Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its ...Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.展开更多
BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on ...BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females.展开更多
Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary a...Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.展开更多
Objective:To determine the global level of knowledge,attitudes,and practices towards dengue fever among the general population.Methods:To complete this systematic review and meta-analysis,a thorough search for pertine...Objective:To determine the global level of knowledge,attitudes,and practices towards dengue fever among the general population.Methods:To complete this systematic review and meta-analysis,a thorough search for pertinent English-language literature was undertaken during the study's extension until October 2023.The search used Google Scholar,Scopus,PubMed/MEDLINE,Science Direct,Web of Science,EMBASE,Springer,and ProQuest.A quality assessment checklist developed using a modified Newcastle-Ottawa Scale for the cross-sectional study was used to evaluate the risk of bias in the included papers.Inverse variance and Cochran Q statistics were employed in the STATA software version 14 to assess study heterogeneity.When there was heterogeneity,the Dersimonian and Liard random-effects models were used.Results:59 Studies totaling 87353 participants were included in this meta-analysis.These investigations included 86278 participants in 55 studies on knowledge,20196 in 33 studies on attitudes,and 74881 in 29 studies on practices.The pooled estimates for sufficient knowledge,positive attitudes,and dengue fever preventive behaviors among the general population were determined as 40.1%(95%CI 33.8%-46.5%),46.8%(95%CI 35.8%-58.9%),and 38.3%(95%CI 28.4%-48.2%),respectively.Europe exhibits the highest knowledge level at 63.5%,and Africa shows the lowest at 20.3%.Positive attitudes are most prevalent in the Eastern Mediterranean(54.1%)and Southeast Asia(53.6%),contrasting sharply with the Americas,where attitudes are notably lower at 9.05%.Regarding preventive behaviors,the Americas demonstrate a prevalence of 12.1%,Southeast Asia at 28.1%,Western Pacific at 49.6%,Eastern Mediterranean at 44.8%,and Africa at 47.4%.Conclusions:Regional disparities about the knowledge,attitude and preventive bahaviors are evident with Europe exhibiting the highest knowledge level while Africa has the lowest.These findings emphasize the importance of targeted public health interventions tailored to regional contexts,highlighting the need for region-specific strategies to enhance dengue-related knowledge and encourage positive attitudes and preventive behaviors.展开更多
Introduction: Hepatitis B is a public health problem. This study aimed to investigate the knowledge, attitudes, and practices of students at Gaston Berger University of Saint-Louis regarding hepatitis B. Methods: A de...Introduction: Hepatitis B is a public health problem. This study aimed to investigate the knowledge, attitudes, and practices of students at Gaston Berger University of Saint-Louis regarding hepatitis B. Methods: A descriptive cross-sectional study was conducted in March 2024 within the university’s social campus among a sample of 800 students. Results: The sex ratio favored men at 1.5, and the average age was 23.3 years with a standard deviation of 2.7 years. Among students, 26.6% had never heard of the term “hepatitis B”, and 60% knew it was a liver disease. Young people and adolescents were identified as the most exposed population group by 52.3% of respondents. According to 53.7% of the sample, hepatitis B would be a curable disease. Furthermore, 95.0% of the surveyed individuals were not vaccinated against hepatitis B, and 36.3% were afraid of living with an infected person. While 63.0% had poor knowledge, 78.8% had negative attitudes, and poor practices were observed in 6.9% of participants. Conclusion: This study highlighted a lack of knowledge and concerning attitudes among students regarding hepatitis B. The results underscore the need to intensify information and awareness campaigns about this disease, as well as the importance of promoting vaccination and encouraging appropriate preventive practices among the student population.展开更多
Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Di...Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Dioulasso in Burkina Faso. Methods: A total of 243 mothers of children under 5 years in the peri-urban of Bobo-Dioulasso were administered the FAO questionnaire for food safety knowledge, attitudes, and practices assessment during two cross-sectional surveys, before and after the intervention, in January and October 2017. The intervention included two components consisting of a theoretical phase (counselling and discussion) and cooking demonstrations implemented for ten months. To account for the before-and-after design of the study, the McNemar’s test was used to assess the effect of the intervention on food safety KAP of mothers of children under 5 years. Results: The mean age of mothers was 29 ± 6.2 years and 50.6% of them were between 20 and 29 years old. One for knowledge (cooking thoroughly with, p-value = 0.0001) and another for attitudes (perceived benefits of reheating leftovers before eating them, p-value = 0.0001), significantly increased after the intervention. In terms of food safety practices, all the indicators (cleaning of dirty surfaces, plates and utensils and storage of perishable foods) significantly increased (all p = 0.0001 Conclusion: This study provided some evidence of an effective nutrition education intervention for improving maternal KAP on food safety for their child’s feeding.展开更多
Introduction: Rabies is a serious disease, as it is always fatal, but it can be prevented by sero-vaccination. It is a neglected tropical disease endemic in Asia and Africa. The aim of this study was to assess knowled...Introduction: Rabies is a serious disease, as it is always fatal, but it can be prevented by sero-vaccination. It is a neglected tropical disease endemic in Asia and Africa. The aim of this study was to assess knowledge, attitudes and practices regarding rabies and to determine the factors associated with them among people aged 18 and over in the commune of Niakhène. Methods: This was a cross-sectional, descriptive and analytical survey of subjects aged 18 and over living in the commune of Niakhène. A sample of 300 individuals was drawn from a two-stage cluster survey stratified by age and sex. Bivariate analysis was performed using association tests. Results: The mean age of respondents was 35.3 ± 16.9 years. It was noted that 67% (201) of respondents had a good knowledge of rabies. The results showed that 7.3% (22) of respondents owned a dog. Of the 278 people who did not own a dog, 78.4% (218) said they would have vaccinated their dog if they had had one. It should be noted that 83.7% (251) of respondents said they would go to a health facility if an animal bit them. None of the dog owners had vaccinated their dogs against rabies. Of the 41 people exposed to rabies, 39% went to a health facility. The age and education of the respondents had statistically significant associations with knowledge of rabies. Respondents’ age and education were statistically significantly related to whether they had vaccinated a domestic dog. The age, education and economic well-being quintile of respondents’ households had statistically significant associations with the use of a health facility in the event of being bitten or scratched by an animal vector. The education of respondents who had been bitten by an animal vector was statistically significantly associated with the use of a health facility. Conclusion: It would be imperative for human and animal health authorities to collaborate in a “One Health” approach in order to increase knowledge and promote the adoption of good practices in rabies prevention.展开更多
