A Multi-Site Knowledge Attitude and Practice Survey of Ebola Virus Disease in Nigeria.
A Multi-Site Knowledge Attitude and Practice Survey of Ebola Virus Disease in Nigeria.
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DOI：
10.1371/journal.pone.0135955
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Habib AG
中科院分区：
文献类型：
--
作者：
Iliyasu G;Ogoina D;Otu AA;Dayyab FM;Ebenso B;Otokpa D;Rotifa S;Olomo WT;Habib AG
2014年埃博拉病毒病（EVD）爆发的特点是恐惧、误解和非理性行为。我们对尼日利亚埃博拉病毒病的知识、态度和做法进行了调查，为实施有效的控制措施提供信息。2014年7月30日至9月30日期间，我们在尼日利亚三个州，即巴耶尔萨州、克罗斯河州和卡诺州，对普通人群和医护人员（HCW）中成年人对埃博拉病毒病（EVD）的知识、态度和行为（KAP）进行了横断面研究。使用自我管理的标准化问卷获得KAP的人口统计信息和数据。KAP分数的百分比分为好和差。利用二元逻辑回归模型确定对埃博拉病毒病有良好认识的独立预测因子。在1035名中位年龄为32岁的研究参与者中，648名（62.6%）为男性，846名（81.7%）受过高等教育，441名（42.6%）为HCW。分别有218名、239名和578名受访者来自巴耶尔萨州、克罗斯河州和卡诺州。总体KAP评分中位数百分比和四分位差（IQR）分别为79.46%（15.07%）、95.0%（33.33%）和49.95%（37.50%）。在1035名受访者中，分别采用80%、90%和70%分值定义的EVD KAP良好的有470名（45.4%）、544名（52.56%）和252名（24.35%）。了解埃博拉病毒病的独立预测因子是HCW（比值比为2.89,95%可信区间为1.41-5.90），报告“中度至高度害怕埃博拉病毒病”（比值比为2.15,95% CI为1.47-3.13）和“愿意改变习惯”（比值比为1.68,95% CI为1.23 - 2.30）。我们的研究结果显示，尼日利亚成年人中与埃博拉病毒相关的知识、态度和行为并不理想。为了有效控制尼日利亚未来埃博拉病毒病的暴发，需要实施公众宣传规划，以增进对埃博拉病毒病的了解，并消除与埃博拉病毒病有关的神话和误解，特别是在普通人群中。
The 2014 Ebola Virus Disease (EVD) outbreak was characterised by fear, misconceptions and irrational behaviours. We conducted a knowledge attitude and practice survey of EVD in Nigeria to inform implementation of effective control measures. Between July 30th and September 30th 2014, we undertook a cross sectional study on knowledge, attitude and practice (KAP) of Ebola Virus Disease (EVD) among adults of the general population and healthcare workers (HCW) in three states of Nigeria, namely Bayelsa, Cross River and Kano states. Demographic information and data on KAP were obtained using a self-administered standardized questionnaire. The percentage KAP scores were categorised as good and poor. Independent predictors of good knowledge of EVD were ascertained using a binary logistic regression model. Out of 1035 study participants with median age of 32 years, 648 (62.6%) were males, 846 (81.7%) had tertiary education and 441 (42.6%) were HCW. There were 218, 239 and 578 respondents from Bayelsa, Cross River and Kano states respectively. The overall median percentage KAP scores and interquartile ranges (IQR) were 79.46% (15.07%), 95.0% (33.33%) and 49.95% (37.50%) respectively. Out of the 1035 respondents, 470 (45.4%), 544(52.56%) and 252 (24.35%) had good KAP of EVD defined using 80%, 90% and 70% score cut-offs respectively. Independent predictors of good knowledge of EVD were being a HCW (Odds Ratio-OR-2.89, 95% Confidence interval-CI of 1.41–5.90), reporting ‘moderate to high fear of EVD’ (OR-2.15, 95% CI-(1.47–3.13) and ‘willingness to modify habit’ (OR-1.68, 95% CI-1.23–2.30). Our results reveal suboptimal EVD-related knowledge, attitude and practice among adults in Nigeria. To effectively control future outbreaks of EVD in Nigeria, there is a need to implement public sensitization programmes that improve understanding of EVD and address EVD-related myths and misconceptions, especially among the general population.