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尼日利亚江户州一个地方性社区中五岁以下儿童母亲对拉沙热的认知、看法及预防措施

Knowledge, perception and preventive practices of Lassa fever among mothers of under-five children in an endemic community in Edo State, Nigeria.

作者信息

Saka Sulymon A, Ojo Dele O, Mezu Nneoma M, Uzuegbu Christian O, Ighodaro Osazuwa, Illoh Oluchi O, Emekolom Obiajulum N, Akpa Offiong A, Obiora Ezinne A, Muogbo Amara P

机构信息

Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

University Hospitals Plymouth Trust, NHS Trust, Plymouth, England.

出版信息

BMC Public Health. 2025 Mar 3;25(1):837. doi: 10.1186/s12889-025-22057-z.

Abstract

BACKGROUND

Lassa fever is an acute viral hemorrhagic disease endemic to West Africa, particularly Nigeria. Despite efforts to control its spread, gaps in knowledge and preventive behaviours remain, particularly among mothers of young children. This study assessed the knowledge, perception, and preventive practices regarding Lassa fever among mothers of under-five children in Esan Central Local Government Area, Edo State, Nigeria.

METHODS

A descriptive cross-sectional study was conducted among 130 mothers with children under five using a structured interviewer-administered questionnaire. Participants were selected using a multi-stage sampling technique. Data were analyzed using SPSS version 30, employing descriptive and inferential statistics to assess the associations between sociodemographic factors, knowledge, and preventive practices.

RESULTS

All participants (100%) had heard of Lassa fever, with health workers being the most common source of information (55.4%). Most mothers (72%) demonstrated good knowledge of Lassa fever symptoms, where as 67% reported good preventive practices, such as handwashing (71.5%) and maintaining proper drainage systems (70.8%). Ethnicity and education were significantly associated with knowledge of Lassa fever (p < 0.001), while marital status, ethnicity and parity were significantly associated with preventive practices (p < 0.05).

CONCLUSION

This study revealed high awareness and knowledge of Lassa fever among mothers, yet preventive practices were suboptimal. Public health interventions should focus on improving preventive behaviours through targeted health education, particularly in underserved communities, to reduce the disease burden in endemic regions.

摘要

背景

拉沙热是一种急性病毒性出血热疾病,在西非尤其是尼日利亚流行。尽管 efforts 已采取措施控制其传播,但在知识和预防行为方面仍存在差距,尤其是在幼儿母亲中。本研究评估了尼日利亚江户州伊桑中央地方政府辖区五岁以下儿童母亲对拉沙热的知识、认知和预防措施。

方法

采用结构化访谈问卷对130名五岁以下儿童的母亲进行了描述性横断面研究。参与者采用多阶段抽样技术选取。使用SPSS 30版对数据进行分析,采用描述性和推断性统计评估社会人口学因素、知识和预防措施之间的关联。

结果

所有参与者(100%)都听说过拉沙热,卫生工作者是最常见的信息来源(55.4%)。大多数母亲(72%)对拉沙热症状表现出良好的了解,而67%报告了良好的预防措施,如洗手(71.5%)和保持适当的排水系统(70.8%)。种族和教育与拉沙热知识显著相关(p < 0.001),而婚姻状况、种族和生育次数与预防措施显著相关(p < 0.05)。

结论

本研究显示母亲们对拉沙热的知晓率和认知度较高,但预防措施仍不理想。公共卫生干预应侧重于通过有针对性的健康教育改善预防行为,尤其是在服务不足的社区,以减轻流行地区的疾病负担。

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