Knowledge, Attitudes, and Practices on Malaria Prevention Among Chinese International Travelers

Zhang, Min; Li, Yong; He, Huang; Luo, Lan; Wang, Shunqing; Bu, Honglei; Zhou, Xian

doi:10.1111/j.1708-8305.2011.00512.x

Cited by 48 publications

(49 citation statements)

References 6 publications

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“…Furthermore, the lack of acquired immunity in Chinese citizens increases their vulnerability to P. falciparum , and their long stays (median 317 days) also increase the risk of exposure. Additionally, the labourers are generally poorly educated and lack awareness of the risk of malaria and personal protection against mosquito bites, and the majority of workers do not obtain anti-malarial medication prior to overseas travel1326. Thus, targeting these workers, especially employees in resource extraction related businesses, with malaria awareness messages and provision of prophylaxis is likely to be an efficient strategy.…”

Section: Discussionmentioning

confidence: 99%

Plasmodium falciparum malaria importation from Africa to China and its mortality: an analysis of driving factors

Lai

Wardrop

Huang

et al. 2016

Sci Rep

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Plasmodium falciparum malaria importation from Africa to China is rising with increasing Chinese overseas investment and international travel. Identifying networks and drivers of this phenomenon as well as the contributors to high case-fatality rate is a growing public health concern to enable efficient response. From 2011–2015, 8653 P. falciparum cases leading to 98 deaths (11.3 per 1000 cases) were imported from 41 sub-Saharan countries into China, with most cases (91.3%) occurring in labour-related Chinese travellers. Four strongly connected groupings of origin African countries with destination Chinese provinces were identified, and the number of imported cases was significantly associated with the volume of air passengers to China (P = 0.006), parasite prevalence in Africa (P < 0.001), and the amount of official development assistance from China (P < 0.001) with investment in resource extraction having the strongest relationship with parasite importation. Risk factors for deaths from imported cases were related to the capacity of malaria diagnosis and diverse socioeconomic factors. The spatial heterogeneity uncovered, principal drivers explored, and risk factors for mortality found in the rising rates of P. falciparum malaria importation to China can serve to refine malaria elimination strategies and the management of cases, and high risk groups and regions should be targeted.

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Section: Discussionmentioning

confidence: 99%

Plasmodium falciparum malaria importation from Africa to China and its mortality: an analysis of driving factors

Lai

Wardrop

Huang

et al. 2016

Sci Rep

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“…This intervention model, which correlates KAP with malaria control and prevention, has received considerable attention and promotion in the past 10 years [37], and several other countries have conducted related policies in East Asia, including Myanmar, Cambodia, and Malawi [38-40]. Of course, in addition to the above factors affecting the malaria-related KAP of residents, the mode of promotion and education, the hardware and facilities at health institutions, and social and cultural factors may also affect the effectiveness of malaria-related KAP intervention.…”

Section: Discussionmentioning

confidence: 99%

Eliminating Plasmodium falciparum in Hainan, China: a study on the use of behavioural change communication intervention to promote malaria prevention in mountain worker populations

