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

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Health Behavior* ; Health Literacy*/statistics & numerical data; Echinococcosis/*prevention & control; Adult ; Animals ; Cross-Sectional Studies ; Echinococcosis/epidemiology ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Middle Aged ; Self-Management ; Surveys and Questionnaires ; Tibet/epidemiology
    • Abstract:
      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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    • Grant Information:
      No. 13CSH076 National Social Science Grant of China; Nos. 12GWZX0901, 15GWZK1001 Shanghai Public Health Key Discipline Plan
    • Contributed Indexing:
      Keywords: Behavioural intention; Echinococcosis prevention; Health literacy
    • Publication Date:
      Date Created: 20210123 Date Completed: 20210205 Latest Revision: 20210205
    • Publication Date:
      20240105
    • Accession Number:
      PMC7821523
    • Accession Number:
      10.1186/s12879-021-05775-8
    • Accession Number:
      33482746