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伊朗东南部疟疾高负担农村社区的疟疾知识、态度和实践(KAP)

Knowledge, attitude and practice (KAP) on malaria, from high malaria burden rural communities, southeastern Iran.

作者信息

Nejati Jalil, Moosa-Kazemi Seyed Hassan, Saghafipour Abedin, Soofi Khodamorad

机构信息

1Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

2Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Parasit Dis. 2018 Mar;42(1):62-67. doi: 10.1007/s12639-017-0965-8. Epub 2017 Nov 2.

Abstract

Nowadays, community based control strategies are considered efficient in reaching the malaria elimination goal. For this reason, this study was conducted to access the knowledge, attitude and practice of people on malaria from rural areas with high malaria incidence. In this descriptive-analytic study, a total of 200 rural residents of southeastern Iran were recruited. They were selected based on cluster and simple random sampling methods. Data collection was done using questionnaire with reliability confirmation by Cronbach's alpha and data was analyzed using SPSS. Mosquito's bite was answered as the main route of malaria transmission. Also, majority of the participants correctly expressed most important symptoms of malaria. Most of them believed that malaria is preventable and the best strategy for its control is indoor residual spraying. Very few number of the respondents mentioned sleeping under insecticide treated bed net as a method for controlling the transmission of malaria. Chi square test shows significant difference between the level of education and usage of mosquito nets, but there was no significant difference between the use of bed nets and time of usage. Another significant relationship was seen between malaria infection, use of mosquito nets and place of sleeping at nights during summer. The current study showed the appropriate level of KAP among rural communities in southeast of Iran. Alongside of people's knowledge and attitudes, their practice about malaria should be increased as an effective factor for achieving to great goal of malaria elimination.

摘要

如今,基于社区的控制策略被认为在实现疟疾消除目标方面是有效的。因此,本研究旨在了解疟疾高发农村地区人们对疟疾的知识、态度和实践情况。在这项描述性分析研究中,共招募了200名伊朗东南部的农村居民。他们是根据整群抽样和简单随机抽样方法选取的。使用经克朗巴哈系数法确认信效度的问卷进行数据收集,并使用SPSS对数据进行分析。蚊虫叮咬被认为是疟疾传播的主要途径。此外,大多数参与者正确说出了疟疾的最重要症状。他们中的大多数人认为疟疾是可预防的,控制疟疾的最佳策略是室内滞留喷洒。极少数受访者提到使用经杀虫剂处理的蚊帐作为控制疟疾传播的一种方法。卡方检验显示教育程度与蚊帐使用情况之间存在显著差异,但蚊帐使用与使用时间之间没有显著差异。在夏季,疟疾感染、蚊帐使用和夜间睡眠地点之间还存在另一种显著关系。本研究表明伊朗东南部农村社区的知识、态度和实践水平较为合适。除了人们的知识和态度之外,作为实现疟疾消除这一宏伟目标的一个有效因素,他们对疟疾的实践也应得到加强。

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