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. 2020 Jun 25;14(6):e0008321. doi: 10.1371/journal.pntd.0008321. eCollection 2020 Jun.
Dengue fever (DF) is one of main public health problems along the China-Myanmar border, however, data about DF is still lacking in Kachin Special Region II (KSR2), Myanmar. To understand health beliefs in general, and knowledge and treatment-seeking and prevention behaviors related to DF among the neglected population, the study was carried out by using a combination of quantitative household questionnaire surveys (HHSs) and qualitative semi-structured in-depth interviews (SDIs). The HHS questionnaire was administered to a total of 258 household heads. The 215 (83.3%) HHS respondents believed in Christianity and Catholicism. However, the 141 (54.7%,) of the total respondents thought that people with evil practices might be punished by diseases. More respondents believed that too rainy weather and water were more related to disease in the internally displaced person (IDP) camp than the local community (P<0.01). Most of the HHS respondents had sound knowledge of dengue symptoms, causes, vectors, transmission and prevention. The 257 (99.6%) HHS respondents reported that their families went to the public health facilities first to seek treatment. The 210 (84.1%) respondents reported that they turned containers upside down within five days. The key informants (n = 18) identified that the appropriate knowledge and behaviors were attributable to formal school education and specific health education campaign during the outbreak response in 2017, and that Kachin people enjoy conversing with each other, neighbors talked about the dengue information they received. The study results indicated that Kachin people have a good knowledge and behaviors of dengue control. The actual situation of dengue is still not clear due to lacking data of laboratory test. In the context of resources shortage, more international assistance is still needed to promote local dengue control and prevention efforts.
登革热（DF）是中缅边境地区的主要公共卫生问题之一，但缅甸克钦邦第二特别行政区（KSR2）的数据仍然缺乏。为了了解一般健康信仰，以及被忽视人群中与 DF 相关的知识、求医和预防行为，本研究采用了定量家庭问卷调查（HHS）和定性半结构化深入访谈（SDI）相结合的方法。共对 258 户户主进行了 HHS 问卷调查。215 名（83.3%）HHS 受访者信仰基督教和天主教。然而，在总共的受访者中，有 141 名（54.7%）认为有邪恶行为的人可能会受到疾病的惩罚。更多的受访者认为，在国内流离失所者（IDP）营地，多雨的天气和水比当地社区更与疾病有关（P<0.01）。大多数 HHS 受访者对登革热症状、原因、病媒、传播和预防有很好的了解。257 名（99.6%）HHS 受访者报告说，他们的家人先去公共卫生设施求医。210 名（84.1%）受访者报告说，他们在五天内将容器翻倒。关键信息提供者（n=18）指出，适当的知识和行为可归因于正规学校教育和 2017 年疫情应对期间的特定健康教育运动，以及克钦人喜欢互相交谈，邻居会谈论他们收到的登革热信息。研究结果表明，克钦人对登革热控制有很好的知识和行为。由于缺乏实验室检测数据，实际的登革热情况仍不清楚。在资源短缺的情况下，仍需要更多的国际援助来促进当地的登革热控制和预防工作。
