SciELO - Scientific Electronic Library Online

 
vol.63 issue5Role of SARS-CoV-2 vaccination in liver transplant populationChallenges in the management of Covid-19 patients in a neurological center in Mexico City author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Salud Pública de México

Print version ISSN 0036-3634

Salud pública Méx vol.63 n.5 Cuernavaca Sep./Oct. 2021  Epub Feb 27, 2023

https://doi.org/10.21149/12547 

Cartas al editor

Knowledge and perceptions about Covid-19 in the marginalized population of southeastern Mexico

Conocimientos y percepciones sobre Covid-19 en población marginada del sureste de México

José A De Fuentes-Vicente, PhD1 

Nancy L Hernández-Reyes, PhD2 

Flor M Bermúdez-Urbina, PhD3 

Sergio Meneses-Navarro, PhD4 

Ana L Castillo-Hernández, PhD2 

Nancy G Santos-Hernández, MS1 

Javier Gutiérrez-Jiménez, PhD1 

Alex Córdoba-Aguilar, PhD5 

(1) Instituto de Ciencias Biológicas, Universidad de Ciencias y Artes de Chiapas. Chiapas, Mexico.

(2) Colegio de Bachilleres de Chiapas. Chiapas, Mexico.

(3) Centro de Estudios Superiores de México y Centroamérica, Universidad de Ciencias y Artes de Chiapas. Chiapas, Mexico.

(4) Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Mexico.

(5) Instituto de Ecología, Universidad Nacional Autónoma de México. Mexito City, Mexico.


Dear editor: Health measures to protect against Covid-19 are the main tool to curb infections,1 yet misinformation and different cultural perceptions could be one obstacle towards this aim. This is especially the case of marginalized areas, especially indigenous populations.2 After applying an extensive survey (N= 1 000) among young people (15-18 years old) from marginalized areas of the Southeastern state of Chiapas, we found that a large part of the study population: believed in the existence of the disease, knows the main symptoms and some contagion mechanisms (table I). Moreover, they also believed that the disease had a conspiratorial origin which may explain why they showed low care in sanitary measures against contagion. For example, a substantial number of respondents (48%) wore masks, engaged in social distancing (60%) or avoided attending meetings (65%). Furthermore, 43% of the study population felt highly threatened by the Covid-19 pandemic and feared for their local economy (37.19%). Related to the later, the most frequent feelings detected were fear (68%) and worrying (48%). These public actions and perceptions of the pandemic can help us understand the underlying factors in community decision-making for health care. We believe that there are two major challenges facing this pandemic in marginalized and rural areas: 1) the population’s mistrust of the authorities and 2) misinformation and the prevalence of false ideas that can undermine efforts to adopt preventive measures.3 Although changing the behavior of a society is difficult, creating motivational strategies and tools can render a positive impact. Given this, young people can play a strategic role in the response to mitigate the effects of Covid-19 by being in contact with scientific knowledge and their close relationship with new digital sources and social networks (Facebook, WhatsApp, Instagram, among others) that can serve as dissemination platforms.

Table 1: Knowledge about some aspects of Covid-19 among the youth from Chiapas state, Mexico, according to their origin. Date when data were gathered June 1-30, 2020 

Indigenous (%)

Non-indigenous (%)

p value

Covid-19 existence

86.9

91.3

0.037

Signs/symptoms

Fever

63.7

78.6

<0.001

Breathing difficulty

61.2

84.4

<0.001

Headache

52.3

52.1

0.947

Dry cough

48.7

50.8

0.53

Transmission mechanisms

Sneeze

56.5

43.5

0.002

Saliva

53.4

46.6

0.002

Contaminated surfaces

59.3

40.8

0.527

Conspiratorial origin

66

66.7

0.929

References

World Health Organization. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. Geneva: WHO, 2020. Available from: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendationsLinks ]

Van-Bavel J, Baicker K, Willer B. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4:461-71. [ Links ]

Meneses-Navarro S, Freyermuth-Enciso MG, Pelcastre-Villafuerte BE, Campos-Navarro, Melendez-Navarro D, Gómez-Flores-Ramos L. The challenges facing indigenous communities in Latin America as they confront the COVID-19 pandemic. Int J Equity Health. 2020;19(63). [ Links ]

Declaration of conflict of interests. The authors declare that they have no conflict of interests.

Creative Commons License This is an open-access article distributed under the terms of the Creative Commons Attribution License