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Abstract：
A steady decline in the number of cases of malaria was observed in the 2000s in French Guiana. This enabled regional health policies to shift their public health goal from control to elimination. To include inhabitants in this strategy, the main objective of this study was to describe knowledge about malaria, and related attitudes and practices in persons living in the French Guiana border.
We conducted a survey in people over 15 years old living in the twelve neighbourhoods of Saint-Georges de l\'Oyapock with the highest malaria incidence. It comprised a 147-item questionnaire which collected data on socio-demographic characteristics and included a Knowledge Attitude and Practices survey on malaria. Knowledge-related data were studied using exploratory statistical methods to derive summary variables. A binary variable assessing level of knowledge was proposed and then assessed using exploratory approaches.
The mean age of the 844 participants was 37.2 years [15.8], the male/female sex ratio was 0.8. In terms of nationality, 485 (57.5%) participants were Brazilian and 352 (41.7%) French. One third (305, 36.1%) spoke Brazilian Portuguese as their native language, 295 (34.9%) the Amerindian language Palikur, 36 (4.3%) French. The symptoms of malaria and prevention means were poorly known by 213 (25.2%) and 378 (44.8%) respondents, respectively. A quarter (206, 24.4%) did not know that malaria can be fatal. Overall, 251 people (29.7%) had an overall poor level of knowledge about malaria. Being under 25 years old, living in a native Amerindian neighbourhood, having an Amerindian mother tongue language, having risk behaviours related to gold mining were significantly associated with a poor level of knowledge.
This study is the first to describe the poor level of knowledge about malaria in populations living in the malaria endemic border area along the Oyapock river in French Guiana. Results will allow to reinforce, to diversify and to culturally adapt prevention messages and health promotion to increase their effectiveness with a view to quickly reaching the goal of malaria elimination through empowerment.
We conducted a survey in people over 15 years old living in the twelve neighbourhoods of Saint-Georges de l\'Oyapock with the highest malaria incidence. It comprised a 147-item questionnaire which collected data on socio-demographic characteristics and included a Knowledge Attitude and Practices survey on malaria. Knowledge-related data were studied using exploratory statistical methods to derive summary variables. A binary variable assessing level of knowledge was proposed and then assessed using exploratory approaches.
The mean age of the 844 participants was 37.2 years [15.8], the male/female sex ratio was 0.8. In terms of nationality, 485 (57.5%) participants were Brazilian and 352 (41.7%) French. One third (305, 36.1%) spoke Brazilian Portuguese as their native language, 295 (34.9%) the Amerindian language Palikur, 36 (4.3%) French. The symptoms of malaria and prevention means were poorly known by 213 (25.2%) and 378 (44.8%) respondents, respectively. A quarter (206, 24.4%) did not know that malaria can be fatal. Overall, 251 people (29.7%) had an overall poor level of knowledge about malaria. Being under 25 years old, living in a native Amerindian neighbourhood, having an Amerindian mother tongue language, having risk behaviours related to gold mining were significantly associated with a poor level of knowledge.
This study is the first to describe the poor level of knowledge about malaria in populations living in the malaria endemic border area along the Oyapock river in French Guiana. Results will allow to reinforce, to diversify and to culturally adapt prevention messages and health promotion to increase their effectiveness with a view to quickly reaching the goal of malaria elimination through empowerment.
摘要：
背景：2000年代法属圭亚那的疟疾病例数稳步下降。这使区域卫生政策能够将其公共卫生目标从控制转向消除。为了让居民参与这一战略，这项研究的主要目的是描述有关疟疾的知识，以及生活在法属圭亚那边境的人的相关态度和做法。
方法：我们对居住在圣乔治·德·l·奥亚波克12个疟疾发病率最高的街区的15岁以上人群进行了调查。它包括一个147个项目的问卷，收集了关于社会人口特征的数据，并包括关于疟疾的知识态度和做法调查。使用探索性统计方法研究了与知识相关的数据，以得出汇总变量。提出了一个二元变量评估知识水平，然后使用探索性方法进行评估。
结果：844名参与者的平均年龄为37.2岁[15.8]，男女比例为0.8.在国籍方面,485名（57.5%）参与者是巴西人，352名（41.7%）是法国人。三分之一（305，36.1％）以巴西葡萄牙语为母语，295（34.9％）美洲印第安人语言Palikur，36（4.3%）法语。213名(25.2%)和378名(44.8%)受访者对疟疾的症状和预防手段知之甚少,分别。四分之一（206，24.4%）不知道疟疾可能致命。总的来说,251人（29.7％）对疟疾的总体知识水平较差。未满25岁,住在美洲印第安人社区，具有美洲印第安人母语，与金矿开采相关的风险行为与知识水平差显著相关。
结论：这项研究首次描述了生活在法属圭亚那奥亚波克河沿岸疟疾流行边境地区的人群对疟疾的知识水平低下。结果将允许加强，多样化并在文化上调整预防信息和健康促进，以提高其效力，以期通过赋权迅速实现消除疟疾的目标。
方法：我们对居住在圣乔治·德·l·奥亚波克12个疟疾发病率最高的街区的15岁以上人群进行了调查。它包括一个147个项目的问卷，收集了关于社会人口特征的数据，并包括关于疟疾的知识态度和做法调查。使用探索性统计方法研究了与知识相关的数据，以得出汇总变量。提出了一个二元变量评估知识水平，然后使用探索性方法进行评估。
结果：844名参与者的平均年龄为37.2岁[15.8]，男女比例为0.8.在国籍方面,485名（57.5%）参与者是巴西人，352名（41.7%）是法国人。三分之一（305，36.1％）以巴西葡萄牙语为母语，295（34.9％）美洲印第安人语言Palikur，36（4.3%）法语。213名(25.2%)和378名(44.8%)受访者对疟疾的症状和预防手段知之甚少,分别。四分之一（206，24.4%）不知道疟疾可能致命。总的来说,251人（29.7％）对疟疾的总体知识水平较差。未满25岁,住在美洲印第安人社区，具有美洲印第安人母语，与金矿开采相关的风险行为与知识水平差显著相关。
结论：这项研究首次描述了生活在法属圭亚那奥亚波克河沿岸疟疾流行边境地区的人群对疟疾的知识水平低下。结果将允许加强，多样化并在文化上调整预防信息和健康促进，以提高其效力，以期通过赋权迅速实现消除疟疾的目标。
