School of Communication Studies, Ohio University, 418 Schoonover Center for Communication, 1 Ohio University, Athens, OH 45701, USA; Center for Research on Health in Latin America, Pontifical Catholic University of Ecuador, Calle San Pedro y Pambacienda, Quito 170530, Ecuador; Infectious and Tropical Disease Institute, Heritage College of Osteopathic Medicine, Ohio University, Irvine Hall 333, 1 Ohio University, Athens, OH 45701, USA.
Center for Research on Health in Latin America, Pontifical Catholic University of Ecuador, Calle San Pedro y Pambacienda, Quito 170530, Ecuador; Infectious and Tropical Disease Institute, Heritage College of Osteopathic Medicine, Ohio University, Irvine Hall 333, 1 Ohio University, Athens, OH 45701, USA.
J Infect Public Health. 2022 Dec;15(12):1459-1465. doi: 10.1016/j.jiph.2022.11.004. Epub 2022 Nov 11.
BACKGROUND: Controlling monkeypox effectively requires clinicians have knowledge of monkeypox, attitudes supporting of controlling it, and intentions to adopt practices to address it. Little is known, however, about levels of knowledge, attitudes, and practices (KAPs) in clinician populations in Ohio, United States. METHODS: A cross-sectional, internet-based questionnaire assessed knowledge related to monkeypox, attitudes toward ability to control monkeypox and the threat of monkeypox, and prior relevant practices of having received a smallpox vaccine or having knowledge of monkeypox before 2022, intentions to adopt preventive practices, and demographics. Frequency reporting was used to assess overall knowledge and attitudes. Binary logistic regression was used to predict which KAPs were associated with behavioral intentions. RESULTS: A total of 197 clinicians participated. No demographic factor was associated with KAPs. Clinicians had relatively poor levels of knowledge. Participants expressed mixed attitudes about eventual control of monkeypox and about threat posed by monkeypox. About one in four participants reported previous knowledge of monkeypox, and about 40 % had received a smallpox vaccine Clinicians reported insufficient levels of intention to adopt preventive practices. Binary regression analysis suggests only perceptions of the threat of monkeypox to public health were associated with intentions to vaccinate self or others. CONCLUSIONS: Educational interventions with clinicians should address inadequate knowledge to support correct diagnosis and treatment. Efforts to enhance the perception of threat of monkeypox to public health may support adherence to preventive recommendations.
背景:有效控制猴痘需要临床医生了解猴痘,对控制猴痘持支持态度,并有意采取措施来应对猴痘。然而,在美国俄亥俄州的临床医生群体中,人们对他们的知识、态度和实践(KAP)水平知之甚少。
方法:一项横断面、基于互联网的问卷调查评估了与猴痘相关的知识、对控制猴痘和猴痘威胁的能力的态度、以及在 2022 年之前接种过天花疫苗或了解过猴痘的相关实践、采取预防措施的意向和人口统计学特征。频率报告用于评估总体知识和态度。二元逻辑回归用于预测哪些 KAPs 与行为意向相关。
结果:共有 197 名临床医生参与了研究。没有任何人口统计学因素与 KAPs 相关。临床医生的知识水平相对较差。参与者对最终控制猴痘的能力和猴痘带来的威胁持混合态度。大约四分之一的参与者报告了以前对猴痘的了解,约 40%的人接种过天花疫苗。临床医生报告说,他们接种疫苗的意向不足。二元回归分析表明,只有对猴痘对公共卫生的威胁的看法与自我或他人接种疫苗的意向有关。
结论:应向临床医生提供教育干预措施,以解决知识不足的问题,从而支持正确的诊断和治疗。努力增强对猴痘对公共卫生威胁的认识,可能有助于遵守预防建议。
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