Perception of Risk for Lassa Fever among Residents of a Rural Community in Edo State, Nigeria

I. Alenoghena, V. Omuemu
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Abstract

Background: The prevention and control of Lassa fever depends on the adoption of appropriate behavioural practices. The expected changes are best explained using the Health Belief Model. The study investigated respondents’ perception of their risk for Lassa fever infection and its associated factors in Akhalowa community of Edo State. Methods: This cross-sectional study was conducted among eligible heads of households using a structured interviewer-administered questionnaire. Data were analyzed using descriptive and inferential statistics on IBM SPSS version 22.0. A p-value < 0.05 at 95% confidence interval was considered statistically significant. Results: The participants included 220 respondents with mean age (SD) of 37.9 (13.2) years. There were 127 (57.7%) females and 143 (65.0%) respondents had at least secondary education. One hundred and ninety one (86.8%) of them were aware of Lassa fever, out of which 146 (76.4%) had overall good perception of their risk for the disease and 144 (75.4%) agreed that Lassa fever was a problem in the community. One hundred and seventy seven (92.7%) agreed that complying with preventive measures would protect them against Lassa fever. Respondents’ good knowledge of Lassa fever was the only significant predictor of good perception of risk for Lassa fever [Odds Ratio=3.806; 95 CI = 1.498-9.672, p=0.005]. Conclusion: The study revealed overall good perception of risk for Lassa fever among the respondents. It is therefore recommended that this is sustained through continuous risk communication messages on the prevention and control of Lassa fever to the people by the Edo State and local governments.
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尼日利亚埃多州农村社区居民对拉沙热风险的认知
背景:预防和控制拉沙热取决于采取适当的行为习惯。预期的变化最好用健康信念模型来解释。该研究调查了受访者对其在江户州阿哈洛瓦社区感染拉沙热风险及其相关因素的看法。方法:本横断面研究采用结构化访谈问卷对符合条件的户主进行。数据分析采用IBM SPSS 22.0版的描述性统计和推断性统计。在95%置信区间p值< 0.05被认为具有统计学意义。结果:调查对象220人,平均年龄37.9(13.2)岁。有127名(57.7%)女性和143名(65.0%)受访者至少受过中等教育。191人(86.8%)了解拉沙热,其中146人(76.4%)对其患病风险总体认知良好,144人(75.4%)认为拉沙热是社区存在的问题。177人(92.7%)同意遵守预防措施可以保护他们免受拉沙热的侵害。受访者对拉沙热的良好认知是对拉沙热风险良好认知的唯一显著预测因子[优势比=3.806;[CI = 1.498-9.672, p=0.005]。结论:该研究显示,受访者对拉沙热风险的总体认知良好。因此,建议通过江户州和地方政府持续向人民传播关于预防和控制拉沙热的风险信息来维持这一做法。
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