Determination of different social groups' level of knowledge about malaria in a multicultural Amazonian cross-border context.

Autor: Gaillet M; Service des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France. gailletmelanie@gmail.com.; Écosystèmes Amazoniens Et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana, France. gailletmelanie@gmail.com., Musset L; Laboratoire de Parasitologie, Centre National de Référence du Paludisme, Pôle Zones Endémiques, WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance, Institut Pasteur de La Guyane, Cayenne, French Guiana, France., Cropet C; Centre d'investigation Clinique, INSERM1424, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France., Djossou F; Écosystèmes Amazoniens Et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana, France.; Unité de Maladies Infectieuses et Tropicales, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France., Mallard A; Laboratoire de Parasitologie, Centre National de Référence du Paludisme, Pôle Zones Endémiques, WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance, Institut Pasteur de La Guyane, Cayenne, French Guiana, France., Odonne G; UMSR Laboratoire Écologie, Évolution, Interactions des Systèmes Amazoniens, CNRS-Université de Guyane-IFREMER, OHM Oyapock, Cayenne, French Guiana, France., Davy D; UMSR Laboratoire Écologie, Évolution, Interactions des Systèmes Amazoniens, CNRS-Université de Guyane-IFREMER, OHM Oyapock, Cayenne, French Guiana, France., Douine M; Écosystèmes Amazoniens Et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana, France.; Centre d'investigation Clinique, INSERM1424, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France., Epelboin L; Écosystèmes Amazoniens Et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana, France.; Unité de Maladies Infectieuses et Tropicales, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France., Lazrek Y; Laboratoire de Parasitologie, Centre National de Référence du Paludisme, Pôle Zones Endémiques, WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance, Institut Pasteur de La Guyane, Cayenne, French Guiana, France., Mathieu L; Laboratoire de Parasitologie, Centre National de Référence du Paludisme, Pôle Zones Endémiques, WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance, Institut Pasteur de La Guyane, Cayenne, French Guiana, France., Nacher M; Centre d'investigation Clinique, INSERM1424, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France., Mosnier E; Service des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana, France.; Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L'Information Médicale, ISSPAM, Marseille, France.; ANRS, MIE, University of Health Sciences, Phnom Penh, Cambodia.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2023 Aug 19; Vol. 23 (1), pp. 1585. Date of Electronic Publication: 2023 Aug 19.
DOI: 10.1186/s12889-023-16507-9
Abstrakt: Background: A steady decline in the number of cases of malaria was observed in the 2000s in French Guiana. This enabled regional health policies to shift their public health goal from control to elimination. To include inhabitants in this strategy, the main objective of this study was to describe knowledge about malaria, and related attitudes and practices in persons living in the French Guiana border.
Methods: We conducted a survey in people over 15 years old living in the twelve neighbourhoods of Saint-Georges de l'Oyapock with the highest malaria incidence. It comprised a 147-item questionnaire which collected data on socio-demographic characteristics and included a Knowledge Attitude and Practices survey on malaria. Knowledge-related data were studied using exploratory statistical methods to derive summary variables. A binary variable assessing level of knowledge was proposed and then assessed using exploratory approaches.
Results: The mean age of the 844 participants was 37.2 years [15.8], the male/female sex ratio was 0.8. In terms of nationality, 485 (57.5%) participants were Brazilian and 352 (41.7%) French. One third (305, 36.1%) spoke Brazilian Portuguese as their native language, 295 (34.9%) the Amerindian language Palikur, 36 (4.3%) French. The symptoms of malaria and prevention means were poorly known by 213 (25.2%) and 378 (44.8%) respondents, respectively. A quarter (206, 24.4%) did not know that malaria can be fatal. Overall, 251 people (29.7%) had an overall poor level of knowledge about malaria. Being under 25 years old, living in a native Amerindian neighbourhood, having an Amerindian mother tongue language, having risk behaviours related to gold mining were significantly associated with a poor level of knowledge.
Conclusions: This study is the first to describe the poor level of knowledge about malaria in populations living in the malaria endemic border area along the Oyapock river in French Guiana. Results will allow to reinforce, to diversify and to culturally adapt prevention messages and health promotion to increase their effectiveness with a view to quickly reaching the goal of malaria elimination through empowerment.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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