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评估埃塞俄比亚奥罗米亚 Qellam Wallaga 地区针对 COVID-19 的预防行为及相关因素:一项基于社区的横断面研究。

Assessment of preventive behavior and associated factors towards COVID-19 in Qellam Wallaga Zone, Oromia, Ethiopia: A community-based cross-sectional study.

机构信息

Department of Public Health, College of Medicine and Health Sciences, Dambi Dollo University, Dambi Dollo, Ethiopia.

Qellam Wallaga Zone Health Department, Oromia Regional Health Bureau, Dambi Dollo, Ethiopia.

出版信息

PLoS One. 2021 Apr 30;16(4):e0251062. doi: 10.1371/journal.pone.0251062. eCollection 2021.

Abstract

BACKGROUND

The world is being challenged by the COVID-19 outbreak that resulted in a universal concern and economic hardship. It is a leading public health emergency across the globe in general and developing countries in particular. Strengthening good preventive behavior is the best way to tackle such pandemics.

OBJECTIVE

The study assessed preventive behavior and associated factors towards COVID-19 among residents of Qellam Wallaga Zone, Oromia Region, Ethiopia, 2020.

METHODS

A community-based cross-sectional study was conducted with a multistage sampling technique. Data were collected by interview and analyzed using SPSS version 23.0. Binomial logistic regression was used to test the association between the variables. An Adjusted Prevalence with 95% CI was used to express the associations and interpret the findings.

RESULTS

Among 634 participants, 417(65.8%) were from urban residences, and 347 (54.7%) belongs to a female. Age ranges 18 years through 87 years. Only 68(10.7%) participants showed good preventive behavior for COVID-19. The majority of them (84.7%) perceived that the disease is very dangerous and 450(71.0%) of them believe that they are at high risk. More than 17% of the respondents have sufficient knowledge. Respondents with sufficient knowledge about COVID-19 were about 2 times more likely to exercise good preventive behavior compare to those with insufficient knowledge, [(APR: 2.1; 95% CI: [1.2, 3.9)]. The urban residents was 3.3 more than that of rural residents to practice good preventive behavior, [(APR: 3.3; 95% CI: [1.6, 6.4)]. Respondents who use social media as a source of information were more than 2 times more likely to have good preventive behavior compared to those who did not, [(APR: 2.3; 95% CI: [1.3, 3.4)].

CONCLUSION

Adoptions of COVID-19 preventive behavior in the study population is very low. Due emphasis should be given to rural residents. Risk communication activities should be strengthened through effective community engagement to slow down and stop the transmssion of the disease in the community.

摘要

背景

世界正面临 COVID-19 疫情的挑战,这引起了全球的关注和经济困难。这是全球特别是发展中国家的主要公共卫生紧急事件。加强良好的预防行为是应对此类大流行病的最佳方法。

目的

本研究评估了埃塞俄比亚奥罗米亚地区盖拉沃尔加地区居民对 COVID-19 的预防行为及其相关因素,研究时间为 2020 年。

方法

采用多阶段抽样技术进行了一项基于社区的横断面研究。通过访谈收集数据,并使用 SPSS 版本 23.0 进行分析。使用二项逻辑回归检验变量之间的关联。使用调整后的流行率(95%CI)表示关联并解释研究结果。

结果

在 634 名参与者中,有 417 名(65.8%)来自城市居民,347 名(54.7%)属于女性。年龄范围在 18 岁至 87 岁之间。只有 68 名(10.7%)参与者表现出良好的 COVID-19 预防行为。他们中的大多数人(84.7%)认为这种疾病非常危险,450 人(71.0%)认为自己处于高风险之中。超过 17%的受访者有足够的知识。与知识不足的受访者相比,对 COVID-19 有足够了解的受访者更有可能采取良好的预防行为,[调整后的流行率(APR):2.1;95%置信区间(CI):[1.2,3.9]]。城市居民比农村居民更有可能采取良好的预防行为,[调整后的流行率(APR):3.3;95%置信区间(CI):[1.6,6.4]]。与不使用社交媒体作为信息来源的受访者相比,使用社交媒体作为信息来源的受访者更有可能采取良好的预防行为,[调整后的流行率(APR):2.3;95%置信区间(CI):[1.3,3.4]]。

结论

研究人群中 COVID-19 预防行为的采用率非常低。应特别重视农村居民。应通过有效的社区参与来加强风险沟通活动,以减缓并阻止疾病在社区中的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd0a/8087041/4bf43591bc18/pone.0251062.g001.jpg

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