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越南 2017 年登革热疫情期间患者对登革热的知识、态度和实践

Knowledge, Attitude and Practice about Dengue Fever among Patients Experiencing the 2017 Outbreak in Vietnam.

机构信息

Department of Neuroscience, Hanoi Medical University, Hanoi 100000, Vietnam.

Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam.

出版信息

Int J Environ Res Public Health. 2019 Mar 18;16(6):976. doi: 10.3390/ijerph16060976.

Abstract

There is a gap in the literature on the understanding of the general Vietnamese population toward dengue fever (DF). This study aimed to explore knowledge, attitudes, practice (KAP) of dengue fever among Vietnamese participants and the potential associated factors. A cross-sectional study was conducted among 330 patients at the Bach Mai Hospital in Northern Vietnam. A Tobit regression model was utilized to investigate the associated factors. The average knowledge score was 4.6/19. Respondents perceived their risk of DF infection to be very low (39.5%) to low (20.7%) and had a neutral attitude about the necessity of hospitalization when being infected with DF (60.9%). A total of 17.6%, 9.8% and 6.6% of respondents reported frequently changing water, properly disposing of waste and covering water storage containers to eliminate larvae. Gender, education level, duration of illness and travel history were correlated with knowledge. Occupation, the presence of DF in the neighborhood, mosquito density at home and DF symptom severity were associated with attitudes. Occupation, mosquito density at home, type of patient, knowledge and attitudes were associated with practices. To enhance the KAP towards DF, further efforts should first be directed to improve knowledge through education, especially at the school level and people in less developed areas.

摘要

越南人群对登革热(DF)的认识存在文献空白。本研究旨在探讨越南参与者对登革热的知识、态度和实践(KAP),并探讨潜在的相关因素。采用横断面研究方法,在越南北部的 Bach Mai 医院对 330 名患者进行了研究。采用 Tobit 回归模型来研究相关因素。平均知识得分为 4.6/19。受访者认为他们感染 DF 的风险非常低(39.5%)到低(20.7%),并且对感染 DF 时住院的必要性持中立态度(60.9%)。共有 17.6%、9.8%和 6.6%的受访者报告经常换水、妥善处理废物和覆盖储水容器以消灭幼虫。性别、教育程度、患病时间和旅行史与知识相关。居住地是否有登革热、家中蚊虫密度和登革热症状严重程度与态度相关。职业、家中蚊虫密度、患者类型、知识和态度与实践相关。为了提高对登革热的 KAP,首先应通过教育,特别是在学校层面和欠发达地区,努力提高知识水平。

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