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Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study

BACKGROUND: Echinococcosis is considered a neglected zoonotic disease and has been a major worldwide public health problem. Although it is known that health literacy is closely related to health behaviours and health outcomes, few studies have paid attention to echinococcosis related health literacy...

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Autores principales: Zhao, Jie, Dawa, Yangzong, A, Kezhong, Dejicuo, Lengbao, Li, Zengyue, Chen, Wanli, Wang, Jingya, Zhang, Yuxin, Dengbentai, Wang, Jiwei, Shi, Lizheng, Jiang, Qingwu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821523/
https://www.ncbi.nlm.nih.gov/pubmed/33482746
http://dx.doi.org/10.1186/s12879-021-05775-8
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author Zhao, Jie
Dawa, Yangzong
A, Kezhong
Dejicuo
Lengbao
Li, Zengyue
Chen, Wanli
Wang, Jingya
Zhang, Yuxin
Dengbentai
Wang, Jiwei
Shi, Lizheng
Jiang, Qingwu
author_facet Zhao, Jie
Dawa, Yangzong
A, Kezhong
Dejicuo
Lengbao
Li, Zengyue
Chen, Wanli
Wang, Jingya
Zhang, Yuxin
Dengbentai
Wang, Jiwei
Shi, Lizheng
Jiang, Qingwu
author_sort Zhao, Jie
collection PubMed
description BACKGROUND: Echinococcosis is considered a neglected zoonotic disease and has been a major worldwide public health problem. Although it is known that health literacy is closely related to health behaviours and health outcomes, few studies have paid attention to echinococcosis related health literacy. This study aims to examine the association between echinococcosis-specific health literacy (ES-HL) and behavioural intention to prevent echinococcosis (BIPE) among herdsmen on the Tibet Plateauin in China. METHODS: A cross-sectional study of 401 Tibetan herdsmen was conducted in Gande county of Qinghai Province, China. Participants were recruited from August to September 2018 and from February to March 2019. A self-developed questionnaire was used to measure demographic information, ES-HL and BIPE. Hierarchical regression analysis was done to identify the factors associated with BIPE. RESULTS: In the hierarchical regression analysis, we entered age, sex, education level, marital state and family monthly income per capita into model 1 which explained a significant amount of variance in BIPE (Adjusted R(2) change = 0.029, P = 0.006). Sex (β = − 0.125, P = 0.013) and family monthly income per capita (β = − 0.133, P = 0.009) were found to be associated with BIPE. Subsequently, the three factors of ES-HL were added to Model 1 to create Model 2. In Model 2, the two factors of ES-HL, perceived echinococcosis information support (β = 0.229, P < 0.001) and echinococcosis-specific self-management ability (β = 0.252, P < 0.001), were significantly associated with BIPE, while the information acquisition and evaluation ability factor (β =0.093, P = 0.089) was not found to be associated with BIPE. The model improved significantly when ES-HL was included (Model 2) explaining the 25.8% of variance of BIPE (Adjust R(2) change =0.229, P < 0.001). CONCLUSIONS: ES-HL is an important predictor of whether individuals take preventive actions against echinococcosis. An ES-HL promotion action project should be developed targeting specific populations to enhance the prevention of echinococcosis.
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spelling pubmed-78215232021-01-22 Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study Zhao, Jie Dawa, Yangzong A, Kezhong Dejicuo Lengbao Li, Zengyue Chen, Wanli Wang, Jingya Zhang, Yuxin Dengbentai Wang, Jiwei Shi, Lizheng Jiang, Qingwu BMC Infect Dis Research Article BACKGROUND: Echinococcosis is considered a neglected zoonotic disease and has been a major worldwide public health problem. Although it is known that health literacy is closely related to health behaviours and health outcomes, few studies have paid attention to echinococcosis related health literacy. This study aims to examine the association between echinococcosis-specific health literacy (ES-HL) and behavioural intention to prevent echinococcosis (BIPE) among herdsmen on the Tibet Plateauin in China. METHODS: A cross-sectional study of 401 Tibetan herdsmen was conducted in Gande county of Qinghai Province, China. Participants were recruited from August to September 2018 and from February to March 2019. A self-developed questionnaire was used to measure demographic information, ES-HL and BIPE. Hierarchical regression analysis was done to identify the factors associated with BIPE. RESULTS: In the hierarchical regression analysis, we entered age, sex, education level, marital state and family monthly income per capita into model 1 which explained a significant amount of variance in BIPE (Adjusted R(2) change = 0.029, P = 0.006). Sex (β = − 0.125, P = 0.013) and family monthly income per capita (β = − 0.133, P = 0.009) were found to be associated with BIPE. Subsequently, the three factors of ES-HL were added to Model 1 to create Model 2. In Model 2, the two factors of ES-HL, perceived echinococcosis information support (β = 0.229, P < 0.001) and echinococcosis-specific self-management ability (β = 0.252, P < 0.001), were significantly associated with BIPE, while the information acquisition and evaluation ability factor (β =0.093, P = 0.089) was not found to be associated with BIPE. The model improved significantly when ES-HL was included (Model 2) explaining the 25.8% of variance of BIPE (Adjust R(2) change =0.229, P < 0.001). CONCLUSIONS: ES-HL is an important predictor of whether individuals take preventive actions against echinococcosis. An ES-HL promotion action project should be developed targeting specific populations to enhance the prevention of echinococcosis. BioMed Central 2021-01-22 /pmc/articles/PMC7821523/ /pubmed/33482746 http://dx.doi.org/10.1186/s12879-021-05775-8 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Zhao, Jie
Dawa, Yangzong
A, Kezhong
Dejicuo
Lengbao
Li, Zengyue
Chen, Wanli
Wang, Jingya
Zhang, Yuxin
Dengbentai
Wang, Jiwei
Shi, Lizheng
Jiang, Qingwu
Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study
title Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study
title_full Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study
title_fullStr Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study
title_full_unstemmed Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study
title_short Association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the Tibet Plateau in China: a cross-sectional study
title_sort association between echinococcosis-specific health literacy and behavioural intention to prevent echinococcosis among herdsmen on the tibet plateau in china: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821523/
https://www.ncbi.nlm.nih.gov/pubmed/33482746
http://dx.doi.org/10.1186/s12879-021-05775-8
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