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孟加拉国的人感染猴痘及准备情况:一项针对医生的知识和态度评估研究。

Human monkeypox and preparedness of Bangladesh: A knowledge and attitude assessment study among medical doctors.

机构信息

Department of Public Health, North South University, Dhaka 1229, Bangladesh; Public Health Professional Development Society (PPDS), Dhaka 1215, Bangladesh.

Department of Public Health, North South University, Dhaka 1229, Bangladesh; Ibn Sina Medical College Hospital, Kallyanpur, Dhaka 1216, Bangladesh.

出版信息

J Infect Public Health. 2023 Jan;16(1):90-95. doi: 10.1016/j.jiph.2022.11.032. Epub 2022 Dec 6.

Abstract

OBJECTIVE

The recent increasing incidence of human monkeypox cases highlights the necessity of early detection, prompt response and preventive management to stop it in its tracks, and healthcare workers play the most crucial role here. This study aims at assessing the preparedness of Bangladeshi medical doctors by assessing their knowledge and attitude regarding monkeypox.

METHODOLOGY

This cross-sectional study was conducted among the practicing medical doctors all over Bangladesh. The data was collected from 26th May to 4th June of 2022 using a semi-structured and self-administered questionnaire which was distributed through the internet, and a total of 389 data was collected. The cut-off points for defining good knowledge and positive attitude towards human monkeypox were considered as 70% and 80% of total values, respectively. Multivariable logistic regression analyses were carried out to identify the factors associated with good knowledge and a positive attitude. Statistical software R version 4.2.0 was used for data analysis.

RESULT

Of all, 330 (84.83%) doctors displayed a positive attitude towards preventive practices, but only 119 (30.59%) participants had good knowledge regarding monkeypox. In multivariable logistic regression analysis, getting any information about monkeypox in the medical curriculum and learning about monkeypox within the last one month had a significant association with good knowledge. Apart from the participant's age, no other variables revealed any significant association with a positive attitude toward preventive practices. Good knowledge showed a significant association with positive attitude (p < 0.05).

CONCLUSION

Knowledge regarding human monkeypox among medical doctors in Bangladesh was comparatively lower than the attitude towards its preventive measures. Developing and implementing practical sessions regarding the virus to enhance the knowledge and capacity of the medical doctors could be an effective strategy to get prepared for the monkeypox outbreak in Bangladesh.

摘要

目的

最近,人类猴痘病例的发病率不断上升,这凸显了早期发现、及时应对和预防管理以阻止其蔓延的必要性,而医护人员在此方面发挥着至关重要的作用。本研究旨在评估孟加拉国医生对猴痘的准备情况,评估他们对猴痘的知识和态度。

方法

本横断面研究在孟加拉国所有执业医生中进行。数据于 2022 年 5 月 26 日至 6 月 4 日通过互联网收集,使用半结构化和自我管理问卷,共收集了 389 份数据。将定义对人类猴痘有良好知识和积极态度的分界点分别定义为总得分的 70%和 80%。采用多变量逻辑回归分析确定与良好知识和积极态度相关的因素。使用 R 版本 4.2.0 统计软件进行数据分析。

结果

所有医生中,有 330 人(84.83%)对预防措施持积极态度,但只有 119 人(30.59%)对猴痘有良好的了解。在多变量逻辑回归分析中,在医学课程中获得任何有关猴痘的信息以及在过去一个月内学习猴痘与良好知识有显著关联。除了参与者的年龄外,没有其他变量与对预防措施的积极态度有显著关联。良好的知识与积极的态度有显著关联(p<0.05)。

结论

孟加拉国医生对人类猴痘的了解相对较低,而对其预防措施的态度则较高。开展和实施有关该病毒的实践课程,以提高医生的知识和能力,可能是孟加拉国为猴痘疫情做好准备的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05be/9724567/f32f0ddb7988/gr1_lrg.jpg

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