Knowledge, Attitudes, and Practices Related to Leptospirosis among Urban Slum Residents in Brazil
Knowledge, Attitudes, and Practices Related to Leptospirosis among Urban Slum Residents in Brazil
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DOI：
10.4269/ajtmh.2012.12-0245
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发表时间：
2013-02-01
影响因子：
3.3
通讯作者：
Costa, Federico
中科院分区：
文献类型：
--
作者：
de Araujo, Wildo Navegantes;Finkmoore, Brooke;Costa, Federico
钩端螺旋体病对城市贫民窟居民的影响不成比例。为了了解有关钩端螺旋体病的知识、态度和做法，我们在巴西萨尔瓦多一个城市贫民窟的居民中进行了一项横断面研究。在接受采访的257名居民中，225人(90%)知道钩端螺旋体病，超过三分之二的受访者正确地识别了疾病的传播方式和减少接触的方法。然而，进行风险活动(如清洁下水道)的研究参与者获得防护服的机会有限，如靴子(33%)或手套(35%)。几乎所有的受访者都至少做了一项防止家庭老鼠滋生的活动，其中通常包括使用非法毒药。我们的研究结果支持有必要采取针对个人和家庭的干预措施，以降低钩端螺旋体病的风险，直到向城市贫民窟居民提供大规模结构性干预措施。
Leptospirosis disproportionately affects residents of urban slums. To understand the knowledge, attitudes, and practices regarding leptospirosis, we conducted a cross-sectional study among residents of an urban slum community in Salvador, Brazil. Of the 257 residents who were interviewed, 225 (90%) were aware of leptospirosis and more than two-thirds of respondents correctly identified the modes of disease transmission and ways to reduce exposure. However, study participants who performed risk activities such as cleaning open sewers had limited access to protective clothing such as boots (33%) or gloves (35%). Almost all respondents performed at least one activity to prevent household rat infestation, which often included use of an illegal poison. Our findings support the need for interventions targeted at the individual and household levels to reduce risk of leptospirosis until large-scale structural interventions are available to residents of urban slum communities.