风险感知和心理社会因素影响通过环境途径暴露于马拉维的抗菌素耐药性
Kondwani Chidziwisano1,2,3, Derek Cocker4,5, Taonga Mwapasa Kumwenda1
1Centre for Water, Sanitation, Health and Appropriate Technology Development, Malawi University of Business and Applied Sciences, Chichiri, Malawi.
The American journal of tropical medicine and hygiene
|December 3, 2024
概括
对抗生素耐药性 (AMR) 细菌风险的理解有限,在低收入环境中存在. 改善基础设施和教育对于缓解AMR感染和支持One Health倡议至关重要.
科学领域:
- 环境健康 环境健康
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 抗微生物耐药性 (AMR) 细菌在低收入家庭和环境中普遍存在.
- 关于公众对AMR细菌暴露风险的了解,这些环境中的数据很少.
研究的目的:
- 评估 AMR 细菌暴露的个人风险感知.
- 在马拉维的家庭层面确定AMR细菌暴露的行为决定因素.
主要方法:
- 一项涉及马拉维城市,郊区和农村300个家庭的529名参与者的横截面研究.
- 采访采用风险,态度,规范,能力和自我调节 (RANAS) 模型.
- 差异分析 (ANOVA) 用于比较与水和动物便接触有关的行为.
主要成果:
- 观察到对促进AMR细菌传播的人类环境相互作用的理解有限,感知风险低 (41%).
- 接触动物便被认为比接触河流/排水17%更有风险 (64%).
- 城市参与者报告的感知风险高于农村参与者 (P=0.001);他们注意到了有利的社会规范,态度和自我效能.
结论:
- 以行为为中心的教育和基础设施改进对于缓解AMR的行为变化至关重要.
- 解决心理社会因素是影响推动AMR传播的人与环境相互作用的关键.
- 研究结果支持更广泛的"一健康"倡议,将人类行为,环境和传染病控制联系起来.
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