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-
1.
Yu XJ et al. 2011. Fever with thrombocytopenia associated with a novel bunyavirus in China. N Engl J Med 364: 1523–1532.
-
2.
Takahashi T et al. 2014. The first identification and retrospective study of severe fever with thrombocytopenia syndrome in Japan. J Infect Dis 209: 816–827.
-
3.
Yun SM, Lee WG, Ryou J, Yang SC, Park SW, Roh JY, Lee YJ, Chan P, Han MG, 2014. Severe fever with thrombocytopenia syndrome virus in ticks collected from humans, South Korea, 2013. Emerg Infect Dis 20: 1358–1361.
-
4.
Deng B et al. 2013. Clinical features and factors associated with severity and fatality among patients with severe fever with thrombocytopenia syndrome bunyavirus infection in northeast China. PLoS One 8: e80802.
-
5.
Jin C et al. 2012. Pathogenesis of emerging severe fever with thrombocytopenia syndrome virus in C57/BL6 mouse model. Proc Natl Acad Sci U S A 109: 10053–10058.
-
6.
Li S et al. 2011. Sporadic case infected by severe fever with thrombocytopenia syndrome bunyavirus in a non-epidemic region of China. Biosci Trends 5: 273–276.
-
7.
Gai ZT et al. 2012. Clinical progress and risk factors for death in severe fever with thrombocytopenia syndrome patients. J Infect Dis 206: 1095–1102.
-
8.
Zhan J, Wang Q, Cheng J, Hu B, Li J, Zhan F, Song Y, Guo D, 2017. Current status of severe fever with thrombocytopenia syndrome in China. Virol Sin 32: 51–62.
-
9.
Liu S, Chai C, Wang C, Amer S, Lv H, He H, Sun J, Lin J, 2014. Systematic review of severe fever with thrombocytopenia syndrome: virology, epidemiology, and clinical characteristics. Rev Med Virol 24: 90–102.
-
10.
Wang S et al. 2015. SFTS virus in ticks in an endemic area of China. Am J Trop Med Hyg 92: 684–689.
-
11.
Zhang WS, Zeng XY, Zhou MH, Jiao YJ, Wen T, Guo XL, 2011. Seroepidemiology of severe fever with thrombocytopenia syndrome virus in Jiangsu province. Dis Surveill 26: 676–678.
-
12.
Liang S et al. 2014. Seroprevalence and risk factors for severe fever with thrombocytopenia syndrome virus infection in Jiangsu province, China, 2011. Am J Trop Med Hyg 90: 256–259.
-
13.
Lyu Y et al. 2016. Seroprevalence and risk factors of severe fever with thrombocytopenia syndrome virus infection in endemic areas. Infect Dis (Lond) 48: 544–549.
-
14.
Niu G et al. 2013. Severe fever with thrombocytopenia syndrome virus among domesticated animals, China. Emerg Infect Dis 19: 756–763.
-
15.
Luo LM et al. 2015. Haemaphysalis longicornis ticks as reservoir and vector of severe fever with thrombocytopenia syndrome virus in China. Emerg Infect Dis 21: 1770–1776.
-
16.
Liu Q, He B, Huang SY, Wei F, Zhu XQ, 2014. Severe fever with thrombocytopenia syndrome, an emerging tick-borne zoonosis. Lancet Infect Dis 14: 763–772.
-
17.
Chen H, Hu K, Zou J, Xiao J, 2013. A cluster of cases of human-to-human transmission caused by severe fever with thrombocytopenia syndrome bunyavirus. Int J Infect Dis 17: e206.
-
18.
Bao C et al. 2011. A family cluster of infections by a newly recognized bunyavirus in eastern China, 2007: further evidence of person-to-person transmission. Clin Infect Dis 53: 1208–1214.
-
19.
Gong L et al. 2018. Human-to-human transmissions of severe fever with thrombocytopenia syndrome virus in Anhui province, 2010–2017. Clin Microbiol Infect 24: 920–922.
-
20.
Gai Z et al. 2012. Person-to-person transmission of severe fever with thrombocytopenia syndrome bunyavirus through blood contact. Clin Infect Dis 54: 249–252.
-
21.
Lyu Y et al. 2018. Impact of an intervention programme on knowledge, attitudes and practices of population regarding severe fever with thrombocytopenia syndrome in endemic areas of Lu’an, China. Epidemiol Infect 146: 125–136.
-
22.
Dhimal M, Aryal KK, Dhimal ML, Gautam I, Singh SP, Bhusal CL, Kuch U, 2014. Knowledge, attitude and practice regarding dengue fever among the healthy population of highland and lowland communities in central Nepal. PLoS One 9: e102028.
