Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia

Introduction: Dengue is a public health problem in tropical and subtropical regions of the world. Studies on dengue in rural areas are scarce since the disease is considered mainly urban. Objective: To determine the knowledge (K), attitudes (A) and practices (P) of dengue in an endemic area in Colom...

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Main Authors: Diana Sarmiento-Senior, María Inés Matiz, Juan Felipe Jaramillo-Gómez, Víctor Alberto Olano, Sandra Lucía Vargas, Neal Alexander, Audrey Lenhart, Thor Axel Stenström, Hans Jörgen Overgaard
Format: Article
Language:English
Published: Instituto Nacional de Salud 2019-09-01
Series:Biomédica: revista del Instituto Nacional de Salud
Subjects:
Online Access:https://revistabiomedica.org/index.php/biomedica/article/view/4255
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author Diana Sarmiento-Senior
María Inés Matiz
Juan Felipe Jaramillo-Gómez
Víctor Alberto Olano
Sandra Lucía Vargas
Neal Alexander
Audrey Lenhart
Thor Axel Stenström
Hans Jörgen Overgaard
author_facet Diana Sarmiento-Senior
María Inés Matiz
Juan Felipe Jaramillo-Gómez
Víctor Alberto Olano
Sandra Lucía Vargas
Neal Alexander
Audrey Lenhart
Thor Axel Stenström
Hans Jörgen Overgaard
author_sort Diana Sarmiento-Senior
collection DOAJ
description Introduction: Dengue is a public health problem in tropical and subtropical regions of the world. Studies on dengue in rural areas are scarce since the disease is considered mainly urban. Objective: To determine the knowledge (K), attitudes (A) and practices (P) of dengue in an endemic area in Colombia. Materials and methods: We conducted a cross-sectional study with 515 pupils (7-16 years old) in 34 rural schools in Anapoima and La Mesa municipalities during 2011. Each KAP category was evaluated independently by a scoring system and then categorized into high, medium or low. Results: Pupils recognized knowledge variables such as the symptoms (fever, bone pain), transmission route (mosquito bites), and mosquito breeding sites (uncovered water tanks, solid waste). Average scores on attitude were high in both municipalities indicating a well-developed perception of disease severity. Seeking treatment in medical centers and self-medication for fever management and the use of mosquito net and space-spraying of insecticides were the most frequently identified practices. Discussion: This is the first KAP dengue study performed in a rural area in Colombia and as such it contributes to the understanding of dengue perceptions by the inhabitants of these areas. It showed a medium level of knowledge about dengue and a lower level of preventive practices in pupils from rural schools. It also showed that pupils considered space-spraying as crucial for vector control. The presence of the vector in rural areas of the country underlines the need to improve surveillance and education to more effectively control the vector and promote prevention methods including community participation.
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spelling doaj.art-41ed8f776bc7427b98bd6478484c925f2022-12-22T02:13:24ZengInstituto Nacional de SaludBiomédica: revista del Instituto Nacional de Salud0120-41572019-09-0139347849010.7705/biomedica.42554255Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in ColombiaDiana Sarmiento-Senior0María Inés Matiz1Juan Felipe Jaramillo-Gómez2Víctor Alberto Olano3Sandra Lucía Vargas4Neal Alexander5Audrey Lenhart6Thor Axel Stenström7Hans Jörgen Overgaard8Instituto de Salud y Ambiente, Universidad El Bosque, Bogotá, D.C., ColombiaInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, D.C., ColombiaInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, D.C., ColombiaInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, D.C., ColombiaInstituto de Salud y Ambiente, Universidad El Bosque, Bogotá, D.C., ColombiaMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, United KingdomLiverpool School of Tropical Medicine, Liverpool, United KingdomInstitute for Water and Wastewater Technology, Durban University of Technology, Durban, South AfricaFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, NorwayIntroduction: Dengue is a public health problem in tropical and subtropical regions of the world. Studies on dengue in rural areas are scarce since the disease is considered mainly urban. Objective: To determine the knowledge (K), attitudes (A) and practices (P) of dengue in an endemic area in Colombia. Materials and methods: We conducted a cross-sectional study with 515 pupils (7-16 years old) in 34 rural schools in Anapoima and La Mesa municipalities during 2011. Each KAP category was evaluated independently by a scoring system and then categorized into high, medium or low. Results: Pupils recognized knowledge variables such as the symptoms (fever, bone pain), transmission route (mosquito bites), and mosquito breeding sites (uncovered water tanks, solid waste). Average scores on attitude were high in both municipalities indicating a well-developed perception of disease severity. Seeking treatment in medical centers and self-medication for fever management and the use of mosquito net and space-spraying of insecticides were the most frequently identified practices. Discussion: This is the first KAP dengue study performed in a rural area in Colombia and as such it contributes to the understanding of dengue perceptions by the inhabitants of these areas. It showed a medium level of knowledge about dengue and a lower level of preventive practices in pupils from rural schools. It also showed that pupils considered space-spraying as crucial for vector control. The presence of the vector in rural areas of the country underlines the need to improve surveillance and education to more effectively control the vector and promote prevention methods including community participation.https://revistabiomedica.org/index.php/biomedica/article/view/4255Dengue/prevention & controlhealth knowledge attitudes practicerural healthethnologyColombia
spellingShingle Diana Sarmiento-Senior
María Inés Matiz
Juan Felipe Jaramillo-Gómez
Víctor Alberto Olano
Sandra Lucía Vargas
Neal Alexander
Audrey Lenhart
Thor Axel Stenström
Hans Jörgen Overgaard
Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
Biomédica: revista del Instituto Nacional de Salud
Dengue/prevention & control
health knowledge attitudes practice
rural health
ethnology
Colombia
title Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
title_full Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
title_fullStr Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
title_full_unstemmed Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
title_short Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
title_sort knowledge attitudes and practices about dengue among pupils from rural schools in an endemic area in colombia
topic Dengue/prevention & control
health knowledge attitudes practice
rural health
ethnology
Colombia
url https://revistabiomedica.org/index.php/biomedica/article/view/4255
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