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人类行为在疟疾感染中的作用:系统评价。

The Role of Human Behavior in Malaria Infection: A Systematic Review.

机构信息

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.

Sabah State Health Department, Ministry of Health, Kota Kinabalu 88590, Malaysia.

出版信息

Int J Environ Res Public Health. 2022 Mar 19;19(6):3675. doi: 10.3390/ijerph19063675.

DOI:10.3390/ijerph19063675
PMID:35329359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8953169/
Abstract

OBJECTIVES

is a non-human parasite that causes zoonotic disease in humans. This systematic review aims to highlight and summarize studies describing human behaviors and activities that expose humans to mosquito bites. English entries in PubMed, Web of Science, and Science Direct from 2010 to 2020 were systematically perused, and the results were synthesized. Methodological quality was assessed using the Joanna Briggs Institute quality appraisal checklists.

SETTING

Studies that described malaria preventive measures were included. Laboratory, in vivo, in vitro, and animal studies were excluded.

PRIMARY AND SECONDARY OUTCOME MEASURES

The main outcome of the review was findings from studies describing the behavior that exposed a person or a group to infection.

RESULTS

Twelve eligible studies were of good or medium quality. Attitude, disease misconceptions, perceived threat of disease, lack of motivation, and supernatural or traditional beliefs causing individuals to seek treatment from traditional healers influenced the exposure of individuals or communities to malaria. Other factors were forestry activities (2.48, 1.45-4.23,95% CI, = 0.0010) and sleeping outdoors (3.611, 1.48-8.85, 95% CI, = 0.0049).

CONCLUSIONS

Future studies must consider the importance of human behavior and community perspective on the infection to provide novel information to improve the current zoonotic malaria programs. Policymakers should concentrate on understanding human behavior and activities that expose individuals or communities to mosquito bites, in order to better design socially feasible interventions.

摘要

目的

是一种引起人类人畜共患病的非人类寄生虫。本系统评价旨在强调和总结描述使人类暴露于蚊子叮咬的人类行为和活动的研究。从 2010 年到 2020 年,系统地查阅了 PubMed、Web of Science 和 Science Direct 中的英文条目,并对结果进行了综合分析。使用 Joanna Briggs 研究所质量评估清单评估了方法学质量。

设置

纳入描述疟疾预防措施的研究。排除实验室、体内、体外和动物研究。

主要和次要结果

综述的主要结果是描述使人或人群暴露于 感染的行为的研究结果。

结果

12 项合格研究的质量为良好或中等。态度、疾病误解、对疾病的感知威胁、缺乏动机以及导致个体寻求传统治疗师治疗的超自然或传统信仰,影响了个人或社区对 疟疾的暴露。其他因素是林业活动(2.48,1.45-4.23,95%置信区间, = 0.0010)和户外睡眠(3.611,1.48-8.85,95%置信区间, = 0.0049)。

结论

未来的研究必须考虑人类行为和社区对感染的看法的重要性,以提供新的信息来改善当前的人畜共患病疟疾计划。政策制定者应集中精力了解使个人或社区暴露于蚊子叮咬的人类行为和活动,以便更好地设计可行的社会干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e76/8953169/581c9c349085/ijerph-19-03675-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e76/8953169/5c6b1229e009/ijerph-19-03675-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e76/8953169/581c9c349085/ijerph-19-03675-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e76/8953169/5c6b1229e009/ijerph-19-03675-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e76/8953169/581c9c349085/ijerph-19-03675-g002.jpg

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