-
23.
Negash Y, Gebre B, Benti D, Bejiga M, 2003. A community based study on knowledge attitude and practice (KAP) on HIV/AIDS in Gambella town western Ethiopia. Ethiop J Health Dev 17: 234–235.
-
24.
Aldubai SA, Ganasegeran K, Mohanad RA, Alshagga MA, Saifali R, 2013. Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi-urban and rural communities in Malaysia. Southeast Asian J Trop Med Public Health 44: 37–49.
-
25.
Li PW, Shakir SMM, Atefi N, Abubakar S, 2015. Factors affecting dengue prevention practices: nationwide survey of the Malaysian public. PLoS One 10: e0122890.
-
26.
Ayyamani UD, Gan CY, San OG, 1986. A knowledge attitude and practice (KAP) study on dengue/dengue haemorrhagic fever and the Aedes mosquitoes. Med J Malaysia 41: 108–115.
-
27.
Hairi F, Ong CH, Suhaimi A, Tsung TW, Ma BAA, Sundaraj C, Soe MM, 2003. A knowledge, attitude and practices (KAP) study on dengue among selected rural communities in the Kuala Kangsar district. Asia Pac J Public Health 15: 37–43.
-
28.
Singh A, Purohit BM, Bhambal A, Saxena S, Singh A, Gupta A, 2011. Knowledge, attitudes, and practice regarding infection control measures among dental students in central India. J Dent Educ 75: 421–427.
-
29.
Haq NU, Hassali MA, Shafie AA, Saleem F, Farooqui M, Haseeb A, Aljadhey H, 2013. A cross-sectional assessment of knowledge, attitude and practice among hepatitis-B patients in Quetta, Pakistan. BMC Public Health 13: 448.
-
30.
Sarkari B, Qasem A, Shafaf MR, 2014. Knowledge, attitude, and practices related to cutaneous leishmaniasis in an endemic focus of cutaneous leishmaniasis, southern Iran. Asian Pac J Trop Biomed 4: 566–569.
-
31.
Vijayakumar KN, Gunasekaran K, Sahu SS, Jambulingam P, 2009. Knowledge, attitude and practice on malaria: a study in a tribal belt of Orissa state, India with reference to use of long lasting treated mosquito nets. Acta Trop 112: 137–142.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1603 | 1490 | 322 |
| Full Text Views | 582 | 13 | 0 |
| PDF Downloads | 200 | 12 | 0 |
Knowledge, Attitudes, and Practices regarding Severe Fever with Thrombocytopenia Syndrome in Endemic Areas of Anhui Province, Eastern China
Lei Gong
Lei Gong
Anhui Provincial Center for Disease Control and Prevention, Hefei, China;
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Dandan Song
Dandan Song
Anhui Provincial Center for Disease Control and Prevention, Hefei, China;
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Yong Lyu
Yong Lyu
Lu’an Municipal Center for Disease Control and Prevention, Lu’an, China;
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Jinsheng Wang
Jinsheng Wang
Anqing Municipal Center for Disease Control and Prevention, Anqing, China;
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Yong Zhang
Yong Zhang
Chuzhou Municipal Center for Disease Control and Prevention, Chuzhou, China;
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Ming Yang
Ming Yang
Xuancheng Municipal Center for Disease Control and Prevention, Xuancheng, China
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Jiabing Wu
Jiabing Wu
Anhui Provincial Center for Disease Control and Prevention, Hefei, China;
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Li Ma
Li Ma
Anhui Provincial Center for Disease Control and Prevention, Hefei, China;
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Xuewei Xu
Xuewei Xu
Chuzhou Municipal Center for Disease Control and Prevention, Chuzhou, China;
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Weilin Gao
Weilin Gao
Anqing Municipal Center for Disease Control and Prevention, Anqing, China;
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Bin Su
Bin Su
Anhui Provincial Center for Disease Control and Prevention, Hefei, China;
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This study aimed to assess baseline knowledge, attitudes, and practices about severe fever with thrombocytopenia syndrome (SFTS) and identify the target population for health education programs in endemic areas of Anhui, China. This cross-sectional study was conducted from May to June 2017. Of 752 participants, 383 (50.9%) were from Nanqiao District, 397 (52.8%) were female, and 430 (57.2%) were farmers; 37.4% had heard about SFTS, but knowledge of symptoms and signs including fever (34.2%), leukopenia (8.0%), and thrombocytopenia (10.1%) was low. Only 12.1% knew that SFTS virus is transmitted by ticks, 9.4% realized that the blood and body fluid of SFTS are infectious, and only 38.2% thought that the tick should be paralyzed using medical alcohol or iodine. Meanwhile, 61.3% wore long-sleeve clothes, whereas 20.2% used repellents. Median scores for knowledge, attitudes, and practices, and the total score were 4.0, 6.0, 5.0, and 16.0, respectively. Knowledge was influenced by region (OR = 0.632, 95% CI: 0.399–0.999), education (OR = 0.516, 95% CI: 0.434–0.612), gender (OR = 1.865, 95% CI: 1.165–2.987), and age (OR = 3.406, 95% CI: 2.345–4.947). Education was a predictor of lack of appreciation of infection risk (OR = 0.519, 95% CI: 0.449–0.599) and practice (OR = 0.481, 95% CI: 0.396–0.584). Our findings indicate that SFTS-related health education programs are required for females; participants from Qianshan Prefecture; those with an occupation of farmer, retiree, houseworker, or unemployed; elderly participants; and those with low education. Large-scale sustainable health education programs focusing on the target populations are urgently needed in endemic areas.
