Awareness And Risk Behaviors Towards Zoonotic Disease Among Ethnic Minority In Mountainous Area Of Central Vietnam

Huy Le Duc, Nhu Le Nguyen Quynh, Tri Ton That Canh, Sinh Dang Thi Dien, Khoi Tran Van, Duong Le Dinh

Abstract


Background: As a result of the population explosion and rapid urbanization, human activities have been causing negative impacts on the environment. The changing patterns of transmissible diseases among wild animals, livestock and human have been getting more and more complicated in the context of climate change. Ethnic community from mountainous and isolated areas undoubtedly are the most vulnerable, with the high risk of emerging and re-emerging zoonosis. Objectives: To explore the awareness and risk behaviors of the residents in Nham commune, A Luoi district towards zoonosis transmission. To determine the factors related to the risk behaviors of the residents. Methods: A sectional-cross study was conducted among 230 residents whose ages range from 18 – 85, currently living in Nham commune, A Luoi district, adjacent to the Vietnam – Laos border. All participants were interviewed directly with a questionnaire including the following categories: demographics, household wealth, awareness of zoonosis, livestock management and behaviors related to wildlife animals. Descriptive analysis and multivariable logistic regression analysis were conducted to determine factors associated with risk behaviors. Results: The proportion of respondents who have heard about zoonotic diseases was 40%. The majority of subjects raise free-range livestock (83,4%), especially on poultry and cow. The percentage of participants who consumed culled sick and dead animals accounted for 26%, over 30% of villagers slept in forest and more than 50% consumed bushmeat. Risk behaviors related to management livestock and wildlife were statistically significantly associated with gender, age of subjects, educational background, household wealth, information approach on zoonosis, and the number of livestocks. Conclusions: The proportion of respondents who have heard about zoonotic diseases was 40%. The high-risk group falls on those who consume dead domestic animals, wildlife animals and sleep in the forest. Behaviors of human-wildlife contact and zoonosis are quite common with the Nham locals, which emphasizes the necessity for intervention programs in zoonotic disease control. 


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