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霍乱的直接威胁是否必然会提高对该疾病的认知、态度和应对措施?

Does a direct cholera threat necessarily improve the knowledge, attitude and practices on the disease?

作者信息

Nsungu M, Jonga M

出版信息

Cent Afr J Med. 1996 May;42(5):125-8.

PMID:8771929
Abstract

OBJECTIVE

To assess and compare the knowledge, attitude, practices and beliefs on cholera in Mudzi and Wedza districts. Mudzi district shares a long border with Mozambique where cholera was already prevalent before the study, while Wedza district does not share any international border.

DESIGN

Cross sectional community based survey, Data was collected through interviews using a structured questionnaire. In villages, The source of water for domestic use as well as the toilets of the interviewed individuals were also inspected.

SETTING

Two districts of Mashonaland East Province in Zimbabwe.

SUBJECTS

Grade seven pupils, form four students and villagers.

MAIN OUTCOME MEASURES

a. The level of knowledge on cholera. b. The prevalence of negative beliefs on the disease. c. The proportion of households using unsafe water. d. The proportion of households not using toilets.

RESULTS

140 and 116 individuals were interviewed in Mudzi and Wedza respectively. The level of knowledge on cholera was very poor in both districts and poorer in Mudzi which shares a border with Mozambique. Twenty pc of the people interviewed had negative beliefs towards the disease; 35pc were using unsafe water; 20pc of households did not have toilets and 4.5 to 7.7pc of the available toilets were not being used.

CONCLUSION

Health education activities on cholera should target all districts with the same intensity. Specific strategies should be found in order to address the misconceptions which may hinder the control of cholera.

摘要

目的

评估并比较穆齐区和韦扎区居民对霍乱的认知、态度、行为及观念。穆齐区与莫桑比克接壤,在本研究开展之前霍乱已在莫桑比克流行,而韦扎区没有国际边界。

设计

基于社区的横断面调查,通过使用结构化问卷进行访谈收集数据。在村庄里,还对受访个人的生活用水水源和厕所进行了检查。

地点

津巴布韦东马绍纳兰省的两个区。

研究对象

七年级学生、四年级学生和村民。

主要观察指标

a. 对霍乱的认知水平。b. 对该疾病的负面观念流行情况。c. 使用不安全水的家庭比例。d. 不使用厕所的家庭比例。

结果

在穆齐区和韦扎区分别访谈了140人和116人。两个区对霍乱的认知水平都很低,与莫桑比克接壤的穆齐区情况更差。20%的受访者对该疾病持有负面观念;35%的人使用不安全水;20%的家庭没有厕所,且有4.5%至7.7%的现有厕所未被使用。

结论

霍乱健康教育活动应以相同强度针对所有地区。应制定具体策略以消除可能阻碍霍乱防控的误解。

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引用本文的文献

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BMC Public Health. 2013 Mar 19;13:242. doi: 10.1186/1471-2458-13-242.