Author Notes
Financial support: This study was supported by a grant from Anhui Provincial Health and Family Planning Commission (2017jk004), a grant of Anhui Provincial International Scientific Collaboration Program (1503062008), and a grant from National Health and Family Planning Commission of the People’s Republic of China (201202006).
Authors’ addresses: Lei Gong, Dandan Song, Jiabing Wu, Li Ma, and Bin Su, Anhui Provincial Center for Disease Control and Prevention, Hefei, China, E-mails: gong0516@sina.com, dandansodan@163.com, wjb0386@163.com, mali@ahcdc.com.cn, and sub602@sina.com. Yong Lyu, Lu’an Municipal Center for Disease Control and Prevention, Lu’an, China, E-mail: lyong@lacdc.com.cn. Jinsheng Wang and Weilin Gao, Anqing Municipal Center for Disease Control and Prevention, Anqing, China, E-mails: aqcdcwjs@126.com and aqcdcjck@126.com. Yong Zhang and Xuewei Xu, Chuzhou Municipal Center for Disease Control and Prevention, Chuzhou, China, E-mails: zhangy751@163.com and xsxbss@sohu.com. Ming Yang, Xuancheng Municipal Center for Disease Control and Prevention, Xuancheng, China, E-mail: xcjkym@163.com.
These authors contributed equally to this work.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Yu XJ et al. 2011. Fever with thrombocytopenia associated with a novel bunyavirus in China. N Engl J Med 364: 1523–1532.
-
2.
Takahashi T et al. 2014. The first identification and retrospective study of severe fever with thrombocytopenia syndrome in Japan. J Infect Dis 209: 816–827.
-
3.
Yun SM, Lee WG, Ryou J, Yang SC, Park SW, Roh JY, Lee YJ, Chan P, Han MG, 2014. Severe fever with thrombocytopenia syndrome virus in ticks collected from humans, South Korea, 2013. Emerg Infect Dis 20: 1358–1361.
-
4.
Deng B et al. 2013. Clinical features and factors associated with severity and fatality among patients with severe fever with thrombocytopenia syndrome bunyavirus infection in northeast China. PLoS One 8: e80802.
-
5.
Jin C et al. 2012. Pathogenesis of emerging severe fever with thrombocytopenia syndrome virus in C57/BL6 mouse model. Proc Natl Acad Sci U S A 109: 10053–10058.
-
6.
Li S et al. 2011. Sporadic case infected by severe fever with thrombocytopenia syndrome bunyavirus in a non-epidemic region of China. Biosci Trends 5: 273–276.
-
7.
Gai ZT et al. 2012. Clinical progress and risk factors for death in severe fever with thrombocytopenia syndrome patients. J Infect Dis 206: 1095–1102.
-
8.
Zhan J, Wang Q, Cheng J, Hu B, Li J, Zhan F, Song Y, Guo D, 2017. Current status of severe fever with thrombocytopenia syndrome in China. Virol Sin 32: 51–62.
-
9.
Liu S, Chai C, Wang C, Amer S, Lv H, He H, Sun J, Lin J, 2014. Systematic review of severe fever with thrombocytopenia syndrome: virology, epidemiology, and clinical characteristics. Rev Med Virol 24: 90–102.
-
10.
Wang S et al. 2015. SFTS virus in ticks in an endemic area of China. Am J Trop Med Hyg 92: 684–689.
-
11.
Zhang WS, Zeng XY, Zhou MH, Jiao YJ, Wen T, Guo XL, 2011. Seroepidemiology of severe fever with thrombocytopenia syndrome virus in Jiangsu province. Dis Surveill 26: 676–678.
-
12.
