Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study

Brucellosis is recognized as a significant global zoonotic infection that disproportionately affects low-income settings. A community cross-sectional survey was carried out in a rural setting of northwest Iran between February and May 2023. Rural individuals were interviewed according to a questionn...

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Main Authors: Abbas Abbasi-Ghahramanloo, Reza Ebrahimoghli, Mohammad Ebrahimnejad, Negin Gholizadeh, Eslam Moradi-Asl
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024040726
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author Abbas Abbasi-Ghahramanloo
Reza Ebrahimoghli
Mohammad Ebrahimnejad
Negin Gholizadeh
Eslam Moradi-Asl
author_facet Abbas Abbasi-Ghahramanloo
Reza Ebrahimoghli
Mohammad Ebrahimnejad
Negin Gholizadeh
Eslam Moradi-Asl
author_sort Abbas Abbasi-Ghahramanloo
collection DOAJ
description Brucellosis is recognized as a significant global zoonotic infection that disproportionately affects low-income settings. A community cross-sectional survey was carried out in a rural setting of northwest Iran between February and May 2023. Rural individuals were interviewed according to a questionnaire with questions about demographic characteristics, knowledge, attitudes, and practices relating to human brucellosis. We employed descriptive statistics to study knowledge, attitudes, and practice patterns. In addition, we applied a multivariable logistic regression model to assess potential predictors of knowledge, attitudes, and practice related to brucellosis using odds ratios and 95% confidence intervals. Among 700 participants, 91.1% were aware of brucellosis, and 85.7% identified cows, sheep, and goats as primary transmission sources. 75.6% and 78.7% recognized transmission risks via unpasteurized and raw milk products. 60.5% understood the benefits of boiling milk and using gloves. Attitudinally, 64.3% perceived higher risk for livestock owners and supported practices like milk pasteurization (70.5%), protective gear (84.4%), handwashing (92.2%), and animal vaccination (71.0%). 90% expressed a need for more information. In practice, 44.8% exclusively consumed boiled and pasteurized milk, 37.8% consumed fresh cheese, and 92.2% solely consumed thoroughly cooked animal meat. Logistic regression revealed that higher education and no prior history of the disease correlated with good knowledge and attitudes, while older participants displayed inappropriate practices compared to their younger counterparts. This study highlights the reasonably high awareness of brucellosis, particularly regarding transmission sources and preventive measures. However, the gaps in knowledge, attitudes, and practices still exist, with education level emerging as a significant factor. To improve prevention practices, tailored interventions addressing age-related disparities are necessary.
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spelling doaj.art-59079620eb35444cb40a8253f7c98c9c2024-04-04T05:06:41ZengElsevierHeliyon2405-84402024-03-01106e28041Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional studyAbbas Abbasi-Ghahramanloo0Reza Ebrahimoghli1Mohammad Ebrahimnejad2Negin Gholizadeh3Eslam Moradi-Asl4Department of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, IranDepartment of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, IranStudents Research Committee, Faculty of Public Health, Ardabil University of Medical Sciences, Ardabil, IranStudents Research Committee, Faculty of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran; Corresponding authorDepartment of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran; Arthropod-Borne Diseases Research Center, Ardabil University of Medical Sciences, Ardabil, Iran; Corresponding author. Department of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran.Brucellosis is recognized as a significant global zoonotic infection that disproportionately affects low-income settings. A community cross-sectional survey was carried out in a rural setting of northwest Iran between February and May 2023. Rural individuals were interviewed according to a questionnaire with questions about demographic characteristics, knowledge, attitudes, and practices relating to human brucellosis. We employed descriptive statistics to study knowledge, attitudes, and practice patterns. In addition, we applied a multivariable logistic regression model to assess potential predictors of knowledge, attitudes, and practice related to brucellosis using odds ratios and 95% confidence intervals. Among 700 participants, 91.1% were aware of brucellosis, and 85.7% identified cows, sheep, and goats as primary transmission sources. 75.6% and 78.7% recognized transmission risks via unpasteurized and raw milk products. 60.5% understood the benefits of boiling milk and using gloves. Attitudinally, 64.3% perceived higher risk for livestock owners and supported practices like milk pasteurization (70.5%), protective gear (84.4%), handwashing (92.2%), and animal vaccination (71.0%). 90% expressed a need for more information. In practice, 44.8% exclusively consumed boiled and pasteurized milk, 37.8% consumed fresh cheese, and 92.2% solely consumed thoroughly cooked animal meat. Logistic regression revealed that higher education and no prior history of the disease correlated with good knowledge and attitudes, while older participants displayed inappropriate practices compared to their younger counterparts. This study highlights the reasonably high awareness of brucellosis, particularly regarding transmission sources and preventive measures. However, the gaps in knowledge, attitudes, and practices still exist, with education level emerging as a significant factor. To improve prevention practices, tailored interventions addressing age-related disparities are necessary.http://www.sciencedirect.com/science/article/pii/S2405844024040726BrucellosisDeveloping countriesNeglected tropical diseasesIran
spellingShingle Abbas Abbasi-Ghahramanloo
Reza Ebrahimoghli
Mohammad Ebrahimnejad
Negin Gholizadeh
Eslam Moradi-Asl
Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study
Heliyon
Brucellosis
Developing countries
Neglected tropical diseases
Iran
title Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study
title_full Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study
title_fullStr Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study
title_full_unstemmed Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study
title_short Knowledge, attitudes, and practices regarding brucellosis in a rural population: A cross-sectional study
title_sort knowledge attitudes and practices regarding brucellosis in a rural population a cross sectional study
topic Brucellosis
Developing countries
Neglected tropical diseases
Iran
url http://www.sciencedirect.com/science/article/pii/S2405844024040726
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