Banca de DEFESA: FABIANA ALMERINDA GONÇALVES PALMA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : FABIANA ALMERINDA GONÇALVES PALMA
DATA : 28/02/2020
HORA: 10:00
LOCAL: Sala 5 do Instituto de Saúde Coletiva
TÍTULO:

KNOWLEDGE, ATTITUDES AND PRACTICES ASSOCIATED WITH THE TRANSMISSION THROUGH LEPTOSPIROSIS IN RESIDENTS OF AN URBAN COMMUNITY OF SALVADOR-BAHIA

PALAVRAS-CHAVES:

leptospirosis; health knowledge, attitudes and practice; risk factors

PÁGINAS: 82
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Introduction: Leptospirosis is a neglected and multifactorial disease that mainly affects populations in socialy vulnerable contexts. There are no studies that have been conducted to establish an association between knowledge, attitudes and practices (KAP) with Leptospira transmission among residents of low-income urban communities. Thus, it is necessary to understand if these dimensions impact the risk of transmission to support urban leptospirosis prevention interventions. Objective: To analyze the dimensions of KAP associated with Leptospira transmission among residents of an urban community of Salvador-Bahia. Methodology: A community-based cross-sectional study was conducted with 248 community resident participants from Marechal Rondon, conducted from April to June 2019 and using a validated questionnaire. Analyzes were performed to characterize the KAP of participants and to verify its association with the presence of antibodies against Leptospira by the chi-square test and subsequent logistic regression analysis. Results: A total of 157 (63.3%) female participants and 91 (36.7%) male participants, most aged> 40 years were interviewed. Serological evidence of previous Leptospira infection was found to be 11.7% in the study population. Majority of the participants had satisfactory levels of knowledge 203 (82.5%), attitudes 238 (96.0%) and prevention practices 244 (98.4%) on leptospirosis. Poor knowledge (OR: 3.8, IC95%:1.47 – 9.68) and unsatisfactory prevention practices (OR: 22.4, IC95%: 2.22 – 225.40) were independently associated with the presence of antibodies against Leptospira in a model that also maintained the variables age> 40 years (OR: 4.9, IC95%:1.68 – 14.08) and contact with sewage in the last year (OR: 2.6, IC95%:1.02 – 6.63). Conclusion: Majority of the participants had satisfactory knowledge, attitudes and prevention practices on leptospirosis, and unsatisfactory knowledge and prevention practices were associated with a higher risk of infection. Our findings suggest that future leptospirosis prevention and control actions should prioritize two types of interventions. Interventions should address, the deficiencies of knowledge about the etiological agent, modes of transmission, signs and symptoms, complications and prevention practices of leptospirosis, targeting the most exposed groups through participatory health education actions, aimed at community empowerment and should be consistent with the local reality. Targeted interventions should aim to reduce problems of poor community infrastructure that limits appropriate prevention practices.

MEMBROS DA BANCA:
Presidente - 2187819 - FEDERICO COSTA
Externo à Instituição - HUSSEIN KHALIL
Externo à Instituição - WILDO NAVEGANTES DE ARAÚJO
Externo ao Programa - 2863971 - YUKARI FIGUEROA MISE