Liang S et al. 2014. Seroprevalence and risk factors for severe fever with thrombocytopenia syndrome virus infection in Jiangsu province, China, 2011. Am J Trop Med Hyg 90: 256–259.
-
13.
Lyu Y et al. 2016. Seroprevalence and risk factors of severe fever with thrombocytopenia syndrome virus infection in endemic areas. Infect Dis (Lond) 48: 544–549.
-
14.
Niu G et al. 2013. Severe fever with thrombocytopenia syndrome virus among domesticated animals, China. Emerg Infect Dis 19: 756–763.
-
15.
Luo LM et al. 2015. Haemaphysalis longicornis ticks as reservoir and vector of severe fever with thrombocytopenia syndrome virus in China. Emerg Infect Dis 21: 1770–1776.
-
16.
Liu Q, He B, Huang SY, Wei F, Zhu XQ, 2014. Severe fever with thrombocytopenia syndrome, an emerging tick-borne zoonosis. Lancet Infect Dis 14: 763–772.
-
17.
Chen H, Hu K, Zou J, Xiao J, 2013. A cluster of cases of human-to-human transmission caused by severe fever with thrombocytopenia syndrome bunyavirus. Int J Infect Dis 17: e206.
-
18.
Bao C et al. 2011. A family cluster of infections by a newly recognized bunyavirus in eastern China, 2007: further evidence of person-to-person transmission. Clin Infect Dis 53: 1208–1214.
-
19.
Gong L et al. 2018. Human-to-human transmissions of severe fever with thrombocytopenia syndrome virus in Anhui province, 2010–2017. Clin Microbiol Infect 24: 920–922.
-
20.
Gai Z et al. 2012. Person-to-person transmission of severe fever with thrombocytopenia syndrome bunyavirus through blood contact. Clin Infect Dis 54: 249–252.
-
21.
Lyu Y et al. 2018. Impact of an intervention programme on knowledge, attitudes and practices of population regarding severe fever with thrombocytopenia syndrome in endemic areas of Lu’an, China. Epidemiol Infect 146: 125–136.
-
22.
Dhimal M, Aryal KK, Dhimal ML, Gautam I, Singh SP, Bhusal CL, Kuch U, 2014. Knowledge, attitude and practice regarding dengue fever among the healthy population of highland and lowland communities in central Nepal. PLoS One 9: e102028.
-
23.
Negash Y, Gebre B, Benti D, Bejiga M, 2003. A community based study on knowledge attitude and practice (KAP) on HIV/AIDS in Gambella town western Ethiopia. Ethiop J Health Dev 17: 234–235.
-
24.
Aldubai SA, Ganasegeran K, Mohanad RA, Alshagga MA, Saifali R, 2013. Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi-urban and rural communities in Malaysia. Southeast Asian J Trop Med Public Health 44: 37–49.
-
25.
Li PW, Shakir SMM, Atefi N, Abubakar S, 2015. Factors affecting dengue prevention practices: nationwide survey of the Malaysian public. PLoS One 10: e0122890.
-
26.
Ayyamani UD, Gan CY, San OG, 1986. A knowledge attitude and practice (KAP) study on dengue/dengue haemorrhagic fever and the Aedes mosquitoes. Med J Malaysia 41: 108–115.
-
27.
Hairi F, Ong CH, Suhaimi A, Tsung TW, Ma BAA, Sundaraj C, Soe MM, 2003. A knowledge, attitude and practices (KAP) study on dengue among selected rural communities in the Kuala Kangsar district. Asia Pac J Public Health 15: 37–43.
-
28.
Singh A, Purohit BM, Bhambal A, Saxena S, Singh A, Gupta A, 2011. Knowledge, attitudes, and practice regarding infection control measures among dental students in central India. J Dent Educ 75: 421–427.
-
29.
Haq NU, Hassali MA, Shafie AA, Saleem F, Farooqui M, Haseeb A, Aljadhey H, 2013. A cross-sectional assessment of knowledge, attitude and practice among hepatitis-B patients in Quetta, Pakistan. BMC Public Health 13: 448.
-
30.
Sarkari B, Qasem A, Shafaf MR, 2014. Knowledge, attitude, and practices related to cutaneous leishmaniasis in an endemic focus of cutaneous leishmaniasis, southern Iran. Asian Pac J Trop Biomed 4: 566–569.
-
31.
Vijayakumar KN, Gunasekaran K, Sahu SS, Jambulingam P, 2009. Knowledge, attitude and practice on malaria: a study in a tribal belt of Orissa state, India with reference to use of long lasting treated mosquito nets. Acta Trop 112: 137–142.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1603 | 1490 | 322 |
| Full Text Views | 582 | 13 | 0 |
| PDF Downloads | 200 | 12 | 0 |