Neglected yet pervasive: echinococcosis awareness and prevention capacity in Kyrgyzstan.

IF 2.1 3区 医学 Q2 PARASITOLOGY Parasitology Pub Date : 2024-10-28 DOI:10.1017/S0031182024001343
Dmitry Vishniakov, Mairamkul Turdumambetova, Nazgul Matkerimova, Kenesh Dzhusupov, Zildiz Sultanbaeva, Eldar Rafibekov
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Abstract

The study aimed to assess the heterogeneity in the distribution of disease awareness, attitudes, and practices related to cystic echinococcosis (CE) in different subgroups and inform health authorities regionally and globally for future evidence-based tailored prevention practices in the region. A cross-sectional study was conducted with 242 participants from Kyrgyz Republic (KR), Issyk-Kul oblast, and utilized survey data to analyse demographics, household information, echinococcosis-related practices, and knowledge. Participants in high-risk environments (HRE) and engaging in high-risk behaviours (HRB) linked to CE contracting were identified. Out of 242 participants, 39% lived in HRE, with 22% engaging in HRB of contracting CE. 13% lived in HRE and engaged in HRB. Only 6% followed all preventive measures, while 56% followed some. 97.5% of participants had heard about CE, but only 6% identified all transmission routes, and 63.4% were unaware of dog contact as a route. Education reduced the odds of being in the highest risk group (HRE&HRB) (OR 0.5, 95% CI 0.23–0.80). The study's findings are alarming, emphasizing factors contributing to regional endemicity. We anticipated a similar pattern in the neighbouring countries, given the shared nomadic customs and historical parallels. Examination of the heterogeneity of disease awareness and practices allows tailored prevention strategies. Urgent prevention programmes focusing on echinococcosis awareness in the KR are crucial to addressing challenges posed by nomadic habits.

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被忽视却普遍存在:吉尔吉斯斯坦对棘球蚴病的认识和预防能力。
该研究旨在评估不同亚组中与囊性包虫病(CE)相关的疾病意识、态度和实践分布的异质性,并为区域和全球卫生当局提供信息,以便将来在该地区开展基于证据的量身定制的预防实践。对来自吉尔吉斯斯坦伊塞克-库尔州的242名参与者进行了横断面研究,并利用调查数据分析人口统计学、家庭信息、棘球蚴病相关实践和知识。确定了高风险环境(HRE)和从事与CE合同相关的高风险行为(HRB)的参与者。在242名参与者中,39%的人生活在HRE, 22%的人从事HRB或感染CE。13%居住在HRE并从事HRB。只有6%的人采取了所有预防措施,而56%的人采取了一些措施。97.5%的参与者听说过CE,但只有6%的参与者确定了所有传播途径,63.4%的参与者不知道狗接触是一种途径。受教育程度降低了成为高危人群(HRE&HRB)的几率(OR 0.5, 95% CI 0.23-0.80)。这项研究的结果令人担忧,它强调了导致地区地方性的因素。考虑到共同的游牧习俗和历史上的相似之处,我们预计邻国也会出现类似的模式。对疾病认识和实践的异质性进行检查,可以制定有针对性的预防战略。紧急预防规划的重点是提高克罗地亚对棘球蚴病的认识,这对于解决游牧习惯带来的挑战至关重要。
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来源期刊
Parasitology
Parasitology 医学-寄生虫学
CiteScore
4.80
自引率
4.20%
发文量
280
审稿时长
3-8 weeks
期刊介绍: Parasitology is an important specialist journal covering the latest advances in the subject. It publishes original research and review papers on all aspects of parasitology and host-parasite relationships, including the latest discoveries in parasite biochemistry, molecular biology and genetics, ecology and epidemiology in the context of the biological, medical and veterinary sciences. Included in the subscription price are two special issues which contain reviews of current hot topics, one of which is the proceedings of the annual Symposia of the British Society for Parasitology, while the second, covering areas of significant topical interest, is commissioned by the editors and the editorial board.
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