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Published on: August 5, 2016
Spatial Distribution and Preventive Behaviours Towards Human Brucellosis in an Endemic Area: A PEN-3 Model-Based
Mahsa Sarvi1, Babak Moeini2, Amin Doosti-Irani3,4
1Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Zoonoses and Public Health
|August 14, 2026
Summary
Brucellosis prevention in Iran requires addressing knowledge gaps and risk factors like livestock contact and dairy consumption. Education and targeted interventions are crucial for reducing disease prevalence, especially in rural areas.
Area of Science:
- Public Health
- Epidemiology
- Health Behavior
Background:
- Brucellosis is a significant zoonotic bacterial disease in Iran, causing public health and economic burdens.
- It is transmitted through contact with infected animals or unpasteurized animal products.
- Understanding preventive behaviors is key to controlling brucellosis in endemic regions.
Purpose of the Study:
- To investigate factors influencing preventive behaviors against brucellosis in Hamadan Province, Iran.
- To utilize the PEN-3 model for exploring socio-cultural determinants of brucellosis prevention.
- To employ Geographic Information System (GIS) for spatial analysis of brucellosis incidence.
Main Methods:
- Two-phase study: spatial analysis of brucellosis cases (2016-2023) followed by a case-control study in Kabudarahang County.
- A case-control study (102 cases, 204 controls) used a PEN-3 model-based questionnaire to collect data on demographics, knowledge, perceptions, and behaviors.
- Spatial analysis identified brucellosis hotspots, while statistical analysis (Stata) examined influencing factors.
Main Results:
- Brucellosis is more prevalent in rural areas and among men, with Kabudarahang County identified as a major hotspot.
- Protective factors include being female, higher education, better economic status, and higher preventive behavior scores.
- Risk factors include livestock/agriculture work, consuming local dairy, home contact with livestock, and family history of brucellosis.
Conclusions:
- Education and increased knowledge are vital for reducing brucellosis prevalence.
- Effective prevention necessitates addressing demographic, educational, and behavioral factors within socio-cultural contexts.
- Targeted educational and preventive programs for rural communities and high-risk individuals are recommended.
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