Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Department of Medical Microbiology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
J Community Health. 2017 Oct;42(5):854-864. doi: 10.1007/s10900-017-0326-7.
The aims of this study were to explore the differences in (1) the perception of severity towards ZIKV infection and dengue fever, and (2) mosquito control practices before and after the ZIKV outbreak were declared a Public Health Emergency of International Concern (PHEIC). Data were collected between Feb to May 2016 using a computer-assisted telephone interviewing system. The median scale score for perceived severity of ZIKV was 3 (interquartile range [IQR] 1-5) versus 4 (IQR 3-5) for dengue (P < 0.001). The scores for mosquito control practices before and after ZIKV was declared a PHEIC were similar, at 4 (IQR 3-5). Multivariate analysis revealed that participants with a higher score for perception of severity of ZIKV were more likely to report greater mosquito control practices after the declaration of the PHEIC (OR 1.822 [95% CI 1.107-2.998]). The emerging ZIKV pandemic requires concerted efforts to enhance mosquito control practices among the Malaysian public. Efforts to improve public mosquito control practices should focus on enhancing the perception of the severity of ZIKV.
本研究旨在探讨在（1）对寨卡病毒感染和登革热严重程度的认知，以及（2）宣布寨卡病毒疫情为国际关注的突发公共卫生事件（PHEIC）前后蚊虫控制措施方面的差异。数据于 2016 年 2 月至 5 月间通过计算机辅助电话访谈系统收集。感知寨卡病毒严重程度的中位数量表评分为 3（四分位距 [IQR] 1-5），而登革热为 4（IQR 3-5）（P<0.001）。宣布寨卡病毒为 PHEIC 前后蚊虫控制措施的评分相似，均为 4（IQR 3-5）。多变量分析显示，寨卡病毒严重程度认知评分较高的参与者更有可能在宣布 PHEIC 后报告更多的蚊虫控制措施（OR 1.822 [95%CI 1.107-2.998]）。寨卡病毒正在形成的大流行需要协同努力，加强马来西亚公众的蚊虫控制措施。提高公众蚊虫控制措施的努力应侧重于增强对寨卡病毒严重程度的认识。
