Dengue knowledge, attitudes and practices and their impact on community-based vector control in rural Cambodia.
Dengue knowledge, attitudes and practices and their impact on community-based vector control in rural Cambodia.
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DOI：
10.1371/journal.pntd.0006268
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发表时间：
2018-03
影响因子：
3.8
通讯作者：
Hustedt J
中科院分区：
文献类型：
--
作者：
Kumaran E;Doum D;Keo V;Sokha L;Sam B;Chan V;Alexander N;Bradley J;Liverani M;Prasetyo DB;Rachmat A;Lopes S;Hii J;Rithea L;Shafique M;Hustedt J
据估计，全球每年有3.9亿登革热感染，其中9600万例临床表现明显。在柬埔寨，估计每年有多达185，850例。世界卫生组织登革热预防全球战略的目标是到2020年将死亡率降低50%，发病率降低25%。采用适合当地情况的社区方法，采用病媒综合管理办法，是实现这些目标的建议战略之一。因此，了解当地的知识、态度和做法对于设计适合当地情况的适当战略至关重要。在柬埔寨人口最多的省份之一磅湛省的30个村庄，对600个随机选择的家庭进行了知识、态度和做法调查。KAP调查管理的子样本的家庭进行昆虫学调查（1200户），在此期间，记录伊蚊幼虫/蛹和成年雌性伊蚊密度。参与者对登革热的传播、伊蚊繁殖和叮咬预防方法有很高的认识;大多数参与者认为他们有风险，登革热的传播是可以预防的。然而，自我报告的病媒控制做法与我们调查中记录的观察到的做法不符。没有相关性的知识和观察到的做法。在这种背景下，知识水平高的登革热预防教育活动不太可能对实践产生任何重大影响，除非将其纳入更全面的行为改变战略，如COMBI方法，其中包括行为模式以及沟通和营销理论和实践。ISRCTN85307778。登革热的全球发病率在过去几十年中急剧增长，已成为传播最快的蚊媒疾病。到目前为止，还没有具体的治疗方法。一种疫苗于2015年上市，但要广泛使用还需要几年时间，而且效力有限。因此，媒介控制是目前预防登革热的最重要手段。世界卫生组织建议采用综合病媒管理办法，采用适合当地情况的社区方法。为了制定适当的战略，必须了解当地有关登革热病媒控制的知识、态度和做法。我们在柬埔寨磅湛省进行了一项调查，以调查当地的知识水平以及自我报告的病媒控制做法和观察到的做法。我们发现他们对登革热传播、伊蚊繁殖和叮咬预防方法有很高的认识。然而，没有发现自我报告的病媒控制做法与观察到的做法之间的相关性。此外，知识水平与实际病媒控制做法无关。
Globally there are an estimated 390 million dengue infections per year, of which 96 million are clinically apparent. In Cambodia, estimates suggest as many as 185,850 cases annually. The World Health Organization global strategy for dengue prevention aims to reduce mortality rates by 50% and morbidity by 25% by 2020. The adoption of integrated vector management approach using community-based methods tailored to the local context is one of the recommended strategies to achieve these objectives. Understanding local knowledge, attitudes and practices is therefore essential to designing suitable strategies to fit each local context. A Knowledge, Attitudes and Practices survey in 600 randomly chosen households was administered in 30 villages in Kampong Cham which is one of the most populated provinces of Cambodia. KAP surveys were administered to a sub-sample of households where an entomology survey was conducted (1200 households), during which Aedes larval/pupae and adult female Aedes mosquito densities were recorded. Participants had high levels of knowledge regarding the transmission of dengue, Aedes breeding, and biting prevention methods; the majority of participants believed they were at risk and that dengue transmission is preventable. However, self-reported vector control practices did not match observed practices recorded in our surveys. No correlation was found between knowledge and observed practices either. An education campaign regarding dengue prevention in this setting with high knowledge levels is unlikely to have any significant effect on practices unless it is incorporated in a more comprehensive strategy for behavioural change, such a COMBI method, which includes behavioural models as well as communication and marketing theory and practice. ISRCTN85307778. The global incidence of dengue has grown dramatically over the last few decades and has become the most rapidly spreading mosquito-borne disease. To date, there is no specific treatment. A vaccine came on the market in 2015, but it will be several years before it becomes widely available and its efficacy is limited. Therefore vector control is the most important means of dengue prevention at the current time. The World Health Organization recommends the adoption of an integrated vector management approach using community-based methods tailored to the local context. In order to design appropriate strategies, it is essential to understand local knowledge, attitudes and practices regarding dengue vector control. We conducted a survey in the Cambodian province of Kampong Cham, to investigate the local knowledge levels as well as self-reported vector control practices and observed practices. We found a high knowledge of dengue transmission, and Aedes breeding and biting prevention methods. However, no correlation was found between self-reported vector control practices and observed practices. Additionally, knowledge levels did not correlate with actual vector control practices.
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影响因子：
3.8
作者：
Elsinga J;Lizarazo EF;Vincenti MF;Schmidt M;Velasco-Salas ZI;Arias L;Bailey A;Tami A
通讯作者：
Tami A
影响因子：
2.5
作者：
Hairi, Farizah;Ong, Cyril-H S;Soe, Myint Myint
通讯作者：
Soe, Myint Myint
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
DOI：
10.2471/blt.09.067892
发表时间：
2010-03-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Arunachalam, Natarajan;Tana, Susilowati;Petzold, Max
通讯作者：
Petzold, Max
影响因子：
4.5
作者：
Huy, Rekol;Wichmann, Ole;Vong, Sirenda
通讯作者：
Vong, Sirenda