Ngozi Murphy-Okpala, Tahir Dahiru, Chinwe Eze, Charles Nwafor, Ngozi Ekeke, Suleiman Abdullahi, Francis S Iyama, Anthony Meka, Martin Njoku, Okechukwu Ezeakile, Kingsley N Ukwaja, Chukwuma Anyaike, Omayeli Sesere, Joseph Chukwu
{"title":"调查尼日利亚社区对麻风病的认识、态度和成见：一项混合方法研究。","authors":"Ngozi Murphy-Okpala, Tahir Dahiru, Chinwe Eze, Charles Nwafor, Ngozi Ekeke, Suleiman Abdullahi, Francis S Iyama, Anthony Meka, Martin Njoku, Okechukwu Ezeakile, Kingsley N Ukwaja, Chukwuma Anyaike, Omayeli Sesere, Joseph Chukwu","doi":"10.1093/trstmh/trae050","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Little is known about community knowledge and stigma towards leprosy in endemic settings. The aim of this study was to evaluate community knowledge, attitudes and stigma towards leprosy in Nigeria.</p><p><strong>Methods: </strong>This was a mixed-methods study consisting of a quantitative cross-sectional survey of community members and qualitative focus group discussions with community members and people affected by leprosy as well as key informant interviews with healthcare workers and community leaders.</p><p><strong>Results: </strong>Of the 811 survey participants, 401 (49.4%) had a poor knowledge of leprosy that was driven by cultural beliefs, fear of its contagiousness and poor knowledge of its means of transmission. The participants reported high stigma levels with a mean score of 18.96±7.73 on the Explanatory Model Interview Catalogue Community Stigma Scale and 9.39±7.03 on the Social Distance Scale. Stigma levels were influenced by age, residence, education and knowledge of leprosy. Qualitative data suggested that community members were scared of leprosy infectiousness, and local illness concepts and misconceptions informed attitudes and behaviour towards leprosy in the community.</p><p><strong>Conclusion: </strong>Community members have a poor knowledge of, and high stigma levels towards leprosy. Culture-specific health education and behavioural change interventions are needed to address the identified gaps.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443338/pdf/","citationCount":"0","resultStr":"{\"title\":\"Investigation of community knowledge, attitudes and stigma towards leprosy in Nigeria: a mixed-methods study.\",\"authors\":\"Ngozi Murphy-Okpala, Tahir Dahiru, Chinwe Eze, Charles Nwafor, Ngozi Ekeke, Suleiman Abdullahi, Francis S Iyama, Anthony Meka, Martin Njoku, Okechukwu Ezeakile, Kingsley N Ukwaja, Chukwuma Anyaike, Omayeli Sesere, Joseph Chukwu\",\"doi\":\"10.1093/trstmh/trae050\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Little is known about community knowledge and stigma towards leprosy in endemic settings. The aim of this study was to evaluate community knowledge, attitudes and stigma towards leprosy in Nigeria.</p><p><strong>Methods: </strong>This was a mixed-methods study consisting of a quantitative cross-sectional survey of community members and qualitative focus group discussions with community members and people affected by leprosy as well as key informant interviews with healthcare workers and community leaders.</p><p><strong>Results: </strong>Of the 811 survey participants, 401 (49.4%) had a poor knowledge of leprosy that was driven by cultural beliefs, fear of its contagiousness and poor knowledge of its means of transmission. The participants reported high stigma levels with a mean score of 18.96±7.73 on the Explanatory Model Interview Catalogue Community Stigma Scale and 9.39±7.03 on the Social Distance Scale. Stigma levels were influenced by age, residence, education and knowledge of leprosy. Qualitative data suggested that community members were scared of leprosy infectiousness, and local illness concepts and misconceptions informed attitudes and behaviour towards leprosy in the community.</p><p><strong>Conclusion: </strong>Community members have a poor knowledge of, and high stigma levels towards leprosy. 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Investigation of community knowledge, attitudes and stigma towards leprosy in Nigeria: a mixed-methods study.
Background: Little is known about community knowledge and stigma towards leprosy in endemic settings. The aim of this study was to evaluate community knowledge, attitudes and stigma towards leprosy in Nigeria.
Methods: This was a mixed-methods study consisting of a quantitative cross-sectional survey of community members and qualitative focus group discussions with community members and people affected by leprosy as well as key informant interviews with healthcare workers and community leaders.
Results: Of the 811 survey participants, 401 (49.4%) had a poor knowledge of leprosy that was driven by cultural beliefs, fear of its contagiousness and poor knowledge of its means of transmission. The participants reported high stigma levels with a mean score of 18.96±7.73 on the Explanatory Model Interview Catalogue Community Stigma Scale and 9.39±7.03 on the Social Distance Scale. Stigma levels were influenced by age, residence, education and knowledge of leprosy. Qualitative data suggested that community members were scared of leprosy infectiousness, and local illness concepts and misconceptions informed attitudes and behaviour towards leprosy in the community.
Conclusion: Community members have a poor knowledge of, and high stigma levels towards leprosy. Culture-specific health education and behavioural change interventions are needed to address the identified gaps.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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