Family and Community Medicine Department, Faculty of Medicine, King AbdulAziz University, Jeddah, Saudi Arabia.
J Infect Public Health. 2009;2(1):30-40. doi: 10.1016/j.jiph.2009.01.004. Epub 2009 Mar 4.
Dengue is increasingly recognized as one of the world's major infectious diseases. Dengue vectors, human knowledge and human behavior have each been reported to play an important role in the transmission of the disease. A cross-sectional approach was conducted to assess knowledge, attitudes and practice (KAP) of high school female students, teachers and supervisors towards Dengue fever (DF), and to determine scoring predictors of high school students' knowledge and practice scores. A multistage, stratified, random sample method was applied. A total of 2693 students, 356 teachers and 115 supervisors completed confidential self-administered questionnaires.
Students obtained the lowest mean knowledge score compared to the other two groups (F=51.5, P<0.001). A positive family history of DF (a OR=2.05; 95% CI=1.15-3.64), having literate mothers (>or=secondary education), and students' age >or=17 were the predictors of high students' knowledge score. The only predictor of high practice score was obtaining high knowledge score (a OR=2.06; 95% CI=1.73-2.44).
KAP towards DF was deficient among target populations, especially among students. School-based educational campaigns and social mobilization for raising knowledge and changing it into sound practice is urgently needed for controlling dengue epidemics in Jeddah.
目的:评估女高中生、教师和督导员对登革热的知识、态度和实践(KAP),并确定高中生知识和实践得分的评分预测因素。
方法:采用多阶段、分层、随机抽样方法。共 2693 名学生、356 名教师和 115 名督导员完成了保密的自我管理问卷。
结果:与其他两组相比,学生的平均知识得分最低(F=51.5,P<0.001)。登革热家族史阳性(优势比[OR]=2.05;95%置信区间[CI]=1.15-3.64)、母亲识字(≥中学教育)和学生年龄≥17 岁是学生知识得分高的预测因素。高实践得分的唯一预测因素是高知识得分(OR=2.06;95% CI=1.73-2.44)。
结论:目标人群对登革热的 KAP 不足,尤其是学生。急需在吉达开展基于学校的教育活动和社会动员,以提高知识水平,并将其转化为良好的实践,从而控制登革热疫情。