Cross-sectional study of dengue-related knowledge, attitudes and practices in Villa El Salvador, Lima, Peru.

Cross-sectional study of dengue-related knowledge, attitudes and practices in Villa El Salvador, Lima, Peru.
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DOI:
10.1136/bmjopen-2020-037408
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发表时间:
2020-10-06
期刊:
影响因子:
2.9
通讯作者:
Paz-Soldan VA
Paz-Soldan VA
中科院分区:
医学3区
文献类型:
--
作者:
Elson WH;Ortega E;Kreutzberg-Martinez M;Jacquerioz F;Cabrera LN;Oberhelman RA;Paz-Soldan VA

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描述和量化秘鲁利马城市棚户区居民的登革热相关知识、态度和行为。一项对居住在绿洲约120个街区的18至80岁成年人的横断面调查,绿洲是一个城市棚户区,位于利马南部萨尔瓦多别墅的中低收入区。该调查改编自秘鲁伊基托斯以前使用的一项现有调查,其中包括与登革热症状、传播、预防和当前蚊子控制做法有关的知识问题。总共完成了240项调查,其中80%的受访者是女性,约50%的受访者称自己是家庭主妇。虽然97.9%的受访者听说过登革热,但只有6.2%的人认识经历过这种疾病的人。大约一半(54.2%)的受访者知道登革热是通过蚊子传播的,51.7%的受访者能够识别发烧和其他正确的登革热症状。女性性别与症状知识(OR 2.22,95%CI 1.08~4.72)和预防知识(OR 2.12,95%CI 1.06~4.21)显著相关。既往或现在受过高等教育程度与症状知识(OR 2.56,95%CI 1.25~5.44)和传播知识(OR 3.46,95%CI 1.69~7.57)显著相关。登革热知识与采取灭蚊措施无关(OR 1.76,95%CI 0.87~3.54)。这一人群展示了基本的登革热知识。然而,这是不完整的,与流行地区相比要少得多。鉴于利马登革热传播的零星性质,毫不奇怪,对该疾病的了解与开展减少蚊子的做法无关。然而,由于登革热在利马的传播可能增加,了解如何最好地提高公众对该疾病的了解,以及如何将其转化为适当的社区行动,将是一个关键的公共卫生考虑因素。
To describe and quantify the dengue-related knowledge, attitudes and practices of residents in an urban shantytown in Lima, Peru. A cross-sectional survey of adults between 18 and 80 years living in approximately 120 blocks in Oasis, an urban shantytown situated in the low-to-middle income district of Villa El Salvador in Southern Lima. The survey was adapted from an existing survey previously used in Iquitos, Peru, and included questions relating to knowledge of dengue symptoms, transmission, prevention and current mosquito control practices. A total of 240 surveys were completed with 80% of respondents being female and approximately 50% of all respondents describing themselves as housewives. Although 97.9% of respondents had heard of dengue, only 6.2% of people knew someone who had experienced the disease. Approximately half (54.2%) of the respondents knew dengue was transmitted by mosquitoes and 51.7% were able to identify fever and one other correct symptom of dengue. Female sex was significantly associated with greater symptom knowledge (OR 2.22, 95% CI 1.08 to 4.72) and prevention knowledge (OR 2.12, 95% CI 1.06 to 4.21). Past or current higher education attendance was significantly associated with symptom knowledge (OR 2.56, 95% CI 1.25 to 5.44) and transmission knowledge (OR 3.46, 95% CI 1.69 to 7.57). Knowledge of dengue was not significantly associated with carrying out practices to control mosquitoes (OR 1.76, 95% CI 0.87 to 3.54). This population demonstrated baseline dengue knowledge. However, this was incomplete and substantially less when compared with endemic areas. Given the sporadic nature of dengue transmission in Lima, it is not surprising that knowledge of the disease was not associated with carrying out practices to reduce mosquitoes. However, as dengue transmission in Lima is likely to increase, understanding how best to improve public knowledge of the disease and how to translate this into appropriate community action will be a key public health consideration.
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