Physician Knowledge, Attitudes, and Practices Related to Chagas Disease in Tabasco, Mexico

Brandon A. Berger Pritzker School of Medicine, University of Chicago, Chicago, Illinois;

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Allison H. Bartlett Section of Infectious Disease, University of Chicago Comer Children’s Hospital, Chicago, Illinois;

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Ricardo Jiménez-Hernández Dirección de Calidad y Educación en Salud, Secretaria de Salud de Tabasco, Villahermosa, Tabasco, Mexico;

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Esmelin Trinidad Vázquez Dirección de Calidad y Educación en Salud, Secretaria de Salud de Tabasco, Villahermosa, Tabasco, Mexico;

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Norma Galindo-Sevilla Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City, Mexico

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We designed and implemented a survey of physician knowledge, attitudes, and practices with respect to Chagas disease in the state of Tabasco, Mexico. Seventy-eight public sector physicians from across the state responded via Research Electronic Data Capture, an online survey capture tool. Improved performance on knowledge-based questions (P < 0.01) and an increase in decisions to screen (P = 0.04) were associated with previous training specific to this disease. Our results provide important descriptive information regarding knowledge, attitudes, and practices among a group of public sector Mexican doctors and highlight the importance of Chagas disease–specific physician training for identification and, ultimately, treatment of patients affected by this disease.

Author Notes

Address correspondence to Brandon A. Berger, University of Chicago, Pritzker School of Medicine, 5841 South Maryland Ave., MC 6054, Chicago, IL 60637. E-mail: bberger@uchicago.edu

Financial support: B. A. B. received financial support from the Pritzker Fellowship of the Pritzker School of Medicine, University of Chicago and the Benjamin H. Kean Travel Fellowship of the American Society of Tropical Medicine and Hygiene.

Authors’ addresses: Brandon A. Berger, Pritzker School of Medicine, University of Chicago, Chicago, IL, E-mail: bberger@uchicago.edu. Allison H. Bartlett, Section of Infectious Disease, University of Chicago Comer Children’s Hospital, Chicago, IL, E-mail: abartlett@peds.bsd.uchicago.edu. Ricardo Jiménez-Hernández and Esmelin Trinidad Vázquez, Dirección de Calidad y Educación en Salud, Secretaria de Salud de Tabasco, Villahermosa, Mexico, E-mails: ricardojh29@hotmail.com and esmelintv@hotmail.com. Norma Galindo-Sevilla, Subdirección de Investigación Clínica, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City, Mexico, E-mail: ngalindosevilla@hotmail.com.

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