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@#Introduction: Dengue is a mosquito-borne flu-like illness which massively caused Malaysian morbidity and mortality. The prevalent of cases influenced by high humidity climate and urbanization which enhances the mosquito breeding. Thus, the utilization of household insecticide became a necessity among the urban community especially in the Kuantan city, Pahang. The insecticide is made of type 1 pyrethroids chemicals that are recognized to be safe. However, there were reported insecticide intoxication cases that suggested insufficient studies on insecticide usage and its exposure effects. Hence, the study aimed to assess the community’s knowledge, attitude and practice (KAP) level upon household insecticide and its associated factors among Kuantan’s public. Method: A cross-sectional survey was conducted among 199 respondents via a self-administered questionnaire concerning sociodemographic and KAP’s domain data was distributed and collected. Results: Most respondents had adequate KAP scores. Statistical analysis confirmed that marital status group (p = 0.047) affected knowledge singles and married person had higher knowledge score. There were significant association between females with levels of knowledge (p = 0.003) and attitude (p = 0.024). A strong positive correlation between knowledge and attitude (r = + 0.800, p = 0.010), between knowledge and practice (r = + 0.760, p = 0.010), and a good positive correlation between attitude and practice (r = + 0.740, p = 0.010). Conclusion: The finding of Kuantan public’ KAP data can be used as a reference to formulate effective health promotion intervention to reduce the insecticide exposure risk among wider public community.
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Objective : To investigate the correlation between knowledge, self-efficacy and prevention management behaviour of osteoporosis among middle-aged and elderly community residents in Shanghai, based on the knowledge, attitude, and practice (KAP) theory. Methods ¡¤ By using convenient sampling, a cross-sectional study was conducted to obtain information of 2 058 residents from 20 communities in Shanghai, concerning socio-demographics, osteoporosis knowledge scale, osteoporosis self-efficacy scale and osteoporosis prevention management be-haviour scale questionnaires. The structural equation model was applied to correlation analysis and path analysis. Results ¡¤ A total of 2 001 valid questionnaires were collected, the average age being (62.12±12.08) years; female osteoporosis prevention self-management behaviour (17.25±5.35) was shown to be better men's (t=3.78, P<0.001). A higher score of prevention management behaviour in osteoporosis was obtained from residents of college education or higher (18.25±5.18), compared with those of primary school or lower (15.34±4.74), and high school (17.09±5.31) (F=26.93, P<0.001), respectively. Higher scores were revealed in groups with family history (18.13±4.73) compared with those without (16.89±5.33) (t=3.89, P<0.001). Higher income groups achieved higher scores (17.90± 4.52), compared with relatively lower income groups (F=8.66, P<0.001). Multiple factor analysis demonstrated that knowledge and self-efficacy were significantly correlated with prevention management behaviour (β=0.27, 95% CI 0.22-0.32; β=1.01, 95% CI 0.92-1.11). Path analysis showed that relevant knowledge (β=0.169, P<0.001) had direct effect on the prevention management behaviour, and could also be mediated by self-efficacy (β=0.410, P<0.001). Conclu-sion ¡¤ Male, low education, no family history of osteoporosis and low income are the risk factors for the decrease of osteoporosis prevention and management behaviour.
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Objective To understand the status of knowledge, attitude and practice on echinococcosis prevention and control and investigate their influencing factors among residents living in Seda County of Sichuan Province, so as to provide a scientific basis for the further implementation of health education interventions in the county. Methods A multi-stage stratified random sampling method was employed on September 2018. Ten townships were randomly sampled, and 2 to 3 administrative villages were randomly sampled from each township. Then, 20 to 40 households were randomly sampled from each village, and 1 to 2 villagers were investigated in each household. The knowledge, attitude and practice on echinococcosis prevention and control were investigated using a household questionnaire survey, and the factors affecting the qualification of echinococcosis prevention and control knowledge were identified using chi-square test and logistic regression analysis. Results A total of 760 questionnaires were assigned, and 748 effective questionnaires were recovered, with a recovery rate of 98.42%. The overall qualification rate of echinococcosis prevention and control knowledge was 56.42% (422/748) in residents living in Seda County, and the awareness of the question “How to get echinococcosis?” was only 48.40%. The proportion of subjects with a positive attitude towards echinococcosis prevention and control was 64.71% to 94.79%, and the rate of corrected echinococcosis prevention and control behaviors was 10.40% to 82.45%. Univariate analysis showed that factors affecting the qualification rate of echinococcosis prevention and control knowledge included gender, occupation, education level, frequency of echinococcosis screening and frequency of health education (all P < 0.05), and binary logistic regression analysis showed that women, herdsmen as the primary occupation, an education level of primary school and below, absence of echinococcosis screening and absence of health education were factors responsible for the unqualified awareness of echinococcosis prevention and control knowledge (all P < 0.05). Conclusions There is a low awareness rate of echinococcosis prevention and control knowledge and a low proportion of corrected echinococcosis prevention and control behaviors in residents living in Seda County, Sichuan Province. Multiple forms of health education activities pertaining to echinococcosis prevention and control are needed with adaptation to local circumstance, and implementation of appropriate behavioral interventions is recommended.
