Dataset Information

Perceptions of malaria control and prevention in an era of climate change: a cross-sectional survey among CDC staff in China.

ABSTRACT:

Background

Though there was the significant decrease in the incidence of malaria in central and southwest China during the 1980s and 1990s, there has been a re-emergence of malaria since 2000.

Methods

A cross-sectional survey was conducted amongst the staff of eleven Centers for Disease Control and Prevention (CDC) in China to gauge their perceptions regarding the impacts of climate change on malaria transmission and its control and prevention. Descriptive analysis was performed to study CDC staff's knowledge, attitudes, perceptions and suggestions for malaria control in the face of climate change.

Results

A majority (79.8%) of CDC staff were concerned about climate change and 79.7% believed the weather was becoming warmer. Most participants (90.3%) indicated climate change had a negative effect on population health, 92.6 and 86.8% considered that increasing temperatures and precipitation would influence the transmission of vector-borne diseases including malaria. About half (50.9%) of the surveyed staff indicated malaria had re-emerged in recent years, and some outbreaks were occurring in new geographic areas. The main reasons for such re-emergence were perceived to be: mosquitoes in high-density, numerous imported cases, climate change, poor environmental conditions, internal migrant populations, and lack of health awareness.

Conclusions

This study found most CDC staff endorsed the statement that climate change had a negative impact on infectious disease transmission. Malaria had re-emerged in some areas of China, and most of the staff believed that this can be managed. However, high densities of mosquitoes and the continuous increase in imported cases of malaria in local areas, together with environmental changes are bringing about critical challenges to malaria control in China. This study contributes to an understanding of climate change related perceptions of malaria control and prevention amongst CDC staff. It may help to formulate in-house training guidelines, community health promotion programmes and policies to improve the capacity of malaria control and prevention in the face of climate change in China.

SUBMITTER: Tong MX

PROVIDER: S-EPMC5374624 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Publications

Perceptions of malaria control and prevention in an era of climate change: a cross-sectional survey among CDC staff in China.

Tong Michael Xiaoliang MX Hansen Alana A Hanson-Easey Scott S Cameron Scott S Xiang Jianjun J Liu Qiyong Q Liu Xiaobo X Sun Yehuan Y Weinstein Philip P Han Gil-Soo GS Williams Craig C Bi Peng P

Malaria journal 20170331 1

<h4>Background</h4>Though there was the significant decrease in the incidence of malaria in central and southwest China during the 1980s and 1990s, there has been a re-emergence of malaria since 2000.<h4>Methods</h4>A cross-sectional survey was conducted amongst the staff of eleven Centers for Disease Control and Prevention (CDC) in China to gauge their perceptions regarding the impacts of climate change on malaria transmission and its control and prevention. Descriptive analysis was performed t ...[more]

PMID: 28359315

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Project description:Background:Carbapenemase Producing Enterobacteriaceae (CPE) has spread rapidly and presents a growing challenge in antimicrobial resistance (AMR) management internationally. Screening for CPE may involve a rectal swab, there are limited treatment options for affected patients, and colonised patients are cared for in isolation to protect others. These measures are sound infection prevention precautions; however, the acceptability of CPE screening and its consequences are currently unknown.The aim of this study was 'To determine factors influencing acceptability of CPE screening from the perspectives of nursing staff and the general public.' Methods:National cross-sectional surveys of nursing staff (n?=?450) and the general public (n?=?261). The Theoretical Domains Framework (TDF) guided data collection and analysis. Regression modelling was used to identify factors that predicted acceptability of CPE screening. Results:For nursing staff, the following predictor variables were significant: intention to conduct CPE screening (OR 14.19, CI 5.14-39.22); belief in the severity of the consequences of CPE (OR 7.13, CI 3.26-15.60); knowledge of hospital policy for screening (OR 3.04, CI 1.45-6.34); preference to ask patients to take their own rectal swab (OR 2.89, CI 1.39-6.0); awareness that CPE is an organism of growing concern (OR 2.44, CI 1.22-4.88). The following predictor variables were significant for the general public: lack of knowledge of AMR (??-?.11, p?=?.01); social influences (? .14, p?=?.032); social norms (? .21p?=?.00); acceptability of being isolated if colonised (? .22, p?=?.000), beliefs about the acceptability of rectal swabbing (? .15, p?=?.00), beliefs about the impact of careful explanation about CPE screening from a health professional (? .32, p?=?.00).Integrating results from staff and public perspectives points to the importance of knowledge of AMR, environmental resources, and social influences in shaping acceptability. Conclusions:This is the first study to systematically examine the acceptability of CPE screening across nursing staff and the public. The use of TDF enabled identification of the mechanisms of action, or theoretical constructs, likely to be important in understanding and changing CPE related behaviour amongst professionals and public alike.

Dataset Information

Perceptions of malaria control and prevention in an era of climate change: a cross-sectional survey among CDC staff in China.

Background

Methods

Results

Conclusions

Publications

Perceptions of malaria control and prevention in an era of climate change: a cross-sectional survey among CDC staff in China.

Similar Datasets

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