Background: Breast cancer is the dominant cancer in women in both developed and developing countries. The objective of this study was to assess the knowledge, attitudes, practices and factors associated with early bre...Background: Breast cancer is the dominant cancer in women in both developed and developing countries. The objective of this study was to assess the knowledge, attitudes, practices and factors associated with early breast cancer screening among women in the Municipality of Abomey-Calavi in Benin. Methods: This was a cross-sectional, descriptive, analytical study with prospective data collection from October 1 to 8, 2018, involving 1740 women in the Municipality of Abomey-Calavi, aged 18 years or older and selected by WHO four-stage random cluster sampling. Consenting women who were mentally competent, 18 years of age or older at the time of the survey, and residing continuously in the Municipality of Abomey-Calavi for the last six months prior to the survey were included. On the other hand, women who belonged to a breast cancer prevention service, women in whom secondary screening was noted, or non-consenting women were not included. The initial minimum size was estimated by the Schwartz formula with a cluster effect of k = 2. Information was collected by questionnaire survey, entered with Epidata 3.1. Fr and analyzed with R Studio 3.5.1. software. Results: The mean age of the women surveyed was 32.0 ± 11.5 years with a range of 18 and 71 years. Regarding knowledge, the clinical manifestation known by the majority of women was the presence of a nodule (68.50%). In the series, 1308 (75.17%) declared having heard about breast cancer once before, either on the radio, television or from friends and 726 (55.50%) had heard about breast cancer screening. Five hundred and twelve (70.52%) of the 726 who had heard of breast cancer said they knew that breast cancer could be screened earlier. Breast self-examination was the most cited screening method (67.58%). The disease is of natural origin according to 37.84% of them. Regarding attitudes and practices, the prevalence of early breast cancer screening was 12.93%, of which 11.67% declared that they had checked themselves to know whether they were carriers of the disease or not. The main means of the early screening used was breast self-examination (85.78%). Factors associated with early breast cancer screening found in multivariate analysis were age (≤50 years), education level (increasingly higher), marital status (married/coupled), place of residence (downtown), and socioeconomic level (average/high). Conclusion: The frequency of early breast cancer screening among women is still low in the municipality of Abomey-Calavi, although they have a good knowledge of the disease. This raises the need to strengthen awareness of early breast cancer screening.展开更多
Context: Breast cancer is a high-mortality disease. Early detection has considerably reduced mortality in developed countries. Objectives: To assess the knowledge, attitudes and practices of Congolese women in Kinshas...Context: Breast cancer is a high-mortality disease. Early detection has considerably reduced mortality in developed countries. Objectives: To assess the knowledge, attitudes and practices of Congolese women in Kinshasa on breast cancer, their levels and to identify factors associated with insufficient knowledge, negative attitudes and non-beneficial practices. Material and Methods: This was a descriptive cross-sectional study with analytical aims, carried out from June 1 to September 30, 2023, in Kinshasa. It involved 1170 female respondents, aged 18 to 65, who agreed to take part in the survey. Data were collected using a pre-established questionnaire. Data analysis was performed using SPSS software version 20.0. The study variables were socio-demographics, morbid history, knowledge, attitudes and practices of respondents regarding breast cancer. Statistical measures and tests used were Mean ± standard deviation, median, proportions, logistic regression Backward stepwise and p Results: 60% had insufficient knowledge, 75% had negative attitudes and 80% had non-beneficial practices. The risk factors common to insufficient knowledge, negative attitudes and non-beneficial practices towards breast cancer were low level of education, membership of revivalist or Muslim churches, and primiparity. Conclusion: 60% of Congolese women in Kinshasa have insufficient knowledge about breast cancer, 75% have negative attitudes and 80% have non-beneficial practices, with a positive association between insufficient knowledge and negative attitudes on the one hand, and insufficient knowledge and non-beneficial practices on the other. In this context, increasing the population’s literacy and access to information are essential.展开更多
Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationshi...Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.展开更多
Introduction: Breast and cervical cancer are real public health problems in Cameroon. Primary and secondary preventive measures remain the main means of the fight against cancer. This study aimed at evaluating women’...Introduction: Breast and cervical cancer are real public health problems in Cameroon. Primary and secondary preventive measures remain the main means of the fight against cancer. This study aimed at evaluating women’s knowledge, attitudes and practices regarding preventive measures against breast and cervical cancer. A cross-sectional study was conducted in the Mbankomo Health District in Cameroon for 5 months (From March to August 2023). Data was collected using a questionnaire administered during an interview with consenting women. Statistical analysis was performed using SPSS Version 26 software. Differences were considered statistically significant for values of p Results: A total of 325 women participated in this study. More than half of the participants were aged between 21 and 30 (60.9%), singles (52.9%) and had at least one child (53. 2%). The level of knowledge was poor in 46.76% of participants. Attitudes were approximative for 34.15% of them and related to their perception of not being at risk of cancer. Only 13.23% of women had adequate practices, with 4.2% vaccinated against the human papillomavirus and 17.8% having undergone breast cancer screening. There was a significant association between a low level of education and a poor level of knowledge [OR: 4.72;95% CI: 2.82 - 7.89;P-value Conclusion: knowledge was correlated with attitudes and practices. It would be advisable to raise awareness of breast and cervical cancer prevention, targeting all women and youths, particularly in the current context where cancers are increasingly occurring in young people.展开更多
Introduction: Obesity is an increasingly common problem, and general practitioners need to be involved in its management. This study aims to assess the knowledge, attitudes and practices of general practitioners in Ou...Introduction: Obesity is an increasingly common problem, and general practitioners need to be involved in its management. This study aims to assess the knowledge, attitudes and practices of general practitioners in Ouagadougou, Burkina Faso. Methodology: The cross-sectional survey was carried out between September 16 and October 15, 2024, involving general practitioners registered with the Medical Council. A structured questionnaire, previously tested, was sent by email and re-sent to maximize participation. Data analysis was performed using SPSS software. Results: Of 424 physicians contacted, 121 participated. The vast majority (97.5%) of doctors recognized the influence of obesity on women’s sexual and reproductive health, with 89.3% identifying potential disorders. However, only 28.1% actively sought to detect these disorders in their patients. Surprisingly, 96.6% of doctors referred their patients to specialists for sexual problems, mainly gynecologists. What’s more, only 30.6% broach the subject of contraception. Reasons for this reluctance include the taboo nature of the subject and the lack of comfort in discussing it. Conclusion: The study reveals a good knowledge of the impact of obesity on sexual health, but there is a reluctance on the part of GPs to broach these subjects in consultation. Targeted training is essential to improve communication between doctors and obese patients.展开更多
