Mäkelä Henna, Dub Timothée, Nuorti J Pekka, Sane Jussi
Department of Health Security, Infectious Diseases Control and Vaccination Unit, Finnish Institute for Health and Welfare (THL)Helsinki, Finland.
Health Sciences Unit, Faculty of Social Sciences, Tampere University, Tampere, Finland.
Epidemiol Infect. 2025 Jan 15;153:e12. doi: 10.1017/S0950268824001468.
With climate change, the geographic distribution of some VBDs has expanded, highlighting the need for adaptation, and managing the risks associated with emergence in new areas. We conducted a questionnaire survey on the knowledge, attitudes, and practices (KAP) about vector-borne diseases (VBDs) among sample of Finnish residents. The questions were scored and the level of KAP was determined based on scoring as poor, fair, good, or excellent. Binary logistic regression analysis was used to evaluate the associations of different KAP levels with sex, age, education, and possible previous VPD infection. We received 491/1995 (25%) responses across the country and detected generally good knowledge, but only fair practices towards VBDs. Sex and age of the respondents were most often significantly associated with the level of KAP ( > 0.05). Despite the generally good knowledge, we detected major gaps, especially regarding the distinction of tick-borne encephalitis and Lyme borreliosis (LB), risk of disease, and protective measures. Additionally, many respondents thought the vaccination protects against LB or tick bites. This calls for awareness raising on disease risk and prevention measures. With increasing cases and the effects of climate change, surveillance of VBDs communication to the general public should be strengthened.
随着气候变化，一些媒介传播疾病（VBDs）的地理分布范围已经扩大，这凸显了适应以及管理与新出现地区相关风险的必要性。我们针对芬兰居民样本开展了一项关于媒介传播疾病（VBDs）的知识、态度和行为（KAP）的问卷调查。对问题进行了评分，并根据评分将KAP水平确定为差、一般、良好或优秀。采用二元逻辑回归分析来评估不同KAP水平与性别、年龄、教育程度以及既往可能的VPD感染之间的关联。我们在全国范围内收到了491/1995（25%）的回复，发现总体知识水平良好，但对VBDs的行为实践仅为一般。受访者的性别和年龄最常与KAP水平显著相关（P>0.05）。尽管总体知识水平良好，但我们发现了一些重大差距，特别是在蜱传脑炎和莱姆病（LB）的区分、疾病风险以及防护措施方面。此外，许多受访者认为疫苗可以预防LB或蜱虫叮咬。这就需要提高对疾病风险和预防措施的认识。随着病例数的增加以及气候变化的影响，应加强对VBDs的监测并向公众进行宣传。
