Gaps in knowledge and practices of malaria prevention in Francophone African immigrants in Metropolitan Edmonton

Autor: Taylor A. Hanna, Ali Ahmed, Rémi Vincent, Kongnon Sangué Coulibaly, Youssef Ahmed, Ryland Petrick, Etienne Vincent, Mélanie El Hafid, Michel T. Hawkes, Srilata Ravi, Sedami Gnidehou
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Malaria Journal, Vol 21, Iss 1, Pp 1-14 (2022)
Druh dokumentu: article
ISSN: 1475-2875
DOI: 10.1186/s12936-022-04210-w
Popis: Abstract Background Important knowledge gaps exist in the understanding of the management of the risks of imported malaria in Canada among Francophone immigrants from sub-Saharan Africa (FISSA). The aim of this cross-sectional study was to investigate the malaria related-knowledge, attitude and practices (KAP) of FISSA in Edmonton, where these immigrants are in an official minority language situation and the impact of language barriers on these factors. Methods A structured survey was used to examine the KAP of 382 FISSA in the Edmonton area from 2018 to 2019. Fisher’s Exact Test was applied to determine if there were associations between knowledge of malaria and different risk factors. Results Almost all FISSA (97%) had an accurate knowledge of fever as the key symptom of malaria. Interestingly, 60% of participants identified bed nets as a preventive method and only 19% of participants had accurate knowledge of malaria transmission. An accurate knowledge of symptoms was significantly associated with a high perceived risk of contracting malaria [odds ratio (OR) 4.33, 95% confidence interval (CI) 1.07–20.62]. Furthermore, even though 70% of FISSA had a high perceived risk of contracting malaria in endemic regions, only 52% of travellers had a pre-travel medical encounter. Importantly, language was not the predominant reason for not seeking pre-travel medical advice, although 84% of respondents chose French as their official language of preference when seeking medical advice. Having a French-speaking physician was correlated with satisfactory prevention knowledge (OR 1.96, 95% CI 1.16–3.35). With respect to health-seeking behaviour, 88% of respondents with a child
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