Low Levels of Knowledge, Attitudes and Preventive Practices on Leptospirosis among a Rural Community in Hulu Langat District, Selangor, Malaysia
| Autor: | Tengku Zetty Maztura Tengku Jamaluddin, Siti Norbaya Masri, Malina Osman, Zawaha Idris, Surianti Sukeri, Rukman Awang Hamat, Siti Nor Sakinah Saudi, Aziah Daud, Nurul Munirah Abdullah, Noramira Nozmi, Wan Nor Arifin, Hejar Abd Rahman, Wan Mohd Zahiruddin Wan Mohd, Norazlin Idris, Mohd Nazri Shafei, Zainudin Abdul Wahab, Suhailah Samsudin |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Rural Population knowledge Health Knowledge Attitudes Practice rural community Adolescent Health Toxicology and Mutagenesis 030231 tropical medicine Health Behavior Ethnic group lcsh:Medicine Disease Logistic regression Article 03 medical and health sciences Young Adult 0302 clinical medicine preventive practice Environmental health medicine Odds Ratio leptospirosis Humans 030212 general & internal medicine water bodies Aged Aged 80 and over Rural community business.industry Knowledge level lcsh:R Public Health Environmental and Occupational Health Malaysia Odds ratio attitude rodents Middle Aged medicine.disease Leptospirosis Health Surveys Confidence interval Floods Cross-Sectional Studies Income Female business |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 15, Iss 4, p 693 (2018) International Journal of Environmental Research and Public Health; Volume 15; Issue 4; Pages: 693 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Little is known on the knowledge, attitudes and preventive practices (KAP) of leptospirosis worldwide. This study embarked on assessing the KAP of leptospirosis among rural communities in Malaysia. A total of 444 participants (223 male; 221 female) aged between 18 and 81 years old were surveyed by using a self-administered questionnaire. A majority of participants had poor knowledge level (57.0%), unacceptable attitudes (90.3%) and unacceptable preventive practices (69.1%) on leptospirosis, and only 29.7% knew “rat-urine disease” as leptospirosis. Only 34.2% of the participants knew the bacteria could enter via wound lesions. Ethnicity and income were strongly associated with knowledge level and preventive practices, respectively (p-values < 0.05). As for attitudes, ethnicity, income and education type were significantly associated (p-values < 0.05). Only 36.5% of the participants were willing to see a doctor and did not mind if their house or surrounding area is dirty (59.7%). Surprisingly, only 32.9% had used rubber boots during floods. By logistic regression analysis, ethnicity was the only significant predictor for both knowledge level (an odds ratio (AOR) = 0.39, 95% confidence interval (CI) = 0.222–0.680) and preventive practices (AOR = 1.81, 95% CI = 1.204–2.734). Ethnicity (AOR = 0.40, 95% CI = 0.239–0.665), income (AOR = 1.58, 95% CI = 1.041–2.385) and education type (AOR = 3.69, 95% CI = 1.237–10.986) were strong predictors for attitudes. Among the KAP variables, attitude (AOR = 4.357, 95% CI = 2.613–7.264) was the only predictor for the preventive practices by logistic regression analysis. The KAP elements on leptospirosis are still lacking and poor health seeking behavior and attitudes are of our utmost concern. Thus, effective strategies should be planned to impart knowledge, and develop proactive approaches and good preventive modules on leptospirosis to this leptospirosis-prone community. |
| Databáze: | OpenAIRE |
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