Climate Change and Health: Effect of Awareness Program on Knowledge, Attitudes and Practices of Community Dwelling Elderly

Sally Ibrahim, Doaa Abd Elmawla, S. Ali
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Abstract

Background: Climate change is the biggest global health threat of the 21 st century with both direct and indirect effects on human health especially for vulnerable groups as elderly. So, it's important to raise their awareness about climate change to reduce its adverse effect on health. Aim : To evaluate the effect of awareness program on knowledge, attitudes and practices of community dwelling elderly regarding climate change and health. Method: A quasi-experimental, pre and post intervention research design was implemented. A convenience sample of 72 community dwelling elderly attending El-Amal elderly club in Mansoura city. Tools : Five tools were used for data collection; Demographic and Health profile structured interview sheet, Climate change knowledge questionnaire, Elderly's attitude toward climate change self-rating scale, Elderly's self-reported practices about their adaption towards climate change checklist and Elderly's awareness level about climate change and its effect of health questionnaire . Results: There were significant improvement in elderly's total mean score of knowledge, practices, attitudes and awareness after 3 months from implementation of the awareness program than before (P=0.000**). Also, a statistically significant strong positive correlation was found between the total knowledge score of the studied elderly and both total practices scores, total attitudes scores and total awareness score after implementation of the awareness program Conclusion: The awareness program improved knowledge, attitudes and practices of community dwelling elderly about climate change and health. Recommendations: Dissemination of developed illustrated awareness program booklet about climate change and health to all elderly at Mansoura City should be done.
气候变化与健康:提高认识计划对社区老年人的知识、态度和做法的影响
背景:气候变化是 21 世纪全球最大的健康威胁,对人类健康造成直接和间接的影响,尤其是对老年人等弱势群体。因此,必须提高他们对气候变化的认识,以减少气候变化对健康的不利影响。目的:评估提高认识计划对社区老年人有关气候变化和健康的知识、态度和做法的影响。方法:准实验采用干预前和干预后的准实验研究设计。对曼苏尔市 El-Amal 老年俱乐部的 72 名社区居住老人进行方便抽样调查。工具 :数据收集使用了五种工具:人口与健康状况结构化访谈表、气候变化知识问卷、老年人对气候变化的态度自评量表、老年人自我报告的适应气候变化做法清单以及老年人对气候变化及其对健康影响的认识水平问卷。结果:实施宣传计划 3 个月后,老年人在知识、实践、态度和意识方面的平均总分都比实施前有了明显改善(P=0.000**)。此外,在实施提高认识计划后,研究对象的知识总分与实践总分、态度总分和认识总分之间也发现了统计学意义上的强正相关性:宣传计划提高了社区老年人对气候变化和健康的认识、态度和做法。建议:应向曼苏尔市的所有老年人传播所编写的关于气候变化与健康的图文并茂的宣传计划手册。
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