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The readymade garment (RMG) industry is a key sector of Bangladesh economy. This sector brings in about 78% of the country’s total merchandize export earnings. More than 3.2 million people are working in this sector and mostly females from underprivileged social classes.Employment in this Ready-made garment sector in Bangladesh provides workers with economic benefits and some empowerment. A descriptive cross-sectional study followed by a qualitative approach was utilized. Through proportionate quota sampling, 560 garments workers were recruited from 6(one large, two medium, and three small) garment factories in Mirpur area of Dhaka city.Almost all of the garments workers knew that both smoking and smokeless tobacco (98.4%) is harmful for health. Knowledge on specific health hazards of smoking (96.96%) tobacco was relatively higher than those of smokeless (90%) tobacco. Electronic media (Radio/TV/Cinema) was themost common source of their knowledge (92.9%). In case of smoking tobacco, cancer (63.6%) was the mostly reported disease caused by smoking tobacco, followed by lung cancer (15.7%) and heart attack (11.3%). On the other hand, for smokeless tobacco, cancer (29.8%), followed by oral cancer (26.6%) and lung cancer (15.0%) was mostly reported diseases by the garments workers. Garment workers’ knowledge on tobacco control policy was found to be very low. Only 35.0% knew about the policy. Although few garments workers know about the rules for prohibition of tobacco product in public place (25.7%) and public transport (11.3%), other specific rules under tobacco control policy were not known to majority of them. The present study provides a scientific base regarding current tobacco using practice among garments workers in Dhaka city and their knowledge and attitude towards tobacco. Finding revealed from qualitative analysis of data suggested that now-a-days smoking is considered as a trend; people have to smoke for showing smartness or to maintain social status. Peer influence also plays an important role for initiating and maintaining smoking status. Socio-cultural influence for smokeless tobacco consumption was not well documented by this study which indicated a need for more focused qualitative study.
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Objective To understand the knowledge, attitude and practice (KAP) of foodborne parasitic diseases among medical college students, so as to provide the evidence for the development of strategies on health education. Methods A total of 929 premed students from a medical college were selected in Hebei Province using the stratified sampling method from October to December, 2017, and investigated by questionnaires to understand their KAP on foodborne parasitic diseases. Results The understanding and concern degree on foodborne parasitic diseases among the college students from different majors were statistically different (all P < 0.05), the awareness rate and the degree of concern of the non-medical students were lower than those of the medical students, and the awareness rate and the degree of concern of the students who had received medical parasitology education were higher than those who had not received. For the formation rate of not prefer seeking novelty, there was a statistically significant difference among the college students in different majors (P < 0.05), and the rate of health behavior formation in non-medical students was relatively low. There were statistically significant differences among the students from different majors in the attitude on "would suggest others not to eat the foods that might be infected with the foodborne parasites", "would not eat the foods that might be infected with the foodborne parasites", and "would give up special preferences or bad habits" (all P < 0.05), and the formation rate of correct attitude of medical students was relatively high. Conclusion The awareness rate and the formation rates of correct attitude and behavior of the college students who have received medical parasitology education are relatively higher, so it is necessary to set up a course on foodborne parasitic diseases in colleges and universities.
