出國旅客登革熱之防護知識及態度與其行為之相關因素探討

Knowledge, Attitudes and Practices with Regard to Dengue Fever among Travelers in Taiwan

10.6288/TJPH2011-30-02-08

王穎筠(Ying-Yun Wang)；蔡慈儀(Tzu-I Tsai)

登革熱 ； 知識態度行為 ； 旅客 ； Dengue fever ； Knowledge ； Attitudes and Practices KAP ； traveler

台灣公共衛生雜誌

30卷2期（2011 / 04 / 15）

191 - 200

繁體中文

目標：東南亞國家是登革熱疫情盛行，也是國人出國旅遊、探親商務往返最頻繁的地區，本研究調查台灣出國旅客其登革熱知識及態度與其防護行為之相關。方法：採橫斷式調查研究設計，自填式結構問卷設計以KAP(knowledge, attitudes and practices)模式為基礎，研究對象為18歲以上準備由桃園機場前往東南亞國家的出境旅客。結果：共完成有效問卷386份（回收率90.6%）。研究顯示出國旅客對登革熱的防護認知答對率為68.5%，防護態度偏積極正向（平均值為3.87分），有74.9%旅客至少攜帶一種防蚊用物。女性、教育程度愈高及出國前曾利用旅遊健康門診獲得登革熱防護訊息的旅客，與登革熱之知識及防治態度方面有正相關，且自我防護行為表現較佳。結論：對於前往東南亞國家之旅客，透過多種形式的宣導管道，包括旅遊門診、大眾傳播媒體，提供給不同出國旅客健康資訊，增強其對登革熱防護知識及態度，進而強化其自我防護行為。

Objectives: Dengue fever is endemic in Southeast Asia-the most popular business and travel destination for people from Taiwan. The purpose of this study was to investigate the association between knowledge and attitude about Dengue fever and preventive behaviors of travelers. Method: This was a cross-sectional study. A questionnaire was developed based on the KAP (knowledge, attitudes and practices) model. Participants who were over 18 years of age and headed to a Southeast Asian country completed a self-administrated survey at the departure gates at the Taiwan Taoyuan International Airport. Results: In total, 386 travelers completed the questionnaires, for a response rate of 90.6%. The percentage of individuals with correct knowledge about the prevention of Dengue fever was 68.5%, the attitude towards Dengue fever prevention was positive (average 3.87 points), and 74.9% of the passengers had prepared at least one method to protect themselves from mosquito bites. Women, those with higher education, and those passengers who had received health information from travel clinics had better knowledge about and attitudes toward Dengue fever, and also practiced better personal preventive behaviors. Conclusions: Information about Dengue fever needs to be distributed through diverse methods, i.e. travel clinics, mass media, and print material, in order to encourage travelers heading to Southeast Asian countries to practice preventive behaviors.

1. 交通部觀光局：近6年中華民國國民出國目的地人數統計。http://admin.taiwan.net.tw/indexc.asp/觀光統計。引用2008/10/22。Tourism Bureau, Republic of China (Taiwan).Destination statistics of citizens going abroad in the past 6 years, Requblic of China. Available at: http://admin.taiwan.net.tw/indexc.asp/觀光統計. Accessed October 22, 2008. [In Chinese]
2. Bauer, IL(2005).Educational issues and concerns in travel health advice.J Travel Med,12,45-52.
3. Hamer, DH,Connor, BA(2004).Travel health knowledge, attitudes and practices among United States travelers.J Travel Med,11,23-6.
4. Huang, JH,Liao, TL,Chang, SF(2007).Laboratory-based dengue surveillance in Taiwan, 2005: a molecular epidemiologic study.Am J Trop Med Hyg,77,903-9.
5. Khunl, S,Manderson, L(2007).Community and school-based health education for dengue control in rural Cambodia: a process evaluation.PLoS Negl Trop Dis,1,143-8.
6. Koen, VH,Francesco, C,Jane, Z(2004).Knowledge, attitudes and practices in travel-related infectious diseases: the European airport survey.J Travel Med,11,3-8.
7. Steffen, R,de Bernardis, C,Baños, A(2003).Travel epidemiology-a global perspective.Int J Antimicrob Agents,21,89-93.
8. Toovey, S,Jamieson, A,Holloway, M(2004).Travelers' knowledge, attitudes and practices on the prevention of infectious diseases: results from a study at Johannesburg International Airport.J Travel Med,11,9-15.
9. van Herck, K,Zuckerman, J,Castelli, F(2003).Traveler' knowledge, attitudes and practices on prevention of infectious diseases: results from a pilot study.J Travel Med,10,75-8.
10. Wilder-Smith, A,Khairullah, NS,Song, JH,Chen, CY,Torresi, J(2004).Travel health knowledge, attitudes and practices among Australasian travelers.J Travel Med,11,9-15.
11. 行政院衛生署疾病管制局(2009)。登革熱防治工作指引。台北=Taipei:行政院衛生署疾病管制局=Centers for Disease Control,Department of Health, Executive Yuan, R.O.C. (Taiwan)。
12. 何美鄉(2000)。全球化趨勢台灣公共衛生界所面臨的問題與挑戰－傳染病的防制。中華衛誌，19，10-1。
13. 呂怡玲(2004)。高雄=Kaohsiung，高雄醫學大學公共衛生研究所=Department of Public Health, Kaohsiung Medical University。
14. 段延昌、洪敏南、陳美珠(2007)。2006年高高屏本土性登革熱疫情因應與結果。疫情報導，24，3-21。
15. 陳永富(2003)。台中=Taichung，亞洲大學健康管理研究所=Department of Health Administration, Asia University。
16. 陳菁惠(2008)。台北=Taipei，台灣師範大學衛生教育學系=Department of Health Education, National Taiwan Normal University。
17. 樓美玲(2003)。登革熱流行期間民眾相關的知識態度及預防行為。台灣醫學，7，689-700。
18. 鄭惠美(2002)。居民互助網絡與傳統由上而下登革熱防治策略效果比較研究。健康促進暨衛生教育雜誌，22，43-53。
19. 賴香伶(2004)。高雄=Kaohsiung，高雄醫學大學公共衛生學研究所=Department of Public Health, Kaohsiung Medical University。
20. 謝枚君(2003)。高雄=Kaohsiung，高雄醫學大學公共衛生學研究所=Department of Public Health, Kaohsiung Medical University。
21. 蘇慧貞(2008)。氣候變遷對公共衛生的衝擊。科學發展，421，12-7。

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