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中国西藏自治区关于棘球蚴病的知识、态度和行为

Knowledge, attitudes and practices regarding echinococcosis in Xizang Autonomous Region, China.

作者信息

Qucuo Nima, Wu Guangjian, He Ruifeng, Quzhen Danzeng, Zhuoga Ciren, Deji Suolang, Zhang Lijie, Zhao Zhigang, Du Zhongjun

机构信息

Xizang Autonomous Region Center for Disease Control and Prevention, Lasa, 850000, Xizang Autonomous Region, People's Republic of China.

School of Public Health, Jilin University, Changchun, 130021, Jilin Province, People's Republic of China.

出版信息

BMC Public Health. 2020 Apr 15;20(1):483. doi: 10.1186/s12889-020-8314-8.

DOI:10.1186/s12889-020-8314-8
PMID:32293375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7158018/
Abstract

BACKGROUND

Echinococcosis is a neglected zoonotic parasitic disease caused echinococcus parasitizes, poseing a significant economic burden on both humans and animals. There are limited studies on echinococcosis in China, especially Xizang Autonomous Region, although the area is endemic area for echinococcosis. The study aimed to provide information for strategic prevention against this disease.

METHODS

A cross-sectional survey was conducted among the residents in Xizang Autonomous Region, China to evaluate their knowledge, attitudes and practices on endemicity of echinococcosis. A face-to-face survey was conducted to collect the data using a well-designed questionnaire. The contents included basic personal information, knowledge, attitudes and practices about echinococcosis, personal hygiene and behavior habits, dog feeding and whether they had received the information on echinococcosis, and so on. We surveyed 840 persons in practice. All data analysis was performed using Epi Info 7.2.

RESULTS

Of the total particpants, 86.8% had a primary education level or below (including primary and illiterate), and even 45.0% were illiterate. Farmers and herdsmen represent the main occupations in this study. People who know all the echinococcosis-related knowledge in the questionnaire only accounted for 8.7% of the participants. However, none of the participants was aware of routes of echinococcosis infection in human or dogs. The data showed participants with higher educational background had the high awareness rate of echinococcosis-related knowledge or attitudes (chi-square for trend, χ = 21.23, p<0.05 & χ = 48.43, p<0.05). In addition, The percentage of the participant with awareness of echinococcosis-related practices was associated with their age and principle occupation (χ = 52.72, p<0.05 & χ = 20.63, p<0.05).

CONCLUSIONS

Xizang Autonomous Region is an epidemic area of Echinococcosis. The prevalence of the disease has been largely due to the lack of knowledge, awareness, and poor hygiene practice in local residences. Therefore, effective disease prevention education and awareness campaigns in community will be significantly helpful in prevention and control of echinococcosis.

摘要

背景

棘球蚴病是一种被忽视的人畜共患寄生虫病,由棘球绦虫寄生引起,给人类和动物都带来了巨大的经济负担。尽管中国西藏自治区是棘球蚴病的流行区,但关于该地区棘球蚴病的研究有限。本研究旨在为该病的战略预防提供信息。

方法

在中国西藏自治区的居民中进行了一项横断面调查,以评估他们对棘球蚴病流行情况的知识、态度和行为。使用精心设计的问卷进行面对面调查以收集数据。内容包括基本个人信息、关于棘球蚴病的知识、态度和行为、个人卫生和行为习惯、养狗情况以及他们是否收到过关于棘球蚴病的信息等。实际调查了840人。所有数据分析均使用Epi Info 7.2进行。

结果

在所有参与者中,86.8%的人受教育程度为小学及以下(包括小学和文盲),甚至45.0%的人是文盲。农民和牧民是本研究中的主要职业。问卷中知晓所有棘球蚴病相关知识的人仅占参与者的8.7%。然而,没有参与者知晓人类或狗感染棘球蚴病的途径。数据显示,受教育程度较高的参与者对棘球蚴病相关知识或态度的知晓率较高(趋势卡方检验,χ = 21.23,p<0.05;χ = 48.43,p<0.05)。此外,知晓棘球蚴病相关行为的参与者比例与他们的年龄和主要职业有关(χ = 52.72,p<0.05;χ = 20.63,p<0.05)。

结论

西藏自治区是棘球蚴病的流行区。该病的流行很大程度上归因于当地居民知识匮乏、意识淡薄以及卫生习惯不良。因此,在社区开展有效的疾病预防教育和提高意识活动对棘球蚴病的预防和控制将有显著帮助。

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