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http://dx.doi.org/10.5393/JAMCH.2012.37.1.001

Comparison of the Awareness and Knowledge of Scrub Typhus between Case and Control Groups  

Lee, Kwan (Department of Preventive Medicine, Dongguk University College of Medicine)
Park, Byeong-Chan (Department of Preventive Medicine, Dongguk University College of Medicine)
Lim, Hyun-Sul (Department of Preventive Medicine, Dongguk University College of Medicine)
Kweon, Sun-Seog (Department of Preventive Medicine, Chonnam National University College of Medicine)
Choi, Jin-Su (Department of Preventive Medicine, Chonnam National University College of Medicine)
Kim, Jang-Rak (Department of Preventive Medicine, Gyeongsang National University School of Medicine)
Kim, Keon-Yeop (Department of Preventive Medicine, Kyungpook National University College of Medicine)
Ryu, So-Yeon (Department of Preventive Medicine, Chosun University College of Medicine)
Publication Information
Journal of agricultural medicine and community health / v.37, no.1, 2012 , pp. 1-11 More about this Journal
Abstract
Objectives: To survey the awareness of patient to scrub typhus to provide data for education and communication concerning scrub typhus. Methods: Patients with scrub typhus (case group, n=299) and people without scrub typhus within the previous 2 years (control group, n=598) were matched for age (within 5 years), gender, and occupation (farmer or non-farmer). The participants were recruited from 15 study areas between October and December 2006. Results: The awareness rate of scrub typhus was 75.1%, and was significantly higher than in the case group (79.4% vs. 66.6%, respectively; p<0.01). The major routes of awareness were from 'past history of scrub typhus in family members or neighbors' (54.9%), 'television' (28.3%), and their past history of scrub typhus (5.5%). The average correct rate of scrub typhus was 48.4%, and the correct response rate of cases was significantly higher than controls (p<0.01). Especially, the correct rate of etiology, incubation period, route of transmission, and acquired immunity was <40%. Through conditional logistic regression test, the factor significantly associated with awareness in case group was age (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.94-0.98). And the factors associated with awareness in control group were female (OR, 1.56; 95% CI, 1.03-2.36) age (OR, 0.98; 95% CI, 0.96-0.99), family history of scrub typhus (OR, 10.18; 95% CI, 1.37-75.99), history of receiving prevention education (OR, 8.47; 95% CI, 1.14-63.00). Conclusions: The rate of awareness was relatively low in study population. Thus, effective working guidelines and educational program to prevent scrub typhus must be developed, and publicity activities about the prevention of scrub typhus are needed for high-risk groups.
Keywords
Awareness; Scrub typhus; Korea;
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Times Cited By KSCI : 7  (Citation Analysis)
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