肯尼亚霍马湾县地方病流行地区的牛皮癣患者寻求治疗的行为:一项混合方法研究。

IF 3.6 Q1 TROPICAL MEDICINE
Kana Suzuki, Asiko Ongaya, Gordon Okomo, Muuo Nzou, Evans Amukoye, Yasuhiko Kamiya
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引用次数: 0

摘要

背景:沙皮蝇蛆病是一种由沙皮蝇引起的体外寄生虫病,给热带地区数百万人带来痛苦。尽管肯尼亚国家政策指南列出了包括消毒剂、驱蚤剂和植物油在内的治疗 Tungiasis 的方法,但由于受影响社区的知识不足和经济拮据,导致了忽视和不适当的自我治疗。目前的报告显示,社区层面的教育活动进展甚微。因此,我们以肯尼亚的一个地方病流行区为研究背景,调查了社区居民寻求治疗牛皮癣的行为:方法:采用横断面混合方法设计。采用问卷调查的方式从参与者--410 名曾感染过牛皮癣的成年人中收集定量数据,同时采用半结构化个别访谈的方式从 20 名老年人和 10 名医务人员中收集定性数据。研究在肯尼亚霍马湾县的两个分县进行:结果:与使用非指南所列治疗方法治疗牛皮癣明显相关的因素是 "不知道牛皮癣的病因"、"不寻求医疗机构和传统医士的治疗 "以及 "观望以防止非患者感染"。在对老年人的访谈中,发现了 19 种治疗牛皮癣的自我疗法,其中 40% 的参与者选择了使用尖锐物品进行自我清除。这些治疗方法中只有两种被列入指南。最常提到的使用自我治疗方法的原因是 "别人的主意"。选择最佳自我疗法的最常提及的原因是 "效果"。与医务人员的访谈显示有 11 种治疗方法,其中只有 5 种被列入指南。最常提及的选择/使用治疗方法的原因是 "供应情况":结论:居民的社会经济因素、文化因素、获得适当治疗的机会以及医务人员的知识是影响居民治疗牛皮癣行为的重要因素。这项研究为建立有效、安全和可持续的牛皮癣治疗方法提供了可行性和基线数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment-seeking behaviours of patients with tungiasis in endemic areas of Homa Bay County, Kenya: a mixed-methods study.

Background: Tungiasis, an ectoparasitic disease caused by sand fleas, causes suffering to millions of people in the tropics. Although the Kenyan National Policy Guidelines list tungiasis treatments as including disinfectants, flea repellents, and botanical oil, the insufficient knowledge and financial constraints of affected communities have led to neglect and inappropriate self-treatment. Current reports show insignificant progress on educational activities at the community level. Therefore, we investigated community residents' treatment-seeking behaviour concerning tungiasis, using an endemic area of Kenya as the research setting.

Methods: A cross-sectional mixed-methods design was employed. Quantitative data were collected from the participants-410 adults who had experienced tungiasis-using a questionnaire, while qualitative data were collected from 20 older adults to 10 medical staffs using semi-structured individual interviews. The study was conducted in two sub-counties of Homa Bay County, Kenya.

Results: Factors significantly correlated with using non-guideline-listed treatments for tungiasis were 'not knowing the causse of tungiasis', 'not seeking treatment from healthcare facilities and traditional healers', and 'wait and see to prevent infection in non-affected members'. The interviews with the older adults revealed 19 self-treatment options for tungiasis, and 40% of the participants opted for self-removal using sharp objects. Only two of these treatments were listed in the guidelines. The most frequently mentioned reason for using a self-treatment option was 'Someone else's idea'. The most frequently mentioned reason for choosing the best self-treatment option was 'Effectiveness'. Interviews with medical staff revealed 11 treatment options; only five of these treatments are listed in the guidelines. The most frequently mentioned reason for selecting/using the treatment was 'Supply situation'.

Conclusions: Residents' socioeconomic factors, cultural factors, and access to appropriate treatment, as well as knowledge of medical staff were significant factors that influenced the residents' tungiasis treatment-seeking behaviours. This study provides feasibility and baseline data to establish an effective, safe, and sustainable treatment for tungiasis.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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