与肯尼亚的SARS-CoV-2预防相关的知识,态度和做法
Brennan R Cebula1, Roger Ying1,2, Tyler Hamby1,2
1US Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.
在脆弱的肯尼亚人中,COVID-19的知识,态度和做法各不相同. 相信个人非药物干预 (NPI),如戴口罩,与减少社会距离相关,突出了需要流行病战略来考虑风险补偿的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 关于严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 非药物干预措施 (NPIs) 的知识,态度和实践 (KAPs) 可以在不同的人群中显著不同,特别是那些健康脆弱的人群.
- 了解这些KAP对于在流行病期间有效的公共卫生干预至关重要.
研究的目的:
- 在肯尼亚的青少年和成年人中调查COVID-19 KAP,这些青少年和成年人表现出对艾滋病毒的行为脆弱性.
- 在这个特定人群中识别与遵守NPI相关的因素.
主要方法:
- 从2021年12月到2023年4月,在肯尼亚的Kericho和Homa Bay进行了一项横截面研究.
- 参与者 (年龄在14-55岁之间,没有艾滋病毒) 报告了艾滋病毒的风险因素 (例如,性传播感染,吸毒,交易性行为) 填写了关于社会人口统计和KAP的自我管理问卷.
- 采用多变量强大的波桑回归来确定与NPI实践相关的因素的流行率 (PR) 和95%置信区间 (CI).
主要成果:
- 在399名参与者中,对戴口罩的信念与较少的户外聚会 (PR=0.44) 和较少的购物 (PR=0.48) 有关.
- 相信洗手与少避免人群相关 (PR=0.73),而广泛使用口罩与减少购物相关 (PR=1.12).
- 在Omicron浪潮期间,参与者不太可能避免人群,减少购物或在户外见面.
结论:
- 相信个人NPI (戴口罩,洗手) 与减少参与社交NPI (避免人群,减少购物,限制户外会议) 相关.
- 针对未来的流行病应对措施的公共卫生战略必须考虑风险补偿现象,在这种情况下,遵守某些保护措施可能会导致对其他措施的遵守减少.
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