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Knowledge attitudes and practices regarding to rabies and its prevention and control among bite victims by suspected rabid animals in China

机译：关于涉嫌狂犬病动物的狂犬病的知识态度和预防和防治的疑似狂犬病动物

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摘要

Rabies is a major public health problem and the incidence of suspected rabid animal bites remains high in China. This study aimed to assess the knowledge, attitudes, and practices (KAP) about rabies of bite victims in Wuhan, China. A cross-sectional study was conducted among 1015 bite victims visiting rabies prevention clinics. We performed a face-to-face interview to investigate the rabies KAP of these victims using a self-designed questionnaire. Factors associated with the KAP were evaluated using logistic regression models. Only 56.85% of respondents knew that rabies is infectious. More than 20% of respondents thought that it is not necessary to vaccinate dogs and cats against rabies usually. About 70% of participants stated that they never need to be reminded to vaccinate when they were bitten. Lower education level (odds ratio [OR] = 3.77, 95% confidence interval [CI]: 2.65–5.38 for secondary school or less and OR = 1.74, 95% CI: 1.28–2.38 for high school or vocational school, p-trend<0.0001) was independently associated with poor knowledge of rabies. Respondents who had experienced two or more times of animal bites (OR = 0.62, 95% CI: 0.39–0.97) were inclined to have appropriate attitudes about rabies prevention and control. Older respondents were more likely to show proper behaviors towards rabies prevention and control (OR = 0.44, 95% CI: 0.33–0.58 for age group 31–60 and OR = 0.34, 95% CI: 0.21–0.54 for age group >60, p-trend <0.0001). The level of rabies KAP among bite victims in China was suboptimal. It is necessary to conduct interventions focusing on improving public awareness of rabies and ameliorating behaviors of rabies post-exposure prophylaxis.
机译：狂犬病是一个重大的公共卫生问题，疑似狂犬病动物叮咬的发病率在中国仍然很高。本研究旨在评估关于武汉，中国咬伤受害者狂犬病的知识，态度和实践（KAP）。在访问狂犬病预防诊所的1015名受害者之间进行了横断面研究。我们使用自我设计的问卷表现了对这些受害者的狂犬病Kap进行了面对面的面试。使用Logistic回归模型评估与KAP相关的因素。只有56.85％的受访者知道狂犬病是传染性的。超过20％的受访者认为，通常没有必要疫苗和猫通常对抗狂犬病。大约70％的参与者表示，当他们被咬伤时，他们从未提醒过他们疫苗。较低的教育水平（赔率比[或] = 3.77，95％置信区间[CI]：2.65-5.38为中学或少于和或= 1.74,95％CI：1.28-2.38为高中或职业学校，P-Trend <0.0001）与狂犬病知识差无关。经历了两次或更多次动物叮咬（或= 0.62,95％CI：0.39-0.97）的受访者倾向于对狂犬病预防和对照具有适当的态度。较旧的受访者更有可能表现出对狂犬病预防和控制的适当行为（或= 0.44,95％CI：0.33-0.58，年龄组和= 0.34,95％CI：0.21-0.54为年龄组> 60， p趋势<0.0001）。中国咬人受害者之间的狂犬病KAP水平是次优。有必要进行介入，重点是提高公众对狂犬病的意识和狂犬病发布后预防的改善行为。

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