Md Siddikur Rahman1, Hans J Overgaard2, Chamsai Pientong3, Mayfong Mayxay4, Tipaya Ekalaksananan3, Sirinart Aromseree3, Supranee Phanthanawiboon3, Sumaira Zafar5, Oleg Shipin5, Richard E Paul6, Sysavanh Phommachanh7, Tiengkham Pongvongsa8, Nanthasane Vannavong9, Ubydul Haque10. 1. Department of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; Department of Statistics, Begum Rokeya University, Rangpur, Bangladesh. 2. Department of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; Faculty of Science and Technology, Norwegian University of Life Sciences, P.O. Box 5003, Ås, Norway. Electronic address: hans.overgaard@nmbu.no. 3. Department of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; HPV & EBV and Carcinogenesis Research Group, Khon Kaen University, Khon Kaen, Thailand. 4. Institute of Research and Education Development (IRED), University of Health Sciences, Vientiane, Lao Democratic People's Republic; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Vientiane, Lao Democratic People's Republic; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom. 5. Asian Institute of Technology, Bangkok, Thailand. 6. Institut Pasteur, Functional Genetics of Infectious Diseases Unit, UMR 2000 CNRS, Paris, France. 7. Institute of Research and Education Development (IRED), University of Health Sciences, Vientiane, Lao Democratic People's Republic. 8. Savannakhet Provincial Health Office, Savannakhet Province, Lao Democratic People's Republic. 9. Champasak Provincial Health Office, Pakse, Lao Democratic People's Republic. 10. Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, North, TX, Fort Worth, TX, 76107, USA.
Abstract
BACKGROUND: Dengue is linked with climate change in tropical and sub-tropical countries including the Lao People's Democratic Republic (Laos) and Thailand. Knowledge about these issues and preventive measures can affect the incidence and outbreak risk of dengue. Therefore, the present study was conducted to determine the knowledge, attitudes, and practices (KAP) among urban and rural communities and government officials about climate change and dengue in Laos and Thailand. METHODS: A cross-sectional KAP survey about climate change and dengue were conducted in 360 households in Laos (180 urban and 180 rural), 359 households in Thailand (179 urban and 180 rural), and 20 government officials (10 in each country) using structured questionnaires. Data analysis was undertaken using descriptive methods, principal component analysis (PCA), Chi-square test or Fisher's exact test (as appropriate), and logistic regression. RESULTS: Significant differences among the selected communities in both countries were found in terms of household participant's age, level of education, socioeconomic status, attitude level of climate change and KAP level of dengue (P < 0.05; 95% CI). Overall, participants' KAP about climate change and dengue were low except the attitude level for dengue in both countries. The level of awareness among government officials regarding the climatic relationship with dengue was also low. In Lao households, participants' knowledge about climate change and dengue was significantly associated with the level of education and socioeconomic status (SES) (P < 0.01). Their attitudes towards climate change and dengue were associated with educational level and internet use (P < 0.05). Householders' climate change related practices were associated with SES (P < 0.01) and dengue related practices were associated with educational level, SES, previous dengue experience and internet use (P < 0.01). In Thailand, participants' knowledge about climate change was associated with the level of education and SES (P < 0.01). Their attitudes towards climate change were associated with residence status (urban/rural) and internet use (P < 0.05); climate change related practices were associated with educational level and SES (P < 0.05). Dengue related knowledge of participants was associated with SES and previous dengue experience (P < 0.05); participants' dengue related attitudes and practices were associated with educational level (P < 0.01). CONCLUSION: The findings call for urgently needed integrated awareness programs to increase KAP levels regarding climate change adaptation, mitigation and dengue prevention to improve the health and welfare of people in these two countries, and similar dengue-endemic countries.
BACKGROUND: Dengue is linked with climate change in tropical and sub-tropical countries including the LaoPeople's Democratic Republic (Laos) and Thailand. Knowledge about these issues and preventive measures can affect the incidence and outbreak risk of dengue. Therefore, the present study was conducted to determine the knowledge, attitudes, and practices (KAP) among urban and rural communities and government officials about climate change and dengue in Laos and Thailand. METHODS: A cross-sectional KAP survey about climate change and dengue were conducted in 360 households in Laos (180 urban and 180 rural), 359 households in Thailand (179 urban and 180 rural), and 20 government officials (10 in each country) using structured questionnaires. Data analysis was undertaken using descriptive methods, principal component analysis (PCA), Chi-square test or Fisher's exact test (as appropriate), and logistic regression. RESULTS: Significant differences among the selected communities in both countries were found in terms of household participant's age, level of education, socioeconomic status, attitude level of climate change and KAP level of dengue (P < 0.05; 95% CI). Overall, participants' KAP about climate change and dengue were low except the attitude level for dengue in both countries. The level of awareness among government officials regarding the climatic relationship with dengue was also low. In Lao households, participants' knowledge about climate change and dengue was significantly associated with the level of education and socioeconomic status (SES) (P < 0.01). Their attitudes towards climate change and dengue were associated with educational level and internet use (P < 0.05). Householders' climate change related practices were associated with SES (P < 0.01) and dengue related practices were associated with educational level, SES, previous dengue experience and internet use (P < 0.01). In Thailand, participants' knowledge about climate change was associated with the level of education and SES (P < 0.01). Their attitudes towards climate change were associated with residence status (urban/rural) and internet use (P < 0.05); climate change related practices were associated with educational level and SES (P < 0.05). Dengue related knowledge of participants was associated with SES and previous dengue experience (P < 0.05); participants' dengue related attitudes and practices were associated with educational level (P < 0.01). CONCLUSION: The findings call for urgently needed integrated awareness programs to increase KAP levels regarding climate change adaptation, mitigation and dengue prevention to improve the health and welfare of people in these two countries, and similar dengue-endemic countries.
Authors: M S Rahman; Chamsai Pientong; Sumaira Zafar; Tipaya Ekalaksananan; Richard E Paul; Ubydul Haque; Joacim Rocklöv; Hans J Overgaard Journal: One Health Date: 2021-12-04
Authors: Md Mostafizur Rahman; Abu Reza Md Towfiqul Islam; Saadmaan Jubayer Khan; Kamrun Nahar Tanni; Tuly Roy; Md Rakibul Islam; Md Alim Al Raji Rumi; Mohammed Sadman Sakib; Masrur Abdul Quader; Nafee-Ul-Islam Bhuiyan; Musabber Ali Chisty; Farzana Rahman; Edris Alam Journal: Int J Public Health Date: 2022-08-30 Impact factor: 5.100
Authors: Md Siddikur Rahman; Tipaya Ekalaksananan; Sumaira Zafar; Petchaboon Poolphol; Oleg Shipin; Ubydul Haque; Richard Paul; Joacim Rocklöv; Chamsai Pientong; Hans J Overgaard Journal: Int J Environ Res Public Health Date: 2021-06-02 Impact factor: 3.390