac disease |
title_short | Risk perception and knowledge of COVID-19 in patients with celiac disease |
title_sort | risk perception and knowledge of covid-19 in patients with celiac disease |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006100/ https://www.ncbi.nlm.nih.gov/pubmed/33828395 http://dx.doi.org/10.3748/wjg.v27.i12.1213 |
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