Suwanbamrung Charuai, Saengsuwan Bussarawadee, Sangmanee Thamonwan, Thrikaew Napaporn, Srimoung Poungpen, Maneerattanasak Sarunya
School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand.
Excellent Center for Dengue and Community Public Health (EC for DACH), Walailak University, Nakhon Si Thammarat, Thailand.
One Health. 2021 Jun 7;13:100275. doi: 10.1016/j.onehlt.2021.100275. eCollection 2021 Dec.
To develop more effective intervention strategies against dengue, it is necessary to identify determinants of knowledge, attitudes, and practices (KAP), which may be influenced by the dengue experiences of the population at risk. The aim of this study was to assess and compare KAP regarding dengue prevention between Thai primary school children with and without experiences of dengue. A cross-sectional study was conducted among children between ages 8 and 13, attending the 50 public primary schools in Kanchanadit district, between October and November 2019. A 32-item questionnaire was used to collect children's socio-demographic characteristics (4 items), health information (2 items), knowledge (10 items), attitudes (7 items), and practices (9 items) towards dengue prevention, which required 30 min to complete. The KAP between groups was then statistically compared, to identify possible causes of observed differences. Of 1979 children, 15.6% self-reported that they had been infected with dengue, while 84.4% had no history of the disease. Most children indicated that they obtained dengue-related information from primary school teachers (73.6%) and their parents (68.5%). No statistically significant differences in mean KAP scores were observed between children with and without dengue experiences ( > 0.05). When KAP scores were categorized as good or poor levels, based on an 80% cut-off, 12.3% of all children had good dengue-related knowledge, 41.6% had good attitudes, and 25.9% reported good preventive practices. Dengue experience was significantly and positively associated with exercising good preventive practices (odds ratio [OR] = 1.34, 95% confidence interval [CI]: 1.03-1.75, = 0.031). There were significant positive correlations between attitudes and practices in both children with and without dengue experiences ( < 0.001). To enhance KAP towards dengue prevention, further efforts are needed to increase routine dengue health education programs for primary school students who have and have not experienced dengue, and to improve health education programs within communities, especially to assist guardians with the dissemination of dengue literature.
为制定更有效的登革热干预策略，有必要确定知识、态度和行为（KAP）的决定因素，这些因素可能会受到高危人群登革热经历的影响。本研究的目的是评估和比较有登革热经历和无登革热经历的泰国小学生在登革热预防方面的KAP。2019年10月至11月期间，在堪差纳迪区的50所公立小学对8至13岁的儿童进行了一项横断面研究。使用一份包含32个条目的问卷收集儿童的社会人口学特征（4个条目）、健康信息（2个条目）、关于登革热预防的知识（10个条目）、态度（7个条目）和行为（9个条目），完成问卷需要30分钟。然后对两组之间的KAP进行统计学比较，以确定观察到的差异的可能原因。在1979名儿童中，15.6%的儿童自我报告曾感染登革热，而84.4%的儿童无该病病史。大多数儿童表示他们从小学教师（73.6%）和父母（68.5%）那里获得登革热相关信息。有登革热经历和无登革热经历的儿童在KAP平均得分上未观察到统计学显著差异（>0.05）。当根据80%的临界值将KAP得分分为良好或较差水平时，所有儿童中12.3%具有良好的登革热相关知识，41.6%态度良好，25.9%报告有良好的预防行为。登革热经历与采取良好的预防行为显著正相关（优势比[OR]=1.34，95%置信区间[CI]：1.03-1.75，=0.031）。有登革热经历和无登革热经历的儿童在态度和行为之间均存在显著正相关（<0.001）。为提高对登革热预防的KAP，需要进一步努力增加针对有和没有登革热经历的小学生的常规登革热健康教育项目，并改善社区内的健康教育项目，特别是协助监护人传播登革热相关资料。
