在低传播环境中了解疟疾行为的心理社会决定因素:一个范围审查
Albert Casella1, April Monroe2, Michael Toso2
1Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, 21202, USA. acasell3@jhu.edu.
Malaria journal
|January 10, 2024
概括
了解心理社会因素是消除疟疾的关键. 虽然知识通常很高,但研究需要探索其他决定因素,如规范和自我有效性,特别是在高风险群体.
科学领域:
- 公共卫生 公共卫生
- 社会和行为科学 社会和行为科学
- 传染病流行病学 传染病流行病学
背景情况:
- 消除疟疾的进展正在放缓,需要超越结构性变化的定制战略.
- 人类行为显著影响疟疾传播和消除努力.
- 心理社会决定因素,包括知识,感知风险和社区规范,塑造与疟疾相关的行为.
研究的目的:
- 综合现有关于低传播环境中的心理社会因素和疟疾行为研究.
- 发现理解心理社会决定因素与疟疾行为之间的关系的差距.
- 为消除疟疾提供社会和行为改变实践的信息.
主要方法:
- 从2000年至2020年进行了对同行评审和灰色文献的系统搜索.
- 预先定义了资格标准,并使用诱导方法选和分析出版物.
- 包括96个出版物,重点研究检查高风险亚群的研究.
主要成果:
- 通常测量的心理社会因素包括知识,态度和感知风险.
- 在疟疾知识/态度和预防/寻求护理行为之间发现了积极的关联.
- 证据不足以确定其他心理社会变量 (例如,感知反应有效性,自我有效性,社区规范) 与行为之间的关系,特别是在高风险群体中.
结论:
- 需要采取更全面的心理社会措施,并针对低传播环境中的高风险人群进行专注的研究.
- 虽然疟疾知识普遍很高,但进一步的研究应该探索诸如规范和自我效能等因素,这些因素与预防和寻求护理有积极的关联.
- 将心理社会见解与卫生系统加强和结构性干预相结合,对于实现消除疟疾的目标至关重要.
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