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巴西米纳斯吉拉斯州福尔米加市人群中内脏利什曼病的住宅周边危险因素及相关知识

Peridomiciliary risk factors and knowledge concerning visceral leishmaniasis in the population of formiga, Minas Gerais, Brazil.

作者信息

Menezes Júlia Alves, Luz Tatiana Chama Borges, Sousa Fabrizio Furtado de, Verne Rafael Negreiros, Lima Fernanda Pinheiro, Margonari Carina

机构信息

Centro de Pesquisas René Rachou - Belo Horizonte (MG), Brasil.

Fundação Educacional de Divinópolis, Universidade do Estado de Minas Gerais - Divinópolis (MG), Brasil.

出版信息

Rev Bras Epidemiol. 2016 Apr-Jun;19(2):362-74. doi: 10.1590/1980-5497201600020013.

Abstract

INTRODUCTION

Leishmaniasis represents an important burden of diseases in tropical countries, with significant levels of morbidity and mortality where they occur, including in Brazil. In this context, popular participation in prophylactic actions can be decisive for the success of the control strategies.

OBJECTIVE

For this reason, this study aimed at investigating the population's knowledge concerning leishmaniasis and the occurrence of peridomiciliary risk factors associated with the population of Formiga, Minas Gerais.

METHODS

A household questionnaire with a sample of 427 individuals was conducted between May and July 2011.

RESULTS

Only 7.5% of the residents presented knowledge regarding leishmaniasis, most of them being women (OR = 3.15; 95%CI 1.30 - 7.65). The prevalence of peridomiciliary risks was 95%. A statistically significant association was found between higher education levels and less peridomiciliary risk factors (OR = 0.45; 95%CI 0.28 - 0.72) and between the place of residence and a higher number of risk factors (OR = 0.84; 95%CI 1.19 - 2.85).

CONCLUSION

The results demonstrate that the population has low levels of knowledge about leishmaniasis. Moreover, the majority of respondents are subject to some peridomiciliary risk factor, which may contribute to the maintenance of the disease cycle in the city.

摘要

引言

利什曼病是热带国家重要的疾病负担,在其流行地区,包括巴西,会导致显著的发病率和死亡率。在这种情况下,民众参与预防行动对控制策略的成功至关重要。

目的

因此,本研究旨在调查米纳斯吉拉斯州福尔米加市居民对利什曼病的了解程度以及与居民相关的住家周围危险因素的情况。

方法

2011年5月至7月,对427名个体进行了入户问卷调查。

结果

只有7.5%的居民了解利什曼病,其中大多数为女性(比值比=3.15;95%置信区间1.30 - 7.65)。住家周围危险因素的患病率为95%。在高等教育水平与较少的住家周围危险因素之间(比值比=0.45;95%置信区间0.28 - 0.72)以及居住地与较多的危险因素之间(比值比=0.84;95%置信区间1.19 - 2.85)发现了具有统计学意义的关联。

结论

结果表明,民众对利什曼病的了解程度较低。此外,大多数受访者存在一些住家周围危险因素,这可能有助于该疾病在该市的传播循环持续存在。

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