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印度拉贾斯坦邦沙漠地区的社会文化因素与疟疾

Sociocultural factors and malaria in the desert part of Rajasthan, India.

作者信息

Yadav S P, Kalundha R K, Sharma R C

机构信息

Desert Medicine Research Centre, New Pali Road, Jodhpur, India.

出版信息

J Vector Borne Dis. 2007 Sep;44(3):205-12.

Abstract

BACKGROUND & OBJECTIVES: Malaria is a new emerging problem of Indian Thar Desert. The study was attempted to find out some sociocultural factors associated with malaria transmission in this region and to supplement social solutions to ongoing malaria control efforts in the desert part of Rajasthan.

METHODS

Interview technique was used for data collection on pre-tested schedules. In all 30 households (15 from low socioeconomic group and the same number of households from the high socioeconomic group) in a village were selected following systematic random sampling technique. A total of 450 respondents were selected randomly in 15 villages of Jaisalmer district, Rajasthan.

RESULTS

One-third of the respondents had neither taken treatment for malaria nor took part in the vector control operations because they did not consider mosquito bites to be harmful and took malaria as a mild disease. Outdoor sleeping habits, sharing bed with children, uneasy and suffocation feeling in using mosquito bednets or any other protective device also contributed to the spread of malaria in the study villages.

INTERPRETATION & CONCLUSION: Community should be educated as a whole particularly the low socioeconomic group of people to bring changes in their beliefs, sociocultural and health practices to protect themselves from mosquito bites by using bednets, repellents and other devices, such as wire mesh screening of house doors and windows.

摘要

背景与目的

疟疾是印度塔尔沙漠地区新出现的一个问题。本研究旨在找出该地区与疟疾传播相关的一些社会文化因素,并为拉贾斯坦邦沙漠地区正在进行的疟疾防控工作补充社会层面的解决办法。

方法

采用访谈技术,依据预先测试的问卷收集数据。按照系统随机抽样技术,在一个村庄选取了30户家庭(15户来自低社会经济群体,同样数量的家庭来自高社会经济群体)。在拉贾斯坦邦斋沙默尔县的15个村庄中,随机选取了450名受访者。

结果

三分之一的受访者既未接受疟疾治疗,也未参与病媒控制行动,因为他们不认为蚊虫叮咬有害,且将疟疾视为一种轻症疾病。户外睡眠习惯、与儿童同床、使用蚊帐或任何其他防护设备时感到不适和窒息,也导致了研究村庄中疟疾的传播。

解读与结论

应整体对社区进行教育,尤其是低社会经济群体的人们,促使他们改变观念、社会文化和健康行为,通过使用蚊帐、驱虫剂和其他设备(如房屋门窗的铁丝网纱窗)来防止蚊虫叮咬。

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