BACKGROUND:Knowledge, attitudes, and practices (KAP) surveys regarding zoonotic diseases are crucial to understanding the extent of knowledge among citizens and for guiding health-related education programs. METHOD:Employing a structured questionnaire, we interviewed residents (n = 388) in three districts of northern Tanzania (Karatu n = 128, Monduli n = 114, Babati n = 146) to assess knowledge, attitudes and reported practices regarding three zoonotic diseases that occur in the region (anthrax, brucellosis, and rabies). We used generalized linear mixed effects models and multi-model inference to identify demographic correlates of knowledge. RESULTS:Proportional average district- and disease- specific knowledge scores ranged from 0.14-0.61. We found positive correlations between age and knowledge of symptoms, causes and treatments of anthrax (three districts), brucellosis (three districts), and rabies (one district). Gender, ethnic identity, formal education and ownership of livestock or dogs had variable effects on knowledge among the interviewed population. Risk perceptions regarding different diseases varied across districts and were positively correlated with knowledge of the specific diseases. Direct interactions with livestock and domestic dogs were reported to occur across all demographic groups, suggesting that most people living in rural settings of our study area are potentially exposed to zoonotic diseases. Behaviors which may favor transmission of specific pathogens (such as consumption of raw milk or meat) were occasionally reported and varied by district. Wildlife was generally regarded as negative or neutral with regard to overall veterinary and human health. CONCLUSION:The combination of variable knowledge about zoonotic diseases in the three districts, reported occurrence of practices that are conducive to pathogen transmission, and previously documented circulation of pathogens causing anthrax, brucellosis and rabies in our study system, call for health education programs embedded in a holistic One Health approach.

译文

背景:关于人畜共患病的知识,态度和实践(KAP)调查对于理解公民之间的知识范围以及指导与健康相关的教育计划至关重要。
方法:采用结构化问卷,我们采访了坦桑尼亚北部三个地区的居民(n = 388),评估了三种人畜共患病的知识,态度和所报告的做法,这些知识涉及三种人畜共患病发生在该地区(炭疽,布鲁氏菌病和狂犬病)。我们使用广义线性混合效应模型和多模型推理来识别知识的人口统计相关性。
结果:地区和疾病特定知识的平均比例分数范围为0.14-0.61。我们发现年龄与症状知识,炭疽病(三个地区),布鲁氏菌病(三个地区)和狂犬病(一个地区)的知识,成因和治疗之间存在正相关。性别,种族身份,正规教育和牲畜或狗的所有权对受访者的知识产生了不同的影响。关于不同疾病的风险认知因地区而异,并且与特定疾病的知识呈正相关。据报道,在所有人口群体中,牲畜和家犬都有直接的相互作用,这表明大多数居住在我们研究区域农村地区的人都可能患有人畜共患病。偶尔报告了可能有利于特定病原体传播的行为(例如食用生牛奶或肉),并且各地区有所不同。在整个兽医和人类健康方面,野生生物通常被认为是消极的或中立的。
结论:结合三个地区对人畜共患疾病的可变知识,报告了有利于病原体传播的实践的发生以及先前在我们的研究系统中记录的导致炭疽,布鲁氏菌病和狂犬病的病原体的传播,呼吁建立健康教育计划一种整体的“一站式”治疗方法。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录