Saied Khaled G, Al-Taiar Abdullah, Altaire Abdulrahman, Alqadsi Ala, Alariqi Enas F, Hassaan Maha
Department of Community Medicine, Faculty of Medicine and Health Sciences, Sana'a University, P.O. Box 2583 Al-Tahreer Post Office, Sana'a, Yemen
Department Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Box 24923 Safat, 13110 Kuwait, Kuwait.
Int Health. 2015 Nov;7(6):420-5. doi: 10.1093/inthealth/ihv021. Epub 2015 Apr 8.
In recent years there have been several reports of outbreaks of dengue fever (DF) in Yemen. This study aimed to describe the prevailing knowledge, attitude and preventive practices regarding DF, and to investigate the factors associated with poor preventive practices in rural areas of Yemen.
A population-based, cross-sectional study was conducted on 804 randomly selected heads of household. A pretested, structured questionnaire was administered through face-to-face interviews. Logistic regression was used to investigate factors independently associated with poor practice.
Out of 804 participants, 753 (93.7%) were aware of the symptoms of DF and 671 (83.4%) knew that DF was transmitted by mosquito bites. Only 420 (52.2%) knew that direct person-to-person transmission was not possible. Furthermore, 205 (25.5%) thought that someone with DF should be avoided and 460 (57.2%) thought the elimination of breeding sites was the responsibility of health authorities. Poor knowledge of DF and a low level of education were significantly associated with poor preventive practices.
In rural areas of Yemen, people have a vague understanding of DF transmission and a negative attitude towards preventative practices. Efforts should be made to correct misconceptions about transmission of the disease and to highlight the importance of community participation in control activities.
近年来，也门有几起登革热（DF）疫情报告。本研究旨在描述关于登革热的现有知识、态度和预防措施，并调查也门农村地区预防措施不力的相关因素。
对804名随机抽取的户主进行了一项基于人群的横断面研究。通过面对面访谈发放预先测试的结构化问卷。采用逻辑回归分析与预防措施不力独立相关的因素。
在804名参与者中，753人（93.7%）知晓登革热的症状，671人（83.4%）知道登革热通过蚊虫叮咬传播。只有420人（52.2%）知道登革热不会在人与人之间直接传播。此外，205人（25.5%）认为应避免与登革热患者接触，460人（57.2%）认为消除蚊虫滋生地是卫生部门的责任。对登革热知识的匮乏和低教育水平与预防措施不力显著相关。
在也门农村地区，人们对登革热传播的理解模糊，对预防措施持消极态度。应努力纠正对该疾病传播的误解，并强调社区参与防控活动的重要性。
