马来西亚半岛东北地区狗主人狂犬病知识、态度和行为的决定因素:多变量分析

IF 3.8 Q2 INFECTIOUS DISEASES
Mohammad Fazrul Mohammad Basir, Mohd Ismail Ibrahim, Wan Mohd Zahiruddin Wan Mohamad, Nik Mohd Hafiz Mohd Fuzi, Ainin Syakirah Rosli, Mohammad Sabri Abdul Rahman, Anas Rosedi, Suhaily Mohd Hairon
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引用次数: 0

摘要

背景:狂犬病在世界范围内构成重大的公共卫生威胁,主要通过狗咬传播。了解社区关于狂犬病的知识、态度和做法(KAP)对于有效预防和控制战略至关重要。本研究旨在确定马来西亚吉兰丹州狗主人的KAP水平及其决定因素。方法:于2023年对参加吉兰丹州兽医服务部开展的大规模犬类疫苗接种计划的232名狗主人进行了横断面研究。一份经过验证的结构化问卷评估了狂犬病的知识、态度和做法。通过多元逻辑回归分析对影响因素进行分析。结果:总体而言,53.0%的人表现出良好的狂犬病知识,26.7%的人表现出积极的态度,40.0%的人表现出良好的狂犬病行为。高等教育水平(AOR = 3.15,95%CI:1.07,9.26)、参加狂犬病项目(AOR = 3.79,95%CI:1.37,10.43)和拥有两只狗(AOR = 2.25,95%CI:1.09,4.61)与良好的知识相关。养狗时间中长(AOR = 0.23,95%CI:0.10,0.53和AOR = 0.40, 95%CI:0.16,0.98)的人有积极态度的可能性较低,而家庭规模大(AOR = 1.49,95%CI:1.18,1.87)和知识得分高(AOR = 2.80,95% CI:1.06,7.42)的人有积极态度。年龄较大的年龄组(AOR = 0.27,95%CI:0.12,0.6和AOR = 0.22,95%CI:0.09,0.50)与次优实践相关,而较高的知识得分(AOR = 1.29,95% CI:1.08,1.54)和通过正规渠道获得狗(AOR = 4.79,95%CI:1.85,12.39)与良好实践相关。结论:该研究确定了吉兰丹州狗主人的关键知识差距、误解和次优做法,强调了有针对性干预的必要性。建议针对高危犬主群体开展量身定制的教育计划、社区参与战略和全面的“同一个健康”方法,以加强狂犬病的预防和控制工作,最终保障人类和动物的健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The determinants of rabies knowledge, attitudes and practices among dog owners in the North-Eastern Region of Peninsular Malaysia: a multivariable analysis.

Background: Rabies poses a significant public health threat worldwide, primarily transmitted through dog bites. Understanding community knowledge, attitudes, and practices (KAP) regarding rabies is crucial for effective prevention and control strategies. This study aimed to determine KAP levels and their determinants among dog owners in Kelantan, Malaysia.

Methods: A cross-sectional study was conducted in 2023 among 232 dog owners attending mass canine vaccination programs conducted by Kelantan State Department of Veterinary Services. A validated and structured questionnaire assessed knowledge, attitudes and practices of rabies. The determinants were analysed through multiple logistic regression analyses.

Results: Overall, 53.0% exhibited good knowledge, 26.7% had positive attitudes, and 40.0% demonstrated good practices concerning rabies. Higher education levels (AOR = 3.15,95%CI:1.07,9.26), attending rabies programs (AOR = 3.79,95%CI:1.37,10.43), and owning two dogs (AOR = 2.25,95%CI:1.09,4.61) were associated with good knowledge. Medium and long duration of dog ownership durations (AOR = 0.23,95%CI:0.10,0.53 and AOR = 0.40, 95%CI:0.16,0.98 respectively) has lower chances to have positive attitudes, while larger households (AOR = 1.49,95%CI:1.18,1.87) and higher knowledge scores (AOR = 2.80,95% CI:1.06,7.42) were associated to positive attitudes. Older age groups (AOR = 0.27,95%CI:0.12,0.6 and AOR = 0.22,95%CI:0.09,0.50) was associated with suboptimal practices, whereas higher knowledge scores (AOR = 1.29,95% CI:1.08,1.54) and acquiring dogs through formal channels (AOR = 4.79,95%CI:1.85,12.39) were associated with good practices.

Conclusion: The study identified critical knowledge gaps, misconceptions, and suboptimal practices among dog owners in Kelantan, highlighting the need for targeted interventions. Tailored educational programs, community engagement strategies, and a comprehensive One Health approach towards the high-risk groups of dog owner are recommended to enhance rabies prevention and control efforts, ultimately safeguarding human, and animal health.

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