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埃塞俄比亚西南部甘贝拉地区州阿博博社区泌尿生殖系统血吸虫病知识、态度和行为的评估

Assessment of Urogenital Schistosomiasis Knowledge, Attitudes and Practices Among Abobo Communities in Gambella Regional State, Southwestern Ethiopia.

作者信息

Mohammed Tigist, Degarege Abraham, Aemero Mulugeta, Animut Abebe, Negash Yohannes, Erko Berhanu

机构信息

Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.

Ethiopian Catholic University, Addis Ababa, Ethiopia.

出版信息

Environ Health Insights. 2024 Feb 26;18:11786302241234731. doi: 10.1177/11786302241234731. eCollection 2024.

Abstract

BACKGROUND

Knowledge about community awareness and practices related to a disease, among other things, helps to plan relevant control strategies. This study assessed the knowledge, attitude, and practices (KAPs) of the community in Abobo district of Gambella Regional State in Southwestern Ethiopia about urogenital schistosomiasis (UGS), which is endemic to the region.

METHODS

A community-based cross-sectional study was conducted in 2022. A pretested structured questionnaire was administered. Multivariable logistic regression was used to examine factors associated with KAPs variables.

RESULTS

Most study participants (90.6%) responded they have previously heard of UGS. Over 95% of the participants knew at least 1 symptom of UGS and 30% knew the transmission cycle. About 15.9% and 26.8% knew keeping environmental hygiene and refraining from using cercariae infested water, as preventive methods, respectively. Over half of the participants (50.1%) disagreed or did not know that urinating close to the river/dam water contributes to transmission, and almost all participants had contact with the dam/river water in one way or another. Education status and history of having the infection were the key significant correlates of most KAPs variables.

CONCLUSION

Most of the community members had poor knowledge and attitudes about the mode of transmission and preventive measures of UGS. Thus, besides school-based mass drug administration (MDA), UGS control efforts in the region should incorporate health education in conjunction with safe water supplies, and provision of sanitary facilities to effectively reduce the transmission of the disease.

摘要

背景

了解与疾病相关的社区意识和实践等内容有助于制定相关控制策略。本研究评估了埃塞俄比亚西南部甘贝拉地区州阿博博区社区对该地区流行的泌尿生殖系统血吸虫病(UGS)的知识、态度和实践(KAPs)。

方法

2022年开展了一项基于社区的横断面研究。采用了经过预测试的结构化问卷。使用多变量逻辑回归分析与KAPs变量相关的因素。

结果

大多数研究参与者(90.6%)表示他们之前听说过UGS。超过95%的参与者知道至少一种UGS症状,30%知道传播周期。分别约有15.9%和26.8%的人知道保持环境卫生和避免使用受尾蚴污染的水作为预防方法。超过一半的参与者(50.1%)不同意或不知道在靠近河流/坝水处排尿会导致传播,而且几乎所有参与者都以某种方式接触过坝/河水。教育程度和感染史是大多数KAPs变量的关键显著相关因素。

结论

大多数社区成员对UGS的传播方式和预防措施了解不足且态度不佳。因此,除了基于学校的大规模药物治疗(MDA)外,该地区的UGS控制工作应将健康教育与安全供水以及提供卫生设施相结合,以有效减少疾病传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84bf/10898313/724635f7ab4f/10.1177_11786302241234731-fig1.jpg

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