Objective:To elucidate the relationship among knowledge,attitudes,and practices regarding Covid-19 and their relationship with booster vaccination status among women with infertility.Methods:This questionnaire-based c...Objective:To elucidate the relationship among knowledge,attitudes,and practices regarding Covid-19 and their relationship with booster vaccination status among women with infertility.Methods:This questionnaire-based cross-sectional study was performed online and offline among women with infertility who visited an infertility clinic in Jakarta,Indonesia.We assessed the patient’s knowledge,attitudes,and practices regarding Covid-19 and their relationship with booster vaccination status and sociodemographic profile.Results:A total of 178 subjects participated in this study,and most participants(92.6%)had received booster Covid-19 vaccines.From the questionnaire,74.2%had good knowledge,and 99.4%had good attitudes regarding Covid-19;however,only 57.9%of patients had good practices.A weak positive correlation existed between knowledge and attitudes(r=0.11,P=0.13)and a moderate negative correlation between attitudes and practices(r=-0.44,P=0.56).Participants’knowledge about vaccines and infertility was correlated with booster vaccination status(P=0.04).Academic background(P=0.01)and attitudes(P=0.01)were also correlated with booster vaccination status.The significant determinants of hesitance of receiving Covid-19 booster vaccines were high school education or below(OR=0.08,95%CI 0.02-0.36)and poor practices(OR=0.21,95%CI 0.05-0.95).Conclusions:The majority of the participants had received the Covid-19 booster vaccine and had good knowledge and attitudes but poor practices regarding Covid-19.Most participants had poor knowledge about the relationship between infertility and the Covid-19 vaccine.The general population should be more informed and reminded about practices to prevent Covid-19 and the relationship between vaccination and fertility to increase the number of people who receive Covid-19 booster vaccines.展开更多
<strong>Background:</strong><span style="font-family:Verdana;"> Rheumatic heart disease (RHD) is the commonest cause of</span><span style="font-family:Verdana;"> valvu...<strong>Background:</strong><span style="font-family:Verdana;"> Rheumatic heart disease (RHD) is the commonest cause of</span><span style="font-family:Verdana;"> valvular heart disease in low and middle-income countries (LMICs). The low cardiologist to patient ratio leaves a big challenge of RHD prevention and management to general practitioners in Cameroon. This makes it important to assess the aptitude of senior medical students who are doctors-to-be on RHD. This could thus give a base on which to increase awareness and decrease the burden of the disease. Therefore, we sort to evaluate the knowledge, attitudes, and practices (KAP) of senior medical students on rheumatic heart disease.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">General objective: </span></b><span style="font-family:Verdana;">To determine the level of knowledge, attitudes on rheumatic heart disease, and assess practices towards RHD and its prevention.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Methodology: </span></b><span style="font-family:;" "=""><span style="font-family:Verdana;">A cross-sectional study was conducted in four medical schools in Cameroon for a period of 3 months </span><span style="font-family:Verdana;">(from January 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> to April 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;">,</span></span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">2019)</span><span style="font-family:Verdana;">. The senior medical students were recruited using a structured self-administered questionnaire and electronic forms. Data were entered into an excel spreadsheet and analysed with IBM SPSS version 25.0 for windows. The knowledge level was divided into tertiles (poor, moderate and good) while the attitudes and practices were divided into poor or good. Association to KAP was evaluated and Statistical significance was set at P</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;"><</span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">0.05. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> In total, 509 senior medical students (6</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> and 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> year) were recruited. The mean age was 24.6 (SD</span></span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">±</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">1.7) with 53.2% of students in the 19 to 24 years-old range. There were more females (51.7%) and level 6 students (50.1%). </span><span style="font-family:;" "=""><span style="font-family:Verdana;">Most of the students had moderate knowledge (58.2%), with good attitudes and practices on rheumatic heart disease and its prevention. One-quarter of the students had good knowledge, attitudes, and practices on rheumatic heart disease. Lecture on RHD, history of sore throat and study in faculty of health science (FHS) was associated with good knowledge, attitudes, and practices on RHD. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Despite having most of the senior medical students (6</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> and 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> years) in Cameroon with moderate to good knowledge of RHD, only a third has an above-average knowledge. There is a modest knowledge of RHD that could be used as an important foundation upon which to build RHD educational programs to expand awareness and understanding. Every 1 in 4 senior medical students have good knowledge, attitude and practice on RHD.</span></span>展开更多
Introduction: Refractive error is recognized as one of the most important causes of correctable visual impairment and affects people of all ages, socioeconomic levels, and ethnic groups. The World Health Organization ...Introduction: Refractive error is recognized as one of the most important causes of correctable visual impairment and affects people of all ages, socioeconomic levels, and ethnic groups. The World Health Organization (WHO) estimated 285 million people globally were visually impaired, with 39 million blinds. The aim of this study is to access the knowledge, attitudes, and practices of health sciences students about the refractive error in Nampula, Mozambique. Material and Methods: Descriptive cross-sectional study including health sciences students of Lúrio University in Nampula, applying a questionnaire to access their knowledge, attitudes, and practices concerning the refractive error. The collected data were entered into SPSS version 22.0 for analysis. Frequency distribution and central tendency measures (mean, median) were used to summarize the descriptive part of the study. Results were described using tables and running text. Sample students were included after obtaining informed consent. Results: A total of 298 students participated in the study, 50.3% female, with average age of 24 ± 5.4 years. 69.8% had an eye exam and 54.7% believe they have good vision, 58.1% say that wearing glasses is the main method of correcting refractive errors. 92.3% refer to the Central Hospital as the best place to provide eye health services. The main reason for not purchasing the glasses was their cost (47.3%) and the alternative method for spectacle users was contact lenses (81.0%). The students’ attitudes were positive towards the use of glasses. Conclusion: Visual health education about the knowledge, attitudes and practices regarding refractive errors among students must be intensified to ensure good dissemination of information in the surrounding communities enrolled in the health promotion program “One Student, One Family” implemented by Lúrio University in Nampula.展开更多
Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 year...Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 years who had backyard poultry and lived at least one year in the areas of the survey through multi-stage cluster sampling.An average score of correct answers was generated to evaluate respondents’ knowledge(Good/Poor).attitudes(Positive/ Negative),and practices(Good/Bad).Results:We reported that about half of the respondents had good knowledge and good practices and four-fifth of them had positive attitudes towards HPAl.Odds ratios(ORs) and 95%confidence intervals(CIs) were estimated through a logistic regression model to explore contributing factors that raise their KAP levels.Most of the sources were significant in increasing knowledge of the respondent,like television(OR=l.6.95%CI=1.0- 2.7),radio(OR=2.5.95%CI=l.3-4.9).leaflets/booklets(OR=2.1,95%CI=1.2-3.9),school students (OR=18.4.95%CI=2.4-142.9).village health volunteers(OR=4.5.95%CI=2.2-10.9) etc.Factors such as television(OR=3.7.95%CI=2.1-6.4).leaflets/booklets(OR=2.6,95%CI7=1.4-5.1).and public health staff(OR=2.2,95%CI=1.2-4.1) had similar influence on practices.Although,we found similar effect on raising the attitudes of the responded,it was not significant.Conclusions: We report a satisfactory level of positive attitudes,and moderate level of knowledge and practices related to HPAI among Cambodian women.Raising KAPs through television,radio and other medias may be more efficient than using usual information,education and communication materials to prevent HPAI.展开更多
The development of antimicrobial resistance (AMR) due to over or misuse of antibiotics/antimicrobials is a globally increasing public health concern. This study was conducted to assess the current knowledge, attitudes...The development of antimicrobial resistance (AMR) due to over or misuse of antibiotics/antimicrobials is a globally increasing public health concern. This study was conducted to assess the current knowledge, attitudes, and practices (KAP) of swine and poultry producers on antimicrobial use (AMU) and antimicrobial resistance (AMR). A total of 254 swine and poultry producers of 5 provinces in Cambodia were purposively surveyed using validated KAP questionnaires, a useful tool for promoting the rational use of antimicrobials in livestock. Collectively, this study found out that livestock producers in Cambodia have a low level of knowledge, neutral rather than positive attitudes, and employed poor practices on the AMU and AMR. Thus, there is a need to promote among producers the rational and responsible use of antimicrobials. Furthermore, public awareness of the AMR implications on public health can contribute to the prevention or reduction of AMU and AMR in Cambodia.展开更多
This study describes community members’ knowledge of Ebola Virus Disease (EVD), their attitudes and preventive practices. A mixed methods approach was used. A random sample of 1028 community members aged 15 - 65 year...This study describes community members’ knowledge of Ebola Virus Disease (EVD), their attitudes and preventive practices. A mixed methods approach was used. A random sample of 1028 community members aged 15 - 65 years was interviewed in a quantitative survey. This was complemented with a qualitative study involving 24 opinion leaders who were carefully selected. The study was conducted in Kintampo North and South districts of Ghana from August 2014 to October 2014. 83% of respondents had heard of EVD, but 62.5% did not know the duration between the time of infection and onset of clinical symptoms. The most popular symptom mentioned spontaneously was bleeding through body orifices (48.6%). Majority of respondents mentioned handshake or skin contact as a mode of transmission (57.3%) and reduced contact with bats as a means to prevent the spread of EVD (58.1%). Knowledge of transmission of body fluids such as faeces, blood or urine was low (<10%), though this varied significantly by socio-demographic group. Majority (94%) of respondents acknowledged that EVD was a serious disease, however, only 58% saw themselves at risk. Current preventive behaviours included: improved hand hygiene (83%) and avoidance of handshakes and physical contact with people (81%). Community members in the Kintampo districts have high level of awareness of EVD, but important gaps in knowledge of EVD still exist, especially concerning body fluids as a mode of transmission. There is the need to intensify educational messages as part of Ghana’s preparedness towards a potential EVD outbreak.展开更多
Most scientific discoveries and advancements have occurred in the world in the last century. Both developed and developing countries are the beneficiaries of the new scientific knowledge and its application. Advanced ...Most scientific discoveries and advancements have occurred in the world in the last century. Both developed and developing countries are the beneficiaries of the new scientific knowledge and its application. Advanced knowledge and the ethical issues are inseparable from research, treatment, prophylaxis and prevention involving human diseases. It is necessary to make well informed decisions about acceptance of advancements that have taken place elsewhere and also prepare systems for our research and medical education. Bioethics therefore needs to be grounded in the local socio cultural context and health care systems. Students make first contact with human biological tissue in the Anatomy department. The seeds of ethical practices and professionalism are sown here. Therefore appropriate knowledge and attitudes of anatomists and cell biologists towards human tissue is important for regular practice of medicine. A questionnaire based study of knowledge and attitudes of 300 anatomy faculty related to use of human biological materials in research and education was conducted. The items included in the questionnaire were to judge the awareness about the same i.e., laboratory handling of human material and research related to corpses, organ & whole body donation along with their use in clinical learning and research in various medical specialties like, orthopedics, surgery, ENT, anesthesia etc. for clinicians, physicians and surgeons as well as undergraduate, post graduate and allied workforce teaching. The data collected from the respondents in the form of positive and negative responses was analyzed. The study identifies the knowledge gaps and the perceptions of faculty regarding the scope and utility of understanding the role of human biological tissues in curriculum and research and transmission of message to the next generation of learners.展开更多
Food handlers have a prime role to play in food businesses, and that is to guarantee that meals served are hygienic for consumption. Conscious or inadvertent contamination of such food places consumers at risk of suff...Food handlers have a prime role to play in food businesses, and that is to guarantee that meals served are hygienic for consumption. Conscious or inadvertent contamination of such food places consumers at risk of suffering from food- borne illnesses. For this reason the study was carried out to document the food hygiene knowledge, attitudes and practices of some food handlers, in food businesses in Accra, Ghana and also to determine the microbiological load of the foods sold by the food businesses. The study targeted food handlers in the hotel industry. The study involved a field survey, followed by a laboratory assessment of microbiological status of food samples obtained from the sampled hotels. Cross tabulations and chi – squared tests (5% significance level) as well as frequency distributions were used to analyze the data obtained from the field survey. Data obtained from the laboratory assessment were also compared to standard values of microbiological counts. Majority of respondents were between the ages of 30 - 40 years (42.9%) with tertiary or post secondary education. Food hygiene knowledge and attitudes were satisfactory, however its practice was challenging. Gender, age and educational level of respondents did not influence their food hygiene practices. Microbial counts of all food samples was generally high ranging from 1.2 × 105 CFU/g to 1.1 × 108 CFU /g. The total coliform counts of foods ranged from 1.0 × 104 CFU/g to 5.0 × 106 CFU/g, and these were obtained from three out of the five hotel kitchens sampled. The study concluded that, the food hygiene knowledge and attitudes of the food handlers did not result in efficient food hygiene practices.展开更多
文摘Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.
