Research Participation Influences Willingness to Reduce Zoonotic Exposure in Uganda.

Autor: Bloomfield LSP; Stanford University School of Medicine, Stanford University, Stanford, CA, 94305, USA. laura.bloomfield@gmail.com.; Emmett Interdisciplinary Program in Environment and Resources, Stanford University, Stanford, CA, 94305, USA. laura.bloomfield@gmail.com., Tracey C; Milken Institute School of Public Health, George Washington University, Washington, DC, 20052, USA., Mbabazi E; Makerere University Biological Field Station, Kibale National Park, Kibale, Uganda., Schultz RL; Department of Anthropology, University of Georgia, Athens, GA, 30602, USA., Henderson R; Department of Anthropology, University of Florida, Gainesville, FL, 32607, USA., Bardosh K; Center for One Health Research, School of Public Health, University of Washington, Seattle, WA, 98195, USA., Randolph S; School of Humanities and Sciences, Stanford University, Stanford, CA, 94305, USA., Paige S; Global Health Institute, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Jazyk: angličtina
Zdroj: EcoHealth [Ecohealth] 2022 Jun; Vol. 19 (2), pp. 299-314. Date of Electronic Publication: 2022 Jun 08.
DOI: 10.1007/s10393-022-01589-5
Abstrakt: The majority of emerging and re-emerging infectious diseases in people are zoonotic. Despite substantial research in communities adjacent to protected areas with high levels of biodiversity, limited data exist on people's knowledge, attitudes, and practices to avoid exposure to infections from domestic and wild animals. We used a modified grounded-theory framework in QS NVivo to develop a Knowledge, Attitude, and Practices (KAP) survey administered at two time points, KAPT1 (April-July 2016) and KAPT2 (February-May 2018) to participants living at the edge of Kibale National Park, Uganda. We measured the difference in willingness to engage in protective behaviors around zoonotic exposure between an Intervention group (n = 61) and a Comparison group (n = 125). Prior to KAPT1, the Intervention group engaged in a human-centered design (HCD) activity identifying behaviors that reduce zoonotic exposure (March-May 2016). Using a difference-in-difference approach, we compared the Intervention and Comparison groups to assess sustained willingness and use of protective behaviors against domestic and wild animal exposures. At KAPT1, Comparison group participants had a significantly lower (p < 0.05) level of willingness to engage in behaviors that increase exposure to zoonoses from domestic animals; Intervention group participants had a significantly higher (p < 0.01) level of willingness to engage in behaviors that increase exposure to zoonoses from wild animals. At KAPT2, the treatment effect was significant (p < 0.01) for sustained willingness to engage in protective behaviors for domestic animal exposure in the Intervention group. There were no significant differences in practices to avoid domestic and wild animal zoonotic exposure between the Intervention and Comparison groups.
(© 2022. EcoHealth Alliance.)
Databáze: MEDLINE
Externí odkaz: