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柬埔寨不同犬类疫苗接种状况村庄中与狂犬病相关的知识、态度和行为。

Knowledge, attitude, and practices associated with rabies in villages with different dog vaccination statuses in Cambodia.

作者信息

Ung Bunsong, Kamyingkird Ketsarin, Phimpraphai Waraphon

机构信息

Bio-veterinary Science Program, Faculty of Veterinary Medicine, Kasetsart University, Bangkok, Thailand.

Department of Animal Health and Veterinary Public Health, General Directorate of Animal Health and Production, Phnom Penh, Cambodia.

出版信息

Vet World. 2021 Aug;14(8):2178-2186. doi: 10.14202/vetworld.2021.2178-2186. Epub 2021 Aug 24.

DOI:10.14202/vetworld.2021.2178-2186
PMID:34566337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8448629/
Abstract

BACKGROUND AND AIM

Rabies is a highly infectious but neglected zoonotic disease. Almost 99% of rabies-related human deaths are caused by dog-mediated rabies. Although canine rabies vaccination is highly effective and provides protection, nationwide rabies vaccination campaigns have been insufficient in Cambodia, resulting in a limited number of rabies vaccinated dogs. This study aimed to explore the rabies knowledge, attitude, and practices (KAP) among participants from both dog rabies vaccinated (DRV) and dog rabies unvaccinated (DRUV) villages located in the Kandal and Prey Veng Provinces, Cambodia.

MATERIALS AND METHODS

A cross-sectional survey was conducted with dog owners in Kandal and Prey Veng Provinces, Cambodia, during August and September 2020. The structural questionnaire collected general sociodemographic information and the KAP associated with rabies transmission, clinical signs, management, and control. The data were then analyzed using Wilcoxon rank-sum test and Chi-square statistics.

RESULTS

In total, 312 participants were interviewed: 137 participants from DRV villages and 175 from DRUV villages. Among them, 99.4% (310/312) had previously heard about rabies. Out of these 310, 93.5% (290/310) were aware that rabies is a fatal disease, while 96.5% (299/310) were willing to vaccinate their dog against rabies if the vaccination was provided for free. However, 32.9% (102/310) indicated that they would be willing to sell their own dog if it bit someone or showed aggression. More than one-third (115/310) of all the respondents had poor overall KAP regarding rabies. The respondents from DRV villages had significantly higher overall scores with regard to rabies KAP than those from DRUV villages (p<0.0001). According to the factors related to overall KAP, village type and education level were significantly associated with overall KAP of the respondents (p<0.0001).

CONCLUSION

The rabies disease is recognized in Cambodia, and dog owners are willing to vaccinate their dogs if the vaccination is provided for free. The overall rabies-related KAP were poor among 30% of the respondents, and higher KAP scores were obtained for the DRV villages. The village type and education level were found to be associated with the different overall KAP of the participants.

摘要

背景与目的

狂犬病是一种具有高度传染性但被忽视的人畜共患病。几乎99%的狂犬病相关人类死亡是由犬传狂犬病导致的。尽管犬用狂犬病疫苗非常有效并能提供保护,但在柬埔寨,全国性的狂犬病疫苗接种运动并不充分,导致接种狂犬病疫苗的犬只数量有限。本研究旨在探索柬埔寨干丹省和磅湛省已接种犬用狂犬病疫苗(DRV)村庄和未接种犬用狂犬病疫苗(DRUV)村庄的参与者对狂犬病的知识、态度和行为(KAP)。

材料与方法

2020年8月至9月期间,对柬埔寨干丹省和磅湛省的犬主进行了一项横断面调查。结构化问卷收集了一般社会人口统计学信息以及与狂犬病传播、临床症状、管理和控制相关的KAP。然后使用威尔科克森秩和检验和卡方统计分析数据。

结果

总共采访了312名参与者:137名来自DRV村庄,175名来自DRUV村庄。其中,99.4%(310/312)的人之前听说过狂犬病。在这310人中,93.5%(290/310)知道狂犬病是一种致命疾病,而96.5%(299/310)表示如果免费提供狂犬病疫苗,他们愿意为自己的狗接种。然而,32.9%(102/310)表示如果自己的狗咬了人或表现出攻击性,他们会愿意卖掉自己的狗。所有受访者中超过三分之一(115/310)对狂犬病的总体KAP较差。来自DRV村庄的受访者在狂犬病KAP方面的总体得分显著高于来自DRUV村庄的受访者(p<0.0001)。根据与总体KAP相关的因素,村庄类型和教育水平与受访者的总体KAP显著相关(p<0.0001)。

结论

柬埔寨已认识到狂犬病,并且如果免费提供疫苗,犬主愿意为他们的狗接种。30%的受访者对狂犬病相关的总体KAP较差,DRV村庄的KAP得分更高。发现村庄类型和教育水平与参与者不同的总体KAP相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19f/8448629/56995a534fe5/Vetworld-14-2178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19f/8448629/56995a534fe5/Vetworld-14-2178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19f/8448629/56995a534fe5/Vetworld-14-2178-g001.jpg

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