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在埃塞俄比亚西北部德布雷塔博镇,基于社区的横断面研究显示,孕妇对 COVID-19 及其相关因素的认知和实践情况。

Knowledge and practice to prevent COVID-19 and its associated factors among pregnant women in Debre Tabor Town Northwest Ethiopia, a community-based cross-sectional study.

机构信息

College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

BMC Pregnancy Childbirth. 2021 May 21;21(1):397. doi: 10.1186/s12884-021-03877-4.

Abstract

BACKGROUND

Coronavirus disease is now a global concern with the non-availability of antiviral treatment and attacks all groups of the population. Hence, applying preventive measures is the most critical intervention to control the infection. Pregnant women are particularly susceptible to respiratory pathogens because of their immunosuppressive state and physiological adaptive change during pregnancy. Therefore, this study was aimed to assess knowledge and practice to prevent coronavirus disease and its associated factors among pregnant women in Debre Tabor Town.

METHODS

Community-based cross-sectional study was conducted among 422 participants from May 25-June 15, 2020. A simple random sampling technique was employed. Data were collected by face-to-face interview using a structured and pre-tested questionnaire and analysis using SPSS version 23. Bivariable and multivariable logistic regression analysis was carried out and p-value < 0.05 at 95% CI were considered as statistically significant.

RESULTS

Overall 46.8 and 47.6% of women were knowledgeable and had good practice to prevent coronavirus respectively. Women's age (15-24 years) (AOR = 4.85, 95% CI: 1.34-5.42), educational status (AOR:3.70; 95% CI: 1.16-5.40) being civil servant (AOR:2.84; 95% CI: 1.55-5.21), wanted pregnancy (AOR:3.37; 95% CI: 1.20-9.45), antenatal care follow-up (AOR:2.07; 95% CI: 1.03-4.13) were significantly associated with COVID-19 knowledge, whereas educational status (AOR:3.78; 95% CI: 1.19-5.11), number of children (AOR:2.89; 95% CI: 1.29-6.45) and knowledge (AOR:8.42;95% CI: 4.50-15.85), were also found to be statistically significant with practice.

CONCLUSIONS

Most of the participants had poor knowledge and inappropriate practice. Increasing health education programs via different media, coordinated and combined efforts of authorities and all individuals will be needed to battles the spread of the infection.

摘要

背景

目前,冠状病毒病已成为全球关注的问题,尚无抗病毒治疗方法,且该病毒可攻击所有人群。因此,采取预防措施是控制感染的最关键干预措施。由于孕妇处于免疫抑制状态且在怀孕期间发生生理适应性变化,因此她们特别容易受到呼吸道病原体的感染。因此,本研究旨在评估德布雷塔博镇孕妇预防冠状病毒病的知识和实践情况及其相关因素。

方法

2020 年 5 月 25 日至 6 月 15 日,采用基于社区的横断面研究方法,对 422 名参与者进行了研究。采用简单随机抽样技术。通过面对面访谈,使用结构化和预测试问卷收集数据,并使用 SPSS 版本 23 进行分析。进行了单变量和多变量逻辑回归分析,置信区间为 95%,p 值<0.05 被认为具有统计学意义。

结果

总体而言,分别有 46.8%和 47.6%的女性对预防冠状病毒病具有知识和良好的实践。妇女的年龄(15-24 岁)(AOR=4.85,95%CI:1.34-5.42),教育程度(AOR:3.70;95%CI:1.16-5.40)为公务员(AOR:2.84;95%CI:1.55-5.21),想要怀孕(AOR:3.37;95%CI:1.20-9.45),产前护理随访(AOR:2.07;95%CI:1.03-4.13)与 COVID-19 知识显著相关,而教育程度(AOR:3.78;95%CI:1.19-5.11),儿童人数(AOR:2.89;95%CI:1.29-6.45)和知识(AOR:8.42;95%CI:4.50-15.85)也与实践具有统计学意义。

结论

大多数参与者的知识水平较低,实践行为也不恰当。需要通过各种媒体增加健康教育计划,协调和结合当局和所有个人的努力,以阻止感染的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad6/8140449/cd43f6bfd115/12884_2021_3877_Fig1_HTML.jpg

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