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知识和行动以控制亚马孙法定地区一城市中的埃及伊蚊媒介。

Knowledge and actions for the control of the vector Aedes aegypti in a municipality in the Legal Amazon.

机构信息

Universidade Federal de Mato Grosso, Programa de Pós-Graduação em Saúde Coletiva, Cuiabá, Mato Grosso, Brazil.

Universidade do Estado de Mato Grosso, Campus de Tangará da Serra, Departamento de Enfermagem, Tangará da Serra, Mato Grosso, Brazil.

出版信息

Rev Inst Med Trop Sao Paulo. 2021 Aug 16;63:e64. doi: 10.1590/S1678-9946202163064. eCollection 2021.

Abstract

Infections caused by arboviruses that have mostly impacted the Brazilian morbidity and mortality are caused by the same vector, Aedes aegypti. Preventive actions related to the vector are the most effective strategies in the prevention and control of these diseases. This study aimed to associate the knowledge on the vector that transmits dengue, Zika and chikungunya with the sociodemographic and behavioral preventive practices towards Aedes aegypti in the municipality of Tangara da Serra, Mato Grosso State, in the Brazilian Legal Amazon. A probabilistic urban population sampling was obtained by clusters: census sectors and households. The sample size calculation considered 10% of loss and a 1.5 design effect. This is a cross-sectional research carried out through a household survey in February and March 2018. There were 583 participants. The study variables were knowledge on the vector, sociodemographic characteristics and preventive practices related to the vector. The statistical analysis was based on a bivariate analysis and Poisson multiple regressions. Inadequate or insufficient knowledge on the vector Aedes aegypti remained associated with education in the categories illiterate (p<0.001) and 8 years of study or less (p<0.001), in addition to not adopting practices of capping and cleaning the water tank (p=0.002) and not using insecticides at home (p=0.007). It is concluded that there is a need for health communication actions that consider characteristics the population, especially the level of education and previous knowledge on the vector, allowing a dialogical approach and enabling the community participation in preventive practices and control of the vector Aedes aegypti .

摘要

由埃及伊蚊传播的虫媒病毒引起的感染,主要影响巴西的发病率和死亡率。与该媒介相关的预防措施是预防和控制这些疾病最有效的策略。本研究旨在将传播登革热、寨卡和基孔肯雅热的病媒知识与马托格罗索州坦加拉达塞拉市的社会人口和行为预防埃及伊蚊措施联系起来,巴西法定亚马逊地区。通过聚类(人口普查部门和家庭)获得概率城市人口抽样。样本量计算考虑了 10%的损失和 1.5 的设计效果。这是一项在 2018 年 2 月和 3 月通过家庭调查进行的横断面研究。共有 583 名参与者。研究变量是对病媒的知识、社会人口特征和与病媒有关的预防措施。统计分析基于双变量分析和泊松多重回归。对埃及伊蚊病媒的知识不足或不足仍与教育程度相关,在文盲类别(p<0.001)和接受 8 年或以下教育(p<0.001),此外,不采取加盖和清洁水箱的做法(p=0.002)和不在家中使用杀虫剂(p=0.007)。结论是,需要开展卫生宣传行动,考虑到人口特征,特别是教育程度和对病媒的先前知识,以便采取对话式方法,并使社区能够参与预防措施和控制埃及伊蚊病媒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee0/8376272/2accbdd2eee8/1678-9946-rimtsp-63-S1678-9946202163064-gf01.jpg

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