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1دورية أكاديمية
المؤلفون: Paz-Soldan, Valerie A, Bauer, Karin, Morrison, Amy C, Lopez, Jhonny J Cordova, Izumi, Kiyohiko, Scott, Thomas W, Elder, John P, Alexander, Neal, Halsey, Eric S, McCall, Philip J, Lenhart, Audrey
المصدر: PLOS Neglected Tropical Diseases. 10(3)
مصطلحات موضوعية: Biomedical and Clinical Sciences, Public Health, Health Sciences, Rare Diseases, Social Determinants of Health, Vector-Borne Diseases, Prevention, Clinical Trials and Supportive Activities, Emerging Infectious Diseases, Clinical Research, Infectious Diseases, Good Health and Well Being, Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Dengue, Family Characteristics, Female, Guideline Adherence, Health Knowledge, Attitudes, Practice, Humans, Infant, Infant, Newborn, Insecticide-Treated Bednets, Male, Middle Aged, Mosquito Control, Peru, Young Adult, Biological Sciences, Medical and Health Sciences, Tropical Medicine, Biological sciences, Biomedical and clinical sciences, Health sciences
الوصف: Dengue is an arthropod-borne virus of great public health importance, and control of its mosquito vectors is currently the only available method for prevention. Previous research has suggested that insecticide treated curtains (ITCs) can lower dengue vector infestations in houses. This observational study investigated individual and household-level socio-demographic factors associated with correct and consistent use of ITCs in Iquitos, Peru. A baseline knowledge, attitudes, and practices (KAP) survey was administered to 1,333 study participants, and ITCs were then distributed to 593 households as part of a cluster-randomized trial. Follow up KAP surveys and ITC-monitoring checklists were conducted at 9, 18, and 27 months post-ITC distribution. At 9 months post-distribution, almost 70% of ITCs were hanging properly (e.g. hanging fully extended or tied up), particularly those hung on walls compared to other locations. Proper ITC hanging dropped at 18 months to 45.7%. The odds of hanging ITCs correctly and consistently were significantly greater among those participants who were housewives, knew three or more correct symptoms of dengue and at least one correct treatment for dengue, knew a relative or close friend who had had dengue, had children sleeping under a mosquito net, or perceived a change in the amount of mosquitoes in the home. Additionally, the odds of recommending ITCs in the future were significantly greater among those who perceived a change in the amount of mosquitoes in the home (e.g. perceived the ITCs to be effective). Despite various challenges associated with the sustained effectiveness of the selected ITCs, almost half of the ITCs were still hanging at 18 months, suggesting a feasible vector control strategy for sustained community use.
وصف الملف: application/pdf
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2دورية أكاديمية
المؤلفون: Paz-Soldán, Valerie A, Morrison, Amy C, Lopez, Jhonny J Cordova, Lenhart, Audrey, Scott, Thomas W, Elder, John P, Sihuincha, Moises, Kochel, Tadeusz J, Halsey, Eric S, Astete, Helvio, McCall, Philip J
المصدر: American Journal of Tropical Medicine and Hygiene. 93(6)
مصطلحات موضوعية: Biomedical and Clinical Sciences, Clinical Sciences, Health Sciences, Prevention, Clinical Trials and Supportive Activities, Emerging Infectious Diseases, Vector-Borne Diseases, Infectious Diseases, Clinical Research, Rare Diseases, Prevention of disease and conditions, and promotion of well-being, 3.2 Interventions to alter physical and biological environmental risks, Infection, Good Health and Well Being, Adolescent, Adult, Aedes, Aged, Aged, 80 and over, Animals, Dengue, Family Characteristics, Female, Health Knowledge, Attitudes, Practice, Humans, Insect Vectors, Insecticides, Male, Middle Aged, Mosquito Control, Peru, Risk Factors, Socioeconomic Factors, Surveys and Questionnaires, Young Adult, Medical and Health Sciences, Tropical Medicine, Biomedical and clinical sciences, Health sciences
الوصف: As part of a cluster-randomized trial to evaluate insecticide-treated curtains for dengue prevention in Iquitos, Peru, we surveyed 1,333 study participants to examine knowledge and reported practices associated with dengue and its prevention. Entomological data from 1,133 of these households were linked to the survey. Most participants knew that dengue was transmitted by mosquito bite (85.6%), but only few (18.6%) knew that dengue vectors bite during daytime. Most commonly recognized dengue symptoms were fever (86.6%), headache (76.4%), and muscle/joint pain (67.9%). Most commonly reported correct practices for mosquito control were cleaning homes (61.6%), using insecticide sprays (23%), and avoiding having standing water at home (12.3%). Higher education was associated with higher knowledge about dengue, including transmission and vector control. Higher socioeconomic status was associated with increased reported use of preventive practices requiring money expenditure. We were less likely to find Aedes aegypti eggs, larvae, or pupae in households that had < 5-year-old children at home. Although dengue has been transmitted in Iquitos since the 1990s and the Regional Health Authority routinely fumigates households, treats domestic water containers with larvicide, and issues health education messages through mass media, knowledge of dengue transmission and household practices for prevention could be improved.
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/7ht7981bTest
