关键词: Disease Knowledge MPOX Outbreak Risk perception Severity Sub-Saharan Africa

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Abstract:
UNASSIGNED: Since the resurgence of mpox disease in 2017, Nigeria alone has accounted for about 60% of confirmed cases reported in the African region. This study therefore aimed to understand the knowledge and perception of the general public towards the mpox infection.
UNASSIGNED: We conducted a cross-sectional study among 958 community members across three states (Oyo, Lagos and Jigawa) in Nigeria. Knowledge of mpox infection was assessed across four domains: (1) general knowledge, (2) transmission, (3) signs and symptoms, and (4) prevention and treatment where we assigned a score of 1 for each correct response. Binary logistic regression was conducted to explore factors associated with knowledge of mpox infection at 5% level of significance. We assessed perception of mpox infection across 5 constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy) from the health belief model, using 3-point Likert scales. We used Kruskal-Wallis and Mann-Whitney- U tests to assess factors associated with each construct.
UNASSIGNED: Overall, only about one-third (38.3%) of community members were aware of mpox infection. There were variations in perceptions and knowledge across the three states. Knowledge of mpox infection transmission, prevention, and treatment was low across the states. Only 28.9% of respondents knew that sharing utensils with an infected person is a means of contracting the disease, and just 15.9% were aware that mpox infection may resolve spontaneously. The mean of general knowledge scores was higher in Jigawa 14.8 (±3.2) compared to Lagos 12.1 (±4.1) and Oyo states 12.5 (±5.6) (p<0.001).Respondents with tertiary-level education (p=0.001) were significantly more likely to perceive themselves as susceptible to mpox while males (p<0.001) and respondents who live in Jigawa state (p=0.002) were significantly more likely to perceive mpox as severe with 90.5% believing that being infected will stop their daily activity (p<0.001). Perceived barriers to adherence to mpox preventive strategies were higher in Jigawa state (p<0.001), with 68.3% reporting that use of hand sanitizers might be expensive for them.
UNASSIGNED: The analysis of our findings revealed significant knowledge gaps and a very low level of public awareness about mpox. Key areas of limited knowledge included the disease\'s route of transmission, as well as its prevention and treatment. To control the spread of mpox infection, there is need to strengthen public health risk communication focusing on the transmission and preventive actions.
摘要:
自2017年水痘复发以来,仅尼日利亚就占非洲地区报告的确诊病例的约60%。因此,这项研究旨在了解公众对水痘感染的知识和看法。
我们在三个州的958名社区成员中进行了一项横断面研究(Oyo,拉各斯和吉加瓦)在尼日利亚。在四个领域评估了水痘感染的知识:(1)一般知识,(2)变速器,(3)体征和症状,(4)预防和治疗,我们为每个正确的反应分配1分。进行二元logistic回归以探索与5%显著性水平的水痘感染知识相关的因素。我们评估了5个构建体对水痘感染的感知(感知易感性,感知的严重性,感知到的好处,感知障碍,和自我效能感)来自健康信念模型,使用李克特三分量表.我们使用Kruskal-Wallis和Mann-Whitney-U检验来评估与每个构建体相关的因素。
总的来说,只有约三分之一(38.3%)的社区成员知道水痘感染。这三个州的认知和知识存在差异。了解水痘感染传播,预防,各州的治疗水平都很低。只有28.9%的受访者知道与感染者共用器具是感染疾病的一种手段,只有15.9%的人意识到水痘感染可能会自发消退。Jigawa14.8(±3.2)的一般知识得分平均值高于拉各斯12.1(±4.1)和Oyo状态12.5(±5.6)(p<0.001)。受过高等教育的受访者(p=0.001)更有可能认为自己易患水痘,而男性(p<0.001)和居住在吉加瓦州的受访者(p=0.002)则更有可能认为水痘严重,90.5%认为被感染会停止他们的日常活动(p<0.001)。在吉加瓦州,坚持痘预防策略的感知障碍较高(p<0.001),68.3%的人报告说使用洗手液对他们来说可能很昂贵。
对我们的研究结果的分析揭示了巨大的知识差距和公众对天花的认识水平非常低。知识有限的关键领域包括疾病的传播途径,以及它的预防和治疗。为了控制水痘感染的传播,有必要加强公共卫生风险沟通,重点是传播和预防措施。
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