Kudzordzi Prince-Charles, Acheampong Anabel, Nyarko Prince, Alhassan Thomas Abudu, Karikari Michaella, Yola Victoria, Marfo Evans Opoku, Babae Theophilus Nti, Henyo Albert, Datsa Lydia, Otabil Kenneth Bentum
Consortium for Neglected Tropical Diseases and One Health, School of Sciences, University of Energy and Natural Resources, Sunyani, Bono Region, Ghana.
Department of Biological Science, School of Sciences, University of Energy and Natural Resources, Sunyani, Bono Region, Ghana.
BMC Public Health. 2025 Aug 14;25(1):2762. doi: 10.1186/s12889-025-24172-3.
BACKGROUND: Lack of epidemiological data from most countries, including Ghana, has hampered the development of a global strategy for combating scabies. This study examined the prevalence of scabies infection and community knowledge, attitudes and practices towards the disease to provide evidence on the control of scabies in Ghana. METHODS: The cross-sectional study was carried out from June to August 2021 in five communities in the Wenchi and Tain districts of the Bono region of Ghana. Individuals from the age of 4 years were recruited for the prevalence study after giving informed consent in writing or, in the case of children, consent from their parents or legal guardians. Standardised skin examinations were carried out on skin to detect clinical signs of scabies. Skin scrapes from suspected scabbed areas were examined by microscopy to confirm the presence of mites, eggs or pellets of faeces. In addition, questionnaires were given to all participants aged 10 years and over to assess their knowledge, attitudes and practices on scabies. RESULTS: A total of 164 people participated in the study [median age: 27.0, interquartile range (18-47) years] of which 101(61.6%) were females. The overall prevalence of confirmed scabies was 9.4% (15/164, 95% CI = 5.6-14.5), with the Abekwai 3 community presenting the highest confirmed scabies prevalence of 13.5% (5/37, 95% CI = 5.9-28.0). The prevalence of scabies was higher in males at 11.1% (7/63, 95% CI = 5.5-21.2%) than in females at 7.9% (8/101, 95% CI = 4.1-14.9). Married, non-farmers had significantly higher odds of being infested with scabies. Only 29.3% of participants had good level of knowledge, whilst 32.9% had good attitudes and practices towards scabies and its control. CONCLUSION: We confirmed a high prevalence of scabies in the middle belt of Ghana as three of our communities had prevalence above the WHO threshold of 10% where MDA is indicated for the community. A worryingly low level of knowledge, good attitudes and practices on scabies was observed, highlighting the need for enhanced, coordinated and targeted educational and behavioural change campaigns by the Ghana National Neglected Tropical Diseases Programme to remedy the situation.
背景：包括加纳在内的大多数国家缺乏流行病学数据，这阻碍了全球疥疮防治战略的制定。本研究调查了加纳疥疮感染的患病率以及社区对该疾病的认知、态度和行为，以为加纳疥疮防治提供依据。 方法：这项横断面研究于2021年6月至8月在加纳博诺地区温奇和泰恩区的5个社区开展。4岁及以上的个体在书面知情同意后被纳入患病率研究，儿童则需获得其父母或法定监护人的同意。对皮肤进行标准化检查以检测疥疮的临床体征。对疑似疥疮部位的皮肤刮片进行显微镜检查，以确认是否存在螨虫、虫卵或粪便颗粒。此外，还向所有10岁及以上的参与者发放问卷，以评估他们对疥疮的认知、态度和行为。 结果：共有164人参与了研究[中位年龄：27.0岁，四分位间距（18 - 47）岁]，其中101人（61.6%）为女性。确诊疥疮的总体患病率为9.4%（15/164，95%置信区间=5.6 - 14.5），阿贝奎3社区确诊疥疮患病率最高，为13.5%（5/37，95%置信区间=5.9 - 28.0）。男性疥疮患病率为11.1%（7/63，95%置信区间=5.5 - 21.2%），高于女性的7.9%（8/101，95%置信区间=4.1 - 14.9）。已婚非农民感染疥疮的几率显著更高。只有29.3%的参与者有良好的认知水平，而32.9%的参与者对疥疮及其防治有良好的态度和行为。 结论：我们证实加纳中部地区疥疮患病率较高，因为我们研究的三个社区患病率高于世界卫生组织10%的阈值，该阈值表明社区需要开展大规模药物驱虫治疗。令人担忧的是，人们对疥疮的认知水平较低，态度和行为良好的比例也较低，这凸显了加纳国家被忽视热带病规划需要加强、协调和有针对性地开展教育及行为改变运动，以改善这种情况。
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