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非传染性疾病(NCDs)与对 COVID-19 的易感性:以埃塞俄比亚南部甘默、高法和南奥莫地区患有高血压或糖尿病的成年患者为例。

Non-communicable diseases (NCDs) and vulnerability to COVID-19: The case of adult patients with hypertension or diabetes mellitus in Gamo, Gofa, and South Omo zones in Southern Ethiopia.

机构信息

Department of Clinical nursing, Arba Minch College of Health Sciences, Arba Minch, Ethiopia.

Department of public health, Arba Minch College of Health Sciences, Arba Minch, Ethiopia.

出版信息

PLoS One. 2022 Jan 25;17(1):e0262642. doi: 10.1371/journal.pone.0262642. eCollection 2022.

DOI:10.1371/journal.pone.0262642
PMID:35077488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8789109/
Abstract

BACKGROUND

A growing body of evidence demonstrating that individuals with Non-Communicable Disease (NCD) are more likely to have severe forms of COVID-19 and subsequent mortality. Hence, our study aimed to assess the knowledge of vulnerability and preventive practices towards COVID-19 among patients with hypertension or diabetes in Southern Ethiopia.

OBJECTIVE

To assess the knowledge and preventive practices towards COVID-19 among patients with hypertension or diabetes mellitus in three zones of Southern Ethiopia, 2020.

METHODS

A community-based cross-sectional study design was used with a multi-stage random sampling technique to select 682 patients with hypertension or diabetes mellitus from 10th -17th July 2020 at the three zones of Southern Ethiopia. Logistic regression analysis with a 95% confidence interval was fitted to identify independent predictors of knowledge and preventive practices towards COVID-19. The adjusted odds ratio (AOR) was used to determine the magnitude of the association between the outcome and independent variables. P-value <0.05 is considered statistically significant.

RESULTS

The Multi-dimensional knowledge (MDK) analysis of COVID-19 revealed that 63% of study subjects had good knowledge about COVID-19. The overall preventive practice towards COVID -19 was 26.4%. Monthly income (AOR = 1.42; 95% CI: 1.04, 1.94) significantly predicted knowledge towards COVID-19. Ninety-five percent of the study subjects knew that the COVID-19 virus spreads via respiratory droplets of infected individuals. One hundred and ten (16.2%) of study subjects correctly responded to the questions that state whether people with the COVID-19 virus who do not have a fever can infect the other. Knowledge about COVID-19 (AOR = 1.47; 95% CI: 1.03, 2.1) became the independent predictor of preventive practice.

CONCLUSIONS

In this study, the knowledge of the respondents towards the COVID-19 pandemic was good. But the preventive practice was very low. There was a significant gap between knowledge and preventive practices towards the COVID-19 pandemic among the study subjects. Monthly income was significantly associated with knowledge of COVID-19. Knowledge of COVID-19 was found to be an independent predictor of preventive practice towards COVID-19. Community mobilization and improving COVID-19- related knowledge and practice are urgently recommended for those patients with hypertension or diabetes mellitus.

摘要

背景

越来越多的证据表明,患有非传染性疾病(NCD)的个体更有可能出现 COVID-19 的严重形式和随后的死亡。因此,我们的研究旨在评估埃塞俄比亚南部高血压或糖尿病患者对 COVID-19 的脆弱性和预防措施的认识。

目的

评估 2020 年埃塞俄比亚南部三个地区高血压或糖尿病患者对 COVID-19 的认识和预防措施。

方法

采用基于社区的横断面研究设计,采用多阶段随机抽样技术,于 2020 年 7 月 10 日至 17 日从埃塞俄比亚南部三个地区选择 682 名高血压或糖尿病患者。采用 95%置信区间的逻辑回归分析确定 COVID-19 知识和预防措施的独立预测因素。调整后的优势比(AOR)用于确定结果与自变量之间的关联程度。P 值<0.05 被认为具有统计学意义。

结果

对 COVID-19 的多维知识(MDK)分析表明,63%的研究对象对 COVID-19 有较好的认识。总体而言,对 COVID-19 的预防措施为 26.4%。月收入(AOR=1.42;95%CI:1.04,1.94)显著预测了对 COVID-19 的认识。95%的研究对象知道 COVID-19 病毒通过感染者的呼吸道飞沫传播。110(16.2%)名研究对象正确回答了关于无症状 COVID-19 病毒感染者是否会感染他人的问题。对 COVID-19 的认识(AOR=1.47;95%CI:1.03,2.1)成为预防措施的独立预测因素。

结论

在这项研究中,受访者对 COVID-19 大流行的认识良好。但预防措施非常低。研究对象对 COVID-19 大流行的知识和预防措施之间存在显著差距。月收入与 COVID-19 知识显著相关。对 COVID-19 的认识被发现是预防 COVID-19 措施的独立预测因素。建议对高血压或糖尿病患者进行社区动员,并提高 COVID-19 相关知识和实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/afbf6eb93597/pone.0262642.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/c6639fcc856f/pone.0262642.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/33b6c2692123/pone.0262642.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/ef5ef7a3c1c4/pone.0262642.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/afbf6eb93597/pone.0262642.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/c6639fcc856f/pone.0262642.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/33b6c2692123/pone.0262642.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/ef5ef7a3c1c4/pone.0262642.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc34/8789109/afbf6eb93597/pone.0262642.g004.jpg

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