文摘BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females.
文摘Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.
文摘Objective:To determine the global level of knowledge,attitudes,and practices towards dengue fever among the general population.Methods:To complete this systematic review and meta-analysis,a thorough search for pertinent English-language literature was undertaken during the study's extension until October 2023.The search used Google Scholar,Scopus,PubMed/MEDLINE,Science Direct,Web of Science,EMBASE,Springer,and ProQuest.A quality assessment checklist developed using a modified Newcastle-Ottawa Scale for the cross-sectional study was used to evaluate the risk of bias in the included papers.Inverse variance and Cochran Q statistics were employed in the STATA software version 14 to assess study heterogeneity.When there was heterogeneity,the Dersimonian and Liard random-effects models were used.Results:59 Studies totaling 87353 participants were included in this meta-analysis.These investigations included 86278 participants in 55 studies on knowledge,20196 in 33 studies on attitudes,and 74881 in 29 studies on practices.The pooled estimates for sufficient knowledge,positive attitudes,and dengue fever preventive behaviors among the general population were determined as 40.1%(95%CI 33.8%-46.5%),46.8%(95%CI 35.8%-58.9%),and 38.3%(95%CI 28.4%-48.2%),respectively.Europe exhibits the highest knowledge level at 63.5%,and Africa shows the lowest at 20.3%.Positive attitudes are most prevalent in the Eastern Mediterranean(54.1%)and Southeast Asia(53.6%),contrasting sharply with the Americas,where attitudes are notably lower at 9.05%.Regarding preventive behaviors,the Americas demonstrate a prevalence of 12.1%,Southeast Asia at 28.1%,Western Pacific at 49.6%,Eastern Mediterranean at 44.8%,and Africa at 47.4%.Conclusions:Regional disparities about the knowledge,attitude and preventive bahaviors are evident with Europe exhibiting the highest knowledge level while Africa has the lowest.These findings emphasize the importance of targeted public health interventions tailored to regional contexts,highlighting the need for region-specific strategies to enhance dengue-related knowledge and encourage positive attitudes and preventive behaviors.
文摘Introduction: Hepatitis B is a public health problem. This study aimed to investigate the knowledge, attitudes, and practices of students at Gaston Berger University of Saint-Louis regarding hepatitis B. Methods: A descriptive cross-sectional study was conducted in March 2024 within the university’s social campus among a sample of 800 students. Results: The sex ratio favored men at 1.5, and the average age was 23.3 years with a standard deviation of 2.7 years. Among students, 26.6% had never heard of the term “hepatitis B”, and 60% knew it was a liver disease. Young people and adolescents were identified as the most exposed population group by 52.3% of respondents. According to 53.7% of the sample, hepatitis B would be a curable disease. Furthermore, 95.0% of the surveyed individuals were not vaccinated against hepatitis B, and 36.3% were afraid of living with an infected person. While 63.0% had poor knowledge, 78.8% had negative attitudes, and poor practices were observed in 6.9% of participants. Conclusion: This study highlighted a lack of knowledge and concerning attitudes among students regarding hepatitis B. The results underscore the need to intensify information and awareness campaigns about this disease, as well as the importance of promoting vaccination and encouraging appropriate preventive practices among the student population.
文摘Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Dioulasso in Burkina Faso. Methods: A total of 243 mothers of children under 5 years in the peri-urban of Bobo-Dioulasso were administered the FAO questionnaire for food safety knowledge, attitudes, and practices assessment during two cross-sectional surveys, before and after the intervention, in January and October 2017. The intervention included two components consisting of a theoretical phase (counselling and discussion) and cooking demonstrations implemented for ten months. To account for the before-and-after design of the study, the McNemar’s test was used to assess the effect of the intervention on food safety KAP of mothers of children under 5 years. Results: The mean age of mothers was 29 ± 6.2 years and 50.6% of them were between 20 and 29 years old. One for knowledge (cooking thoroughly with, p-value = 0.0001) and another for attitudes (perceived benefits of reheating leftovers before eating them, p-value = 0.0001), significantly increased after the intervention. In terms of food safety practices, all the indicators (cleaning of dirty surfaces, plates and utensils and storage of perishable foods) significantly increased (all p = 0.0001 Conclusion: This study provided some evidence of an effective nutrition education intervention for improving maternal KAP on food safety for their child’s feeding.