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Objective To understand the knowledge, attitude and practice (KAP) of foodborne parasitic diseases among medical college students, so as to provide the evidence for the development of strategies on health education. Methods A total of 929 premed students from a medical college were selected in Hebei Province using the stratified sampling method from October to December, 2017, and investigated by questionnaires to understand their KAP on foodborne parasitic diseases. Results The understanding and concern degree on foodborne parasitic diseases among the college students from different majors were statistically different (all P < 0.05), the awareness rate and the degree of concern of the non-medical students were lower than those of the medical students, and the awareness rate and the degree of concern of the students who had received medical parasitology education were higher than those who had not received. For the formation rate of not prefer seeking novelty, there was a statistically significant difference among the college students in different majors (P < 0.05), and the rate of health behavior formation in non-medical students was relatively low. There were statistically significant differences among the students from different majors in the attitude on "would suggest others not to eat the foods that might be infected with the foodborne parasites", "would not eat the foods that might be infected with the foodborne parasites", and "would give up special preferences or bad habits" (all P < 0.05), and the formation rate of correct attitude of medical students was relatively high. Conclusion The awareness rate and the formation rates of correct attitude and behavior of the college students who have received medical parasitology education are relatively higher, so it is necessary to set up a course on foodborne parasitic diseases in colleges and universities.
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Background: Workplace accidents affect young people and developing countries share the largest job related incidences and diseases. Micro and small enterprises (MSE) are in rapid expansion in Ethiopia and they consist mostly of young age groups. Materials and Methods: The study was conducted in Hawassa (Jan. to Mar., 2014), Ethiopia. The subjects were 382 respondents, all eligible workers at MSE wood and metal workshops in Hawassa. The study design was institution based cross-sectional and the data were collected by interviewing and administering semi-structured questionnaires which included demographic characteristics, and questions specifically designed to assess the knowledge, attitude and practice (KAP) of the study subjects. Knowledge and attitude were measured using composite score and data were analyzed using SPSS version 16 computer software to determine descriptive statistics. Results: The response rate of the study was 92.7%. The majority, 84.9% (299), of the respondents was males and 15.1% (53) were females; 36.2% (128) were aged 25 – 29 years and 34.7% (123) completed secondary school. Regarding their work environment 94.2% (325) reported presence of excessive dust, 99.2% (350) disturbingly high sound, 89.5% (316) radiation from welding and 99.4% (338) used chemicals in the workplace during painting / spraying. Only 30.5% (108) knew that exposure to chemicals (inhaled sprays, spilled on body etc.) during work causes problem on health. Regarding knowledge related to occupational health and safety (OHS) 83.1% (294) responded 75% and above correctly while regarding attitude 87.2% (309) have shown to have 75% and above favorable attitude towards acceptable OHS principles. Concerning practice on using personal protective equipment (PPE) , out of the 6 PPE mentioned, only 37.3% (132) reported that they use three or more of them sometimes or always. Only 33.9% (120) and 5.4% (19) of the respondents reported that they had training on OHS before they started work and within the last one year respectively. Conclusion and Recommendation: The overall knowledge, attitude and practice related to OHS MSE wood and metal workers in Hawassa pose a public health concern. This calls for urgent intervention in providing on job training as well as implementing safer work environment, medical checkups and improved pre-service training for new staff.
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Objective To understand the status of knowledge,attitude and practice(KAP)on foodborne parasitic diseases and the influencing factors among college students in Wuhu City,so as to provide the evidence for the development of strategies on health education.Methods A total of 1 685 college students from five colleges were selected through the randomly stratified cluster sampling method,and then they were investigated by questionnaires to understand their KAP on foodborne parasitic dis-eases.Chi-square test was performed and regression models were constructed to analyze the influencing factors of knowledge on food-borne parasitic diseases.Results Among the 1 685 college students surveyed the awareness rates of knowledge about food-borne parasitic diseases and their harms were 33.5％(565 cases)and 31.4％(529 cases).There were statistically significant dif-ferences among/between the grades,schools,places of origin,family incomes,whether or not having the male or female friends,whether or not having the medical personnel in the family,whether or not having the insistence on the annual physical examination,whether or not receiving the health education,and whether or not having the history of parasitic diseases(all P<0.05).The logistic regression analysis showed that the school,receiving the health education,having the insistence on the annu-al physical examination,and the history of parasitic diseases were the independent influencing factors of the awareness rate of knowledge on foodborne parasitic diseases(all P<0.01).Conclusion The awareness rate,healthy behavior and correct atti-tude formation about foodborne parasitic diseases are low among the college students in Wuhu City,and therefore,it is neces-sary to offer the courses related to foodborne parasitic diseases in colleges and universities.
