National survey of Ebola-related knowledge, attitudes and practices before the outbreak peak in Sierra Leone: August 2014.

National survey of Ebola-related knowledge, attitudes and practices before the outbreak peak in Sierra Leone: August 2014.
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DOI:
10.1136/bmjgh-2017-000285
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发表时间:
2017
期刊:
影响因子:
8.1
通讯作者:
Bunnell R
Bunnell R
中科院分区:
医学2区
文献类型:
--
作者:
Jalloh MF;Sengeh P;Monasch R;Jalloh MB;DeLuca N;Dyson M;Golfa S;Sakurai Y;Conteh L;Sesay S;Brown V;Li W;Mermin J;Bunnell R

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2014-2015年西非的埃博拉疫情是有史以来最大的一次。在早期阶段,对与埃博拉病毒病(埃博拉)有关的公众知识、态度和做法知之甚少。需要数据来制定以证据为导向的战略,以弥补知识和实践方面的差距。2014年8月,我们采用多阶段整群抽样的方法,从塞拉利昂14个区中的9个区随机抽取了1413名受访者进行了访谈。在适当的情况下,与埃博拉有关的KAP问题改编自与传染病有关的其他国际有效问卷。所有受访者都知道埃博拉病毒。当被问及在没有提示的情况下,60%的受访者可以正确地指出发烧、腹泻和呕吐是埃博拉的症状/体征。大多数受访者知道,避免感染的血液和体液(87%)和接触感染的身体(85%)可以预防埃博拉病毒。然而,也存在广泛的误解,例如认为用盐和热水洗澡就可以预防埃博拉病毒(41%)。几乎每个受访的人(95%)都表达了至少一种对埃博拉幸存者的歧视态度。自愿采取的避免感染埃博拉病毒的措施包括用肥皂洗手(66%)和避免与疑似埃博拉患者进行身体接触(40%)。2014年塞拉利昂埃博拉疫情爆发三个月后,我们的发现表明,人们对这种疾病的认识很高,但对幸存者的误解和歧视性态度仍然很常见。这些调查结果直接为国家社会动员战略的制定提供了信息,并证明了在疫情早期评估KAP的重要性。
The 2014–2015 Ebola epidemic in West Africa was the largest ever to occur. In the early phases, little was known about public knowledge, attitudes and practices (KAP) relating to Ebola virus disease (Ebola). Data were needed to develop evidence-driven strategies to address gaps in knowledge and practice. In August 2014, we conducted interviews with 1413 randomly selected respondents from 9 out of 14 districts in Sierra Leone using multistage cluster sampling. Where suitable, Ebola-related KAP questions were adapted from other internationally validated questionnaires related to infectious diseases. All respondents were aware of Ebola. When asked unprompted, 60% of respondents could correctly cite fever, diarrhoea and vomiting as signs/symptoms of Ebola. A majority of respondents knew that avoiding infected blood and bodily fluids (87%) and contact with an infected corpse (85%) could prevent Ebola. However, there were also widespread misconceptions such as the belief that Ebola can be prevented by washing with salt and hot water (41%). Almost everyone interviewed (95%) expressed at least one discriminatory attitude towards Ebola survivors. Unprompted, self-reported actions taken to avoid Ebola infection included handwashing with soap (66%) and avoiding physical contact with patients with suspected Ebola (40%). Three months into the 2014 Ebola outbreak in Sierra Leone, our findings suggest there was high awareness of the disease but misconceptions and discriminatory attitudes toward survivors remained common. These findings directly informed the development of a national social mobilisation strategy and demonstrated the importance of KAP assessment early in an epidemic.
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