Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions

Detalhes bibliográficos
Autor(a) principal: Favre, Tereza Cristina
Data de Publicação: 2021
Outros Autores: Massara, Cristiano Lara, Beck, Lilian Christina Nóbrega Holsbach, Cabello, Rocío Karina Saavedra Acero, Pieri, Otavio Sarmento
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/46479
Resumo: This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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spelling Favre, Tereza CristinaMassara, Cristiano LaraBeck, Lilian Christina Nóbrega HolsbachCabello, Rocío Karina Saavedra AceroPieri, Otavio Sarmento2021-03-31T19:43:17Z2021-03-31T19:43:17Z2021FAVRE, Tereza Cristina et al. Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions. Parasite Epidemiology and Control, v. 13, p. 1-12, 2021.2405-6731https://www.arca.fiocruz.br/handle/icict/4647910.1016/j.parepi.2021.e00208This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/).Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Pesquisa em Helmintologia e Malacologia Médica. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Introduction: Brazilian guidelines for schistosomiasis elimination recommend regular search of infection carriers and their timely treatment. This study evaluates the effect of educational actions (EAs) among schoolchildren on adherence to diagnosis and treatment, as well as on knowledge of the disease. Methods: In April/2013, a questionnaire was applied to 6th-to-8th-grade pupils of eight public schools to evaluate prior knowledge of disease and self-reported risk behavior. Baseline parasitological survey (PS) was done in May/2013, followed by selective treatment and cure assessment. The schools were then randomly allocated to experimental (EG) and control (CG) groups, with and without EAs, respectively. EAs were conducted for 3 months from August/ 2013. Questionnaire was reapplied in November/2013, April/2014, October/2014, and October/ 2015 to evaluate changes in knowledge about the disease and self-reported risk behavior. Two further annual PSs (May/2014 and May/2015), each followed by treatment of positives, allowed to evaluate between-group differences and intra-group changes in adherence to diagnosis and treatment, and to follow-up prevalence and intensity of infection. Results: Adherence to diagnosis did not differ significantly between EG (84.1%) and CG (81.1%) at baseline but was significantly higher in EG in subsequent PSs. Overall, adherence to treatment was higher than 90% in all three PSs; cure was 98.4%, egg-reduction was 99.8% and reinfection, 2.8%. Prevalence fell significantly in EC (from 23.5% to 6.8%) and CG (from 21.8% to 2.4%), the same occurring with intensity (from 54.2 to 4.6 epg in EG and from 38.4 to 1.3 epg in CG). Disease knowledge increased significantly in EG and CG; knowledge about disease transmission increased significantly more in the EG. Self-reported risk behavior remained above 67% and did not differ significantly between EG and CG. Conclusion: EAs increased adherence of schoolchildren and improved knowledge about the disease, confirming thatEAsarean important tool toenhance schoolchildrenparticipationin control campaigns. © 2021 The Authors. Published by Elsevier Ltd on behalf of World Federation of Parasitologists. 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dc.title.pt_BR.fl_str_mv Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
title Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
spellingShingle Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
Favre, Tereza Cristina
Educação em Saúde
Alunos
Schistosoma mansoni
Brasil
Schistosoma mansoni
Schoolchildren
Health education
Brazil
title_short Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
title_full Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
title_fullStr Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
title_full_unstemmed Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
title_sort Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions
author Favre, Tereza Cristina
author_facet Favre, Tereza Cristina
Massara, Cristiano Lara
Beck, Lilian Christina Nóbrega Holsbach
Cabello, Rocío Karina Saavedra Acero
Pieri, Otavio Sarmento
author_role author
author2 Massara, Cristiano Lara
Beck, Lilian Christina Nóbrega Holsbach
Cabello, Rocío Karina Saavedra Acero
Pieri, Otavio Sarmento
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Favre, Tereza Cristina
Massara, Cristiano Lara
Beck, Lilian Christina Nóbrega Holsbach
Cabello, Rocío Karina Saavedra Acero
Pieri, Otavio Sarmento
dc.subject.other.pt_BR.fl_str_mv Educação em Saúde
Alunos
Schistosoma mansoni
Brasil
topic Educação em Saúde
Alunos
Schistosoma mansoni
Brasil
Schistosoma mansoni
Schoolchildren
Health education
Brazil
dc.subject.en.pt_BR.fl_str_mv Schistosoma mansoni
Schoolchildren
Health education
Brazil
description This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/).
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-03-31T19:43:17Z
dc.date.available.fl_str_mv 2021-03-31T19:43:17Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv FAVRE, Tereza Cristina et al. Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions. Parasite Epidemiology and Control, v. 13, p. 1-12, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46479
dc.identifier.issn.pt_BR.fl_str_mv 2405-6731
dc.identifier.doi.none.fl_str_mv 10.1016/j.parepi.2021.e00208
identifier_str_mv FAVRE, Tereza Cristina et al. Adherence to diagnosis followed by selective treatment of schistosomiasis mansoni and related knowledge among schoolchildren in an endemic area of Minas Gerais, Brazil, prior to and after the implementation of educational actions. Parasite Epidemiology and Control, v. 13, p. 1-12, 2021.
2405-6731
10.1016/j.parepi.2021.e00208
url https://www.arca.fiocruz.br/handle/icict/46479
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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