Abdolreza Sotoodeh Jahromi, Mohammad Jokar, Nader Sharifi, Sirus Kashkooli, Karamatollah Rahmanian, Vahid Rahmanian
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The Joanna Briggs Institute (JBI) quality checklist was utilized to evaluate the quality of the included studies. Data were obtained using a Microsoft Excel spreadsheet and subsequently scrutinized through STATA software, version 14. The heterogeneity of the studies was assessed using the inverse variance and Cochran Q statistics based on the I2 test statistics. The Dersimonian and Liard random effects models were used where heterogeneity existed. Subgroup analysis and univariate and multivariable metaregression techniques were used to examine the causes of heterogeneity.</p><p><strong>Results: </strong>A total of 22 studies, including 22 studies for knowledge (27 731 HCWs) and 6 studies for attitudes (14 388 HCWs), were included in the meta-analysis. The pooled estimates for good knowledge and positive attitudes among HCWs were 26.0% (95% confidence interval [CI] 17.8 to 34.2) and 34.6% (95% CI 19.0 to 50.2), respectively. 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引用次数: 0
摘要
背景：最近人类猴痘（猴痘）病例的增加强调了早期发现、及时反应和预防性管理对控制疾病传播的重要性。医护人员在这一过程中发挥着至关重要的作用。本研究旨在确定HCW对猴痘的全球知识和态度。方法：检索Google Scholar、Scopus、PubMed/MEDLINE、Science Direct、Web of Science、Embase、Springer和ProQuest等多个数据库，查找各种出版物。搜索仅限于2022年5月（据报道猴痘发病率上升）至2023年8月期间发表的英语文章。乔安娜·布里格斯研究所（JBI）质量检查表用于评估纳入研究的质量。使用Microsoft Excel电子表格获取数据，随后通过STATA软件版本14进行仔细检查。使用逆方差和基于I2检验统计的Cochran Q统计来评估研究的异质性。在存在异质性的情况下，使用Dersimonian和Liard随机效应模型。使用亚组分析和单变量和多变量元回归技术来检查异质性的原因。结果：共有22项研究被纳入荟萃分析，其中包括22项知识研究（27331名工作人员）和6项态度研究（14388名工作人员（HCW））。HCW中良好知识和积极态度的汇总估计值分别为26.0%（95%置信区间[CI]17.8至34.2）和34.6%（95%可信区间19.0至50.2）。此外，在具有5年专业背景的HCW中，知识知晓率为34.8%（95%CI 24.1至45.6）。结论：对HCW的良好认识水平较低。建议培训课程应针对医疗经验较少的年轻HCW。此外，有必要确定如何提高知识和态度的策略，以便在世界各地的HCW中更好地实践这种疾病。
Global knowledge and attitudes towards mpox (monkeypox) among healthcare workers: a systematic review and meta-analysis.
Background: The recent increase in human mpox (monkeypox) cases emphasizes the importance of early detection, prompt response and preventive management to control the spread of the disease. Healthcare workers (HCWs) play a crucial role in this process. This study aimed to determine the global knowledge and attitudes towards mpox among HCWs.
Methods: This study searched multiple databases, including Google Scholar, Scopus, PubMed/MEDLINE, Science Direct, Web of Science, Embase, Springer and ProQuest, to locate various publications. The search was limited to English-language articles published between May 2022 (when the increase in mpox incidence was reported) and August 2023. The Joanna Briggs Institute (JBI) quality checklist was utilized to evaluate the quality of the included studies. Data were obtained using a Microsoft Excel spreadsheet and subsequently scrutinized through STATA software, version 14. The heterogeneity of the studies was assessed using the inverse variance and Cochran Q statistics based on the I2 test statistics. The Dersimonian and Liard random effects models were used where heterogeneity existed. Subgroup analysis and univariate and multivariable metaregression techniques were used to examine the causes of heterogeneity.
Results: A total of 22 studies, including 22 studies for knowledge (27 731 HCWs) and 6 studies for attitudes (14 388 HCWs), were included in the meta-analysis. The pooled estimates for good knowledge and positive attitudes among HCWs were 26.0% (95% confidence interval [CI] 17.8 to 34.2) and 34.6% (95% CI 19.0 to 50.2), respectively. Moreover, the knowledge was 34.8% (95% CI 24.1 to 45.6) among HCWs with <5 y of work experience and 41.6% (95% CI 33.1 to 50) among individuals possessing >5 y of professional background.
Conclusions: Good knowledge of HCWs is at a low level. It is suggested that training sessions should be tailored towards younger HCWs with less healthcare experience. Additionally, it is essential to identify strategies on how to improve the knowledge and attitudes for better practice about the disease in HCWs worldwide.
期刊介绍：
International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions.
It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.
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