Pujari Sowmya, Thunga Girish, Shetty Ranjitha S, Mundkur Suneel C, Devi Elsa Sanatombi, B Unnikrishnan, Nair Sreedharan
Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Centre for Indigenous Population, Department of Community Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
J Racial Ethn Health Disparities. 2025 Aug 6. doi: 10.1007/s40615-025-02586-4.
The Koraga tribe, a particularly vulnerable tribal group (PVTG) in India, faces significant health disparities, especially among children. This study focussed on assessing knowledge, attitude, and practices (KAP) regarding nutrition and worm infestation among parents/guardians of Koraga tribal children aged 5 to 10 years in Udupi District.
A community-based cross-sectional study was conducted among 122 Koraga tribal households to assess the KAP among parents/guardians regarding the nutrition and worm infestation in their children aged 5 to 10 years, using a structured and validated questionnaire developed for this purpose. Descriptive statistics were used to summarize demographic characteristics, and Spearman's correlation was applied to assess associations between the study variables. Statistical tests were performed using SPSS version 20.0.
Out of the total 122 participants, the majority (94.3%) were females, with a median age of 32 years (IQR 29-36). Most (82%) had a primary level of education, and 56.2% were mothers or female guardians with primary household responsibilities. The median KAP scores were knowledge, 25 (IQR 22-27); attitude, 46 (IQR 44-49), and practice, 23 (IQR 22-25) respectively. Significant positive correlations were found between knowledge and attitude (rho = 0.314, p < 0.05) and between knowledge and practice (rho = 0.186, p < 0.05). Socio-economic status showed positive correlations with knowledge (p < 0.05) and attitude (p < 0.05) scores, while the availability of toilet facilities was positively associated with practice scores (p < 0.05).
The study revealed that parents/guardians had moderate to good KAP regarding nutrition and worm infestation. The positive correlations suggest an association between higher knowledge, improved attitudes, and better practices, although causality cannot be inferred due to the cross-sectional study design. Future interventional programs may help enhance KAP and promote sustained health benefits among Koraga tribal children.
科拉加部落是印度一个特别脆弱的部落群体(PVTG),面临着巨大的健康差距,尤其是在儿童中。本研究重点评估了乌度皮地区5至10岁科拉加部落儿童的父母/监护人在营养和蠕虫感染方面的知识、态度和行为(KAP)。
在122个科拉加部落家庭中开展了一项基于社区的横断面研究,使用为此目的开发的结构化且经过验证的问卷,评估父母/监护人对其5至10岁子女营养和蠕虫感染情况的KAP。描述性统计用于总结人口统计学特征,Spearman相关性用于评估研究变量之间的关联。使用SPSS 20.0版进行统计检验。
在总共122名参与者中,大多数(94.3%)为女性,中位年龄为32岁(四分位间距29 - 36岁)。大多数(82%)接受过小学教育,56.2%是承担主要家庭责任的母亲或女性监护人。KAP得分中位数分别为:知识25分(四分位间距22 - 27分);态度46分(四分位间距44 - 49分),行为23分(四分位间距22 - 25分)。知识与态度之间(rho = 0.314,p < 0.05)以及知识与行为之间(rho = 0.186,p < 0.05)存在显著正相关。社会经济地位与知识得分(p < 0.05)和态度得分(p < 0.05)呈正相关,而卫生设施的可及性与行为得分呈正相关(p < 0.05)。
该研究表明,父母/监护人在营养和蠕虫感染方面具有中等至良好的KAP。尽管由于横断面研究设计无法推断因果关系,但正相关表明较高的知识、改善的态度和更好的行为之间存在关联。未来的干预项目可能有助于提高KAP,并促进科拉加部落儿童获得持续的健康益处。