文摘Introduction: Rabies is a serious disease, as it is always fatal, but it can be prevented by sero-vaccination. It is a neglected tropical disease endemic in Asia and Africa. The aim of this study was to assess knowledge, attitudes and practices regarding rabies and to determine the factors associated with them among people aged 18 and over in the commune of Niakhène. Methods: This was a cross-sectional, descriptive and analytical survey of subjects aged 18 and over living in the commune of Niakhène. A sample of 300 individuals was drawn from a two-stage cluster survey stratified by age and sex. Bivariate analysis was performed using association tests. Results: The mean age of respondents was 35.3 ± 16.9 years. It was noted that 67% (201) of respondents had a good knowledge of rabies. The results showed that 7.3% (22) of respondents owned a dog. Of the 278 people who did not own a dog, 78.4% (218) said they would have vaccinated their dog if they had had one. It should be noted that 83.7% (251) of respondents said they would go to a health facility if an animal bit them. None of the dog owners had vaccinated their dogs against rabies. Of the 41 people exposed to rabies, 39% went to a health facility. The age and education of the respondents had statistically significant associations with knowledge of rabies. Respondents’ age and education were statistically significantly related to whether they had vaccinated a domestic dog. The age, education and economic well-being quintile of respondents’ households had statistically significant associations with the use of a health facility in the event of being bitten or scratched by an animal vector. The education of respondents who had been bitten by an animal vector was statistically significantly associated with the use of a health facility. Conclusion: It would be imperative for human and animal health authorities to collaborate in a “One Health” approach in order to increase knowledge and promote the adoption of good practices in rabies prevention.
文摘Background: Breast cancer is the dominant cancer in women in both developed and developing countries. The objective of this study was to assess the knowledge, attitudes, practices and factors associated with early breast cancer screening among women in the Municipality of Abomey-Calavi in Benin. Methods: This was a cross-sectional, descriptive, analytical study with prospective data collection from October 1 to 8, 2018, involving 1740 women in the Municipality of Abomey-Calavi, aged 18 years or older and selected by WHO four-stage random cluster sampling. Consenting women who were mentally competent, 18 years of age or older at the time of the survey, and residing continuously in the Municipality of Abomey-Calavi for the last six months prior to the survey were included. On the other hand, women who belonged to a breast cancer prevention service, women in whom secondary screening was noted, or non-consenting women were not included. The initial minimum size was estimated by the Schwartz formula with a cluster effect of k = 2. Information was collected by questionnaire survey, entered with Epidata 3.1. Fr and analyzed with R Studio 3.5.1. software. Results: The mean age of the women surveyed was 32.0 ± 11.5 years with a range of 18 and 71 years. Regarding knowledge, the clinical manifestation known by the majority of women was the presence of a nodule (68.50%). In the series, 1308 (75.17%) declared having heard about breast cancer once before, either on the radio, television or from friends and 726 (55.50%) had heard about breast cancer screening. Five hundred and twelve (70.52%) of the 726 who had heard of breast cancer said they knew that breast cancer could be screened earlier. Breast self-examination was the most cited screening method (67.58%). The disease is of natural origin according to 37.84% of them. Regarding attitudes and practices, the prevalence of early breast cancer screening was 12.93%, of which 11.67% declared that they had checked themselves to know whether they were carriers of the disease or not. The main means of the early screening used was breast self-examination (85.78%). Factors associated with early breast cancer screening found in multivariate analysis were age (≤50 years), education level (increasingly higher), marital status (married/coupled), place of residence (downtown), and socioeconomic level (average/high). Conclusion: The frequency of early breast cancer screening among women is still low in the municipality of Abomey-Calavi, although they have a good knowledge of the disease. This raises the need to strengthen awareness of early breast cancer screening.
文摘Context: Breast cancer is a high-mortality disease. Early detection has considerably reduced mortality in developed countries. Objectives: To assess the knowledge, attitudes and practices of Congolese women in Kinshasa on breast cancer, their levels and to identify factors associated with insufficient knowledge, negative attitudes and non-beneficial practices. Material and Methods: This was a descriptive cross-sectional study with analytical aims, carried out from June 1 to September 30, 2023, in Kinshasa. It involved 1170 female respondents, aged 18 to 65, who agreed to take part in the survey. Data were collected using a pre-established questionnaire. Data analysis was performed using SPSS software version 20.0. The study variables were socio-demographics, morbid history, knowledge, attitudes and practices of respondents regarding breast cancer. Statistical measures and tests used were Mean ± standard deviation, median, proportions, logistic regression Backward stepwise and p Results: 60% had insufficient knowledge, 75% had negative attitudes and 80% had non-beneficial practices. The risk factors common to insufficient knowledge, negative attitudes and non-beneficial practices towards breast cancer were low level of education, membership of revivalist or Muslim churches, and primiparity. Conclusion: 60% of Congolese women in Kinshasa have insufficient knowledge about breast cancer, 75% have negative attitudes and 80% have non-beneficial practices, with a positive association between insufficient knowledge and negative attitudes on the one hand, and insufficient knowledge and non-beneficial practices on the other. In this context, increasing the population’s literacy and access to information are essential.
文摘Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.
文摘Introduction: Breast and cervical cancer are real public health problems in Cameroon. Primary and secondary preventive measures remain the main means of the fight against cancer. This study aimed at evaluating women’s knowledge, attitudes and practices regarding preventive measures against breast and cervical cancer. A cross-sectional study was conducted in the Mbankomo Health District in Cameroon for 5 months (From March to August 2023). Data was collected using a questionnaire administered during an interview with consenting women. Statistical analysis was performed using SPSS Version 26 software. Differences were considered statistically significant for values of p Results: A total of 325 women participated in this study. More than half of the participants were aged between 21 and 30 (60.9%), singles (52.9%) and had at least one child (53. 2%). The level of knowledge was poor in 46.76% of participants. Attitudes were approximative for 34.15% of them and related to their perception of not being at risk of cancer. Only 13.23% of women had adequate practices, with 4.2% vaccinated against the human papillomavirus and 17.8% having undergone breast cancer screening. There was a significant association between a low level of education and a poor level of knowledge [OR: 4.72;95% CI: 2.82 - 7.89;P-value Conclusion: knowledge was correlated with attitudes and practices. It would be advisable to raise awareness of breast and cervical cancer prevention, targeting all women and youths, particularly in the current context where cancers are increasingly occurring in young people.
