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埃塞俄比亚阿维地区居民对预防新冠疫情的社区准备水平及相关因素:一项基于社区的横断面研究

Level of Community Readiness for the Prevention of COVID-19 Pandemic and Associated Factors Among Residents of Awi Zone, Ethiopia: A Community-Based Cross-Sectional Study.

作者信息

Adane Daniel, Yeshaneh Alex, Wassihun Biresaw, Gasheneit Addisu

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Arbaminch University, Arbaminch, Ethiopia.

出版信息

Risk Manag Healthc Policy. 2021 Apr 13;14:1509-1524. doi: 10.2147/RMHP.S302974. eCollection 2021.

Abstract

BACKGROUND

Novel coronavirus 19 is a contagious disease that affects all most all countries of the world and puts the world in great challenge. Even though, there is a limited testing capacity in Africa the number of cases and deaths is progressively increased. This catastrophic case has a great impact in Africa unless preventive measures are effectively undertaken. In Ethiopia, the number of COVID-19 cases and death are increasing over time. Therefore, this study was aimed to assess the level of community readiness for COVID-19 pandemic prevention and its associated factors in residents of Awi Zone, Northwest Ethiopia.

METHODS

A community-based cross-sectional study design was conducted among 1524 study participants from July 28 to August 27, 2020. Data were collected using structured and pre-tested interviewer-administered questionnaires. The collected data were entered into EPI data 4.6 versions and analyzed using Statistical Package for Social Science (SPSS) version 24.0. Those variables with P-value<0.25 were entered into multivariable analyses and those variables with P-value < 0.05 were considered statistically significant. Finally, the findings of the result were explained using texts, figures, and tables.

RESULTS

A total of 1423 participants have participated in the study. The finding revealed that the prevalence of knowledge, attitude, perception, and practice towards COVID-19 were found to be 76.6%, 68.4%, 68.5%, and 29% respectively. In final model, being a female [AOR=1.388 (95% CI: 1.050-1.834) P= 0.021], married respondents [AOR=3.116 (95% CI: 1.592-6.099) P= 0.001], Muslim religion followers [AOR=2.392 (95% CI:1.503-3.806) P=0.002], and able to read and write [AOR=1.986 (95% CI:1.311-3.006) P=0.002] were some of the variables significantly associated with the level of community readiness towards COVID-19 preventive measures.

CONCLUSION

The study findings indicate that respondent's level of community readiness for COVID-19 prevention was mainly affected by sex, marital status, religion, and educational status. The Health education programs aimed at mobilizing and improving COVID-19 related level of community readiness especially practice are urgently needed. Awareness creation programs on more targeted groups such as men, unmarried and those with low educational level and religious leaders should be teaching the believers by interacting with faith and science on the means of preventing the pandemic.

摘要

背景

新型冠状病毒19是一种传染病,影响了世界上几乎所有国家,给世界带来了巨大挑战。尽管非洲的检测能力有限,但病例数和死亡数仍在逐步增加。除非有效采取预防措施,否则这一灾难性情况将对非洲产生重大影响。在埃塞俄比亚,新冠肺炎病例数和死亡数也在随时间增加。因此,本研究旨在评估埃塞俄比亚西北部阿维地区居民对新冠肺炎大流行预防的社区准备水平及其相关因素。

方法

于2020年7月28日至8月27日对1524名研究参与者进行了基于社区的横断面研究设计。使用结构化且经过预测试的访谈式问卷收集数据。收集到的数据录入EPI数据4.6版本,并使用社会科学统计软件包(SPSS)24.0版进行分析。P值<0.25的变量进入多变量分析,P值<0.05的变量被认为具有统计学意义。最后,用文字、图表对结果进行解释。

结果

共有1423名参与者参与了研究。结果显示,对新冠肺炎的知识、态度、认知和实践的知晓率分别为76.6%、68.4%、68.5%和29%。在最终模型中,女性[AOR=1.388(95%CI:1.050-1.834)P=0.021]、已婚受访者[AOR=3.116(95%CI:1.592-6.099)P=0.001]、穆斯林宗教信徒[AOR=2.392(95%CI:1.503-3.806)P=0.002]以及有读写能力[AOR=1.986(95%CI:1.311-3.006)P=0.002]是与社区对新冠肺炎预防措施的准备水平显著相关的一些变量。

结论

研究结果表明,受访者对新冠肺炎预防的社区准备水平主要受性别、婚姻状况、宗教和教育程度的影响。迫切需要开展旨在动员和提高与新冠肺炎相关的社区准备水平,特别是实践水平的健康教育项目。针对男性、未婚者、教育程度低者等更具针对性群体以及宗教领袖的宣传项目,应通过将信仰与科学相结合,就预防大流行的方法向信徒进行教导。

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