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To investigate the malaria rapid diagnostic testing (RDT) - related knowledge, attitude, practice (KAP) of primary healthcare professionals in Jiangsu Province and analyze the corresponding influencing factors.Four cities in Jiangsu Province were selected as the study sites by the typical sampling method to conduct a survey for the RDT related KAP and work satisfaction of primary healthcare professionals, and the multiple logistic regression model was used to explore the relevant influencing factors.Totally 1 150 questionnaires were issued and 949 valid questionnaires were collected with the recovery rate of 82.52%. The valid questionnaires included 453 questionnaires from laboratory technicians, 466 from clinicians, and 30 from malaria prevention and control workers. Totally 83.98% of the surveyed professionals had a low mastering level of essential RDT-related knowledge. A total of 52.17% of the surveyed laboratory technicians recognized that the application of RDT technology could effectively improve the current primary-level microscopy work, and the degree of recognition of RDT technological advantage in the laboratory technicians was higher than that in the clinicians. Totally 79.25% of the surveyed laboratory technicians regarded themselves to be capable of conducting the standardized RDT operation, and 84.55% of the surveyed clinicians regarded themselves to be capable of conducting the qualified malaria clinical diagnostic practice. The key influencing factors of RDT-related KAP of primary healthcare professionals included the laboratory technicians’ gender, educational level, employer’s institutional level, professional title, and working years, and the employer’s institutional level of clinicians.The primary healthcare professionals in Jiangsu Province exhibita good acceptability towards RDT technology. However, their essential knowledge on RDT remains to be improved. Therefore, it is necessary to establish a specific training and educational system for primary healthcare professionals to better guarantee the advantageous impact of RDT technology on the consolidation of the malaria elimination work achievements.
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Objective To understand the status of knowledge,attitude and practice(KAP)of foodborne parasitic diseases among senior high school students in Three Gorges Reservoir Region. Methods A total of 1 353 senior high school students were selected with the cluster sampling method and investigated with the questionnaires in Zigui County,and the data were ana?lyzed statistically. Results Among the 1 353 students surveyed,the awareness rates of parasitic diseases,their hazards and transmissions were 62.23%(842 cases),80.78%(1 093 cases)and 83.89%(1 135 cases)respectively. The awareness rate of parasitic diseases in the students of senior Grade One was higher than that of Grade Two(χ2 =7.037,P<0.05). The formation rates of behaviors of refusing of raw food,refusing of unboiled water,and dining at home or school in the students of senior Grade One were higher than those of Grade Two(χ2=6.970,12.749 and 12.921 respectively,and all P<0.05). Fifty?one per?cent(690 cases)of students would not have the food with the infection risk of parasitic diseases. Conclusion The awareness of parasitic diseases of high school students in Zigui County is not efficient,and the health education should be strengthened.
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<p><b>Objectives</b></p><p> The aim of this study was to investigate the knowledge, attitude, and practice (KAP) of healthcare providers regarding the utilization of oxytocin for induction or augmentation of labor.</p><p><b>Methods</b></p><p> A qualitative study composed of direct observation and individual interview was conducted at a national tertiary maternity hospital in Phnom Penh, Cambodia in January and February 2013. The progress of labor in women who received oxytocin for induction or augmentation of labor was directly observed to confirm the healthcare providers’ management of oxytocin infusion. The attending doctors and midwives were individually interviewed after the women delivered. </p><p><b>Results</b></p><p> During the study period, 10 women were observed, and 12 healthcare providers (three doctors and nine midwives) were interviewed individually. Indications for labor induction or augmentation seemed to be appropriate for nine women. However, we found discrepancies between the national protocol and healthcare providers’ knowledge and actual practices. For example, 11 healthcare providers had never read the national protocol for the management of labor induction and augmentation, which implied limited access to the correct knowledge. A misconception was noted in that the sudden increase of oxytocin was not dangerous during the second stage of labor, despite the establishment of a good contraction pattern. Furthermore, a lack of unified initial dose and extremely high maximum dose above that recommended by the national protocol were observed. About half of observed women were not monitored for more than 2 hours from the beginning of oxytocin infusion.</p><p><b>Conclusion</b></p><p> In the present study, lack of knowledge, misconceptions regarding the management of oxytocin infusion, and a large gap between the national protocol and the actual clinical practices were confirmed. To maximize patient safety and therapeutic benefit, dissemination of the national protocol through in-service training is required.</p>
