Medical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia; Tropical Disease Centre, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia; Department of Microbiology, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.
Medical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia; Department of Family Medicine, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.
J Infect Public Health. 2018 Jan-Feb;11(1):99-104. doi: 10.1016/j.jiph.2017.06.013. Epub 2017 Jul 20.
Zika virus (ZIKV) infection, a public health emergency of international concern, has recently been confirmed in Indonesia. However, to date, there has been no study to assess how prepared healthcare workers in Indonesia are to confront this emerging infectious disease. The aim of this study was to assess the attitudes of medical doctors in Indonesia towards ZIKV infection and its associated explanatory variables. A cross-sectional self-administered online survey was conducted from 3 May to 3 June 2016 in Aceh province, Indonesia. A pre-tested questionnaire was used to collect data on doctors' attitudes towards ZIKV infection and a range of explanatory variables (basic demographic data, professional characteristics, workplace characteristics and facilities, and medical experience related to ZIKV infection). Associations between attitude and explanatory variables were assessed using multiple-step logistic regression. We received 631 responses, 424 (67.19%) of which were included in the final analysis. Approximately 64% (271) of doctors had a poor attitude towards ZIKV infection. Experience considering ZIKV infection as a differential diagnosis and attendance at a national conference was associated with a good attitude, with odds ratios (OR) of 3.93 (95% confidence interval [CI]: 1.15-13.49) and 1.69 (95% CI: 1.03-2.76), respectively. Unexpectedly, doctors who had attended an international conference and those working at places that had molecular diagnostic (polymerase chain reaction based testing) facilities had lower odds of having a good attitude (OR: 0.35 [95% CI: 0.15-0.84] and 0.42 [95% CI: 0.19-0.95], respectively). In conclusion, the attitude towards ZIKV infection is relatively poor among doctors in Aceh. Therefore, strategies for enhancing their capacity to respond to ZIKV infection are needed. The survey concept and tools were well accepted by the participants of this study, suggesting that this rapid assessment could be rolled out across the Indonesian archipelago and elsewhere to identify and regionally differentiate unmet needs of disease and outbreak preparedness.
Zika 病毒（ZIKV）感染是一种国际关注的突发公共卫生事件，最近在印度尼西亚得到证实。然而，迄今为止，尚无研究评估印度尼西亚的卫生保健工作者对这种新出现的传染病的准备情况。本研究的目的是评估印度尼西亚医生对 ZIKV 感染的态度及其相关的解释变量。2016 年 5 月 3 日至 6 月 3 日，在印度尼西亚亚齐省进行了横断面自我管理在线调查。使用预先测试的问卷收集有关医生对 ZIKV 感染的态度以及一系列解释变量（基本人口统计学数据，专业特征，工作场所特征和设施以及与 ZIKV 感染相关的医疗经验）的数据。使用多步骤逻辑回归评估态度与解释变量之间的关联。我们收到了 631 份回复，其中 424 份（67.19％）被纳入最终分析。大约 64％（271）的医生对 ZIKV 感染的态度较差。将 ZIKV 感染视为鉴别诊断的经验和参加全国性会议与良好态度相关，优势比（OR）分别为 3.93（95％置信区间[CI]：1.15-13.49）和 1.69（95％CI：1.03-2.76）。出乎意料的是，参加过国际会议的医生和在具有分子诊断（基于聚合酶链反应的测试）设施的地方工作的医生，其具有良好态度的可能性较低（OR：0.35 [95％CI：0.15-0.84]和 0.42 [95％CI：0.19-0.95]）。总之，亚齐的医生对 ZIKV 感染的态度相对较差。因此，需要采取措施增强他们应对 ZIKV 感染的能力。该调查概念和工具得到了本研究参与者的充分认可，这表明可以在印度尼西亚群岛和其他地区推广这种快速评估，以确定和区域区分疾病和暴发准备方面的未满足需求。
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