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埃塞俄比亚西哈拉格州奇罗地区犬主的狂犬病预防控制措施及相关因素

Rabies prevention and control practices and associated factors among dog owners in Chiro, West Hararghe, Ethiopia.

作者信息

Ahmed Mohammed Jemal, Dirirsa Gebisa, Mengistu Dechasa Adare, Demena Melake, Geremew Abraham

机构信息

Oda Bultum Woreda Health Office, West Hararghe, Ethiopia.

Department of Environmental Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.

出版信息

J Public Health Res. 2022 Oct 13;11(4):22799036221129373. doi: 10.1177/22799036221129373. eCollection 2022 Oct.

Abstract

BACKGROUND

Rabies is among the most deadly and fatal diseases of all human diseases, once clinical symptoms appear. In developing countries, including Ethiopia, rabies prevention and control practices is not adequate. The study aimed to assess knowledge, attitude, and practices toward rabies prevention and control and identified factors associated with prevention and control practices.

METHODS

A community-based cross-sectional study was conducted from July 30 to August 30, 2021. A total of 326 dog-owner households were selected from the total number of 6500 dog-owner households using a simple random sampling method. Pretested and structured questionnaire were used to collect the data. The sections of the questionnaire includes socio-demographic, knowledge, attitude, and practice toward rabies prevention practices, and health and personal-related characteristics of the participants. The data was analyzed using SPSS version 24. Bivariate and multivariable logistic regression were used to determine the association variables. Finally, a -value of less than 0.05 was considered as a cut-off point for statistical significance.

RESULTS

Of 326 households involved in the study, 52.8% of the participants were found to have poor rabies prevention and control practices. More than half (52.1%) of the respondents had good knowledge of rabies prevention and control practices, and 49.1% had a positive attitude. Only 28.2% of the respondents reported a history of dog bites. Factors associated with good rabies prevention and control practices were; having good knowledge of human rabies virus [(Adjusted Odd Ratio (AOR) = 2.41 (95% CI: 2.25-4.83)], having good attitude on prevention and control [AOR = 2.06 (95% CI: 1.95-3.82)], having only one dog per household [AOR = 2.46 (95% CI: 1.25-4.83)], availability of vet clinic within 30 min distance from residents [AOR = 9.32 (95% CI: 4.19-20.70)], and getting health information from Mass media [AOR = 3.68(95% CI: 1.74-7.77)] or Health workers [AOR = 3.16 (95% CI: 1.60-6.23)].

CONCLUSIONS

More than half (52.1%) of the participants had poor rabies prevention and control practices. Improving rabies prevention and control practices through improving the knowledge and attitude of the community is important to protect public health.

摘要

背景

狂犬病是所有人类疾病中最致命的疾病之一,一旦出现临床症状。在包括埃塞俄比亚在内的发展中国家,狂犬病预防和控制措施并不充分。本研究旨在评估对狂犬病预防和控制的知识、态度和实践,并确定与预防和控制实践相关的因素。

方法

于2021年7月30日至8月30日进行了一项基于社区的横断面研究。采用简单随机抽样方法,从6500户养狗家庭中总共选取了326户养狗家庭。使用经过预测试的结构化问卷收集数据。问卷的部分内容包括社会人口统计学、对狂犬病预防实践的知识、态度和实践,以及参与者的健康和个人相关特征。使用SPSS 24版对数据进行分析。采用二元和多变量逻辑回归来确定相关变量。最后,将P值小于0.05作为具有统计学意义的临界点。

结果

在参与研究的326户家庭中,发现52.8%的参与者狂犬病预防和控制措施较差。超过一半(52.1%)的受访者对狂犬病预防和控制措施有良好的了解,49.1%的受访者态度积极。只有28.2%的受访者报告有被狗咬伤的历史。与良好的狂犬病预防和控制措施相关的因素有:对人类狂犬病病毒有良好的了解[调整后的优势比(AOR)=2.41(95%置信区间:2.25 - 4.83)],对预防和控制有良好的态度[AOR = 2.06(95%置信区间:1.95 - 3.82)],每户仅养一只狗[AOR = 2.46(95%置信区间:1.25 - 4.83)],距离居民30分钟路程内有兽医诊所[AOR = 9.32(95%置信区间:4.19 - 20.70)],以及从大众媒体[AOR = 3.68(95%置信区间:1.74 - 7.77)]或卫生工作者那里获得健康信息[AOR = 3.16(95%置信区间:1.60 - 6.23)]。

结论

超过一半(52.1%)的参与者狂犬病预防和控制措施较差。通过提高社区的知识和态度来改善狂犬病预防和控制措施对于保护公众健康很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcba/9577083/ff653f308816/10.1177_22799036221129373-fig1.jpg

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