马来西亚半岛原住民登革热预防措施及其相关因素
Practices of Dengue Fever Prevention and the Associated Factors among the Orang Asli in Peninsular Malaysia.
作者信息
Chandren Josephine Rebecca, Wong Li Ping, AbuBakar Sazaly
机构信息
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Julius Centre University of Malaya (JCUM), University of Malaya, Kuala Lumpur, Malaysia.
出版信息
PLoS Negl Trop Dis. 2015 Aug 12;9(8):e0003954. doi: 10.1371/journal.pntd.0003954. eCollection 2015.
BACKGROUND
Dengue is prevalent among Malaysia's indigenous peoples, known as the Orang Asli, and it poses a serious health threat to them. The study aims to look at the socio-demographic factors, health beliefs, and knowledge about dengue and its association to dengue prevention practices among Orang Asli communities in Peninsular Malaysia.
METHODS
A cross-sectional survey was conducted in 16 randomly selected Orang Asli villages from eight states in Peninsular Malaysia from April 2012 until February 2013.
RESULTS
A total of 560 Orang Asli were interviewed and 505 completed the survey. Slightly above half of the participants (n = 280, 55.4%) had a total dengue prevention score of 51-100 (of a possible score of 0-100). Multivariate analysis findings showed dengue knowledge, perceived barriers to perform dengue prevention, fogging frequency, and perceived susceptibility to dengue fever as significant factors associated to dengue prevention practices. Participants with a lower dengue knowledge score (score 0-18) were less likely (OR = 0.63, 95%CI = 0.44-0.92 vs. score 19-36, P = 0.015) to practice dengue prevention. Participants with low perceived barriers to prevent dengue (score of 1-5) were more likely (OR = 2.06, 95%CI = 1.21-3.53, vs. score of 6-10, P = 0.008) to practice dengue prevention. Villages that were not fogged (OR = 0.49, 95%CI = 0.24-0.99, P = 0.045) or rarely fogged (OR = 0.40, 95%CI = 0.22-0.75, P = 0.004) had lower dengue prevention practices than villages that were fogged often. Participants with low perceived susceptibility of acquiring dengue (score of 1-5) were less likely (OR = 0.54, 95%CI = 0.33-0.89 vs. score of 6-10, P = 0.018) to practice dengue prevention measures.
CONCLUSION
Findings imply that educational and health programmes should focus on enhancing dengue knowledge and perceived susceptibility of acquiring dengue and reducing perceived barriers to performing dengue prevention practices among the Orang Asli. More outreach on mosquito control campaigns should be carried out especially in villages where mosquito fogging is frequent.
背景
登革热在马来西亚的原住民（即奥朗阿斯利人）中流行，对他们构成严重的健康威胁。该研究旨在探讨马来西亚半岛奥朗阿斯利社区中与登革热预防措施相关的社会人口学因素、健康观念和登革热知识。
方法
2012年4月至2013年2月，在马来西亚半岛八个州随机选择的16个奥朗阿斯利村庄进行了横断面调查。
结果
共访谈了560名奥朗阿斯利人，505人完成了调查。略多于一半的参与者（n = 280，55.4%）的登革热预防总得分在51 - 100分（满分0 - 100分）。多变量分析结果显示，登革热知识、登革热预防的感知障碍、喷雾频率以及登革热发热的感知易感性是与登革热预防措施相关的重要因素。登革热知识得分较低（0 - 18分）的参与者进行登革热预防的可能性较小（OR = 0.63，95%CI = 0.44 - 0.92，与19 - 36分相比，P = 0.015）。登革热预防感知障碍较低（1 - 5分）的参与者进行登革热预防的可能性较大（OR = 2.06，95%CI = 1.21 - 3.53，与6 - 10分相比，P = 0.008）。未进行喷雾（OR = 0.49，95%CI = 0.24 - 0.99，P = 0.045）或很少进行喷雾（OR = 0.40，95%CI = 0.22 - 0.75，P = 0.004）的村庄的登革热预防措施比经常进行喷雾的村庄少。登革热感染感知易感性较低（1 - 5分）的参与者采取登革热预防措施的可能性较小（OR = 0.54，95%CI = 0.33 - 0.89，与6 - 10分相比，P = 0.018）。
结论
研究结果表明，教育和健康项目应侧重于提高登革热知识和登革热感染的感知易感性，并减少奥朗阿斯利人在登革热预防措施方面的感知障碍。应开展更多关于蚊虫控制运动的宣传，特别是在喷雾频繁的村庄。
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