Systematic review of knowledge, attitudes, and practices of dairy farmers and consumers towards bovine tuberculosis in low- and middle-income countries

IF 2.2 2区农林科学 Q1 VETERINARY SCIENCES

Preventive veterinary medicine Pub Date : 2024-08-14 DOI:10.1016/j.prevetmed.2024.106314

Abigail Van Der Zwan , Patricia T. Campbell , Nancy Shi , Nikita De Bortoli , Juan Pablo Villanueva-Cabezas

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引用次数: 0

Abstract

Bovine Tuberculosis (bTB), caused by Mycobacterium bovis, is a neglected zoonotic disease primarily associated with cattle. The incidence of bTB is highest in low-income settings with high cattle density and unpasteurised dairy consumption. Smallholder dairy farming has steadily grown in low- and middle-income countries (LMICs) with limited professional support for adequate bTB surveillance and risk mitigation. Several studies have explored the knowledge, attitudes, and practices (KAP) of milk value chain stakeholders towards bTB in LMICs, but this evidence has not been collated and synthesised. We conducted a systematic review to determine what is known, believed, and done in relation to bTB among dairy producers and consumers in LMICs. We performed a systematic search of studies in OVID Medline, Scopus and CABI on 11 September 2023. KAP data were summarised using narrative synthesis and forest plots. We retrieved 2763 articles, retaining 51 for the review. Only studies from Africa (n = 38) and Asia (n = 13) met the eligibility criteria. Most populations reported awareness of human tuberculosis and knew it could be treated, but there was limited awareness of bTB and its zoonotic potential. Knowledge of bTB transmission routes and bTB mitigation varied across populations, and risky practices were also variable. Inconsistencies in study design and survey tools suggest some results may have a mid- to high-risk of bias. Awareness of bTB is surprisingly low among African and Asian populations with high bTB exposure risk, possibly due to the long-standing divide between animal and human health messages that has obscured the One Health implications of bTB. Addressing bTB in LMICs requires a structural One Health approach and standard KAP survey tools to adequately explore the socio-cultural, political, and economic processes and drivers favouring bTB spread and persistence.

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系统审查中低收入国家奶农和消费者对牛结核病的认识、态度和做法

牛结核病（bTB）由牛分枝杆菌引起，是一种被忽视的人畜共患疾病，主要与牛有关。在牛群密度高、乳制品消费未经消毒的低收入地区，牛结核病的发病率最高。在低收入和中等收入国家（LMICs），小农奶牛养殖业稳步发展，但在充分监测牛结核病和降低风险方面的专业支持却十分有限。有几项研究探讨了中低收入国家牛奶价值链利益相关者对牛结核病的认识、态度和实践（KAP），但这些证据尚未得到整理和归纳。我们开展了一项系统性研究，以确定低收入与中等收入国家奶制品生产者和消费者对牛结核病的了解、看法和做法。我们于 2023 年 9 月 11 日对 OVID Medline、Scopus 和 CABI 中的研究进行了系统检索。我们使用叙述性综合法和森林图对 KAP 数据进行了总结。我们共检索到 2763 篇文章，保留 51 篇用于综述。只有来自非洲（38 篇）和亚洲（13 篇）的研究符合资格标准。大多数人表示了解人类结核病并知道它可以治疗，但对牛结核病及其人畜共患病可能性的了解有限。不同人群对结核病传播途径和结核病缓解措施的了解各不相同，危险做法也不尽相同。研究设计和调查工具的不一致表明，一些结果可能存在中高偏差风险。可能是由于动物健康信息与人类健康信息之间长期存在的鸿沟掩盖了 bTB 对 "一体健康 "的影响，具有较高 bTB 暴露风险的非洲和亚洲人群对 bTB 的认识出奇地低。在低收入和中等收入国家应对结核病需要采用结构性的 "一体健康 "方法和标准的 KAP 调查工具，以充分探索有利于结核病传播和持续存在的社会文化、政治和经济进程及驱动因素。

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

Preventive veterinary medicine 农林科学-兽医学

CiteScore

5.60

自引率

7.70%

发文量

184

审稿时长

3 months

期刊介绍： Preventive Veterinary Medicine is one of the leading international resources for scientific reports on animal health programs and preventive veterinary medicine. The journal follows the guidelines for standardizing and strengthening the reporting of biomedical research which are available from the CONSORT, MOOSE, PRISMA, REFLECT, STARD, and STROBE statements. The journal focuses on: Epidemiology of health events relevant to domestic and wild animals; Economic impacts of epidemic and endemic animal and zoonotic diseases; Latest methods and approaches in veterinary epidemiology; Disease and infection control or eradication measures; The "One Health" concept and the relationships between veterinary medicine, human health, animal-production systems, and the environment; Development of new techniques in surveillance systems and diagnosis; Evaluation and control of diseases in animal populations.