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BACKGROUND: Creutzfeldt-Jakob disease (CJD) is very rare human prion disease. But, neurologists take a key role in diagnosis, surveillance and management of the cases because of its complexity and difficulty in diagnosis of the disease. The aim of this study is to investigate the level of awareness and preparedness of Korean neurologists on this rare disease. METHODS: Survey sheets of self-administered questionnaire were given to Korean neurologists who participated in the 31st Annual Meeting of the Koran Neurological Association. Data from 133 respondents were conducted by descriptive analysis. RESULTS: Their answers were as follows: About 62% of neurologists have experienced patients of CJD. Forty-four percent of the patients were confirmed by brain biopsy. Most of neurologists (44%) were not confident to diagnose CJD and the reason why they felt hard to diagnose was due to the variable initial clinical manifestations (45.1%) and the lack of clinical experience (51.9%). Heidenheim variant CJD, proteinase sensitive prionopathy, molecular subtypes of sporadic CJD, diagnostic criteria was not familiar term to Korean neurologists (76.7%, 53.4%, 58.6%, and 62.4% respectively). Opinion for the most useful diagnostic tool was brain MRI (45.1%), CSF 14-3-3 protein (30.1%), typical EEG finding (36.8%) and gene (PRNP) test (42.9%). And they consider none of them are specific for the diagnosis of CJD (89.5%, 73.7%, 83.5%, 91.7%, respectively). Most of the neurologist in this survey answered that the opportunity for education of CJD should be increased (67.7%). CONCLUSIONS: Most of neurologists have encountered CJD patients although it is very rare disease. Some of the important and fundamental concepts of CJD were not correctly recognized to Korean neurologists, necessitating a persistent support for updating knowledge and information.
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Humans , 14-3-3 Proteins , Biopsy , Brain , Creutzfeldt-Jakob Syndrome , Surveys and Questionnaires , Electroencephalography , Encephalopathy, Bovine Spongiform , Korea , Prion Diseases , Rare DiseasesABSTRACT
Introduction: Persons with disabilities (PWD) are susceptible to malnutrition. Caregivers or teachers in rehabilitation centres may not be adequately trained in nutrition management of PWD. The aims of this study were (i) to assess the nutrition knowledge, attitude and practice among teachers in community-based rehabilitation centres for PWD; and (ii) to evaluate changes in the nutrition knowledge and attitude of the teachers before and after exposure to a training workshop on nutrition management for PWD. Methods: A cross-sectional survey was conducted using a guided self-administered Nutrition Knowledge, Attitude and Practice Questionnaire on Persons with Disabilities (KAP-nOKU), among a convenience sample of 210 teachers. Forty-five of them further participated in a nutrition training workshop and completed the post-test evaluation on knowledge and attitude of the same measures. Results: At baseline, the teachers’ average knowledge, attitude and practice scores were 13.80±3.73 for knowledge (below 50th percentile); 51.49±4.08 for attitude (above 75th percentile); and 48.08±3.61 for practice (between 50th and 75th percentile). There was significant positive correlations between knowledge and attitude (r=0.343, p<0.05), as well as between attitude and practice (r=0.147, p<0.05). After exposure to a 3-day nutrition workshop, significant improvements in the teachers’ knowledge and attitude were observed, whereby teachers’ knowledge score increased from 14.20±3.80 to 25.38±2.36 and from 51.16±3.97 to 55.20±4.41 for attitude (p<0.001). Conclusion: Nutrition intervention was associated with improvement in short term knowledge and attitude of the teachers. Sustainable interventional strategies are needed to enhance the nutrition knowledge and skills of teachers of PWD.
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Objective To explore the pertinent communication strategy of health education for parasitic diseases.Methods A cross-sectional study was carried out.Before the health education intervention,the knowledge,attitude and practice(KAP)for parasitic diseases of 199 and 250 farmers in two provinces of Sichuan and Yunnan in southwest China were investigated with questionnaire by using the method of PPS.Results Most of the farmers used the simple and crude toilets and their health status were poor,and there were only 7.57% of people having the bio-gas facilities.The awareness rate of the knowledge on malnutrition caused by parasitic diseases was 34.30% and the awareness rate of knowledge about anemia caused by parasitic diseases was 29.62%.There were 81.74% of farmers who believed helminthic drug and 74.61% of people who tended to buy drug by themselves.The health knowledge of the residents mainly came from the interpersonal communication and TV,and the farmers preferred TV,poster and brochure to get the health knowledge.Conclusion The health education with posters,TV and intervention communication is one of the important measures to control parasitic diseases.