The School of Veterinary Science, The University of Queensland, Gatton, Australia.
Centre for Applied One Health Research and Policy Advice, City University of Hong Kong, Hong Kong, 999077, Hong Kong SAR, China.
BMC Public Health. 2023 Jan 30;23(1):196. doi: 10.1186/s12889-022-14968-y.
The Central Dry Zone (CDZ) is one of the most important livestock production areas of Myanmar. However, there is an eminent lack of information on the attitudes and traditional beliefs of local farmers and livestock supply chain actors in CDZ of Myanmar on the public health implications. A modified data collection instrument of the Health Belief model was developed to investigate attitudes, beliefs and barriers to the application of recommended zoonotic disease prevention.
Cross-sectional study.
Data analyses were conducted considering a two-phase multilevel mixed effect binomial generalized linear models modelling approach.
The availability of information about zoonosis to supply chain actors influenced their confidence to implement preventive actions (OR = 1.5, p = 0.045 for cattle diseases; OR = 1.5, p = 0.022 for village chicken diseases). Supply chain actors were more likely aware of zoonosis transmitted by cattle compared to livestock farmers (OR = 0.3, p = 0.005 for cattle farmers), while people not rearing or trading small ruminants and/or poultry were less likely to be aware of the zoonotic risk associated with these animals (p < 0.005). Information on zoonosis transmitted from small ruminants was mainly promoted through farmers (p = 0.032), while information on zoonotic diseases that can be obtained from chickens was disseminated through farmers, local authorities and the media. Nevertheless, appropriate hand hygiene measures (i.e. cleaning of hands after touching, cutting, cooking meat) (OR = 7.7, p < 0.001 for zoonotic small ruminant diseases; OR = 1.6, p = 0.073 for zoonotic village chicken diseases) and treating of sick animals (OR = 7.3, p < 0.001 for small ruminant zoonotic diseases; OR = 2.2, p = 0.031 for village chicken zoonotic diseases) increased the confidence of small ruminant and village chicken owners to prevent these zoonotic infections.
The findings from this study indicate that while gender and the availability of information on zoonotic risks play an important role on the perceived threat of zoonoses, the practice of prevention methods influenced the confidence of value chain actors (VCAs) on zoonoses prevention.
中央干燥地带(CDZ)是缅甸最重要的牲畜生产区之一。然而,对于 CDZ 当地农民和牲畜供应链参与者对公共卫生影响的态度和传统观念,几乎没有任何信息。为了研究推荐的人畜共患病预防措施的应用态度、信念和障碍,我们开发了一种健康信念模型的改良数据收集工具。
横断面研究。
数据分析采用两阶段多水平混合效应二项式广义线性模型建模方法进行。
向供应链参与者提供有关人畜共患病的信息会影响他们实施预防措施的信心(牛病的 OR=1.5,p=0.045;村鸡病的 OR=1.5,p=0.022)。与牲畜农民相比,供应链参与者对由牛传播的人畜共患病的认识程度更高(牛农民的 OR=0.3,p=0.005),而不饲养或交易小反刍动物和/或家禽的人对这些动物的人畜共患病风险的认识程度较低(p<0.005)。有关小反刍动物传播的人畜共患病的信息主要通过农民传播(p=0.032),而有关从鸡中获得的人畜共患病的信息则通过农民、地方当局和媒体传播。然而,适当的手部卫生措施(即接触、切割、烹饪肉后清洁双手)(小反刍动物人畜共患病的 OR=7.7,p<0.001;村鸡人畜共患病的 OR=1.6,p=0.073)和治疗患病动物(小反刍动物人畜共患病的 OR=7.3,p<0.001;村鸡人畜共患病的 OR=2.2,p=0.031)增加了小反刍动物和村鸡所有者预防这些人畜共患病感染的信心。
本研究结果表明,虽然性别和人畜共患病风险信息的可用性对人畜共患病的感知威胁起着重要作用,但预防方法的实践影响了价值链参与者(VCAs)对人畜共患病预防的信心。