文摘Introduction: Obesity is an increasingly common problem, and general practitioners need to be involved in its management. This study aims to assess the knowledge, attitudes and practices of general practitioners in Ouagadougou, Burkina Faso. Methodology: The cross-sectional survey was carried out between September 16 and October 15, 2024, involving general practitioners registered with the Medical Council. A structured questionnaire, previously tested, was sent by email and re-sent to maximize participation. Data analysis was performed using SPSS software. Results: Of 424 physicians contacted, 121 participated. The vast majority (97.5%) of doctors recognized the influence of obesity on women’s sexual and reproductive health, with 89.3% identifying potential disorders. However, only 28.1% actively sought to detect these disorders in their patients. Surprisingly, 96.6% of doctors referred their patients to specialists for sexual problems, mainly gynecologists. What’s more, only 30.6% broach the subject of contraception. Reasons for this reluctance include the taboo nature of the subject and the lack of comfort in discussing it. Conclusion: The study reveals a good knowledge of the impact of obesity on sexual health, but there is a reluctance on the part of GPs to broach these subjects in consultation. Targeted training is essential to improve communication between doctors and obese patients.
文摘Objective:To elucidate the relationship among knowledge,attitudes,and practices regarding Covid-19 and their relationship with booster vaccination status among women with infertility.Methods:This questionnaire-based cross-sectional study was performed online and offline among women with infertility who visited an infertility clinic in Jakarta,Indonesia.We assessed the patient’s knowledge,attitudes,and practices regarding Covid-19 and their relationship with booster vaccination status and sociodemographic profile.Results:A total of 178 subjects participated in this study,and most participants(92.6%)had received booster Covid-19 vaccines.From the questionnaire,74.2%had good knowledge,and 99.4%had good attitudes regarding Covid-19;however,only 57.9%of patients had good practices.A weak positive correlation existed between knowledge and attitudes(r=0.11,P=0.13)and a moderate negative correlation between attitudes and practices(r=-0.44,P=0.56).Participants’knowledge about vaccines and infertility was correlated with booster vaccination status(P=0.04).Academic background(P=0.01)and attitudes(P=0.01)were also correlated with booster vaccination status.The significant determinants of hesitance of receiving Covid-19 booster vaccines were high school education or below(OR=0.08,95%CI 0.02-0.36)and poor practices(OR=0.21,95%CI 0.05-0.95).Conclusions:The majority of the participants had received the Covid-19 booster vaccine and had good knowledge and attitudes but poor practices regarding Covid-19.Most participants had poor knowledge about the relationship between infertility and the Covid-19 vaccine.The general population should be more informed and reminded about practices to prevent Covid-19 and the relationship between vaccination and fertility to increase the number of people who receive Covid-19 booster vaccines.
文摘<strong>Background:</strong><span style="font-family:Verdana;"> Rheumatic heart disease (RHD) is the commonest cause of</span><span style="font-family:Verdana;"> valvular heart disease in low and middle-income countries (LMICs). The low cardiologist to patient ratio leaves a big challenge of RHD prevention and management to general practitioners in Cameroon. This makes it important to assess the aptitude of senior medical students who are doctors-to-be on RHD. This could thus give a base on which to increase awareness and decrease the burden of the disease. Therefore, we sort to evaluate the knowledge, attitudes, and practices (KAP) of senior medical students on rheumatic heart disease.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">General objective: </span></b><span style="font-family:Verdana;">To determine the level of knowledge, attitudes on rheumatic heart disease, and assess practices towards RHD and its prevention.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Methodology: </span></b><span style="font-family:;" "=""><span style="font-family:Verdana;">A cross-sectional study was conducted in four medical schools in Cameroon for a period of 3 months </span><span style="font-family:Verdana;">(from January 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> to April 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;">,</span></span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">2019)</span><span style="font-family:Verdana;">. The senior medical students were recruited using a structured self-administered questionnaire and electronic forms. Data were entered into an excel spreadsheet and analysed with IBM SPSS version 25.0 for windows. The knowledge level was divided into tertiles (poor, moderate and good) while the attitudes and practices were divided into poor or good. Association to KAP was evaluated and Statistical significance was set at P</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;"><</span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">0.05. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> In total, 509 senior medical students (6</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> and 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> year) were recruited. The mean age was 24.6 (SD</span></span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">±</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">1.7) with 53.2% of students in the 19 to 24 years-old range. There were more females (51.7%) and level 6 students (50.1%). </span><span style="font-family:;" "=""><span style="font-family:Verdana;">Most of the students had moderate knowledge (58.2%), with good attitudes and practices on rheumatic heart disease and its prevention. One-quarter of the students had good knowledge, attitudes, and practices on rheumatic heart disease. Lecture on RHD, history of sore throat and study in faculty of health science (FHS) was associated with good knowledge, attitudes, and practices on RHD. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Despite having most of the senior medical students (6</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> and 7</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> years) in Cameroon with moderate to good knowledge of RHD, only a third has an above-average knowledge. There is a modest knowledge of RHD that could be used as an important foundation upon which to build RHD educational programs to expand awareness and understanding. Every 1 in 4 senior medical students have good knowledge, attitude and practice on RHD.</span></span>
文摘Introduction: Refractive error is recognized as one of the most important causes of correctable visual impairment and affects people of all ages, socioeconomic levels, and ethnic groups. The World Health Organization (WHO) estimated 285 million people globally were visually impaired, with 39 million blinds. The aim of this study is to access the knowledge, attitudes, and practices of health sciences students about the refractive error in Nampula, Mozambique. Material and Methods: Descriptive cross-sectional study including health sciences students of Lúrio University in Nampula, applying a questionnaire to access their knowledge, attitudes, and practices concerning the refractive error. The collected data were entered into SPSS version 22.0 for analysis. Frequency distribution and central tendency measures (mean, median) were used to summarize the descriptive part of the study. Results were described using tables and running text. Sample students were included after obtaining informed consent. Results: A total of 298 students participated in the study, 50.3% female, with average age of 24 ± 5.4 years. 69.8% had an eye exam and 54.7% believe they have good vision, 58.1% say that wearing glasses is the main method of correcting refractive errors. 92.3% refer to the Central Hospital as the best place to provide eye health services. The main reason for not purchasing the glasses was their cost (47.3%) and the alternative method for spectacle users was contact lenses (81.0%). The students’ attitudes were positive towards the use of glasses. Conclusion: Visual health education about the knowledge, attitudes and practices regarding refractive errors among students must be intensified to ensure good dissemination of information in the surrounding communities enrolled in the health promotion program “One Student, One Family” implemented by Lúrio University in Nampula.
