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中国南方农村社区人畜共患病风险因素的定性研究。

A qualitative study of zoonotic risk factors among rural communities in southern China.

机构信息

EcoHealth Alliance, 460 West 34th Street, New York, NY 10001, USA.

Institute of Preventive Medicine, Dali University, Dali, 671000, China.

出版信息

Int Health. 2020 Feb 12;12(2):77-85. doi: 10.1093/inthealth/ihaa001.

Abstract

BACKGROUND

Strategies are urgently needed to mitigate the risk of zoonotic disease emergence in southern China, where pathogens with zoonotic potential are known to circulate in wild animal populations. However, the risk factors leading to emergence are poorly understood, which presents a challenge in developing appropriate mitigation strategies for local communities.

METHODS

Residents in rural communities of Yunnan, Guangxi and Guangdong provinces were recruited and enrolled in this study. Data were collected through ethnographic interviews and field observations, and thematically coded and analysed to identify both risk and protective factors for zoonotic disease emergence at the individual, community and policy levels.

RESULTS

Eighty-eight ethnographic interviews and 55 field observations were conducted at nine selected sites. Frequent human-animal interactions and low levels of environmental biosecurity in local communities were identified as risks for zoonotic disease emergence. Policies and programmes existing in the communities provide opportunities for zoonotic risk mitigation.

CONCLUSIONS

This study explored the relationship among zoonotic risk and human behaviour, environment and policies in rural communities in southern China. It identifies key behavioural risk factors that can be targeted for development of tailored risk-mitigation strategies to reduce the threat of novel zoonoses.

摘要

背景

在中国南方,已知具有人畜共患潜力的病原体在野生动物种群中传播,因此迫切需要采取策略来降低人畜共患病出现的风险。然而,导致出现的风险因素还了解甚少,这给当地社区制定适当的缓解策略带来了挑战。

方法

本研究招募了云南省、广西壮族自治区和广东省农村社区的居民,并对其进行了研究。通过民族志访谈和实地观察收集数据,对个体、社区和政策层面上的人畜共患病出现的风险和保护因素进行了主题编码和分析。

结果

在九个选定的地点进行了 88 次民族志访谈和 55 次实地观察。发现当地社区中频繁的人与动物的互动和较低的环境生物安全水平是人畜共患病出现的风险因素。社区中现有的政策和方案为减轻人畜共患病风险提供了机会。

结论

本研究探讨了中国南方农村社区中人与动物共患病风险与人类行为、环境和政策之间的关系。它确定了关键的行为风险因素,可以针对这些因素制定有针对性的风险缓解策略,以降低新出现的人畜共患疾病的威胁。

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