在泰国预防和控制登革热的社区驱动政策建议:一项混合方法研究
Chawarat Rotejanaprasert1, Ngamphol Soonthornworasiri2, Lokachet Tanasugarn2
1Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchawithi Road, Ratchathewi, Bangkok 10400, Thailand; Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchawithi Road, Ratchathewi, Bangkok 10400, Thailand.
Journal of infection and public health
|February 11, 2026
概括
社会支持是预防登革热的关键,而不是人口统计. 赋予社区志愿者权力和量身定制的沟通对于有效的登革热控制战略至关重要.
科学领域:
- 公共卫生 公共卫生
- 热带医学 热带医学
- 社区健康 社区健康
背景情况:
- 登革热是一种被忽视的热带疾病,是世卫组织除的目标.
- 为了成功控制登革热,社区参与至关重要,这需要公众参与,而不仅仅是技术解决方案.
- 这项研究调查了社区对登革热预防的需求,感知和情绪驱动因素,以告知政策.
研究的目的:
- 检查影响泰国登革热预防实践的因素.
- 确定与登革热控制相关的社区需求和看法.
- 在不同环境中推针对性政策,以有效预防登革热.
主要方法:
- 在泰国四个地区使用三角测量的一项混合方法研究 (2023年11月至2024年4月).
- 定量调查 (n=664社区成员,n=430卫生人员) 和定性数据 (10社区FGD,16卫生人员FGD,23IDI).
- 量化分析的后勤回归和定性数据的专题分析,具有集成的解释.
主要成果:
- 大多数参与者积极实践登革热预防,社会支持是强有力的预测因素 (OR 19.81).
- 人口因素和感知易感性/严重性并不是显著的预测因素.
- 在东北地区和50岁以上的卫生工作人员中观察到更高的实践水平;村庄卫生志愿者发挥着至关重要的作用,但存在低风险感知和文化障碍等挑战.
结论:
- 有效的登革热控制需要具体的背景策略,社区参与,赋予村庄健康志愿者权力,以及加强传播媒介控制.
- 早期预警系统和跨部门合作对于高风险地区至关重要.
- 文化定制的沟通可以提高疫苗的接受度,并支持可持续的,以社区为中心的登革热预防.
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