尼日利亚埃博拉病毒病多地点知识、态度与实践调查
A Multi-Site Knowledge Attitude and Practice Survey of Ebola Virus Disease in Nigeria.
作者信息
Iliyasu Garba, Ogoina Dimie, Otu Akan A, Dayyab Farouq M, Ebenso Bassey, Otokpa Daniel, Rotifa Stella, Olomo Wisdom T, Habib Abdulrazaq G
机构信息
Infectious and Tropical Diseases Unit, College of Health Sciences, Bayero University, Kano, Kano State, Nigeria.
Department of Internal Medicine, Niger Delta University/Niger Delta University Teaching Hospital (NDUTH), Okolobiri, Bayelsa State, Nigeria.
出版信息
PLoS One. 2015 Aug 28;10(8):e0135955. doi: 10.1371/journal.pone.0135955. eCollection 2015.
BACKGROUND
The 2014 Ebola Virus Disease (EVD) outbreak was characterised by fear, misconceptions and irrational behaviours. We conducted a knowledge attitude and practice survey of EVD in Nigeria to inform implementation of effective control measures.
METHODS
Between July 30th and September 30th 2014, we undertook a cross sectional study on knowledge, attitude and practice (KAP) of Ebola Virus Disease (EVD) among adults of the general population and healthcare workers (HCW) in three states of Nigeria, namely Bayelsa, Cross River and Kano states. Demographic information and data on KAP were obtained using a self-administered standardized questionnaire. The percentage KAP scores were categorised as good and poor. Independent predictors of good knowledge of EVD were ascertained using a binary logistic regression model.
RESULTS
Out of 1035 study participants with median age of 32 years, 648 (62.6%) were males, 846 (81.7%) had tertiary education and 441 (42.6%) were HCW. There were 218, 239 and 578 respondents from Bayelsa, Cross River and Kano states respectively. The overall median percentage KAP scores and interquartile ranges (IQR) were 79.46% (15.07%), 95.0% (33.33%) and 49.95% (37.50%) respectively. Out of the 1035 respondents, 470 (45.4%), 544(52.56%) and 252 (24.35%) had good KAP of EVD defined using 80%, 90% and 70% score cut-offs respectively. Independent predictors of good knowledge of EVD were being a HCW (Odds Ratio-OR-2.89, 95% Confidence interval-CI of 1.41-5.90), reporting 'moderate to high fear of EVD' (OR-2.15, 95% CI-(1.47-3.13) and 'willingness to modify habit' (OR-1.68, 95% CI-1.23-2.30).
CONCLUSION
Our results reveal suboptimal EVD-related knowledge, attitude and practice among adults in Nigeria. To effectively control future outbreaks of EVD in Nigeria, there is a need to implement public sensitization programmes that improve understanding of EVD and address EVD-related myths and misconceptions, especially among the general population.
背景
2014年埃博拉病毒病（EVD）疫情的特点是恐惧、误解和非理性行为。我们在尼日利亚开展了一项关于埃博拉病毒病的知识、态度和行为调查，以为有效控制措施的实施提供依据。
方法
2014年7月30日至9月30日期间，我们在尼日利亚的三个州，即巴耶尔萨州、克罗斯河州和卡诺州，对普通人群中的成年人及医护人员开展了一项关于埃博拉病毒病（EVD）知识、态度和行为（KAP）的横断面研究。使用自行填写的标准化问卷获取人口统计学信息及KAP数据。KAP得分百分比被分为良好和较差两类。使用二元逻辑回归模型确定埃博拉病毒病知识良好的独立预测因素。
结果
在1035名年龄中位数为32岁的研究参与者中，648名（62.6%）为男性，846名（81.7%）拥有高等教育学历，441名（42.6%）为医护人员。分别有来自巴耶尔萨州、克罗斯河州和卡诺州的218名、239名和578名受访者。总体KAP得分中位数及四分位间距（IQR）分别为79.46%（15.07%）、95.0%（33.33%）和49.95%（37.50%）。在1035名受访者中，分别有470名（45.4%）、544名（52.56%）和252名（24.35%）在分别采用80%、90%和70%的得分临界值时对埃博拉病毒病具有良好的KAP。埃博拉病毒病知识良好的独立预测因素为身为医护人员（优势比-OR-2.89，95%置信区间-CI为1.41-5.90）、报告“对埃博拉病毒病有中度至高恐惧”（OR-2.15，95%CI-（1.47-3.13））以及“愿意改变习惯”（OR-1.68，95%CI-1.23-2.30）。
结论
我们的结果显示尼日利亚成年人中与埃博拉病毒病相关的知识、态度和行为未达最佳水平。为有效控制尼日利亚未来的埃博拉病毒病疫情，有必要实施公众宣传项目，以增进对埃博拉病毒病的了解并消除与埃博拉病毒病相关的谣言和误解，尤其是在普通人群中。
Zotero 插件