Assessment of knowledge and perceptions on leishmaniasis: An island-wide study in Sri Lanka.

Assessment of knowledge and perceptions on leishmaniasis: An island-wide study in Sri Lanka.
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DOI:
10.1371/journal.pntd.0010821
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发表时间:
2022-10
影响因子:
3.8
通讯作者:
--
中科院分区:
医学2区
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皮肤利什曼病(CL)在斯里兰卡是一种应报告的疾病,全国各地报告的病例数量都在增加。除了疾病治疗和病媒控制措施外,社区中的知识和认知是成功干预计划的关键因素。在全岛范围内开展了一项调查,以评估全岛对CL的知识和认知,共有252例确诊CL病例和2608名对照。数据由训练有素的人员使用预先测试的病例报告表(CRF)收集。虽然提到CL的正确名称的百分比很低(1.4%),但大多数人表示这是一种苍蝇引起的皮肤病(79.1%)。在这些社区中,人们对病媒的症状、治愈能力和名称的了解很高,但对病媒滋生地点、叮咬时间和预防方法的专门知识很差。与对照组相比,患者的知识水平更高。知识水平的差异可以根据参与者的教育水平以及全国不同地区的不同来确定。信息的主要来源是通过医疗保健系统,但媒体对社区进行有关该疾病的教育的参与很少。虽然该研究人群不习惯使用驱蚊剂或喷雾剂,但在该研究人群中使用蚊帐的比例很高(77.7%)。虽然误解和错误做法在斯里兰卡社区很少见,但推广健康教育计划,可能会提高对病媒及其控制的疾病意识和知识,将进一步加强控制和预防策略。皮肤利什曼病(CL)是一种引起皮肤溃疡并通过沙蝇传播的疾病。近年来,斯里兰卡各地报告的CL患者数量显著增加,表明疾病的传播应该得到控制。公众对该病及其控制方法的了解,对实施成功的控制计划至关重要。因此,这项研究旨在评估当地社区对CL、其媒介和控制方法的知识水平。通过对CL患者和健康人的访谈收集所需信息。两组都有超过50%的人对疾病名称、症状和传播等更一般的问题给出了正确的答案,表明公众对CL的认识是令人满意的。然而,研究也表明,与健康人相比,患者的知识更多。此外,很明显,两组人对更详细的信息,如病媒滋生地点、病媒叮咬时间的了解都很差,而医疗保健系统一直是主要的信息来源。
Cutaneous leishmaniasis (CL) is a notifiable disease in Sri Lanka with increasing case numbers reported from every part of the country. In addition to disease treatment and vector control measures, knowledge and perceptions in a community are key contributors to a successful intervention program. An island-wide survey was carried out to assess the knowledge and perceptions regarding CL across the island, with 252 confirmed CL cases and 2,608 controls. Data was collected by trained personnel, using a pre-tested Case Reporting Form (CRF). Although the percentage who referred to CL by its correct name was low (1.4%), majority stated that it is a fly induced skin disease (79.1%). Knowledge on the symptoms, curability and the name of the vector was high in these communities, but specific knowledge on vector breeding places, biting times and preventive methods were poor. The patients were more knowledgeable when compared to the controls. Differences in the level of knowledge could be identified according to the level of education of the participants as well as across the different areas of the country. The main source of information was through the healthcare system, but the involvement of media in educating the communities on the disease was minimal. While this study population was unaccustomed to the use of repellants or sprays, the use of bed nets was high (77.7% of the participants) in this study population. Although misconceptions and incorrect practices are rare in Sri Lankan communities, promoting health education programs which may improve disease awareness and knowledge on vector and its control will further strengthen the control and prevention strategies. Cutaneous leishmaniasis (CL) is a disease which causes skin ulcers and spread by the sand fly. In recent years, the number of CL patients reported from all parts Sri Lanka increased notably, indicating that the spread of the disease should be controlled. The general publics’ knowledge on the disease and its control methods, is very important to implement a successful control program. Thus, this study was conducted to assess the level of knowledge of the local community on CL, its vector and control methods. The required information was collected by interviewing CL patients as well as healthy persons. More than 50% of both groups gave correct answers to more general questions about the disease such as the disease name, symptoms and spread, indicating that the awareness of CL among the public is satisfactory. However, the study also indicated that the patients were more knowledgeable when compared to the healthy persons. Furthermore, it was evident that knowledge on more detailed information such as vector breeding places, vector biting times is poor in both groups and the healthcare system has been the primary source of information.
DOI: 10.1186/s12879-018-2999-7
发表时间: 2018-03-06
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