基金supported in part by a non profit organization"Epidemiological and Clinical Research Information Network"
文摘Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 years who had backyard poultry and lived at least one year in the areas of the survey through multi-stage cluster sampling.An average score of correct answers was generated to evaluate respondents’ knowledge(Good/Poor).attitudes(Positive/ Negative),and practices(Good/Bad).Results:We reported that about half of the respondents had good knowledge and good practices and four-fifth of them had positive attitudes towards HPAl.Odds ratios(ORs) and 95%confidence intervals(CIs) were estimated through a logistic regression model to explore contributing factors that raise their KAP levels.Most of the sources were significant in increasing knowledge of the respondent,like television(OR=l.6.95%CI=1.0- 2.7),radio(OR=2.5.95%CI=l.3-4.9).leaflets/booklets(OR=2.1,95%CI=1.2-3.9),school students (OR=18.4.95%CI=2.4-142.9).village health volunteers(OR=4.5.95%CI=2.2-10.9) etc.Factors such as television(OR=3.7.95%CI=2.1-6.4).leaflets/booklets(OR=2.6,95%CI7=1.4-5.1).and public health staff(OR=2.2,95%CI=1.2-4.1) had similar influence on practices.Although,we found similar effect on raising the attitudes of the responded,it was not significant.Conclusions: We report a satisfactory level of positive attitudes,and moderate level of knowledge and practices related to HPAI among Cambodian women.Raising KAPs through television,radio and other medias may be more efficient than using usual information,education and communication materials to prevent HPAI.
文摘The development of antimicrobial resistance (AMR) due to over or misuse of antibiotics/antimicrobials is a globally increasing public health concern. This study was conducted to assess the current knowledge, attitudes, and practices (KAP) of swine and poultry producers on antimicrobial use (AMU) and antimicrobial resistance (AMR). A total of 254 swine and poultry producers of 5 provinces in Cambodia were purposively surveyed using validated KAP questionnaires, a useful tool for promoting the rational use of antimicrobials in livestock. Collectively, this study found out that livestock producers in Cambodia have a low level of knowledge, neutral rather than positive attitudes, and employed poor practices on the AMU and AMR. Thus, there is a need to promote among producers the rational and responsible use of antimicrobials. Furthermore, public awareness of the AMR implications on public health can contribute to the prevention or reduction of AMU and AMR in Cambodia.
文摘This study describes community members’ knowledge of Ebola Virus Disease (EVD), their attitudes and preventive practices. A mixed methods approach was used. A random sample of 1028 community members aged 15 - 65 years was interviewed in a quantitative survey. This was complemented with a qualitative study involving 24 opinion leaders who were carefully selected. The study was conducted in Kintampo North and South districts of Ghana from August 2014 to October 2014. 83% of respondents had heard of EVD, but 62.5% did not know the duration between the time of infection and onset of clinical symptoms. The most popular symptom mentioned spontaneously was bleeding through body orifices (48.6%). Majority of respondents mentioned handshake or skin contact as a mode of transmission (57.3%) and reduced contact with bats as a means to prevent the spread of EVD (58.1%). Knowledge of transmission of body fluids such as faeces, blood or urine was low (<10%), though this varied significantly by socio-demographic group. Majority (94%) of respondents acknowledged that EVD was a serious disease, however, only 58% saw themselves at risk. Current preventive behaviours included: improved hand hygiene (83%) and avoidance of handshakes and physical contact with people (81%). Community members in the Kintampo districts have high level of awareness of EVD, but important gaps in knowledge of EVD still exist, especially concerning body fluids as a mode of transmission. There is the need to intensify educational messages as part of Ghana’s preparedness towards a potential EVD outbreak.
文摘Most scientific discoveries and advancements have occurred in the world in the last century. Both developed and developing countries are the beneficiaries of the new scientific knowledge and its application. Advanced knowledge and the ethical issues are inseparable from research, treatment, prophylaxis and prevention involving human diseases. It is necessary to make well informed decisions about acceptance of advancements that have taken place elsewhere and also prepare systems for our research and medical education. Bioethics therefore needs to be grounded in the local socio cultural context and health care systems. Students make first contact with human biological tissue in the Anatomy department. The seeds of ethical practices and professionalism are sown here. Therefore appropriate knowledge and attitudes of anatomists and cell biologists towards human tissue is important for regular practice of medicine. A questionnaire based study of knowledge and attitudes of 300 anatomy faculty related to use of human biological materials in research and education was conducted. The items included in the questionnaire were to judge the awareness about the same i.e., laboratory handling of human material and research related to corpses, organ & whole body donation along with their use in clinical learning and research in various medical specialties like, orthopedics, surgery, ENT, anesthesia etc. for clinicians, physicians and surgeons as well as undergraduate, post graduate and allied workforce teaching. The data collected from the respondents in the form of positive and negative responses was analyzed. The study identifies the knowledge gaps and the perceptions of faculty regarding the scope and utility of understanding the role of human biological tissues in curriculum and research and transmission of message to the next generation of learners.
文摘Food handlers have a prime role to play in food businesses, and that is to guarantee that meals served are hygienic for consumption. Conscious or inadvertent contamination of such food places consumers at risk of suffering from food- borne illnesses. For this reason the study was carried out to document the food hygiene knowledge, attitudes and practices of some food handlers, in food businesses in Accra, Ghana and also to determine the microbiological load of the foods sold by the food businesses. The study targeted food handlers in the hotel industry. The study involved a field survey, followed by a laboratory assessment of microbiological status of food samples obtained from the sampled hotels. Cross tabulations and chi – squared tests (5% significance level) as well as frequency distributions were used to analyze the data obtained from the field survey. Data obtained from the laboratory assessment were also compared to standard values of microbiological counts. Majority of respondents were between the ages of 30 - 40 years (42.9%) with tertiary or post secondary education. Food hygiene knowledge and attitudes were satisfactory, however its practice was challenging. Gender, age and educational level of respondents did not influence their food hygiene practices. Microbial counts of all food samples was generally high ranging from 1.2 × 105 CFU/g to 1.1 × 108 CFU /g. The total coliform counts of foods ranged from 1.0 × 104 CFU/g to 5.0 × 106 CFU/g, and these were obtained from three out of the five hotel kitchens sampled. The study concluded that, the food hygiene knowledge and attitudes of the food handlers did not result in efficient food hygiene practices.
