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基于社区行动网络的干预措施,以提高尼日利亚拉各斯埃佩地区野生动物猎人和交易商对人畜共患病的认识。

A community action network-based intervention for improving knowledge of zoonoses among wildlife hunters and traders in Epe, Lagos, Nigeria.

机构信息

Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Department of Veterinary Public Health and Preventive Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

PLoS One. 2024 Nov 5;19(11):e0300237. doi: 10.1371/journal.pone.0300237. eCollection 2024.

Abstract

The West Africa One Health project is a multi-country project designed to utilise the One Health approach and deploy the Community Action Networks (CAN), a concept rooted in the principles of community-based participatory research, to improve knowledge of high-risk communities on zoonoses. The majority of emerging zoonoses occur at the human-wildlife interface, of which wildlife hunters and traders are critical stakeholders. We assessed the effectiveness of a CAN-based intervention involving the use of a video documentary and case studies as model tools in improving the knowledge of zoonoses among wildlife hunters and traders in Epe, an established hunting community in Lagos State, Nigeria. A single-group pre-post design involving a total of 39 consenting registered wildlife stakeholders was adopted. A pre-tested, semi-structured, interviewer-administered questionnaire was used to obtain data on the participant's sociodemographic characteristics, awareness level, and knowledge of zoonoses pre and post CAN-based intervention. Data were analysed using descriptive statistics McNemar and Wilcoxon Signed Ranks tests at a 5% level of significance. The mean age of the participants was 46.7 ± 10.9 years. Most (76.9%) identified as male and had at least secondary education (89.7%). The number of participants who were aware that diseases could be contracted from animals and that it could be through inhalation and close contact increased significantly from 13 (33.3%), 2 (5.1%), and 9 (23.1%) pre-intervention to 37 (94.9%), 11 (28.2%), and 21 (53.8%) post-intervention, respectively. The overall median knowledge score increased significantly from 1 (Interquartile range (IQR): 0-2) pre-intervention to 3 (IQR: 2-4) post-intervention. The CAN-based intervention involving the use of a video documentary and case studies as model tools was effective in improving the knowledge of zoonoses among wildlife hunters and traders in the hunting community and may be beneficial for future practice.

摘要

西非一健康项目是一个多国家项目,旨在利用一健康方法并部署社区行动网络(CAN),该网络的概念根植于社区参与式研究原则,以提高对高风险社区人畜共患病的认识。大多数新发人畜共患病发生在人与野生动物的交界区,野生动物猎人及贸易商是关键利益相关者。我们评估了基于 CAN 的干预措施的有效性,该措施涉及使用视频纪录片和案例研究作为模型工具,以提高尼日利亚拉各斯州埃佩(Epe)一个既定狩猎社区中野生动物猎人及贸易商对人畜共患病的认识。采用了一项包括 39 名同意注册的野生动物利益相关者的单组前后设计。使用经过预测试的半结构化访谈式问卷,获取参与者的社会人口统计学特征、意识水平以及在基于 CAN 的干预措施前后对人畜共患病的知识的数据。使用描述性统计、McNemar 和 Wilcoxon 符号秩检验,在 5%的显著性水平下进行数据分析。参与者的平均年龄为 46.7 ± 10.9 岁。大多数(76.9%)为男性,至少接受过中等教育(89.7%)。参与者中,有 13 人(33.3%)、2 人(5.1%)和 9 人(23.1%)在干预前意识到可以从动物身上感染疾病,也可以通过吸入和密切接触感染疾病,在干预后,分别有 37 人(94.9%)、11 人(28.2%)和 21 人(53.8%)意识到这些问题,这一比例有显著增加。总体知识评分中位数从干预前的 1(四分位距(IQR):0-2)显著增加到干预后的 3(IQR:2-4)。基于 CAN 的干预措施,涉及使用视频纪录片和案例研究作为模型工具,有效地提高了狩猎社区中野生动物猎人及贸易商对人畜共患病的认识,可能对未来的实践有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95e8/11537383/e8e30edd8d1c/pone.0300237.g001.jpg

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