Knowledge, attitude and practices of indigenous people towards non-communicable disease in Bera, Malaysia: A community-based study.

Q3 Medicine Medical Journal of Malaysia Pub Date : 2024-09-01
F Abdullah, N A A Rahman, V Kumaran, N Fazam, C E Wong
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Abstract

Introduction: With the current trend of increasing noncommunicable diseases (NCD), like hypertension, diabetes and dyslipidaemia worldwide and in Malaysia, a comprehensive study is essential to find the local population's knowledge, attitude and practice towards NCD. Little is known about the indigenous people of Orang Asli's health conditions and health-seeking behaviours towards these chronic diseases. The study aimed to assess knowledge, attitudes and practices (KAP) status towards non-communicable disease and its association with demographic background among Orang Asli adults of the Semelai subgroup in central Pahang, Malaysia.

Materials and methods: A cross-sectional study was conducted among 251 adult Semelai people in Bera district, Pahang. Data was collected through face-to-face interviews to obtain socio-demographic data, KAP towards NCD. Bivariate analysis was performed to test the association between the socio-demographic factor and the KAP score.

Results: Among respondents, 57.4% were female, 82.5% were married, and 46.2% completed primary school. The majority were animism believers (83.3%), self-employed (75.3%) and earning less than RM1000 (87.6%). The respondents' ages ranged from 18 to 77, with a mean age of 41.1 (S.D ± 13.9). The prevalence of known type-2 diabetes mellitus (T2DM), hypertension, and dyslipidaemia was 9.6%, 20.7%, and 8.8%, respectively. About 23.1% of respondents have a family history of chronic disease. Regarding KAP parameters, only 12.7% have good knowledge, and 35.5% have good practice in prevention and treatment. However, more than half (59.8%) have a positive attitude towards chronic diseases. This study also showed that higher household income and education levels were positively associated with higher scores of KAP (p < 0.001).

Conclusion: This study presented a low-to-moderate percentage of Orang Asli who have good KAP towards NCD. KAP levels were significantly associated with education levels and household income. Hence, improving education and poverty in the Orang Asli community may successively increase the knowledge level, impart a positive attitude towards NCDs, and improve the practice level toward treatment and prevention.

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马来西亚贝拉原住民对非传染性疾病的认识、态度和做法:一项基于社区的研究。
导言:目前,全球和马来西亚的高血压、糖尿病和血脂异常等非传染性疾病(NCD)呈上升趋势,因此,有必要开展一项全面研究,以了解当地居民对 NCD 的认识、态度和做法。人们对原住民奥朗阿斯利人的健康状况和对这些慢性疾病的求医行为知之甚少。本研究旨在评估马来西亚彭亨州中部森美来亚群的原住民成年人对非传染性疾病的知识、态度和做法(KAP)状况及其与人口背景的关系:对彭亨州贝拉县的 251 名成年思美来人进行了横断面研究。通过面对面访谈收集数据,以了解社会人口学数据和对非传染性疾病的 KAP。通过双变量分析来检验社会人口学因素与 KAP 分数之间的关联:在受访者中,57.4% 为女性,82.5% 已婚,46.2% 完成小学教育。大多数受访者是泛灵论信徒(83.3%),自营职业者(75.3%),收入低于 1000 马币(87.6%)。受访者的年龄从 18 岁到 77 岁不等,平均年龄为 41.1 岁(S.D ± 13.9)。已知的 2 型糖尿病(T2DM)、高血压和血脂异常的患病率分别为 9.6%、20.7% 和 8.8%。约 23.1%的受访者有慢性病家族史。在 KAP 参数方面,只有 12.7% 的受访者在预防和治疗方面有良好的知识,35.5% 的受访者在预防和治疗方面有良好的实践。然而,超过半数(59.8%)的受访者对慢性病持积极态度。本研究还显示,较高的家庭收入和教育水平与较高的 KAP 分数呈正相关(P < 0.001):本研究表明,对非传染性疾病持有良好 KAP 的原住民比例较低。KAP 水平与教育水平和家庭收入密切相关。因此,改善orang Asli 社区的教育和贫困状况可以提高他们的知识水平,让他们对非传染性疾病持积极态度,并改善治疗和预防的实践水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medical Journal of Malaysia
Medical Journal of Malaysia Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
165
期刊介绍: Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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