布鲁氏菌病认知和知识在全球社区中的现状：79 项观察性研究的系统评价和荟萃分析。
Brucellosis awareness and knowledge in communities worldwide: A systematic review and meta-analysis of 79 observational studies.
机构信息
Department of Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Department of Impression Evidence Examination Technology, Criminal Investigation Police University of China, Shenyang, China.
出版信息
PLoS Negl Trop Dis. 2019 May 2;13(5):e0007366. doi: 10.1371/journal.pntd.0007366. eCollection 2019 May.
BACKGROUND
Brucellosis is regarded as a major zoonotic infection worldwide. Awareness and knowledge of brucellosis among occupational workers is considered an important aspect of brucellosis control in both humans and animals. The aim of this study was to explore the distributions of the pooled awareness level and the knowledge level of the disease worldwide.
METHODS
A meta-analysis was carried out to obtain pooled brucellosis awareness levels and knowledge levels of respondents regarding the zoonotic nature of brucellosis, mode of brucellosis transmission, and brucellosis symptoms in animals and humans. The analysis was conducted and reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-analyses guidelines.
RESULTS
A total of seventy-nine original articles reporting the brucellosis awareness levels of in populations from 22 countries were assessed. The total pooled awareness level of brucellosis was 55.5%, and the pooled awareness levels regarding the zoonotic nature of brucellosis, mode of brucellosis transmission, signs of human brucellosis and signs of animal brucellosis were 37.6%, 35.9%, 41.6%, and 28.4% respectively. The pooled awareness level was higher than the brucellosis-related knowledge level. Subgroup analyses showed that no obvious differences in brucellosis awareness levels between high-risk populations in Asia and Africa. Health workers (including human health workers and veterinarians) had the greatest overall awareness and knowledge of human brucellosis. The overall awareness levels and knowledge levels of livestock owners (farmers) and herders were higher than those of dairy farmers and abattoir workers. In addition, awareness and knowledge levels were higher among people who were involved in bovine, caprine and ovine animal production or in caprine and ovine animal production than among people who were involved in only bovine animal production.
CONCLUSIONS
Insufficient awareness and knowledge of brucellosis were observed in the original studies conducted mainly in Asia and Africa. Interventions to improve public knowledge about brucellosis are urgently needed.
背景
布鲁氏菌病被认为是一种全球范围内的主要人畜共患病感染。职业工人对布鲁氏菌病的认识和了解被认为是人类和动物布鲁氏菌病控制的一个重要方面。本研究旨在探讨全球范围内布鲁氏菌病的总体知晓率和疾病知识水平的分布情况。
方法
进行了一项荟萃分析，以获得有关布鲁氏菌病的人畜共患性质、布鲁氏菌病传播方式以及动物和人类布鲁氏菌病症状的疾病知晓率和知识水平的汇总数据。分析按照系统评价和荟萃分析的首选报告项目进行并报告。
结果
共评估了来自 22 个国家的人群中报告布鲁氏菌病知晓率的 79 篇原始文章。布鲁氏菌病的总知晓率为 55.5%，布鲁氏菌病的人畜共患性质、布鲁氏菌病传播方式、人类布鲁氏菌病症状和动物布鲁氏菌病症状的知晓率分别为 37.6%、35.9%、41.6%和 28.4%。布鲁氏菌病的知晓率高于与布鲁氏菌病相关的知识水平。亚组分析显示，亚洲和非洲高危人群的布鲁氏菌病知晓率无明显差异。卫生工作者（包括人类卫生工作者和兽医）对人类布鲁氏菌病的总体知晓率和知识水平最高。牲畜所有者（农民）和牧民的总体知晓率和知识水平高于奶牛场工人和屠宰场工人。此外，从事牛、山羊和绵羊动物生产或仅从事山羊和绵羊动物生产的人群的知晓率和知识水平高于仅从事牛动物生产的人群。
结论
在主要在亚洲和非洲进行的原始研究中，观察到布鲁氏菌病的知晓率和知识水平不足。迫切需要开展干预措施来提高公众对布鲁氏菌病的认识。
Zotero 插件