Abstract
Background and Objectives: Covid-19 is highly contagious disease and has today become a major public health concern in the developing countries worldwide. This study attempted to assess the knowledge, attitude, anxiety experience, perceived mental healthcare, and oral health among adult Kashmiri population during the COVID-19 pandemic.
 Methods: An anonymous online questionnaire was developed using Google forms to avoid person-to-person contact. The structured questionnaire consisted of questions covering several areas: sociodemographic data, knowledge, awareness, attitude about the COVID-19 , the anxiety level, oral hygiene habits during confinement, care and disinfection control behaviours in the dental environment.
 Results: Due to continuing conflict in Kashmir during the last 18 years there has been a phenomenal increase in psychiatric morbidity. The results reveal that the prevalence of depression was high 46.3% among Kashmiri residents who were anxious with the thought of COVID-19 virus. In our study it was also found that 66.2% of the responders had a moderate level of knowledge about being getting quarantined and 97.7% of the participants had an adequate knowledge about its preventive aspects. The anxiety levels identified in the study were high i.e. more than 70% of the participants were preoccupied with the COVID-19 pandemic over the past months. Approximately, 42.6% of the participants have been angered and distressed due to being worried about the ongoing pandemic. Oral hygiene and last visit to the dentist were found highly significant in our study i.e. approximately 36.6% of the participants had visited a dentist among which 35.2% had visited only due to consultation advise.
 Conclusion: Population of Kashmir had a better mean knowledge score regarding this virus but yet mental health is an integral part of overall health and quality of life. Substantial and sustainable improvements can be achieved only when a comprehensive strategy for mental health which incorporates both prevention and care elements is adopted. There is a need to intensify the awareness and address the mental health issues, and importance of oral hygiene of people during this COVID-19 pandemic.
Highlights
The coronavirus belongs to a family of viruses that may cause various symptoms such as pneumonia, fever, breathing difficulty, and lung infection [1]
The structured questionnaire consisted of questions covering several areas: sociodemographic data, knowledge, awareness, attitude about the COVID-19, the anxiety level, oral hygiene habits during confinement, care and disinfection control behaviours in the dental environment
The anxiety levels identified in the study were high i.e. more than 70% of the participants were preoccupied with the COVID-19 pandemic over the past months
Summary
The coronavirus belongs to a family of viruses that may cause various symptoms such as pneumonia, fever, breathing difficulty, and lung infection [1]. These viruses are common in animals worldwide, but very few cases have been known to affect humans. It was reported that a cluster of patients with pneumonia of unknown cause was linked to a local Huanan South China Seafood Market in Wuhan, Hubei Province, China in December 2019 [5]. Covid-19 is highly contagious disease and has today become a major public health concern in the developing countries worldwide. This study attempted to assess the knowledge, attitude, anxiety experience, perceived mental healthcare, and oral health among adult Kashmiri population during the COVID-19 pandemic.
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