Predictors of compliance with a mass drug administration programme for lymphatic filariasis in Orissa State, India 2008

Cantey, Paul T.; Rao, G. C. P. Ranga; Rout, Jonathan; Fox, LeAnne M.

doi:10.1111/j.1365-3156.2009.02443.x

Cited by 32 publications

(41 citation statements)

References 18 publications

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“…Residents of one area received the standard pre-MDA education that is typical for Orissa (MDA-only). Another area had enhanced community-based pre-MDA education that was designed to address barriers to compliance identified in the 2007 MDA (Com-MDA) [13]. In the third area, which also received enhanced community-based pre-MDA education, a lymphedema management program had been initiated earlier in the year (Com-MDA+LM).…”

Section: Resultsmentioning

confidence: 99%

Global Elimination of Lymphatic Filariasis: Addressing the Public Health Problem

Addiss

2010

PLoS Negl Trop Dis

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Section: Resultsmentioning

confidence: 99%

Global Elimination of Lymphatic Filariasis: Addressing the Public Health Problem

Addiss

2010

PLoS Negl Trop Dis

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“…For example, a KAP study in Thailand showed the positive influence of increasing community knowledge on controlling and preventing dengue, thereby improving prevention practices (Koenraadt et al 2006). What’s more, some other surveys adopted KAP model include identifying knowledge gaps, cultural beliefs, and behavioral patterns that may pose barriers to controlling infectious diseases (Krentel et al 2006; Matibag et al 2007), design of relevant public health awareness campaigns (Cantey et al 2010), establishing baseline data for planning and implementation, and evaluating control program.…”

Section: Discussionmentioning

confidence: 99%

Smoking related attitudes, motives, and behaviors of male secondary school students in an urban setting of China

Chen

Abdullah

et al. 2016

SpringerPlus

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BackgroundMost smokers have their first experience of cigarette use when they are teenagers (i.e. at schools). Aiming tobacco control initiatives at secondary school students offers preventive measures to eliminate or reduce tobacco use initiation by students. This study assessed smoking-related attitudes, motives and behavior as well as other factors associated with smoking among male secondary school students in an urban setting in China.MethodsA cross-sectional survey was conducted in urban areas of Chongqing using a structured questionnaire administered to 1297 male secondary school students. Logistic regression analysis was employed to investigate the factors that affect smoking.ResultsOf the participants (n = 1297), 27.7% were secondary and 72.3% were middle school students. Overall, 30.5% of the participants were smokers. The majority of the students procured their first cigarette from friends. The motivations of middle school students to smoke their first cigarette were curiosity (70.5%) and imitation (13.1%). The motivations of high school students for smoking their first cigarette were to satisfy their curiosity (51.8%), relief of stress and social pressures (17.1%), and imitation of smoker friends (15.9%). Respondents from poor family financial conditions were more likely to smoke than those from rich family financial conditions [odds ratio (OR) 1.59, 95% confidence intervals (CI) 1.00, 2.52]. Respondents whose fathers were smokers were more likely to smoke than those whose fathers were non-smokers (OR 1.65, 95% CI 1.25, 2.17). Respondents who had one or two smoker friends (OR 2.98, 95% CI 1.93, 4.60) and three or more smoker friends (OR 5.92, 95% CI 4.35, 8.05) were more likely to smoke than those who did not have any. Respondents who were neutral (OR 0.43, 95% CI 0.20, 0.91) and disagreed about the item “friends smoking” (OR 0.18, 95% CI 0.08, 0.39) were less likely to smoke than those who agreed with the item.ConclusionsThis study indicates that male students who have negative attitudes toward smoking, who do not have a father or friends who smoke, and are from affluent backgrounds exhibit low tendency to start smoking at a young age. This study provides some implications for tobacco control policies among male secondary school students in urban settings.

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“…CASA partnered with the Centers for Disease Control and Prevention (CDC) to evaluate the effectiveness of their program. This evaluation found that adherence to the DEC regimen was less than 60% and failed to detect a significant impact of the community-based education campaign [16]. However, it identified barriers to and predictors of adherence.…”

Section: Introductionmentioning

confidence: 89%

Increasing Compliance with Mass Drug Administration Programs for Lymphatic Filariasis in India through Education and Lymphedema Management Programs

Cantey

Rout²,

Rao³

et al. 2010

PLoS Negl Trop Dis

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BackgroundNearly 45% of people living at risk for lymphatic filariasis (LF) worldwide live in India. India has faced challenges obtaining the needed levels of compliance with its mass drug administration (MDA) program to interrupt LF transmission, which utilizes diethylcarbamazine (DEC) or DEC plus albendazole. Previously identified predictors of and barriers to compliance with the MDA program were used to refine a pre-MDA educational campaign. The objectives of this study were to assess the impact of these refinements and of a lymphedema morbidity management program on MDA compliance.Methods/Principal FindingsA randomized, 30-cluster survey was performed in each of 3 areas: the community-based pre-MDA education plus community-based lymphedema management education (Com-MDA+LM) area, the community-based pre-MDA education (Com-MDA) area, and the Indian standard pre-MDA education (MDA-only) area. Compliance with the MDA program was 90.2% in Com-MDA+LM, 75.0% in Com-MDA, and 52.9% in the MDA-only areas (p<0.0001). Identified barriers to adherence included: 1) fear of side effects and 2) lack of recognition of one's personal benefit from adherence. Multivariable predictors of adherence amenable to educational intervention were: 1) knowing about the MDA in advance of its occurrence, 2) knowing everyone is at risk for LF, 3) knowing that the MDA was for LF, and 4) knowing at least one component of the lymphedema management techniques taught in the lymphedema management program.Conclusions/SignificanceThis study confirmed previously identified predictors of and barriers to compliance with India's MDA program for LF. More importantly, it showed that targeting these predictors and barriers in a timely and clear pre-MDA educational campaign can increase compliance with MDA programs, and it demonstrated, for the first time, that lymphedema management programs may also increase compliance with MDA programs.

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Predictors of compliance with a mass drug administration programme for lymphatic filariasis in Orissa State, India 2008

Cited by 32 publications

References 18 publications

Global Elimination of Lymphatic Filariasis: Addressing the Public Health Problem

Global Elimination of Lymphatic Filariasis: Addressing the Public Health Problem

Smoking related attitudes, motives, and behaviors of male secondary school students in an urban setting of China

Increasing Compliance with Mass Drug Administration Programs for Lymphatic Filariasis in India through Education and Lymphedema Management Programs

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