Knowledge, attitudes and practices relating to influenza AH7N9 risk among live poultry traders in Guangzhou City, ChinaReport as inadecuate

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BMC Infectious Diseases

, 14:554

Viral diseases


BackgroundLive poultry traders LPTs have greater risk to avian influenza due to occupational exposure to poultry. This study investigated knowledge, attitudes and practices of LPTs relating to influenza A H7N9.

MethodsUsing multi-stage cluster sampling, 306 LPTs were interviewed in Guangzhou by a standardized questionnaire between mid-May to June, 2013. Hierarchical logistic regression models were used to identify factors associated with preventive practices and attitudes towards various control measures implemented in live poultry markets against H7N9.

ResultsOnly 46.1% of the respondents recognized risks associated with contacts with bird secretions or droppings, and only 22.9% perceived personally -likely-very likely- to contract H7N9 infection. Around 60% of the respondents complied with hand-washing and wearing gloves, and only 20% reported wearing face masks. Only 16.3% of the respondents agreed on introducing central slaughtering of poultry. Being younger, involving in slaughtering poultry, having longer working hours, less access to H7N9-related information and poorer knowledge, and perceiving lower personal susceptibility to H7N9 infection were negatively associated with preventive practices. Comparing with previous studies conducted when human cases of H5N1 avian influenza infection was first identified in Guangdong, LPTs- perceived susceptibility to novel influenza viruses increased significantly but acceptance for central slaughtering of poultry remained low.

ConclusionsInformation on avian influenza provided through multiple communication tools may be necessary to promote knowledge among poultry traders. Familiarity with risk may have led to the lower perceived vulnerability to avian influenza and less protective actions among the LPTs particularly for those involving more risky exposure to live poultry. Reasons for the consistently low acceptance for central slaughtering of poultry await further exploration.

KeywordsLive poultry trader Avian influenza Attitudes Knowledge Electronic supplementary materialThe online version of this article doi:10.1186-s12879-014-0554-8 contains supplementary material, which is available to authorized users.

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Author: Xiaowei Ma - Qiuyan Liao - Jun Yuan - Yufei Liu - Yanhui Liu - Jiandong Chen - Jianping Liu - Wenfeng Cai - Benjamin J C


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