新南威尔士州农民对Q热及预防方法的了解
Farmers' knowledge of Q fever and prevention approaches in New South Wales.
作者信息
Lower Tony, Corben Paul, Massey Peter, Depczynski Julie, Brown Tony, Stanley Priscilla, Osbourn Margaret, Durrheim David
机构信息
Australian Centre for Agricultural Health & Safety, University of Sydney, Moree, New South Wales, Australia.
North Coast Public Health, NSW Health, Port Macquarie, New South Wales, Australia.
出版信息
Aust J Rural Health. 2017 Oct;25(5):306-310. doi: 10.1111/ajr.12346. Epub 2017 Jun 15.
OBJECTIVE
To identify what New South Wales (NSW) farmers know about Q fever to inform preventive approaches.
DESIGN
Thematic analysis of qualitative data gathered through semi-structured individual interviews, focus groups and a community meeting.
SETTING
Rural communities in NSW, Australia.
PARTICIPANTS
A total of 25 farmers participated in individual interviews (n = 4) or three focus groups, each with seven participants (n = 21). A further 27 persons, were involved in a community meeting.
MAIN OUTCOME MEASURES
Themes derived from the interviews, focus groups and community meeting.
RESULTS
Knowledge variations regarding Q fever risk and transmission highlight a need for improved risk communication. Vaccination was viewed as the preferred prevention approach; barriers were raised including time, costs, access to screening/vaccination and General Practitioner (GP) knowledge about Q fever. Local vaccination initiatives were supported.
CONCLUSIONS
Strengthening existing GP knowledge and services leading to expanded provision of screening/vaccination could improve the coverage of Q fever vaccine in endemic NSW farming and rural communities.
目的
了解新南威尔士州（NSW）农民对Q热的知晓情况，为预防措施提供依据。
设计
通过半结构化个人访谈、焦点小组和社区会议收集的定性数据进行主题分析。
地点
澳大利亚新南威尔士州的农村社区。
参与者
共有25名农民参加了个人访谈（n = 4）或三个焦点小组，每个焦点小组有7名参与者（n = 21）。另有27人参加了社区会议。
主要观察指标
从访谈、焦点小组和社区会议中得出的主题。
结果
关于Q热风险和传播的知识差异凸显了改善风险沟通的必要性。疫苗接种被视为首选的预防方法；提出的障碍包括时间、成本、筛查/疫苗接种的可及性以及全科医生（GP）对Q热的了解。当地的疫苗接种倡议得到了支持。
结论
加强现有全科医生的知识和服务，从而扩大筛查/疫苗接种的提供范围，可提高新南威尔士州地方性养殖和农村社区Q热疫苗的接种覆盖率。
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