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健康教育干预对印度马哈拉施特拉邦那格浦尔地区农村人口布鲁氏菌病知识、信念及预防行为的促进作用。

The effects of health education intervention on promoting knowledge, beliefs and preventive behaviors on brucellosis among rural population in Nagpur district of Maharashtra state, India.

作者信息

Ghugey Satish L, Setia Maninder S, Deshmukh Jyotsna S

机构信息

Department of Community Medicine, Mahatma Gandhi Mission Institute of Health Sciences, Kamothe, Navi Mumbai, Maharashtra, India.

Department of Epidemiology, Mahatma Gandhi Mission Institute of Health Sciences, Kamothe, Navi Mumbai, Maharashtra, India.

出版信息

J Family Med Prim Care. 2022 Aug;11(8):4635-4643. doi: 10.4103/jfmpc.jfmpc_1562_21. Epub 2022 Aug 30.

Abstract

INTRODUCTION

Brucellosis is one of the most common zoonosis diseases in developing and undeveloped countries, with adverse socio-economic status and animal and human health. The essential element for effective prevention and control of brucellosis is to improve the community's Knowledge, Attitude, and Practice (KAP) through Health Education Intervention (HEI).

AIM

To assess health education intervention's effect on promoting knowledge, beliefs, and preventive behaviors on brucellosis among rural populations in Nagpur district, Maharashtra, India.

METHODS AND MATERIALS

382 subjects over 18 years with a history of animal contact or consuming animal products were randomly selected. Data were collected through questionnaires and checklists. The pre-test was implemented and followed by HEI. The post-test was conducted after 45 to 60 days. For the attitude five-point Likert scale and knowledge and practice, a two-point assessment scale [yes, no] was applied. SPSS was used to analyze paired -test, and < 0.05 was considered significant.

RESULT

Of 382 subjects, 300 (78.5%) were male, and the mean age of 42.15 ± 13.72. Before HEI, 18 (5%) subjects heard about brucellosis. After HEI, reduction in the risk behaviors practices like raw milk consumption ( < 0.0001), assisted animal delivery without gown ( = 0.002), throwing animal birth products in the dustbin ( < 0.0001) were statistically significant. After implementing HEI, subjects were more aware of animal and human brucellosis signs/symptoms ( < 0.0001). Awareness of disease transmission route ( < 0.0001) and up-gradation in knowledge ( < 0.0001) were statistically significant among subjects after HEI.

CONCLUSIONS

HEI substantially affects KAP and changes community behaviors to prevent brucellosis transmission. The authors recommend implementing HEI in the community to prevent brucellosis.

摘要

引言

布鲁氏菌病是发展中国家和不发达国家最常见的人畜共患病之一,对社会经济状况以及动物和人类健康都有不利影响。通过健康教育干预(HEI)提高社区的知识、态度和实践(KAP)是有效预防和控制布鲁氏菌病的关键要素。

目的

评估健康教育干预对促进印度马哈拉施特拉邦那格浦尔地区农村人口对布鲁氏菌病的知识、信念和预防行为的影响。

方法和材料

随机选择382名18岁以上有动物接触史或食用动物产品史的受试者。通过问卷和清单收集数据。进行预测试,然后进行健康教育干预。45至60天后进行后测试。对于态度采用五点李克特量表,对于知识和实践采用两点评估量表[是,否]。使用SPSS分析配对检验,P<0.05被认为具有统计学意义。

结果

在382名受试者中,300名(78.5%)为男性,平均年龄为42.15±13.72岁。在健康教育干预前,18名(5%)受试者听说过布鲁氏菌病。在健康教育干预后,生牛奶消费等风险行为(P<0.0001)、不穿隔离服协助动物分娩(P = 0.002)、将动物分娩产物扔进垃圾桶(P<0.0001)等行为的减少具有统计学意义。实施健康教育干预后,受试者对动物和人类布鲁氏菌病的体征/症状有了更多了解(P<0.0001)。健康教育干预后,受试者对疾病传播途径的知晓率(P<0.0001)和知识水平的提高(P<0.0001)具有统计学意义。

结论

健康教育干预对知识、态度和实践有显著影响,并改变社区行为以预防布鲁氏菌病传播。作者建议在社区实施健康教育干预以预防布鲁氏菌病。

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