Evidence of behaviour change during an Ebola virus disease outbreak, Sierra Leone

被引：10

作者：

Jalloh, Mohamed F. ^{[1
]}

Sengeh, Paul ^{[2
]}

Bunnell, Rebecca E. ^{[3
]}

Jalloh, Mohammad B. ^{[2
]}

Monasch, Roeland ^{[4
]}

Li, Wenshu ^{[3
]}

Mermin, Jonathan ^{[3
]}

Deluca, Nickolas ^{[3
]}

Brown, Vance ^{[3
]}

Nur, Sophia A. ^{[3
]}

August, Euna M. ^{[3
]}

Ransom, Ray L. ^{[3
]}

Namageyo-Funa, Apophia ^{[3
]}

Clements, Sara A. ^{[3
]}

Dyson, Meredith ^{[5
]}

Hageman, Kathy ^{[3
]}

Abu Pratt, Samuel ^{[2
]}

Nuriddin, Azizeh ^{[3
]}

Carroll, Dianna D. ^{[3
]}

Hawk, Nicole ^{[3
]}

Manning, Craig ^{[3
]}

Hersey, Sara ^{[3
]}

Marston, Barbara J. ^{[3
]}

Kilmarx, Peter H. ^{[3
]}

Conteh, Lansana ^{[6
]}

Ekstrom, Anna Mia ^{[1
]}

Zeebari, Zangin ^{[1
]}

Redd, John T. ^{[3
]}

Nordenstedt, Helena ^{[1
]}

Morgan, Oliver ^{[3
]}

机构：

[1] Karolinska Inst, Dept Global Publ Hlth, Tomtebodavagen 18B, Solna 17165, Sweden

[2] FOCUS 1000, Freetown, Sierra Leone

[3] Ctr Dis Control & Prevent, Atlanta, GA USA

[4] United Nations Childrens Fund, Freetown, Sierra Leone

[5] Catholic Relief Serv, Freetown, Sierra Leone

[6] Sierra Leone Minist Hlth & Sanitat, Freetown, Sierra Leone

来源：

BULLETIN OF THE WORLD HEALTH ORGANIZATION | 2020年 / 98卷 / 05期

关键词：

KNOWLEDGE; ATTITUDES; LIBERIA;

D O I：

10.2471/BLT.19.245803

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective To evaluate changes in Ebola-related knowledge, attitudes and prevention practices during the Sierra Leone outbreak between 2014 and 2015. Methods Four cluster surveys were conducted: two before the outbreak peak (3499 participants) and two after (7104 participants). We assessed the effect of temporal and geographical factors on 16 knowledge, attitude and practice outcomes. Findings Fourteen of 16 knowledge, attitude and prevention practice outcomes improved across all regions from before to after the outbreak peak. The proportion of respondents willing to: (i) welcome Ebola survivors back into the community increased from 60.0% to 89.4% (adjusted odds ratio, aOR: 6.0; 95% confidence interval, CI: 3.9-9.1); and (ii) wait for a burial team following a relative's death increased from 86.0% to 95.9% (aOR: 4.4; 95% CI: 3.2-6.0). The proportion avoiding unsafe traditional burials increased from 27.3% to 48.2% (aOR: 3.1; 95% CI: 2.4-4.2) and the proportion believing spiritual healers can treat Ebola decreased from 159% to 5.0% (aOR: 0.2; 95% CI: 0.1-03). The likelihood respondents would wait for burial teams increased more in high-transmission (aOR: 6.2; 95% CI: 4.2-9.1) than low-transmission (aOR: 2.3; 95% CI: 1.4-3.8) regions. Self-reported avoidance of physical contact with corpses increased in high but not low-transmission regions, aOR: 1.9 (95% CI: 1.4-2.5) and aOR: 0.8 (95% CI: 0.6-1.2), respectively. Conclusion Ebola knowledge, attitudes and prevention practices improved during the Sierra Leone outbreak, especially in high-transmission regions. Behaviourally-targeted community engagement should be prioritized early during outbreaks.

引用

页码：330 / +

页数：13

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