TY - JOUR
T1 - Knowledge, attitudes and practices pertaining to urogenital schistosomiasis in Lambaréné and surrounding areas, Gabon
AU - Dejon-Agobé, Jean Claude
AU - Zinsou, Jeannot Fréjus
AU - Honkpehedji, Yabo Josiane
AU - Edoa, Jean Ronald
AU - Adegbité, Bayodé Roméo
AU - Beh-Mba, Romuald
AU - Kremsner, Peter Gottfried
AU - Adegnika, Ayola Akim
AU - Grobusch, Martin Peter
N1 - Funding Information: We would like to thank our local population for their voluntary participation to this study. We also want to thank the CERMEL research team of Prof. Dr. AAA for their commitment during the study course, particularly M. Olivier Koumba for his great involvement in the conduct of the study in the field. Publisher Copyright: © 2021, The Author(s).
PY - 2021/9/22
Y1 - 2021/9/22
N2 - Background: Control of schistosomiasis remains a priority in endemic areas. Local epidemiological data are necessary for a tailored control programme, including data on population behaviour in relation to the disease. The objective of this study was to assess schistosomiasis-related knowledge, attitudes and practices in the general population of Lambaréné, a small city in Gabon, in order to optimise the design and implementation of a local control programme that is tailored to need. Methods: The study was cross-sectional in nature. Eligible adults and children living in the study area who volunteered (with informed consent) to participate in the study were interviewed using standardised questionnaires, one of which was a simplified version of the primary questionnaire for participants aged 6–13 years. Data on the participants’ knowledge, attitudes and practices that enhance the risk for contracting schistosomiasis were collected. Results: A total of 602 participants were included. The mean (± standard deviation) age was 21.2 (± 15.0) years, the female:male gender ratio was 1.6 and 289 (48%) participants completed the simplified version the questionnaire. Of the 602 participants, 554 (92%) reported past or current contact with freshwater, 218 (36%) reported a history of a diagnosis of schistosomiasis and 193 (32%) reported past intake of praziquantel medication. The overall levels of knowledge and adequate attitudes toward schistosomiasis among young adults and adults were 68 and 73%, respectively. The proportion of participants pursuing risk-enhancing practices (REP) was 60% among the whole study population. Location was significantly associated with differences in knowledge and REP levels. A history of confirmed schistosomiasis and larger family size were significantly associated with an increase in good knowledge and REP levels. However, the indication of freshwater-associated activities was only associated with a significant increase in the REP level. Conclusions: The results of this survey reveal a high level of population exposure to schistosomiasis, which is in line with known prevalence of schistosomiasis in Lambaréné and its surroundings. The local population has a reasonable level of knowledge of and adequate attitudes toward schistosomiasis but the level of REP is high, particularly in areas where piped water is absent. In terms of interventions, improving hygiene should have the highest priority, but in a context where provision of safe water is difficult to achieve, the effectiveness of praziquantel treatment and the education of at-risk populations on the need for protective behaviours should be a prominent feature of any local control programme. Graphical abstract: [Figure not available: see fulltext.]
AB - Background: Control of schistosomiasis remains a priority in endemic areas. Local epidemiological data are necessary for a tailored control programme, including data on population behaviour in relation to the disease. The objective of this study was to assess schistosomiasis-related knowledge, attitudes and practices in the general population of Lambaréné, a small city in Gabon, in order to optimise the design and implementation of a local control programme that is tailored to need. Methods: The study was cross-sectional in nature. Eligible adults and children living in the study area who volunteered (with informed consent) to participate in the study were interviewed using standardised questionnaires, one of which was a simplified version of the primary questionnaire for participants aged 6–13 years. Data on the participants’ knowledge, attitudes and practices that enhance the risk for contracting schistosomiasis were collected. Results: A total of 602 participants were included. The mean (± standard deviation) age was 21.2 (± 15.0) years, the female:male gender ratio was 1.6 and 289 (48%) participants completed the simplified version the questionnaire. Of the 602 participants, 554 (92%) reported past or current contact with freshwater, 218 (36%) reported a history of a diagnosis of schistosomiasis and 193 (32%) reported past intake of praziquantel medication. The overall levels of knowledge and adequate attitudes toward schistosomiasis among young adults and adults were 68 and 73%, respectively. The proportion of participants pursuing risk-enhancing practices (REP) was 60% among the whole study population. Location was significantly associated with differences in knowledge and REP levels. A history of confirmed schistosomiasis and larger family size were significantly associated with an increase in good knowledge and REP levels. However, the indication of freshwater-associated activities was only associated with a significant increase in the REP level. Conclusions: The results of this survey reveal a high level of population exposure to schistosomiasis, which is in line with known prevalence of schistosomiasis in Lambaréné and its surroundings. The local population has a reasonable level of knowledge of and adequate attitudes toward schistosomiasis but the level of REP is high, particularly in areas where piped water is absent. In terms of interventions, improving hygiene should have the highest priority, but in a context where provision of safe water is difficult to achieve, the effectiveness of praziquantel treatment and the education of at-risk populations on the need for protective behaviours should be a prominent feature of any local control programme. Graphical abstract: [Figure not available: see fulltext.]
KW - Adolescent
KW - Adult
KW - Animals
KW - Child
KW - Cities/statistics & numerical data
KW - Cross-Sectional Studies
KW - Female
KW - Fresh Water/parasitology
KW - Gabon/epidemiology
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Hygiene
KW - Male
KW - Schistosoma
KW - Schistosomiasis/epidemiology
KW - Surveys and Questionnaires
KW - Urogenital Diseases/epidemiology
KW - Young Adult
UR - http://www.scopus.com/inward/record.url?scp=85115208640&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s13071-021-04905-0
DO - https://doi.org/10.1186/s13071-021-04905-0
M3 - Article
C2 - 34551819
SN - 1756-3305
VL - 14
JO - Parasites & vectors
JF - Parasites & vectors
IS - 1
M1 - 486
ER -