Malaria Department,Yunnan Institute of Parasitic Diseases, Yunnan Provincial Centre of Malaria Research, Yunnan Provincial Key Laboratory of Vector-borne Disease Control and Research, Yunnan Provincial Collaborative Innovation Center for Public Health and Disease Prevention and Control, Pu'er City, China.
Institute of Pathogens and Vectors, Basic Medical College, Dali University, Xiaguang District, Dali City, China.
PLoS Negl Trop Dis. 2019 Jun 27;13(6):e0007498. doi: 10.1371/journal.pntd.0007498. eCollection 2019 Jun.
Sustainable dengue intervention requires the participation of communities. Therefore, understanding the health beliefs, knowledge and perceptions of dengue among the local people can help to design locally appropriate strategies for effective interventions. A combination of qualitative semi-structured in-depth interviews (SDIs) and quantitative household questionnaire surveys (HHSs) was used to investigate the beliefs, knowledge and perceptions of dengue among the Shan people in Eastern Shan Special Region IV (ESSR4), Myanmar. The SDI was administered to 18 key informants, and the HHS was administered to 259 respondents. Only 14.7% (95% CI: 10.6-19.6%) of the HHS respondents could confirm that mosquitoes transmit dengue; 14.3% (95% CI: 10.3-19.1%) knew that piebald or Aedes mosquitoes transmit dengue; and 24.3% (95% CI: 19.2-30.0%) believed that dengue-transmitting mosquitoes mainly lived in small ponds. Merely ten (0.4%) of the 259 respondents of the HHS thought that dengue-transmitting mosquitoes bite in the day time. The people in the villages where there were outbreaks of dengue had more knowledge about dengue. This study demonstrates that the health beliefs of the Shan people were closely associated with their lifestyles, social and natural environments. To stay healthy, the Shan people clean their houses and surroundings regularly. However, their knowledge about dengue was not adequate for effective dengue control because it was mostly learned from previous dengue experiences and in a context that lacks systematic health education. Thus, in this setting, with a weak public health structure, more international support should be provided to promote the knowledge of the Shan people about dengue and to increase their sensitive awareness to dengue, which might be beneficial for social mobilization and community participation during future dengue prevention.
可持续的登革热干预需要社区的参与。因此，了解当地居民对登革热的健康信念、知识和看法，可以帮助设计适合当地情况的有效干预策略。本研究采用定性半结构式深入访谈（SDI）和定量家庭问卷调查（HHS）相结合的方法，调查了缅甸掸邦第四特别行政区（ESSR4）掸族居民对登革热的信念、知识和看法。SDI 调查了 18 名关键信息提供者，HHS 调查了 259 名受访者。只有 14.7%（95%置信区间：10.6-19.6%）的 HHS 受访者能够确认蚊子传播登革热；14.3%（95%置信区间：10.3-19.1%）知道花斑蚊或伊蚊传播登革热；24.3%（95%置信区间：19.2-30.0%）认为传播登革热的蚊子主要生活在小池塘中。在 HHS 的 259 名受访者中，仅有 10 人（0.4%）认为传播登革热的蚊子在白天叮咬。有登革热疫情爆发的村庄的居民对登革热有更多的了解。本研究表明，掸族居民的健康信念与其生活方式、社会和自然环境密切相关。为了保持健康，掸族居民经常打扫房屋和周围环境。然而，他们对登革热的了解并不足以进行有效的登革热控制，因为这些知识主要是从以往的登革热经验中获得的，并且缺乏系统的健康教育背景。因此，在这种公共卫生结构薄弱的环境下，应该提供更多的国际支持，以提高掸族居民对登革热的认识，并提高他们对登革热的敏感意识，这可能有利于未来登革热预防期间的社会动员和社区参与。
