Othieno Emmanuel, Ocaido Michael, Mupere Ezekiel, Omadang Leonard, Oba Peter, Okwi Andrew Livex
Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.
Department of Wild Life, School of Veterinary Medicine and Animal Resources, College of Veterinary Medicine, Animal Resources and Biosecurity, Makerere University, P.O. Box 7062, Kampala, Uganda.
J Parasitol Res. 2018 May 13;2018:5819545. doi: 10.1155/2018/5819545. eCollection 2018.
A descriptive cross-sectional survey was done to determine knowledge, attitudes, and beliefs of the communities and health workers about cystic echinococcosis (CE) in pastoral region of Northeastern (NE) and agropastoral regions of Eastern (E) and Central (C) Uganda. Overall a total of 1310 participants were interviewed. Community respondents from NE region were more aware of CE infection than those from Eastern (OR 4.85; CI: 3.60-6.60; < 0.001) and Central (OR 5.73; CI: 4.22-7.82; < 0.001) regions. 19.8% of the respondents from EA region had positive attitude towards visiting witch doctors for treatment compared with 62.0% and 60.4% from NE and Central regions, respectively ( < 0.001). Notably, the awareness of CE increased with level of education ( < 0.001). There was no statistical difference between male and female respondents as far as awareness of CE was concerned ( > 0.05). 51.7% of the community respondents from Central believed CE is caused by witchcraft, compared with 31.3% and 14.3% from NE and EA regions, respectively ( < 0.001). There was no statistical difference between health staff regarding their knowledge, attitude, and beliefs about CE infection ( > 0.05). None of the participants knew his/her CE status. The communities need to be sensitized about CE detection, control, and management and health staff need to be trained on CE diagnosis.
开展了一项描述性横断面调查,以确定乌干达东北部牧区以及东部和中部农牧区的社区和卫生工作者对囊型包虫病(CE)的知识、态度和信念。总共采访了1310名参与者。与东部地区(比值比4.85;可信区间:3.60 - 6.60;P < 0.001)和中部地区(比值比5.73;可信区间:4.22 - 7.82;P < 0.001)的社区受访者相比,东北部地区的社区受访者对CE感染的知晓率更高。东部地区19.8%的受访者对看巫医治疗持积极态度,而东北部和中部地区这一比例分别为62.0%和60.4%(P < 0.001)。值得注意的是,对CE的知晓率随教育程度提高而增加(P < 0.001)。就CE知晓率而言,男性和女性受访者之间没有统计学差异(P > 0.05)。中部地区51.7%的社区受访者认为CE是由巫术引起的,而东北部和东部地区这一比例分别为31.3%和14.3%(P < 0.001)。卫生工作人员对CE感染的知识、态度和信念之间没有统计学差异(P > 0.05)。没有参与者知道自己的CE感染状况。需要提高社区对CE检测、控制和管理的认识,并且需要对卫生工作人员进行CE诊断方面的培训。