@Article{info:doi/10.2196/21103, author="Paludneviciene, Raylene and Knight, Tracy and Firl, Gideon and Luttrell, Kaela and Takayama, Kota and Kushalnagar, Poorna", title="Perception of COVID-19 Physical Distancing Effectiveness and Contagiousness of Asymptomatic Individuals: Cross-sectional Survey of Deaf and Hard of Hearing Adults in the United States", journal="J Med Internet Res", year="2021", month="Feb", day="25", volume="23", number="2", pages="e21103", keywords="COVID-19; coronavirus; physical distancing; asymptomatic individual; social media; deaf; hard of hearing; sign language; perception; misinformation", abstract="Background: During the COVID-19 pandemic, there has been a rapid increase in the amount of information about the disease and SARS-CoV-2 on the internet. If the language used in video messages is not clear or understandable to deaf and hard of hearing (DHH) people with a high school degree or less, this can cause confusion and result in information gaps among DHH people during a health emergency. Objective: The aim of this study is to investigate the relationship between DHH people's perception of the effectiveness of physical distancing and contagiousness of an asymptomatic person. Methods: This is a cross-sectional survey study on DHH people's perceptions about COVID-19 (N=475). Items pertaining to COVID-19 knowledge were administered to US deaf adults from April 17, 2020, to May 1, 2020, via a bilingual American Sign Language/English online survey platform. Results: The sample consisted of 475 DHH adults aged 18-88 years old, with 74{\%} (n=352) identifying as White and 54{\%} (n=256) as female. About 88{\%} (n=418) of the sample felt they knew most things or a lot about physical distancing. This figure dropped to 72{\%} (n=342) for the question about the effectiveness of physical distancing in reducing the spread of COVID-19 and 70{\%} (n=333) for the question about the contagiousness of an infected person without symptoms. Education and a knowledge of the effectiveness of physical distancing significantly predicted knowledge about the contagiousness of an asymptomatic individual. Race, gender, and age did not emerge as significant predictors. Conclusions: This results of this study point to the strong connection between education and coronavirus-related knowledge. Education-related disparities can be remedied by making information fully accessible and easily understood during emergencies and pandemics. ", issn="1438-8871", doi="10.2196/21103", url="https://www.jmir.org/2021/2/e21103", url="https://doi.org/10.2196/21103", url="http://www.ncbi.nlm.nih.gov/pubmed/33560996" }