A survey of knowledge, attitudes, and perceptions (KAPs) of lymphatic filariasis, elephantiasis, and hydrocele among residents in an endemic area in Haiti
A survey of knowledge, attitudes, and perceptions (KAPs) of lymphatic filariasis, elephantiasis, and hydrocele among residents in an endemic area in Haiti
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DOI：
10.4269/ajtmh.1996.54.299
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发表时间：
1996-03-01
影响因子：
3.3
通讯作者：
Lammie, PJ
中科院分区：
文献类型：
--
作者：
Eberhard, ML;Walker, EM;Lammie, PJ
为了评估对班氏丝虫病的知识，态度和看法，在海地流行区的104名居民进行了采访。问题集中在1）人们是否理解感染和疾病之间的关系，2）认识到蚊子在传播中的作用，3）认识到鞘膜积液和象皮病与其他公认疾病的重要性，以及4）社区参与控制计划的意愿。不到50%的居民听说过丝虫病，只有6%的受访者知道它是由蚊子传播的。相反，所有人都知道鞘膜积液和象皮肿的临床情况。鞘膜积液被认为是由创伤（60%）或滞留气体（30%）引起的;象皮病是由赤脚在土壤或水中行走（37%）或使用撒在地上的仪式粉末（23%）引起的。在76名受访者中，分别有53%和38%的人认为鞘膜积液可以通过手术或药物治疗，而在86名受访者中，85%和15%的人认为手术或药物可以用来治疗象皮病。在这种情况下，人们并不是指某种特定的药物，而是认为存在一种药物（可能在其他国家）可以治愈这些疾病。鞘膜积液和象皮病排在获得性免疫缺陷综合征之后的第二位，这很可能是因为当地居民认为疟疾、肠道蠕虫、贫血和腹泻等疾病的治疗很容易获得。反应受年龄，性别和症状的影响，但这些影响都没有统计学意义，除了鞘膜积液或象皮病的人更有可能比没有这些条件的人寻求治疗（P = 0.0006）。调查结果表明，必须通过以社区为基础的教育活动提高对疾病原因、感染与疾病之间的关系以及治疗目标的认识，以增加接受和支持控制方案的可能性。
To assess knowledge, attitudes, and perceptions about bancroftian filariasis, 104 residents of an endemic area in Haiti were interviewed. Questions focused on 1) whether people understood the relationship between infection and disease, 2) recognition of the role that mosquitoes play in transmission, 3) perceived importance of hydrocele and elephantiasis in relation to other recognized diseases, and 4) the willingness of the community to participate in a control program. Fewer than 50% of residents had heard of filariasis and only 6% of those surveyed knew that it was transmitted by mosquitoes. In contrast, all persons knew of the clinical conditions of hydrocele and elephantiasis. Hydrocele was thought to be caused by trauma (60%) or trapped gas (30%); elephantiasis by walking bare foot on soil or water (37%) or by use of ceremonial powder that had been sprinkled on the ground (23%). Of 76 respondents, 53% and 38% thought that hydrocele could be treated through surgery or a drug, respectively, whereas of 86 respondents, 85% and 15% believed that either surgery or a drug could be used to treat elephantiasis. In this context, persons were not referring to a specific drug; rather, they believed a drug existed (possibly in some other country) that could cure these conditions. Hydrocele and elephantiasis ranked second to acquired immunodeficiency syndrome as perceived health problems, most likely because residents believed treatment for conditions such as malaria, intestinal worms, anemia, and diarrhea was easily obtained. Responses were influenced by age, sex, and symptoms, but none of these effects were statistically significant except that persons with hydrocele or elephantiasis were more likely to have sought treatment than persons without these conditions (P = 0.0006). The survey results indicate that awareness of the causes of disease, the relationship between infection and disease, and goals of treatment must be heightened through community-based education campaigns to increase the possibility of acceptance and support of control programs.