To spray or not to spray? Understanding participation in an indoor residual spray campaign in Arequipa, Peru.
To spray or not to spray? Understanding participation in an indoor residual spray campaign in Arequipa, Peru.
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DOI：
10.1080/17441692.2016.1178317
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发表时间：
2018-01
影响因子：
3.3
通讯作者：
Buttenheim AM
中科院分区：
文献类型：
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作者：
Paz-Soldán VA;Bauer KM;Hunter GC;Castillo-Neyra R;Arriola VD;Rivera-Lanas D;Rodriguez GH;Toledo Vizcarra AM;Mollesaca Riveros LM;Levy MZ;Buttenheim AM
目前秘鲁阿雷基帕病媒控制规划的参与率较低，使恰加斯病的控制复杂化。我们分别于2013年3月和5月进行了焦点小组（n = 17名参与者）和半结构化访谈（n = 71），研究了家庭参与一年前在阿雷基帕进行的室内残留喷雾（IRS）活动的障碍和动机。据报告，最常见的参与障碍是由于工作义务造成的不方便的喷洒时间，认为没有必要进行这项运动，担心对健康的二次影响（例如对杀虫剂的过敏反应），以及难以为喷洒做准备（例如移动沉重的家具）。人们对感染恰加斯病的风险认识也很低，这可能影响到参与。参与的主要动机是确保个人健康和福祉。未来美国国税局的活动应该采用更灵活的工作时间，包括周末；提供适当的教育信息，消除对继发性健康影响的关切；将同伴教育者纳入社区，以增加对恰加斯病的感知风险；获得社区成员和领袖的支持，建立社区对活动的信任和支持；并帮助个人准备他们的家园。加强社会对运动的需要及其运作的信任是关键。
Current low participation rates in vector control programmes in Arequipa, Peru complicate the control of Chagas disease. Using focus groups (n = 17 participants) and semi-structured interviews (n = 71) conducted in March and May 2013, respectively, we examined barriers to and motivators of household participation in an indoor residual spray (IRS) campaign that had taken place one year prior in Arequipa. The most common reported barriers to participation were inconvenient spray times due to work obligations, not considering the campaign to be necessary, concerns about secondary health impacts (e.g. allergic reactions to insecticides), and difficulties preparing the home for spraying (e.g. moving heavy furniture). There was also a low perception of risk for contracting Chagas disease that might affect participation. The main motivator to participate was to ensure personal health and well-being. Future IRS campaigns should incorporate more flexible hours, including weekends; provide appropriate educational messages to counter concerns about secondary health effects; incorporate peer educators to increase perceived risk to Chagas in community; obtain support from community members and leaders to build community trust and support for the campaign; and assist individuals in preparing their homes. Enhancing community trust in both the need for the campaign and its operations is key.