背景:拉沙热(LF)在塞拉利昂带来了重大的公共卫生挑战,尤其是在下班巴拉酋长领地。这项研究旨在深入了解对LF的知识和态度如何与社区驱动的预防和控制措施相关联。
方法:采用描述性横断面定量方法进行研究。从2022年2月1日至2022年2月14日,使用基于Android的调查收集了2167名参与者的数据。受访者对LF原因的了解,危险因素,传输模式,通过多项选择问卷评估预防措施,对预防和控制的态度以5点李克特量表进行测量。定量数据使用SPSS26.0版进行分析,频率以计数表示,百分比,和桌子。卡方统计量用于检验关联。
结果:在2167名参与者中,一半以上是男性(1184,54.60%),农民(1406,64.90%),已婚(一夫一妻制)(1428,65.90%),从未上过学(1336,61.70%)。受访者在社会人口统计学群体中表现出很高的LF知识水平(33%至100%),并对预防和控制持积极态度(5-40量表的平均得分为26.77)。教育水平,宗教信仰,职业状况对LF知识有显著影响(p<0.05)。具体来说,文盲的知识得分高达48.24%,而受过高等教育的人得分最高,为83.33%。此外,aPearson相关分析显示,对LF感染的知识程度和积极态度与死亡危险因素之间呈正线性关系(r=0.090,p=0.02).
结论:下班巴拉酋长区的高LF知识对预防态度有积极影响。教育,宗教,职业是关键因素。量身定制的干预措施可增强公共卫生工作。
BACKGROUND: Lassa fever (LF) presents significant public health challenges in Sierra Leone, particularly in the Lower Bambara Chiefdom. This study aims to deeply understand how knowledge and attitudes towards LF correlate with community-driven prevention and control measures.
METHODS: A descriptive cross-sectional quantitative approach was used to conduct the research. Data from 2167 participants were collected using an Android-based survey from 1st February 2022 to 14th February 2022. Respondents\' knowledge of LF causes, risk factors, transmission modes, and preventive measures were evaluated through a multiple-choice questionnaire, and attitudes toward prevention and control were measured on a 5-point Likert scale. Quantitative data were analyzed using SPSS version 26.0 and frequencies were presented in count, percentage, and table. Chi-square statistics were used to test for associations.
RESULTS: Among the 2167 participants, over half were males (1184, 54.60%), farmers (1406, 64.90%), married (monogamous) (1428, 65.90%), and had never attended school (1336, 61.70%). Respondents demonstrated high knowledge levels of LF across socio-demographic groups (33% to 100%) and shared a positive attitude towards prevention and control (mean score of 26.77 on a 5-40 scale). Educational level, religious beliefs, and occupational status significantly influenced LF knowledge (p < 0.05). Specifically, illiterates had a high knowledge score of 48.24%, while those with tertiary education had the highest score at 83.33%. Additionally, a Pearson correlation analysis revealed a positive linear relationship between the degree of knowledge and positive attitude towards LF infection and mortality risk factors (r = 0.090, p = 0.02).
CONCLUSIONS: High LF knowledge in Lower Bambara Chiefdom positively influences prevention attitudes. Education, religion, and occupation are key factors. Tailored interventions enhance public health efforts.