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尼日利亚乔斯市中学生对镰状细胞病的认知与态度

Knowledge and attitude of secondary school students in Jos, Nigeria on sickle cell disease.

作者信息

Olakunle Olarewaju Sunday, Kenneth Enwerem, Olakekan Adebimpe Wasiu, Adenike Olugbenga-Bello

机构信息

Department of Community Medicine, LAUTECH Teaching Hospital Ogbomosho Nigeria ; Managing Partner, Omega-Cares Foundation, Jos, Plateau State, Nigeria.

出版信息

Pan Afr Med J. 2013 Aug 8;15:127. doi: 10.11604/pamj.2013.15.127.2712. eCollection 2013.

Abstract

INTRODUCTION

Knowledge about sickle cell disease among youths could constitute an important variable that influences their premarital attitude and behaviour. The study is to determine the knowledge and attitude on Sickle Cell Disease among selected secondary school students in Jos metropolis, Nigeria.

METHODS

A cross sectional descriptive study involving 137 Secondary School Students within Jos metropolis selected by a multistage stratified sampling technique, using self administered structured questionnaire. Data were analyzed using SPSS version 17.

RESULTS

A total of 137 students were interviewed, Christians 88%, modal age range 15-20 years (72%) and males (51%). Majority (83.2%) of the respondents were aware of SCDs, as an inherited disorder (80.0%), affecting the red blood cells (83.0%) but only half (54%) knew that the disease can only be diagnosed through blood test. Also, only 59% knew their genotype and 11. 1% claimed AS genotype. More than one fourth (25.5%) had wrong belief that SCD is caused by evil spirit while 76% showed wrong attitude involving stigmatization towards individuals with sickle cell disease.

CONCLUSION

Comprehensive knowledge about SCD was found to be low despite good awareness among respondents, but only few knew their haemoglobin genotype. If sickle cell disease control strategies must yield any significant results, there is a need to raise awareness about SCD, especially among students in secondary institutions in Nigeria is recommended.

摘要

引言

青少年对镰状细胞病的了解可能是影响其婚前态度和行为的一个重要变量。本研究旨在确定尼日利亚乔斯市部分中学生对镰状细胞病的了解程度和态度。

方法

采用多阶段分层抽样技术,对乔斯市137名中学生进行横断面描述性研究,使用自行设计的结构化问卷。数据采用SPSS 17.0版进行分析。

结果

共访谈了137名学生,其中基督教徒占88%,年龄中位数在15 - 20岁之间(占72%),男性占51%。大多数(83.2%)受访者知晓镰状细胞病,认为它是一种遗传性疾病(80.0%),会影响红细胞(83.0%),但只有一半(54%)的人知道该病只能通过血液检测来诊断。此外,只有59%的人知道自己的基因型,11.1%的人称自己是AS基因型。超过四分之一(25.5%)的人错误地认为镰状细胞病是由恶灵引起的,76%的人对镰状细胞病患者表现出歧视等错误态度。

结论

尽管受访者知晓率较高,但对镰状细胞病的全面了解程度较低,只有少数人知道自己的血红蛋白基因型。如果镰状细胞病控制策略要取得显著成效,建议提高对镰状细胞病的认识,尤其是在尼日利亚的中学学生中。

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