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首页> 外文期刊>BMC Infectious Diseases >A household-based survey of knowledge, attitudes and practices towards dengue fever among local urban communities in Taiz Governorate, Yemen
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A household-based survey of knowledge, attitudes and practices towards dengue fever among local urban communities in Taiz Governorate, Yemen

机译：在泰格省的地方城市社区，也门地区的知识，态度和实践的基于家庭的知识，态度和实践调查

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Background Yemen has witnessed several dengue fever outbreaks coincident with the social unrest and war in the country. The aim of the present study was to describe the knowledge, attitudes and practices (KAPs) of at-risk urban populations residing in Taiz, southwest of Yemen. In addition, factors possibly associated with poor preventive practices were investigated. Methods A household-based, cross-sectional survey was conducted in three urban districts encompassing 383 households. Data on the socio-demographic characteristics and KAPs of the participating household heads were collected using a pre-designed, structured questionnaire. The association of socio-demographic characteristics, knowledge and attitudes of the population with poor preventive practices against dengue fever was then analyzed using logistic regression. Results More than 90.0?% of respondent household heads had correct knowledge about fever, headache and joint pain as common signs and symptoms of dengue fever. Moreover, muscular pain and bleeding were perceived by more than 80.0?% of the respondents as being associated with dengue fever; however, only 65.0?% of the respondents reported skin rash as a sign of dengue fever. More than 95.0?% of respondents agreed about the seriousness and possible transmission of dengue fever; however, negative attitudes regarding the facts of being at risk of the disease and that the infection is preventable were expressed by 15.0?% of respondents. Despite the good level of knowledge and attitudes of the respondent population, poor preventive practices were common. Bivariate analysis identified poor knowledge of dengue signs and symptoms (OR?=?2.1, 95?% CI?=?1.24–3.68; P?= 0.005) and its vector (OR?=?2.1, 95?% CI?=?1.14–3.84; P?= 0.016) as factors significantly associated with poor preventive practices. However, multivariable analysis showed that poor knowledge of the vector is an independent predictor of poor preventive practices of the population (adjusted OR?=?2.1, 95?% CI?=?1.14–3.84; P =?0.018). Conclusion The majority of people in urban communities of Taiz have a clear understanding of most signs/symptoms of dengue fever as well as positive attitudes towards the seriousness and possible transmissibility of dengue fever. However, negative attitudes regarding their perception of the risk and possible prevention of the infection are prevailing among a small proportion of the population and need to be targeted by educational campaigns. It appears that the good level of the population knowledge of the signs/symptoms of dengue fever and the factors contributing to the spread and control of its vectors did not translate into good practices.
机译：背景，也门目睹了几种登革热爆发与该国的社会骚乱和战争一致。本研究的目的是描述居住在也门西南部的Taiz的风险城市人群的知识，态度和实践（KAP）。此外，调查了可能与预防良良差差异有关的因素。方法采用基于家庭的横断面调查，在三个城市地区进行了383户。使用预先设计的结构问卷收集参与家庭头部的社会人口统计特征和KAP的数据。然后使用Logistic回归分析了与登革热差的预防措施较差的人口的社会人口统计特征，知识和态度。结果超过90.0？％的受访者家庭头部对发烧，头痛和关节疼痛具有正确的知识，作为登革热的常见迹象和症状。此外，肌肉疼痛和出血被认为是80.0％的受访者与登革热相关;然而，只有65.0？％的受访者报告皮疹作为登革热的标志。超过95.0？％的受访者同意登革热的严重性和可能传播;然而，有关患有疾病风险的事实以及可预防感染的事实的负面态度由15.0％的受访者表示。尽管知识水平和受访人口的态度良好，但预防措施差别很常见。生物分析确定了登革热标志性和症状的知识差（或？=？2.1,95？％ci？=？1.24-3.68; p？= 0.005）及其载体（或？=？2.1,95？％ci？=？ 1.14-3.84; p？= 0.016）作为与预防差的做法显着相关的因素。然而，多变量分析表明，对载体的知识差是一种独立的预测因素，对群体的贫困人口差（调整或？=？2.1,95？％CI？=？1.14-3.84; P = 0.018）。结论TAIZ城市社区中大多数人对登革热的大多数迹象/症状有明确的了解，以及对登革热的严重性和可能的​​传播性的积极态度。然而，关于他们对风险的感知和可能预防感染的感染的消极态度在少量的人口中占付了普遍存在的人口，并且需要被教育活动的目标。似乎人口良好的人口知识的良好程度的登革热的迹象/症状以及导致其载体的传播和控制的因素没有转化为良好的做法。

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