The Perception and Practices of Black African Subjects Toward Hemorrhoidal Disease: The Relevant Effects of Beliefs and Misconceptions in Côte d'Ivoire, West Africa.

IF 3.1 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Research and Reports in Tropical Medicine Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI:10.2147/RRTM.S498009
Alassan Kouame Mahassadi, Hyacinthe Chepig Motcheyo, Dimitri Hatrydt Kouame, Fulgence Mamert Yao-Bathaix
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引用次数: 0

Abstract

Background: The perception of black African subjects toward hemorrhoidal disease is surrounded by myths and misconceptions in sub-Saharan Africa. This study aimed to determine the magnitude of knowledge, attitudes, and practices (KAPs) of black African subjects toward hemorrhoidal disease and the impact of knowledge on their attitudes and practices.

Methods: A cross-sectional KAP survey was conducted through convenience sampling of 735 participants (mean age, 38.8 years; men, 59.2%) from urban and rural areas in Côte d'Ivoire. They received an auto questionnaire of 25 items on Likert scales depicting their KAP toward hemorrhoidal disease. A mean score of KAP < 50 points was considered low. Logistic and linear regression models were used to determine the factors associated with self-reported hemorrhoidal disease and the impact of knowledge on attitudes and practices.

Results: The overall Cronbach score was 0.75, and the sample proportions of self-reported or symptom-based hemorrhoidal disease were 44.4% (9% CI: 41-48) and 21.2% [95% CI: 18.4-24.4], respectively. The overall mean (SD) scores of KAP were low: 49 (34.4), 43.4 (18.7), and 33.6 (21.7), respectively. The attitudes and practices of the participants remained unchanged regardless of their knowledge. Hemorrhoidal disease was negatively associated with attitudes (beta = -3.1, p = 0.02) or practices (beta = -3.4, p < 0.05). Overall, the participants agreed that hemorrhoidal disease led to sexual dysfunction (85.2%) and infertility (67.1%). They preferred indigenous (52.4%) over modern treatments (30.2%) and perceived surgery for hemorrhoidal disease to be dangerous (24.4%) and not recommended (56.6%).

Conclusion: Knowledge did not change the attitudes and practices of black African subjects toward hemorrhoidal disease.

背景:在撒哈拉以南的非洲地区,非洲黑人对痔疮疾病的认识存在很多神话和误解。本研究旨在确定非洲黑人对痔疮疾病的知识、态度和做法(KAPs)的程度,以及知识对其态度和做法的影响:通过方便抽样,对来自科特迪瓦城市和农村地区的 735 名参与者(平均年龄 38.8 岁,男性占 59.2%)进行了横向 KAP 调查。他们收到了一份包含 25 个李克特量表项目的自动问卷,这些项目描述了他们对痔疮疾病的 KAP。KAP 平均得分小于 50 分被视为低分。采用逻辑和线性回归模型确定与自我报告的痔疮疾病相关的因素,以及知识对态度和做法的影响:总体 Cronbach 得分为 0.75,自我报告或基于症状的痔疮疾病的样本比例分别为 44.4% (9% CI: 41-48) 和 21.2% [95% CI: 18.4-24.4]。KAP的总体平均(标清)得分较低:分别为49(34.4)分、43.4(18.7)分和33.6(21.7)分。无论参与者的知识水平如何,他们的态度和做法都保持不变。痔疮与态度(β=-3.1,p=0.02)或做法(β=-3.4,p<0.05)呈负相关。总体而言,参与者一致认为痔疮会导致性功能障碍(85.2%)和不育(67.1%)。与现代治疗方法(30.2%)相比,他们更倾向于本土治疗方法(52.4%),并认为手术治疗痔疮是危险的(24.4%),不建议采用(56.6%):结论:知识并没有改变非洲黑人对痔疮疾病的态度和做法。
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来源期刊
Research and Reports in Tropical Medicine
Research and Reports in Tropical Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
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16 weeks
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