Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal

Detalhes bibliográficos
Autor(a) principal: Rocha, Rafael
Data de Publicação: 2023
Outros Autores: Conceição, Cláudia, Gonçalves, Luzia, Maia, Carla
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/163182
Resumo: Funding Information: RR was supported by the Portuguese Ministry of Education and Science (via Fundação para a Ciência e a Tecnologia, I.P.—FCT) through a PhD grant (UI/BD/151067/2021). The authors would also like to acknowledge FCT for funding through contract with GHTM (UID/Multi/04413/2020), CEAUL (UIDB/00006/2020 and UIDP/00006/2020) and LA-REAL (LA/P/0117/2020). Funding Information: This paper has been sponsored by Elanco Animal Health in the framework of the CVBD® World Forum Symposium. The authors would like to acknowledge all of the educational institutions and professional societies and organizations who helped disseminate the study, namely: Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto; Faculdade de Medicina da Universidade de Lisboa; Faculdade de Medicina Veterinária da Universidade Lisboa; Faculdade de Medicina da Universidade Católica Portuguesa; Faculdade de Ciências da Saúde da Universidade da Beira Interior; Escola de Ciências Agrárias e Veterinárias da Universidade de Trás-os-Montes e Alto Douro; Escola de Ciências e Tecnologia da Universidade de Évora; Faculdade de Medicina Veterinária da Universidade Lusófona; Escola Superior de Tecnologia da Saúde do Instituto Politécnico de Coimbra; Escola Superior da Saúde do Instituto Politécnico do Porto; Ordem dos Médicos Veterinários; Associação Portuguesa de Saúde Ambiental; Sociedade Portuguesa de Doenças Infeciosas e Microbiologia Clínica; Sociedade Portuguesa de Pediatria; Sociedade Portuguesa de Anatomia Patológica. The authors would also like to acknowledge all of the students and professionals who agreed to participate in this study for contributing with their answers to the questionnaire. Publisher Copyright: © 2023, BioMed Central Ltd., part of Springer Nature.
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spelling Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugala cross-sectional studyAwarenessEnvironmental healthKnowledgeLeishmaniasisMedicineOne HealthPerceptionsPortugalPracticesVeterinaryParasitologyveterinary(all)Infectious DiseasesSDG 3 - Good Health and Well-beingSDG 4 - Quality EducationFunding Information: RR was supported by the Portuguese Ministry of Education and Science (via Fundação para a Ciência e a Tecnologia, I.P.—FCT) through a PhD grant (UI/BD/151067/2021). The authors would also like to acknowledge FCT for funding through contract with GHTM (UID/Multi/04413/2020), CEAUL (UIDB/00006/2020 and UIDP/00006/2020) and LA-REAL (LA/P/0117/2020). Funding Information: This paper has been sponsored by Elanco Animal Health in the framework of the CVBD® World Forum Symposium. The authors would like to acknowledge all of the educational institutions and professional societies and organizations who helped disseminate the study, namely: Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto; Faculdade de Medicina da Universidade de Lisboa; Faculdade de Medicina Veterinária da Universidade Lisboa; Faculdade de Medicina da Universidade Católica Portuguesa; Faculdade de Ciências da Saúde da Universidade da Beira Interior; Escola de Ciências Agrárias e Veterinárias da Universidade de Trás-os-Montes e Alto Douro; Escola de Ciências e Tecnologia da Universidade de Évora; Faculdade de Medicina Veterinária da Universidade Lusófona; Escola Superior de Tecnologia da Saúde do Instituto Politécnico de Coimbra; Escola Superior da Saúde do Instituto Politécnico do Porto; Ordem dos Médicos Veterinários; Associação Portuguesa de Saúde Ambiental; Sociedade Portuguesa de Doenças Infeciosas e Microbiologia Clínica; Sociedade Portuguesa de Pediatria; Sociedade Portuguesa de Anatomia Patológica. The authors would also like to acknowledge all of the students and professionals who agreed to participate in this study for contributing with their answers to the questionnaire. Publisher Copyright: © 2023, BioMed Central Ltd., part of Springer Nature.Background: Control of leishmaniasis in the Mediterranean Basin relies on the active contributions from researchers in the fields of animal, human and environmental health. The application of knowledge, perceptions and practices (KPP) questionnaires to health students and professionals in Europe could be fundamental to identify and explore gaps in KPP, highlighting the diversity of conceptions related to this disease between students and professionals active in (One) Health. The objective of this study was to characterize and compare the current knowledge, perceptions and practices regarding leishmaniasis among subgroups of students and health professionals in Portugal through the application of an online questionnaire. Methods: A cross-sectional study targeted the population of health students and professionals in Portugal, including students in medicine, veterinary medicine and environmental health, physicians, veterinarians and environmental health technicians. Potential participants were approached by email via universities and professional societies and organizations and provided with the link to access the online questionnaire. Answers to the self-administered sociodemographic and KPP questionnaire were collected between July and December 2022. Individual KPP scores were calculated by summing grades defined for each question. Logistic regression models were used to search for potential associations, and the results were expressed at estimated crude and adjusted odds ratios with 95% confidence intervals. Results: In total, 486 participants were included in this study: 254 students and 232 professionals. Overall, 75% of the participants reported having heard of both human and animal leishmaniasis, and > 80% reported hearing about the disease during their course work (although this was significantly