印度尼西亚亚齐省居民对登革病毒感染的知识、态度和实践：一项横断面研究。
Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: a cross-sectional study.
机构信息
Medical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.
Tropical Disease Centre, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.
出版信息
BMC Infect Dis. 2018 Feb 27;18(1):96. doi: 10.1186/s12879-018-3006-z.
BACKGROUND
The Indonesian region of Aceh was the area most severely affected by the earthquake and tsunami of 26 December 2004. Department of Health data reveal an upward trend of dengue cases in Aceh since the events of the tsunami. Despite the increasing incidence of dengue in the region, there is limited understanding of dengue among the general population of Aceh. The aim of this study was to assess the knowledge, attitude, and practice (KAP) regarding dengue among the people of Aceh, Indonesia in order to design intervention strategies for an effective dengue prevention program.
METHODS
A community-based cross-sectional study was conducted in Aceh between November 2014 and March 2015 with a total of 609 participants living in seven regencies and two municipalities. Information on the socio-demographic characteristics of participants and their KAP regarding dengue was collected using a pre-tested structured questionnaire. The KAP status (good vs. poor) of participants with different socio-demographic characteristics was compared using Chi Square-test, ANOVA or Fisher's exact test as appropriate. Logistic regression analysis was used to determine the predictors of each KAP domain.
RESULTS
We found that 45% of participants had good knowledge regarding dengue and only 32% had good attitudes and good dengue preventive practices. There was a significant positive correlation between knowledge and attitudes, knowledge and practice, and attitudes and practice. In addition, people who had good knowledge were 2.7 times more likely to have good attitudes, and people who had good attitudes were 2.2 times more likely to have good practices regarding dengue. The level of education, occupation, marital status, monthly income, socioeconomic status (SES) and living in the city were associated with the knowledge level. Occupation, SES, and having experienced dengue fever were associated with attitudes. Education, occupation, SES and type of residence were associated with preventive practices.
CONCLUSION
Our study suggests that dengue prevention programs are required to increase KAP levels regarding dengue in the communities of Aceh.
背景
印度尼西亚亚齐地区是 2004 年 12 月 26 日地震和海啸受灾最严重的地区。卫生部的数据显示，自海啸事件以来，亚齐的登革热病例呈上升趋势。尽管该地区登革热发病率不断上升，但亚齐民众对登革热的了解有限。本研究旨在评估印度尼西亚亚齐地区民众对登革热的知识、态度和实践（KAP），以便为有效的登革热预防计划设计干预策略。
方法
2014 年 11 月至 2015 年 3 月期间，在亚齐进行了一项基于社区的横断面研究，共有 609 名参与者居住在七个县和两个市。使用经过预测试的结构化问卷收集参与者的社会人口统计学特征以及他们对登革热的 KAP 信息。使用卡方检验、方差分析或 Fisher 确切检验比较不同社会人口统计学特征的参与者的 KAP 状况（良好与不良）。Logistic 回归分析用于确定每个 KAP 领域的预测因素。
结果
我们发现，45%的参与者对登革热有良好的认识，只有 32%的参与者对登革热有良好的态度和良好的预防措施。知识与态度、知识与实践、态度与实践之间存在显著的正相关关系。此外，知识良好的人更有可能有良好的态度，而态度良好的人更有可能有良好的登革热预防措施。教育程度、职业、婚姻状况、月收入、社会经济地位（SES）和居住在城市与知识水平有关。职业、SES 和经历过登革热与态度有关。教育程度、职业、SES 和居住类型与预防措施有关。
结论
我们的研究表明，需要开展登革热预防计划，以提高亚齐社区对登革热的 KAP 水平。
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