Acharya Kamal R, Plain Karren M, Whittington Richard J, Dhand Navneet K
Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, 425 Werombi Road, Camden, NSW 2570, Australia.
Vet Sci. 2020 Mar 19;7(1):33. doi: 10.3390/vetsci7010033.
Public concerns over exposure to subspecies (MAP) or MAP components via foods of animal origin could have negative trade consequences, despite the absence of conclusive scientific evidence of a causal association between subspecies (MAP) and Crohn's disease (CD). This study was conducted among Australian veterinarians to understand (a) their perceptions regarding the role of MAP in the causation of CD (an ordinal outcome), and (b) their consideration of the adoption of the precautionary principle against Johne's disease (JD; a binary outcome). Ordinal and binary logistic regression analyses were performed to evaluate the association of explanatory variables with the above outcomes, respectively. Almost one-third of the respondents (32.2%) considered that MAP was likely to be involved in the causation of CD whereas more than two-thirds (69.8%) agreed with the adoption of the precautionary principle against JD. Veterinarians who were concerned about exposure to and/or getting infected with MAP were more likely to consider MAP as a causative agent of CD (odds ratio: 7.63; 95% CI: 1.55, 37.63) and favor the adoption of the precautionary principle against JD (odds ratio: 6.20; 95% CI: 1.90, 20.25). Those perceiving MAP as a causative agent of CD were also more likely to favor the adoption of the precautionary principle against JD (odds ratio: 13.2; 95% CI: 1.26, 138.90). The results suggest that Australian veterinarians, particularly those who consider MAP as a causative agent of CD are concerned about exposure to MAP and favor the adoption of the precautionary principle against JD. These findings can be useful for animal health authorities for designing JD control programs and policies.
尽管尚无确凿科学证据表明副结核分枝杆菌(MAP)与克罗恩病(CD)之间存在因果关联,但公众对通过动物源性食品接触副结核分枝杆菌亚种(MAP)或其成分的担忧可能会产生负面贸易影响。本研究针对澳大利亚兽医展开,旨在了解:(a)他们对MAP在CD病因中作用的看法(有序结果);以及(b)他们对采用针对约内氏病(JD;二元结果)的预防原则的考虑。分别进行有序和二元逻辑回归分析,以评估解释变量与上述结果之间的关联。近三分之一的受访者(32.2%)认为MAP可能与CD的病因有关,而超过三分之二(69.8%)的受访者同意采用针对JD的预防原则。担心接触和/或感染MAP的兽医更有可能认为MAP是CD的病原体(优势比:7.63;95%置信区间:1.55,37.63),并赞成采用针对JD的预防原则(优势比:6.20;95%置信区间:1.90,20.25)。那些认为MAP是CD病原体的人也更有可能赞成采用针对JD的预防原则(优势比:13.2;95%置信区间:1.26,138.90)。结果表明,澳大利亚兽医,尤其是那些认为MAP是CD病原体的兽医,担心接触MAP,并赞成采用针对JD的预防原则。这些发现对于动物卫生当局设计JD控制计划和政策可能有用。