A Cross-sectional Survey of Chinese Secondary School Students on Infectious Disease Prevention during the COVID-19 Outbreak

Objective: Improving secondary school students' knowledge and behaviors toward infectious dis- ease prevention is key to promoting their health. In this study, we evaluated secondary school students' infectious disease prevention literacy, determined the sources of knowledge acquisition, and identified deficiencies in education programs. Methods: A questionnaire was disseminated through social media from February 1-5, 2020, starting from selected class group chats of stu- dents in Shaanxi, Gansu, and Jiangsu provinces. A total of 1761 responses were collected. The male-to-female ratio was 1.08:1. The chi-square test was employed to analyze data. Results: Most respondents reported that they were familiar with the standard 7-step handwashing method. Most respondents reported that their knowledge and behaviors of infectious disease prevention were mainly acquired through the Internet. The vast majority of respondents believed that more educa- tion programs are needed in secondary schools. Conclusions: Secondary school students' knowl- edge and behaviors toward infectious disease prevention need to be improved. Infectious disease prevention programs on campuses should be increased in quantity, enriched in scope, refined in form, and improved in coherence and continuity.