Abunna Fufa, Gebresenbet Girma, Megersa Bekele
College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, Ethiopia.
Department of Energy and Technology, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Heliyon. 2024 Feb 8;10(4):e25713. doi: 10.1016/j.heliyon.2024.e25713. eCollection 2024 Feb 29.
In developing countries like Ethiopia, zoonotic diseases pose a significant health and economic burden, with high exposure of farmers to zoonotic infection given the prevailing traditional husbandry practices. A cross-sectional survey involving 388 farmers in the Ada'a district central Ethiopia was conducted to investigate their knowledge, attitudes, and practices (KAP) regarding the transmission of zoonotic diseases. The respondents' mean age was 41.0 ± 10.0 SD years. The majority of respondents (39.4%) were between the ages of 41 and 50, and 90.0% were married. Farmers claimed that conversations with family, colleagues, and friends were the primary sources of zoonoses information. Farmers stated that the primary sources of information on zoonotic diseases as community. They had a relatively low level (66.8%) of knowledge on zoonotic diseases and half of them (54.9%) did not have good information on zoonoses. Three-quarters (75.2%) of the farmers reported that they neither consume meat and milk nor use offal and hide/skin from sick or dead animals. Similarly, 71.1% of them stated that they do not eat meat from regularly aborting sheep/goats, and never consume raw meat and milk. Most of the respondents correctly answered that raw meat (82.7%) and raw milk (79.9%) are means of disease transmission from animals to humans. However, considerable proportions of them were unaware of zoonotic transmission of bovine tuberculosis (61.3%) and brucellosis (74.7%) transmission through raw milk intakes, and risk of taeniasis (71%) due to raw meat consumption. But, considerable proportions had never dewormed (48.7%), or tested their animals for brucellosis (82.7%) and bovine tuberculosis (83.3%), and more than three quarters (77.3%) did not used personal protective equipment when handling sick animals. Farmers who had a secondary education or above (OR = 6.8, CI = 2.4-18.0, p = 0.004), aged between 41 and 50 years (OR = 3.0, 95% CI: 1.2-7.2, p = 0.015), and those having good knowledge (OR = 2.1, CI = 1.3-3.5, p = 0.002), and positive attitude related to zoonotic diseases (OR = 7.8, CI = 4.7-12.9, p < 0.001) had better practices that reduce the risk of exposure to zoonotic infections than their counterparts. This study revealed a knowledge gaps, a low level of the desired attitude, and high-risk behavioral practices which call for awareness creation about zoonotic disease transmission.
在埃塞俄比亚这样的发展中国家,人畜共患疾病带来了巨大的健康和经济负担,鉴于普遍存在的传统畜牧方式,农民极易感染人畜共患病。在埃塞俄比亚中部阿达阿地区对388名农民进行了一项横断面调查,以调查他们关于人畜共患疾病传播的知识、态度和行为(KAP)。受访者的平均年龄为41.0±10.0标准差岁。大多数受访者(39.4%)年龄在41至50岁之间,90.0%已婚。农民们称与家人、同事和朋友的交谈是人畜共患病信息的主要来源。农民们表示人畜共患疾病信息的主要来源是社区。他们对人畜共患疾病的了解程度相对较低(66.8%),其中一半(54.9%)没有关于人畜共患病的良好信息。四分之三(75.2%)的农民报告称他们既不食用肉类和牛奶,也不使用患病或死亡动物的内脏和皮/毛。同样,71.1%的农民表示他们不吃经常流产的绵羊/山羊的肉,也从不食用生肉和生奶。大多数受访者正确回答生肉(82.7%)和生奶(79.9%)是疾病从动物传播给人类的途径。然而,相当一部分人不知道通过饮用生奶会有人畜共患牛结核病(61.3%)和布鲁氏菌病(74.7%)的传播,以及食用生肉会有患绦虫病(71%)的风险。但是,相当一部分人从未给动物驱虫(48.7%),或对动物进行布鲁氏菌病(82.7%)和牛结核病(83.3%)检测,超过四分之三(77.3%)的人在处理患病动物时不使用个人防护设备。接受过中等及以上教育的农民(比值比=6.8,可信区间=2.4-18.0,p=0.004)、年龄在41至50岁之间的农民(比值比=3.0,95%可信区间:1.2-7.2,p=0.015)、知识水平良好的农民(比值比=2.1,可信区间=1.3-3.5,p=0.002)以及对人畜共患疾病持积极态度的农民(比值比=7.8,可信区间=4.7-12.9,p<0.001),与他们的同行相比,有更好的行为习惯来降低感染人畜共患病的风险。这项研究揭示了知识差距、期望态度水平较低以及高风险行为习惯,这就需要提高对人畜共患疾病传播的认识。