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Knowledge of Acute Rheumatic Fever (ARF) Among Adolescents in Enugu Metropolis
Awoere T Chinawa1, Jude T Onyia2, Obinna C Nduagubam3
1Department of Community Medicine, College of Medicine, ESUT, Enugu, Enugu State, Nigeria.
Awareness of rheumatic fever (ARF) is high among adolescents, but comprehensive knowledge is lacking. Socio-demographic factors significantly influence understanding, highlighting the need for targeted health education to improve prevention and control of this public health issue.
Area of Science:
- Pediatrics
- Public Health
- Adolescent Health
Background:
- Acute Rheumatic Fever (ARF) presents a significant public health challenge, contributing to increased childhood morbidity and mortality.
- Understanding adolescent awareness and knowledge of ARF is crucial for effective public health interventions.
Purpose of the Study:
- To assess the level of awareness and knowledge regarding acute Rheumatic Fever (ARF) among college-going adolescent children.
- To identify factors influencing awareness and knowledge of ARF in this demographic.
Main Methods:
- A cross-sectional study was conducted involving 553 adolescents from ten secondary schools in Enugu metropolis.
- Data were collected over a 4-month period using a structured survey instrument.
Main Results:
- Overall awareness of rheumatic fever was 63.3%, with health workers, peers, and social media as primary information sources.
- Knowledge of key symptoms (joint pain, sore throat, shortness of breath) and preventive measures was high.
- Adolescents aged <15 years, junior secondary students, and those with higher parental education and socio-economic status demonstrated significantly better knowledge.
Conclusions:
- While awareness of rheumatic fever is relatively high, comprehensive knowledge, especially concerning disease burden, remains inadequate among adolescents.
- Significant disparities in knowledge exist, influenced by age, educational attainment, parental education, and socio-economic status.
- Improving early recognition, prevention, and control of ARF necessitates bridging the gap between awareness and accurate knowledge, addressing socio-demographic influencing factors.
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