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评估肯尼亚牲畜饲养者对虫媒病毒病的知识、信念和管理:多元分数概率模型方法。

Evaluating livestock farmers knowledge, beliefs, and management of arboviral diseases in Kenya: A multivariate fractional probit approach.

机构信息

Department of Agricultural Economics, Faculty of Agriculture, University of Nairobi, Nairobi, Kenya.

International Centre of Insect Physiology and Ecology (icipe), Nairobi, Kenya.

出版信息

PLoS Negl Trop Dis. 2021 Sep 16;15(9):e0009786. doi: 10.1371/journal.pntd.0009786. eCollection 2021 Sep.

Abstract

Globally, arthropod-borne virus (arbovirus) infections continue to pose substantial threats to public health and economic development, especially in developing countries. In Kenya, although arboviral diseases (ADs) are largely endemic, little is known about the factors influencing livestock farmers' knowledge, beliefs, and management (KBM) of the three major ADs: Rift Valley fever (RVF), dengue fever and chikungunya fever. This study evaluates the drivers of livestock farmers' KBM of ADs from a sample of 629 respondents selected using a three-stage sampling procedure in Kenya's three hotspot counties of Baringo, Kwale, and Kilifi. A multivariate fractional probit model was used to assess the factors influencing the intensity of KBM. Only a quarter of the farmers had any knowledge of ADs while over four-fifths of them could not manage any of the three diseases. Access to information (experience and awareness), income, education, religion, and distance to a health facility considerably influenced the intensity of farmers' KBM of ADs in Kenya. Thus, initiatives geared towards improving access to information through massive awareness campaigns are necessary to mitigate behavioral barriers in ADs management among rural communities in Kenya.

摘要

全球范围内,虫媒病毒(arbovirus)感染继续对公共卫生和经济发展构成重大威胁,尤其是在发展中国家。在肯尼亚,虽然虫媒病毒病(ADs)在很大程度上是地方性的,但对于影响牲畜农民对三种主要 ADs(裂谷热(RVF)、登革热和基孔肯雅热)的知识、信仰和管理(KBM)的因素知之甚少。本研究从肯尼亚三个热点县(巴林戈、夸莱和基利菲)采用三阶段抽样程序选择的 629 名受访者中评估了牲畜农民 ADs KBM 的驱动因素。使用多元分数概率模型评估了影响 KBM 强度的因素。只有四分之一的农民对 ADs 有任何了解,而超过五分之四的农民无法管理这三种疾病中的任何一种。获得信息(经验和意识)、收入、教育、宗教和到医疗机构的距离对肯尼亚农民 ADs KBM 的强度有很大影响。因此,有必要通过大规模宣传活动来改善获取信息的机会,以减轻肯尼亚农村社区在 ADs 管理方面的行为障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82a/8478187/63c2314dbcdf/pntd.0009786.g001.jpg

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