Wang

et al. 2014

Malar J

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BackgroundIn the island of Hainan, the great majority of malaria cases occur in mountain worker populations. Using the behavioral change communication (BCC) strategy, an interventional study was conducted to promote mountain worker malaria prevention at a test site. This study found the methods and measures that are suitable for malaria prevention among mountain worker populations.MethodsDuring the Plasmodium falciparum elimination stage in Hainan, a representative sampling method was used to establish testing and control sites in areas of Hainan that were both affected by malaria and had a relatively high density of mountain workers. Two different methods were used: a BCC strategy and a conventional strategy as a control. Before and after the intervention, house visits, core group discussions, and structural surveys were utilized to collect qualitative and quantitative data regarding mountain worker populations (including knowledge, attitudes, and practices [KAPs]; infection status; and serological data), and these data from the testing and control areas were compared to evaluate the effectiveness of BCC strategies in the prevention of malaria.ResultsIn the BCC malaria prevention strategy testing areas, the accuracy rates of malaria-related KAP were significantly improved among mountain worker populations. The accuracy rates in the 3 aspects of malaria-related KAP increased from 37.73%, 37.00%, and 43.04% to 89.01%, 91.53%, and 92.25%, respectively. The changes in all 3 aspects of KAP were statistically significant (p < 0.01). In the control sites, the changes in the indices were not as marked as in the testing areas, and the change was not statistically significant (p > 0.05). Furthermore, in the testing areas, both the percentage testing positive in the serum malaria indirect fluorescent antibody test (IFAT) and the number of people inflicted decreased more significantly than in the control sites (p < 0.01).ConclusionThe use of the BCC strategy significantly improved the ability of mountain workers in Hainan to avoid malarial infection. Educational and promotional materials and measures were developed and selected in the process, and hands-on experience was gained that will help achieve the goal of total malaria elimination in Hainan.

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“…Malaria importation is an increasing challenge; therefore, malaria is still an important infectious disease. However, apart from low public awareness, knowledge of malaria among expatriate laborers working in malaria-endemic areas and among exposed Chinese travelers was far from satisfactory [14,15]. To reduce the rate of imported malaria, malaria prevention education should focus on advance notification if traveling to a malaria-endemic areas, understanding of and compliance with chemoprophylaxis, and the importance of practicing all recommended preventive measures [15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…However, apart from low public awareness, knowledge of malaria among expatriate laborers working in malaria-endemic areas and among exposed Chinese travelers was far from satisfactory [14,15]. To reduce the rate of imported malaria, malaria prevention education should focus on advance notification if traveling to a malaria-endemic areas, understanding of and compliance with chemoprophylaxis, and the importance of practicing all recommended preventive measures [15][16][17]. In addition, medical staff's knowledge and awareness of diagnosis, treatment, and prevention of malaria is also very important to those who are infected or are suspected of being infected [18,19].…”

Section: Discussionmentioning

confidence: 99%

Public awareness of malaria at the beginning of a national malaria elimination program in China

Yin

Xia

Wang

et al. 2015

J Infect Dev Ctries

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Introduction: This study aimed to investigate the baseline level of malaria awareness in residents in 20 malaria-endemic provinces from October 2010 to January 2011 at the beginning of the implementation of the China National Malaria Elimination Programme (NMEP). Methodology: A structured questionnaire about basic malaria knowledge was administrated to residents in rural areas from 20 provinces, municipalities, and autonomous regions. Results: A total of 182,085 residents no younger than 15 years of age took part in the cross-sectional investigation; 3,232 were excluded because of incomplete survey responses. Of the respondents, 56.86% were aware of malaria, 18.03% responded correctly to all five questions, and 5.57% answered all the questions incorrectly. Malaria awareness among different age groups was statistically significant (p < 0.001), males had a better understanding of malaria than did females (p < 0.001), and Type I counties had a better understanding than did Type II counties (p < 0.001). Conclusions: The level of malaria awareness was low among residents at the beginning of the NMEP, especially about malaria pathogenicity and preventive methods. Health education campaigns should be developed and implemented to increase the public perceptions about malaria prevention and treatment, and to promote malaria elimination in China.

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Knowledge, Attitudes, and Practices on Malaria Prevention Among Chinese International Travelers

Abstract: KAP about malaria among exposed Chinese travelers is far from satisfactory. To reduce the rate of imported malaria, specific educational tools should be developed for those at high risk to make them understand and become compliant with chemoprophylaxis.

Cited by 48 publications

References 6 publications

Plasmodium falciparum malaria importation from Africa to China and its mortality: an analysis of driving factors

Plasmodium falciparum malaria importation from Africa to China and its mortality: an analysis of driving factors

Eliminating Plasmodium falciparum in Hainan, China: a study on the use of behavioural change communication intervention to promote malaria prevention in mountain worker populations

Public awareness of malaria at the beginning of a national malaria elimination program in China

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