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首页> 外文期刊>Journal of Rural and Remote Environmental Health >INTESTINAL SCHISTOSOMIASIS: PREVALENCE, KNOWLEDGE, ATTITUDE AND PRACTICES AMONG SCHOOL CHILDREN IN AN ENDEMIC AREA OF NORTH WESTERN TANZANIA
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INTESTINAL SCHISTOSOMIASIS: PREVALENCE, KNOWLEDGE, ATTITUDE AND PRACTICES AMONG SCHOOL CHILDREN IN AN ENDEMIC AREA OF NORTH WESTERN TANZANIA

机译：肠道血吸虫病：西北坦桑尼亚流行地区学龄儿童的患病率，知识，态度和做法

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Objective: Knowledge, attitudes and preventative practices of risk groups for neglected tropical diseases such as intestinal schistosomiasis are important aspects for their control. This study aimed to determine the prevalence of Schistosoma mansoni, knowledge, perceptions and preventative practices of school children towards schistosomiasis in the Sengerema district, Tanzania. Methods: We conducted a cross- sectional study using 400 randomly selected school children. Single faecal specimens were obtained from children and screened for S. mansoni using Kato Katz technique. Amongst those children who submitted faecal specimen, 200 randomly selected children responded to a structured questionnaire. Results: The prevalence of Schistosoma mansoni was 64.3% (257/400; 95% confidence interval (CI) = 59.3, 69.0). Less than 50% of the interviewed children demonstrated an understanding of control measures and transmission of schistosomiasis. About 87.5% (175/200; 95% CI = 82.1, 91.7) of the respondents reported to have heard of schistosomiasis and the main source of information were schools (34.5 %). 84% of the children reported going to the lake and 68% reported to participate in paddy cultivation. About 40.5% of the respondents associated schistosomiasis with water contact and 39.5% accurately quoted symptoms associated with schistosomiasis. Knowledge about transmission increased with age (p=0.005). The control measures mentioned by 34.5% of the respondents were in line with the World Health Organization’s control strategies against schistosomiasis. Most of respondents (96.5%) reported the use of toilets. A majority (82%) of the respondents reported that they had participated in previous mass drug administration. Conclusion: The prevalence of schistosomiasis was high despite repeated previous mass drug administration campaigns. There is a need to incorporate practical public health education in the school curriculum for the purpose of increasing knowledge and promoting behavioral changes in school children to improve disease control.
机译：目的：被忽视的热带疾病（如血吸虫病）的危险人群的知识，态度和预防措施是控制其重要方面。这项研究的目的是确定坦桑尼亚Sengerema区曼氏血吸虫的患病率，学龄儿童对血吸虫病的知识，看法和预防措施。方法：我们对400名随机选择的学童进行了横断面研究。从儿童获得单个粪便标本，并使用加藤·卡茨（Kato Katz）技术筛选曼氏链球菌。在提交粪便样本的儿童中，有200名随机选择的儿童对结构化问卷进行了回答。结果：曼氏血吸虫病的患病率为64.3％（257/400; 95％置信区间（CI）= 59.3，69.0）。不到50％的受访儿童表现出对控制措施和血吸虫病传播的了解。大约87.5％（175/200; 95％CI = 82.1，91.7）的受访者表示听说过血吸虫病，而主要的信息来源是学校（34.5％）。据报告，有84％的儿童去了湖上，有68％的儿童参加了水稻种植。约40.5％的受访者将血吸虫病与水接触，而39.5％的被准确引用的症状与血吸虫病有关。有关传播的知识随年龄增长而增加（p = 0.005）。 34.5％的受访者提到的控制措施符合世界卫生组织针对血吸虫病的控制策略。大多数受访者（96.5％）报告使用厕所。大部分（82％）的受访者表示他们曾经参加过大规模药物管理。结论：尽管先前进行了多次大规模的药物管理运动，但血吸虫病的患病率仍然很高。有必要将实用的公共卫生教育纳入学校课程，以增加知识并促进学龄儿童的行为改变以改善疾病控制。

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