Moala-Silatolu Anasaini, Nakamura Keiko, Seino Kaoruko, Kizuki Masashi
International Health Section, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan ; Environmental Health Unit, Fiji Centre for Communicable Disease Control, Suva, Fiji.
International Health Section, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan.
J Rural Med. 2012;7(2):65-72. doi: 10.2185/jrm.7.65. Epub 2012 Nov 9.
The aim of this study was to elucidate the roles of knowledge related to lymphatic filariasis (LF), contributions of taking roles in community activities to eradicate LF and participation in traditional village forums in adherence to mass drug administration (MDA) in a preventive chemotherapy program targeted at the community residents.
A survey on ingestion of diethylcarbamazine (DEC) and albendazole (ALB), knowledge related to LF, taking roles in community activities and participation in traditional village forums was carried out for 400 adult subjects randomly selected from the Central Division of Fiji within three months after the MDA campaign in 2010 in the respective communities. Multilevel logistic regression analysis and multilevel linear regression analysis were performed to examine relationships between knowledge, community activities, traditional village forums and ingestion of anti-filarial drugs. The LF knowledge score was defined as a factor score of five knowledge variables.
Among 324 respondents, 40.4% of them ingested both DEC and ALB. Participation in traditional village forums was independently and significantly related to ingestion of DEC and ALB (OR=1.78, 95% CI=1.04-3.05) and taking roles in community activities for MDA (OR=1.87, 95% CI=1.18-2.94), regardless of the subject's gender, education, knowledge and taking roles in community activities. Taking roles in community activities for MDA was independently related to the LF knowledge score (β=0.24, 95% CI=0.15-0.33).
Participation in traditional village forums in Fiji was related to taking roles in community activities for MDA and associated with adherence to MDA regimen regardless of the educational attainment of the individual residents.
本研究旨在阐明与淋巴丝虫病（LF）相关知识的作用、在社区活动中发挥作用对消除LF的贡献以及参与传统乡村论坛对社区居民预防性化疗项目中坚持大规模药物治疗（MDA）的影响。
在2010年MDA活动开展后的三个月内，对从斐济中央分区随机选取的400名成年受试者进行了关于乙胺嗪（DEC）和阿苯达唑（ALB）的服用情况、与LF相关的知识、在社区活动中发挥作用以及参与传统乡村论坛的调查。进行多水平逻辑回归分析和多水平线性回归分析，以检验知识、社区活动、传统乡村论坛与抗丝虫药物服用之间的关系。LF知识得分被定义为五个知识变量的因子得分。
在324名受访者中，40.4%的人同时服用了DEC和ALB。无论受试者的性别、教育程度、知识水平以及在社区活动中所发挥的作用如何，参与传统乡村论坛都与DEC和ALB的服用（OR = 1.78，95%CI = 1.04 - 3.05）以及在MDA社区活动中发挥作用（OR = 1.87，95%CI = 1.18 - 2.94）独立且显著相关。在MDA社区活动中发挥作用与LF知识得分独立相关（β = 0.24，95%CI = 0.15 - 0.33）。
在斐济，参与传统乡村论坛与在MDA社区活动中发挥作用相关，并且与个体居民的教育程度无关，与坚持MDA方案有关。