lower among those in the field of environmental health). Around 90% of participants identified the pathogenic agent as a parasite, and an arthropod bite was identified as the main route of transmission by > 95%. Animal leishmaniasis was considered to be diagnosed in Portugal by 87% of participants and human leishmaniasis by only 69%. The main barriers pointed out by professionals to the control of leishmaniasis were: lack of knowledge in the general population, failures in the early diagnosis and treatment of diseased animals, absence/inefficacy of vector control programs and lack of knowledge in human health professionals. Median knowledge and perception scores were higher among professionals in the animal health field and higher in professionals than in students. Median practice scores were not significantly different between groups and subgroups. The multivariate analysis revealed that a longer period of study (for students) and having seen cases of leishmaniasis (for physicians) were associated with above-mentioned median knowledge score. Conclusions: Most health students and professionals are knowledgeable about the cause and transmission route of leishmaniasis. However, recognition of the disease as autochthonous in humans is less common, highlighting the importance of promoting an approach to this infection through a One-Health lens. A national structured plan to control leishmaniasis could overcome some of the barriers pointed out by professionals, namely by implementing systematic phlebotomine surveillance and integrated reporting of animal and human cases of disease. Graphical abstract: [Figure not available: see fulltext.].Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Individual Health Care (IHC)Population health, policies and services (PPS)Vector borne diseases and pathogens (VBD)RUNRocha, RafaelConceição, CláudiaGonçalves, LuziaMaia, Carla2024-02-06T23:30:15Z2023-122023-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article27application/pdfhttp://hdl.handle.net/10362/163182eng1756-3305PURE: 75686743https://doi.org/10.1186/s13071-023-05982-zinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:46:16Zoai:run.unl.pt:10362/163182Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:59:17.648563Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
a cross-sectional study
title Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
spellingShingle Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
Rocha, Rafael
Awareness
Environmental health
Knowledge
Leishmaniasis
Medicine
One Health
Perceptions
Portugal
Practices
Veterinary
Parasitology
veterinary(all)
Infectious Diseases
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
title_short Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
title_full Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
title_fullStr Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
title_full_unstemmed Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
title_sort Knowledge, perceptions and practices of health students and professionals regarding leishmaniasis in Portugal
author Rocha, Rafael
author_facet Rocha, Rafael
Conceição, Cláudia
Gonçalves, Luzia
Maia, Carla
author_role author
author2 Conceição, Cláudia
Gonçalves, Luzia
Maia, Carla
author2_role author
author
author
dc.contributor.none.fl_str_mv Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
Individual Health Care (IHC)
Population health, policies and services (PPS)
Vector borne diseases and pathogens (VBD)
RUN
dc.contributor.author.fl_str_mv Rocha, Rafael
Conceição, Cláudia
Gonçalves, Luzia
Maia, Carla
dc.subject.por.fl_str_mv Awareness
Environmental health
Knowledge
Leishmaniasis
Medicine
One Health
Perceptions
Portugal
Practices
Veterinary
Parasitology
veterinary(all)
Infectious Diseases
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
topic Awareness
Environmental health
Knowledge
Leishmaniasis
Medicine
One Health
Perceptions
Portugal
Practices
Veterinary
Parasitology
veterinary(all)
Infectious Diseases
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
description Funding Information: RR was supported by the Portuguese Ministry of Education and Science (via Fundação para a Ciência e a Tecnologia, I.P.—FCT) through a PhD grant (UI/BD/151067/2021). The authors would also like to acknowledge FCT for funding through contract with GHTM (UID/Multi/04413/2020), CEAUL (UIDB/00006/2020 and UIDP/00006/2020) and LA-REAL (LA/P/0117/2020). Funding Information: This paper has been sponsored by Elanco Animal Health in the framework of the CVBD® World Forum Symposium. The authors would like to acknowledge all of the educational institutions and professional societies and organizations who helped disseminate the study, namely: Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto; Faculdade de Medicina da Universidade de Lisboa; Faculdade de Medicina Veterinária da Universidade Lisboa; Faculdade de Medicina da Universidade Católica Portuguesa; Faculdade de Ciências da Saúde da Universidade da Beira Interior; Escola de Ciências Agrárias e Veterinárias da Universidade de Trás-os-Montes e Alto Douro; Escola de Ciências e Tecnologia da Universidade de Évora; Faculdade de Medicina Veterinária da Universidade Lusófona; Escola Superior de Tecnologia da Saúde do Instituto Politécnico de Coimbra; Escola Superior da Saúde do Instituto Politécnico do Porto; Ordem dos Médicos Veterinários; Associação Portuguesa de Saúde Ambiental; Sociedade Portuguesa de Doenças Infeciosas e Microbiologia Clínica; Sociedade Portuguesa de Pediatria; Sociedade Portuguesa de Anatomia Patológica. The authors would also like to acknowledge all of the students and professionals who agreed to participate in this study for contributing with their answers to the questionnaire. Publisher Copyright: © 2023, BioMed Central Ltd., part of Springer Nature.
publishDate 2023
dc.date.none.fl_str_mv 2023-12
2023-12-01T00:00:00Z
2024-02-06T23:30:15Z
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