Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China

Abstract Background Fishermen and boatmen are a population at-risk for contracting schistosomiasis due to their high frequency of water contact in endemic areas of schistosomiasis in the People’s Republic of China (P. R. China). To develop specific interventions towards this population, the present...

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Main Authors: Zhou Guan, Si-Min Dai, Jie Zhou, Xiao-Bing Ren, Zhi-Qiang Qin, Yin-Long Li, Shan Lv, Shi-Zhu Li, Xiao-Nong Zhou, Jing Xu
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Parasites & Vectors
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13071-020-04157-4
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author Zhou Guan
Si-Min Dai
Jie Zhou
Xiao-Bing Ren
Zhi-Qiang Qin
Yin-Long Li
Shan Lv
Shi-Zhu Li
Xiao-Nong Zhou
Jing Xu
author_facet Zhou Guan
Si-Min Dai
Jie Zhou
Xiao-Bing Ren
Zhi-Qiang Qin
Yin-Long Li
Shan Lv
Shi-Zhu Li
Xiao-Nong Zhou
Jing Xu
author_sort Zhou Guan
collection DOAJ
description Abstract Background Fishermen and boatmen are a population at-risk for contracting schistosomiasis due to their high frequency of water contact in endemic areas of schistosomiasis in the People’s Republic of China (P. R. China). To develop specific interventions towards this population, the present study was designed to assess the knowledge, attitudes and practices (KAPs) towards schistosomiasis of fishermen and boatmen, and to identify the risk factors associated with schistosome infection using a molecular technique in a selected area of Hunan Province in P. R. China. Methods A cross sectional survey was conducted in the Dongting Lake Basin of Yueyang County, Hunan Province. A total of 601 fishermen and boatmen were interviewed between October and November 2017. Information regarding sociodemographic details and KAPs towards schistosomiasis were collected using a standardized questionnaire. Fecal samples of participants were collected and tested by polymerase chain reaction (PCR). Logistic regression analysis was conducted to explore the risk factors related to the positive results of PCR. Results Of the 601 respondents, over 90% knew schistosomiasis and how the disease was contracted, the intermediate host of schistosomes and preventive methods. The majority of respondents had a positive attitude towards schistosomiasis prevention. However, only 6.66% (40/601) of respondents had installed a latrine on their boats, while 32.61% (196/601) of respondents defecated in the public toilets on shore. In addition, only 4.99% (30/601) respondents protected themselves while exposed to freshwater. The prevalence of schistosomiasis, as determined by PCR, among fishermen and boatmen in Yueyang County was 13.81% (83/601). Age, years of performing the current job, number of times receiving treatment, and whether they were treated in past three years were the main influencing factors of PCR results among this population. Conclusions Fishermen and boatmen are still at high risk of infection in P. R. China and gaps exist in KAPs towards schistosomiasis in this population group. Chemotherapy, and health education encouraging behavior change in combination with other integrated approaches to decrease the transmission risk in environments should be improved.
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spelling doaj.art-2f2c3cd9e5d0414ea3838da305cba8cf2022-12-21T19:53:35ZengBMCParasites & Vectors1756-33052020-06-011311910.1186/s13071-020-04157-4Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of ChinaZhou Guan0Si-Min Dai1Jie Zhou2Xiao-Bing Ren3Zhi-Qiang Qin4Yin-Long Li5Shan Lv6Shi-Zhu Li7Xiao-Nong Zhou8Jing Xu9National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionHunan Institute of Schistosomiasis ControlYueyang County Office for Preventive and Control on SchistosomiasisNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionNational Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionAbstract Background Fishermen and boatmen are a population at-risk for contracting schistosomiasis due to their high frequency of water contact in endemic areas of schistosomiasis in the People’s Republic of China (P. R. China). To develop specific interventions towards this population, the present study was designed to assess the knowledge, attitudes and practices (KAPs) towards schistosomiasis of fishermen and boatmen, and to identify the risk factors associated with schistosome infection using a molecular technique in a selected area of Hunan Province in P. R. China. Methods A cross sectional survey was conducted in the Dongting Lake Basin of Yueyang County, Hunan Province. A total of 601 fishermen and boatmen were interviewed between October and November 2017. Information regarding sociodemographic details and KAPs towards schistosomiasis were collected using a standardized questionnaire. Fecal samples of participants were collected and tested by polymerase chain reaction (PCR). Logistic regression analysis was conducted to explore the risk factors related to the positive results of PCR. Results Of the 601 respondents, over 90% knew schistosomiasis and how the disease was contracted, the intermediate host of schistosomes and preventive methods. The majority of respondents had a positive attitude towards schistosomiasis prevention. However, only 6.66% (40/601) of respondents had installed a latrine on their boats, while 32.61% (196/601) of respondents defecated in the public toilets on shore. In addition, only 4.99% (30/601) respondents protected themselves while exposed to freshwater. The prevalence of schistosomiasis, as determined by PCR, among fishermen and boatmen in Yueyang County was 13.81% (83/601). Age, years of performing the current job, number of times receiving treatment, and whether they were treated in past three years were the main influencing factors of PCR results among this population. Conclusions Fishermen and boatmen are still at high risk of infection in P. R. China and gaps exist in KAPs towards schistosomiasis in this population group. Chemotherapy, and health education encouraging behavior change in combination with other integrated approaches to decrease the transmission risk in environments should be improved.http://link.springer.com/article/10.1186/s13071-020-04157-4SchistosomiasisKnowledgeAttitudePracticePrevalenceInfluencing factors
spellingShingle Zhou Guan
Si-Min Dai
Jie Zhou
Xiao-Bing Ren
Zhi-Qiang Qin
Yin-Long Li
Shan Lv
Shi-Zhu Li
Xiao-Nong Zhou
Jing Xu
Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China
Parasites & Vectors
Schistosomiasis
Knowledge
Attitude
Practice
Prevalence
Influencing factors
title Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China
title_full Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China
title_fullStr Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China
title_full_unstemmed Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China
title_short Assessment of knowledge, attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the Dongting Lake Basin, the People’s Republic of China
title_sort assessment of knowledge attitude and practices and the analysis of risk factors regarding schistosomiasis among fishermen and boatmen in the dongting lake basin the people s republic of china
topic Schistosomiasis
Knowledge
Attitude
Practice
Prevalence
Influencing factors
url http://link.springer.com/article/10.1186/s13071-020-04157-4
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