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评估阿联酋社区对微生物群落组成及其主要影响因素的知识、态度和实践:一项横断面研究。

Evaluating the knowledge, attitudes and practices of the UAE community on microbiota composition and the main factors affecting it: a cross-sectional study.

机构信息

Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, UAE

College of Medicine, University of Sharjah, Sharjah, UAE.

出版信息

BMJ Open. 2021 Aug 17;11(8):e047869. doi: 10.1136/bmjopen-2020-047869.

Abstract

OBJECTIVES

This study aims to explore the knowledge, attitudes and practices (KAP) of the population in the United Arab Emirates (UAE) regarding microbiota and the main factors affecting its composition.

DESIGN/SETTING: A cross-sectional study, using a self-administered questionnaire, was conducted from May 2018 to September 2018, recruiting participants in public venues via convenience sampling.

PARTICIPANTS

UAE residents (aged 18 years and above) who spoke either Arabic or English.

RESULTS

419 responses were completed and analysed using SPSS V.24. Only 29.3% (n=94) of the participants who defined microbiota correctly had good knowledge. There was a significant difference in knowledge among different age groups (p=0.004) and educational levels (p<0.001). Multiple linear regression (MLR) model indicated that being a university student and a healthcare professional (HCP) are the only significant predictors regarding microbiota knowledge (p=0.014 and p<0.001, respectively). Of the respondents who claimed to be aware of probiotics, only 9.1% (n=15) exhibited good knowledge. MLR model showed that being a postgraduate and an HCP are the only significant predictors for probiotics knowledge (p=0.016 and p<0.001, respectively). 42.4% (n=143) and 34.6% (n=28) of the non-medical and HCP participants, respectively, use antibiotics without a prescription. None of the respondents, with or without a medical background, demonstrated good attitudes and practices toward the use of antibiotics.

CONCLUSION

Despite the fact that the participants had a basic understanding of microbiota and probiotics, the overall knowledge was substandard. Additionally, the respondents engaged in improper practices that alter the microbiota composition, especially via antibiotics misuse. Campaigns should target the general population as well as HCPs to upheave their overall KAP.

摘要

目的

本研究旨在探讨阿拉伯联合酋长国(阿联酋)民众对微生物组及其主要组成成分影响因素的知识、态度和实践(KAP)。

设计/设置:本研究采用横断面研究,使用自填式问卷,于 2018 年 5 月至 9 月,通过便利抽样在公共场所招募参与者。

参与者

会讲阿拉伯语或英语、年龄在 18 岁及以上的阿联酋居民。

结果

共完成并使用 SPSS V.24 分析了 419 份问卷。仅有 29.3%(n=94)的参与者正确定义了微生物组,他们具有良好的知识水平。不同年龄组(p=0.004)和教育水平(p<0.001)的参与者知识水平存在显著差异。多元线性回归(MLR)模型表明,大学生和医疗保健专业人员(HCP)是与微生物组知识相关的唯一显著预测因素(p=0.014 和 p<0.001)。在声称了解益生菌的受访者中,仅有 9.1%(n=15)表现出良好的知识水平。MLR 模型显示,研究生和 HCP 是益生菌知识的唯一显著预测因素(p=0.016 和 p<0.001)。42.4%(n=143)和 34.6%(n=28)的非医疗专业人员和 HCP 参与者分别在没有处方的情况下使用抗生素。无论是有医学背景还是没有医学背景的受访者,在使用抗生素方面都没有表现出良好的态度和实践。

结论

尽管参与者对微生物组和益生菌有基本的了解,但整体知识水平仍不理想。此外,受访者的实践行为不当,特别是通过滥用抗生素改变了微生物组的组成。应该针对普通人群和 HCP 开展宣传活动,以提高他们的整体 KAP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53d/8372808/08418353336e/bmjopen-2020-047869f01.jpg

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