Knowledge, attitudes, and practices related to dengue among public school teachers in a Central Luzon Province in the Philippines: an analytic cross-sectional study.

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-03-15 DOI:10.1186/s41182-024-00591-7
Ernesto R Gregorio, Rie Takeuchi, Paul Michael R Hernandez, John Robert Medina, Shin-Ya Kawamura, Mikaela B Salanguit, Marian Danille C Santillan, Kimberly Mae S Ramos, Gideon John Tuliao, Lyndon Morales, Maylin Palatino, Fumiko Shibuya, Jun Kobayashi
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Abstract

Background: Dengue has become a major health issue in tropical regions as the numbers of reported cases and estimated infections continuously increase. In the Philippines, many challenges remain in preventing and controlling the disease amidst all the mitigation efforts of the government. This study sought to measure the health literacy of Filipino teachers and determine the associations among teachers' knowledge, attitudes, and selected practices (KAP) against dengue.

Methods: Elementary and secondary school teachers from the consistently declared dengue hotspots in the City of San Fernando, Pampanga, Philippines, from the years 2017 to 2019 were selected as target participants in this cross-sectional study. A self-administered online survey tool was used in this study for both screening of participants and the KAP survey proper. STATA, descriptive statistics, and multiple logistic regression were used for the data analysis. Odds Ratios (ORs) and 95% confidence intervals (CIs) were reported.

Results: The study comprised 604 participants whose mean age was 38.4 years. Television was determined as the top media source of information, and various health staff were the most trusted and common source of information. Good knowledge on dengue treatment (OR = 1.81; 95% CI 1.18-2.78) and dengue prevention (OR = 1.85; 95% CI 1.26-2.71) were positively associated with having good practices on protection against mosquito bites. Good knowledge on dengue signs and symptoms (OR = 1.56; 95% CI 1.02-2.37) and dengue prevention (OR = 2.38; 95% CI 1.59-3.58) were positively associated with having good practices on preventing breeding sites. Those with positive perceived susceptibility to dengue had lower odds of having good practices on protection against mosquito bites (OR = 0.64; 95% CI 0.41-0.99) and of having good practices on preventing breeding sites (OR = 0.46; 95% CI 0.26-0.81).

Conclusion: Even with the existing dengue policies, programs, and strategies, and the high disease literacy rate of Filipinos, dengue remains a struggle with an increasing case rate. Therefore, specific concepts should be emphasized, and interventions should be fine-tuned to better reach and influence the target population to attain a dengue-free Philippines.

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菲律宾中部吕宋省公立学校教师对登革热的认识、态度和做法:横断面分析研究。
背景:随着报告病例和估计感染人数的不断增加,登革热已成为热带地区的一个主要健康问题。在菲律宾,尽管政府采取了各种缓解措施,但在预防和控制登革热方面仍然存在许多挑战。本研究旨在衡量菲律宾教师的健康素养,并确定教师对登革热的知识、态度和选定做法(KAP)之间的关联:本横断面研究选取了菲律宾邦板牙省圣费尔南多市 2017 年至 2019 年持续公布的登革热热点地区的中小学教师作为研究对象。本研究采用自填式在线调查工具,用于筛选参与者和进行适当的 KAP 调查。数据分析使用了 STATA、描述性统计和多元逻辑回归。结果显示,604 名参与者的平均年龄为 24.5 岁,平均年龄为 24.6 岁:这项研究共有 604 名参与者,他们的平均年龄为 38.4 岁。电视被认为是最主要的媒体信息来源,而各类医务人员则是最值得信赖和最常见的信息来源。登革热治疗知识(OR = 1.81;95% CI 1.18-2.78)和登革热预防知识(OR = 1.85;95% CI 1.26-2.71)与预防蚊虫叮咬的良好习惯呈正相关。对登革热症状和体征的了解(OR = 1.56;95% CI 1.02-2.37)和登革热预防(OR = 2.38;95% CI 1.59-3.58)与预防登革热滋生地的良好做法呈正相关。那些对登革热有积极易感性的人在防止蚊虫叮咬(OR = 0.64;95% CI 0.41-0.99)和防止滋生地(OR = 0.46;95% CI 0.26-0.81)方面有良好做法的几率较低:即使菲律宾制定了现有的登革热政策、计划和策略,而且菲律宾人的疾病知识普及率也很高,但登革热仍然是一个棘手的问题,病例率仍在不断上升。因此,应强调特定的概念,并对干预措施进行微调,以更好地覆盖和影响目标人群,从而实现菲律宾无登革热的目标。
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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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