Benítez-Díaz Liliana, Diaz-Quijano Fredi Alexander, Martínez-Vega Ruth Aralí
Escuela de Medicina, Universidad de Santander. Calle 70 N° 55-210. Bucaramanga, Santander, Colombia.
Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo, SP, Brasil.
Cien Saude Colet. 2020 Mar;25(3):1137-1146. doi: 10.1590/1413-81232020253.08592018. Epub 2018 Jul 21.
Recognition of the determinants of knowledge, attitudes and practices (KAP), which could be conditioned by the experiences and perceptions of the population at risk, is essential for the control of dengue. The scope of this article is to estimate the relationship between the risk perception and dengue diagnosis experiences with KAPs on dengue in an endemic Colombian population. A cross-sectional study with multi-stage random sampling was conducted. Adjusted prevalence ratios (aPR) were estimated using regression models as measures of association. Of the 206 families interviewed, 7% know dengue is caused by a virus and less than 40% recognize other symptoms besides fever. As control strategies, 31% eliminate hatchery sites and 58% use fumigation, though 73% perceive the risk of dengue. The association was identified between the perception of the risk of dengue and knowledge about the vector (aPR = 3.32 CI95% 1.06-10.36), and the experience of diagnosis of dengue with the attitude towards dengue control (aPR = 1.61 CI95% 1.09-2.37). Risk perception and experience with dengue could become determinants of KAPs in relation to this disease.
认识到知识、态度和行为（KAP）的决定因素，这些因素可能受高危人群的经历和认知影响，对于登革热的防控至关重要。本文旨在评估哥伦比亚流行地区登革热风险认知和诊断经历与登革热KAP之间的关系。开展了一项采用多阶段随机抽样的横断面研究。使用回归模型估计调整患病率比（aPR）作为关联度量。在接受访谈的206个家庭中，7%的人知道登革热由病毒引起，不到40%的人认识到除发热外的其他症状。作为防控策略，31%的人清除滋生地，58%的人使用熏蒸法，不过73%的人意识到登革热风险。研究发现登革热风险认知与关于病媒的知识之间存在关联（aPR = 3.32，95%置信区间1.06 - 10.36），以及登革热诊断经历与登革热防控态度之间存在关联（aPR = 1.61，95%置信区间1.09 - 2.37）。登革热风险认知和经历可能成为与该疾病相关的KAP的决定因素。
