Is participation contagious? Evidence from a household vector control campaign in urban Peru.

Is participation contagious? Evidence from a household vector control campaign in urban Peru.
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DOI:
10.1136/jech-2013-202661
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发表时间:
2014-02
影响因子:
6.3
通讯作者:
Levy MZ
Levy MZ
中科院分区:
医学2区
文献类型:
--
作者:
Buttenheim AM;Paz-Soldan V;Barbu C;Skovira C;Quintanilla Calderón J;Mollesaca Riveros LM;Cornejo JO;Small DS;Bicchieri C;Naquira C;Levy MZ

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高家庭参与率对于挨家挨户病媒控制活动的成功至关重要。在秘鲁的恰加斯病媒控制运动中,我们使用健康信念模型来评估参与的决定因素,包括邻居的参与作为行动的线索。我们评估了邻居之间参与的聚类;作为家庭感染状况、社区类型和参与邻居数量的函数的估计参与度;并描述了据报道拒绝参与有 2911 户家庭的地区的原因。我们观察到沿城市街区的参与显着聚集 (p< .0001)。与现有社区相比,新社区的家庭、受感染的家庭以及参与邻居较多的家庭的参与度明显更高。在新社区中,邻居参与的影响更大。结果支持“传染”参与模式,强调一两个参与家庭可以推动全面参与的可能性。未来的活动可以通过提高参与程度、解决与喷洒相关的耻辱问题以及采用团体激励措施来利用这些发现。
High rates of household participation are critical to the success of door-to-door vector control campaigns. We used the Health Belief Model to assess determinants of participation, including neighbor participation as a cue to action, in a Chagas disease vector control campaign in Peru. We evaluated clustering of participation among neighbors; estimated participation as a function of household infestation status, neighborhood type, and number of participating neighbors; and described reported reasons for refusal to participate in a district of 2911 households. We observed significant clustering of participation along city blocks (p< .0001). Participation was significantly higher for households in new vs. established neighborhoods, for infested households, and for households with more participating neighbors. The effect of neighbor participation was greater in new neighborhoods. Results support a “contagion” model of participation, highlighting the possibility that one or two participating households can tip a block towards full participation. Future campaigns can leverage these findings by making participation more visible, by addressing stigma associated with spraying, and by employing group incentives to spray.
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