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评估埃塞俄比亚阿姆哈拉地区大城市对冠状病毒的认知、做法及相关因素。

Evaluating the perceptions and practices towards coronavirus and associated factors in metropolitan cities of Amhara region, Ethiopia.

作者信息

Tesfaw Lijalem Melie, Kassie Aragaw Bizualem, Flatie Belaynesh Tazebew

机构信息

Department of Statistics, Bahir Dar University, Po.Box 79, Bahir Dar, Ethiopia.

Institute of EiTEX, Bahir Dar University, Po.Box 79, Bahir Dar, Ethiopia.

出版信息

Sci Afr. 2021 Nov;14:e01027. doi: 10.1016/j.sciaf.2021.e01027. Epub 2021 Nov 2.

Abstract

Confirmed cases of coronavirus in Africa, particularly in Ethiopia, are increasing rapidly following improved testing. This study is aimed at assessing the perceptions and practices towards coronavirus among the metropolitan city population of Amhara region, Ethiopia, and examining the associated factors affecting public perceptions and practices regarding coronavirus among the population of metropolitan cities. A total of 1288 randomly selected participants completed a questionnaire designed to assess perceptions and practices towards coronavirus and associated factors. The statistical analysis involved fitting a binary logistic regression model and a chi-square test. Of 1288 study participants, 788 (61.2%) and 500 (38.8%) were male and female, respectively. Their average age and monthly income were 29.2 years and 2484 birr, respectively. Preventive measures followed by the participants involved washing hands with soap and water rubbing for at least 20 s (55.4%) and visiting a doctor when corona symptoms show up (49.5%). Permanent rural residents had lower odds of good perception and practices regarding coronavirus (aOR=0.505; 95% CI=0.15, 0.82) as compared to permanent urban resident participants. Due to misguided perceptions and practices, the prevalence of coronavirus in metropolitan city communities of Amhara region is high. The city of residence, marital status, educational level, permanent residence, and information sources were significantly associated with people's perceptions and practices towards the prevention of coronavirus. Perceptions and practices towards coronavirus had a significant positive correlation in terms of preventive measures against coronavirus. Therefore, the authors would like to recommend if substantive effort from the government and different stakeholders regarding to raising the perception and practices of communities in the cities towards the pandemic and reduce the collateral damage especially the lower income communities who cannot afford basic needs.

摘要

随着检测水平的提高,非洲尤其是埃塞俄比亚的新冠确诊病例数正在迅速增加。本研究旨在评估埃塞俄比亚阿姆哈拉地区大城市人口对新冠病毒的认知和行为,并探究影响大城市人口对新冠病毒公众认知和行为的相关因素。共有1288名随机抽取的参与者完成了一份旨在评估对新冠病毒的认知、行为及相关因素的问卷。统计分析采用二元逻辑回归模型和卡方检验。在1288名研究参与者中,男性788人(61.2%),女性500人(38.8%)。他们的平均年龄和月收入分别为29.2岁和2484比尔。参与者采取的预防措施包括用肥皂和水洗手并揉搓至少20秒(55.4%),以及出现新冠症状时就医(49.5%)。与长期居住在城市的参与者相比,长期居住在农村的居民对新冠病毒有良好认知和行为的几率较低(调整后比值比=0.505;95%置信区间=0.15,0.82)。由于认知和行为存在偏差,阿姆哈拉地区大城市社区的新冠病毒感染率较高。居住城市、婚姻状况、教育水平、常住地和信息来源与人们对新冠病毒预防的认知和行为显著相关。在新冠病毒预防措施方面,对新冠病毒的认知和行为存在显著正相关。因此,作者建议政府和不同利益相关者做出实质性努力,以提高城市社区对这一流行病的认知和应对行为,减少附带损害,尤其是那些无法满足基本需求的低收入社区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaf0/8562014/facf078b3334/gr1_lrg.jpg

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