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Low levels of knowledge, attitudes and preventive practices on leptospirosis among a rural community in Hulu Langat district, Selangor, Malaysia


Nozmi, Noramira and Samsudin, Suhailah and Sukeri, Surianti and Shafei, Mohd Nazri and Wan Mohd, Wan Mohd Zahiruddin and Arifin, Wan Nor and Idris, Norazlin and Saudi, Siti Nor Sakinah and Abdullah, Nurul Munirah and Abdul Wahab, Zainudin and Tengku Jamaluddin, Tengku Zetty Maztura and Abd Rahman, Hejar and Masri, Siti Norbaya and Daud, Aziah and Osman, Malina and Awang Hamat, Rukman (2018) Low levels of knowledge, attitudes and preventive practices on leptospirosis among a rural community in Hulu Langat district, Selangor, Malaysia. International Journal of Environmental Research and Public Health, 15 (4). pp. 1-15. ISSN 1661-7827; ESSN: 1660-4601


Little is known on the knowledge, attitudes and preventive practices (KAP) of leptospirosis worldwide. This study embarked on assessing the KAP of leptospirosis among rural communities in Malaysia. A total of 444 participants (223 male; 221 female) aged between 18 and 81 years old were surveyed by using a self-administered questionnaire. A majority of participants had poor knowledge level (57.0%), unacceptable attitudes (90.3%) and unacceptable preventive practices (69.1%) on leptospirosis, and only 29.7% knew "rat-urine disease" as leptospirosis. Only 34.2% of the participants knew the bacteria could enter via wound lesions. Ethnicity and income were strongly associated with knowledge level and preventive practices, respectively (p-values < 0.05). As for attitudes, ethnicity, income and education type were significantly associated (p-values < 0.05). Only 36.5% of the participants were willing to see a doctor and did not mind if their house or surrounding area is dirty (59.7%). Surprisingly, only 32.9% had used rubber boots during floods. By logistic regression analysis, ethnicity was the only significant predictor for both knowledge level (an odds ratio (AOR) = 0.39, 95% confidence interval (CI) = 0.222-0.680) and preventive practices (AOR = 1.81, 95% CI = 1.204-2.734). Ethnicity (AOR = 0.40, 95% CI = 0.239-0.665), income (AOR = 1.58, 95% CI = 1.041-2.385) and education type (AOR = 3.69, 95% CI = 1.237-10.986) were strong predictors for attitudes. Among the KAP variables, attitude (AOR = 4.357, 95% CI = 2.613-7.264) was the only predictor for the preventive practices by logistic regression analysis. The KAP elements on leptospirosis are still lacking and poor health seeking behavior and attitudes are of our utmost concern. Thus, effective strategies should be planned to impart knowledge, and develop proactive approaches and good preventive modules on leptospirosis to this leptospirosis-prone community.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.3390/ijerph15040693
Publisher: Multidisciplinary Digital Publishing Institute
Keywords: Knowledge; Attitude; Preventive practice; Leptospirosis; Rural community; Water bodies; Rodent
Depositing User: Mr. Sazali Mohamad
Date Deposited: 05 Dec 2019 03:11
Last Modified: 05 Dec 2019 03:11
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.3390/ijerph15040693
URI: http://psasir.upm.edu.my/id/eprint/74862
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