Knowledge, behaviour and attitudes towards Chagas disease among the Bolivian migrant population living in Japan: a cross-sectional study
Knowledge, behaviour and attitudes towards Chagas disease among the Bolivian migrant population living in Japan: a cross-sectional study
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DOI：
10.1136/bmjopen-2019-032546
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发表时间：
2020-01-01
期刊：
影响因子：
2.9
通讯作者：
Hirayama, Kenji
中科院分区：
文献类型：
--
作者：
Iglesias Rodriguez, Ines Maria;Mizukami, Shusaku;Hirayama, Kenji
本研究旨在调查在日本的拉丁美洲移民对恰加斯病（CD）的知识、行为和态度，并评估教育活动（EA）在提高CD知识方面的有效性。设计一项横断面混合方法研究，采用预知和后知测试和焦点小组讨论，于2018年3月至2018年6月进行。参与者包括72名参与者，他们都出生在玻利维亚，居住在四个日本城市。其中五十九名学生参加了素质评估。素质评估包括播放三段有关乳糜泻的视频，以及一次涵盖乳糜泻不同层面的小组讨论，并以问卷的形式评估参加者在接受素质评估前后的知识水平。结果纳入72名参与者，主要来自玻利维亚的CD高流行地区。虽然大多数参与者熟悉病媒传播、流行病学和乳糜泻的症状，但对乳糜泻的基线知识很低。其中不到10%的人之前接受过CD检测。与更好的知识相关的主要因素是在日本居住超过10年（OR=8.42, 95% CI 1.56至48.62）和之前接受过CD检测（OR=11.32, 95% CI 1.52至105.9）。EA显著提高了参与者的CD知识（p值）
Objectives This study aimed to investigate the knowledge, behaviour and attitudes towards Chagas disease (CD) among Latin American migrants in Japan and to evaluate the effectiveness of an educational activity (EA) in increasing knowledge of CD. Design A cross-sectional, mixed-methods study employing a preknowledge and postknowledge test and focus group discussion, conducted from March 2018 to June 2018. Participants Seventy-two participants were included, all born in Bolivia and residents in four Japanese cities. Fifty-nine of them participated in the EA. Interventions The EA comprised showing three videos about CD and a group discussion covering different dimensions of CD and was evaluated with questionnaires to analyse the knowledge of the participants before and after. Results Seventy-two participants were enrolled, predominantly from highly endemic CD areas of Bolivia. Though most participants were familiar with vector-borne transmission, epidemiology and symptomatology of CD, the baseline knowledge of CD was low. Less than 10% of them had been tested prior for CD. The dominant factors associated with better knowledge were living in Japan for more than 10 years (OR=8.42, 95% CI 1.56 to 48.62) and previously testing for CD (OR=11.32; 95% CI 1.52 to 105.9). The EA significantly improved the CD knowledge of the participants (p value