Knowledge, Attitudes, and Practices on Malaria Prevention Among Chinese International Travelers

Knowledge, Attitudes, and Practices on Malaria Prevention Among Chinese International Travelers
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DOI:
10.1111/j.1708-8305.2011.00512.x
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发表时间:
2011-05-01
影响因子:
25.7
通讯作者:
Zhou, Xian
Zhou, Xian
中科院分区:
医学2区
文献类型:
--
作者:
Zhang, Min;Liu, Zhiyong;Zhou, Xian

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方法.在广州、北京、上海、青岛和南京的国际机场候机室向中国国际旅客分发了标准化问卷。将数据输入Epidata 3.1(Jens M. Lauritsen,Odense,丹麦)并通过SPSS 12.0统计软件包(SPSS Inc.,芝加哥,IL,美国)。总共有2,495份完整的问卷来自离境的中国乘客; 1,573份来自前往疟疾风险国家的旅行者。超过一半的旅行者花了不到7天的时间来组织他们的出国旅行。998名旅客(40.0%)在旅行前寻求医疗咨询,其中65.1%的旅客在出发前1-7天寻求医疗咨询。仅有4.0%的旅客从旅行卫生服务提供者处获得相关知识。在前往疟疾高风险国家的389名旅行者中,只有18.0%的人意识到撒哈拉以南非洲有高疟疾风险。大多数前往危险地区的旅行者知道防止蚊虫叮咬的个人防护措施,但分别只有21.4%和12.1%的旅行者携带驱蚊剂或杀虫剂。在1,573名可能暴露的旅行者中,只有18.7%的人携带了疟疾药片,所有这些药片都是用于自我治疗,没有一个用于治疗腹泻。我国旅行者疟疾暴露相关知识、态度、行为的现状不容乐观。为了降低输入性疟疾的发病率,应当为高危人群制定具体的教育工具,使他们了解并遵守化学预防法。
Methods. Standardized questionnaires were distributed to Chinese international travelers in departure lounges at international airports in Guangzhou, Beijing, Shanghai, Qingdao, and Nanjing. The data were entered into the Epidata 3.1 (Jens M. Lauritsen, Odense, Denmark) and analyzed by the SPSS 12.0 statistical package (SPSS Inc., Chicago, IL, USA).Results. Overall 2,495 completed questionnaires were collected from departing Chinese passengers; 1,573 were contributed by travelers who were going to malaria risk countries. More than half of all travelers spent less than 7 days to organize their trip abroad. Pre-travel medical advice was sought by 998 travelers (40.0%), 65.1% of them did so for 1-7 days before departure. Only 4.0% travelers received their knowledge from travel health providers. Among 389 travelers who were going to high malaria risk countries, only 18.0% realized that there is a high malaria risk in sub-Saharan Africa. Most travelers going to risk areas knew about personal protection measures against mosquito bites, but only 21.4% and 12.1% carried mosquito repellents or insecticides, respectively. Only 18.7% of the 1,573 potentially exposed travelers carried malaria tablets, all of them for self-treatment, none for prophylaxis.Conclusion. KAP about malaria among exposed Chinese travelers is far from satisfactory. To reduce the rate of imported malaria, specific educational tools should be developed for those at high risk to make them understand and become compliant with chemoprophylaxis.