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Tytuł:
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Non-adherence to malaria prophylaxis: The influence of travel-related and psychosocial factors.
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Autorzy:
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Hoefnagel JGM; Regional Public Health Service 'GGD Gelderland-Zuid', PO Box 1120, 6501BC, Nijmegen, the Netherlands. Electronic address: .
Massar K; Work & Social Psychology, Maastricht University, PO Box 616, 6200MD, Maastricht, the Netherlands. Electronic address: .
Hautvast JLA; Regional Public Health Service 'GGD Gelderland-Zuid', PO Box 1120, 6501BC, Nijmegen, the Netherlands; Department of Primary and Community Care, Radboud University Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands. Electronic address: .
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Źródło:
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Journal of infection and public health [J Infect Public Health] 2020 Apr; Vol. 13 (4), pp. 532-537. Date of Electronic Publication: 2019 Nov 06.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Oxford : Elsevier, 2008-
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MeSH Terms:
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Travel*/psychology
Travel*/statistics & numerical data
Antimalarials/*therapeutic use
Malaria/*prevention & control
Medication Adherence/*psychology
Adult ; Age Factors ; Attitude to Health ; Chemoprevention/psychology ; Chemoprevention/statistics & numerical data ; Cross-Sectional Studies ; Educational Status ; Female ; Humans ; Logistic Models ; Male ; Medication Adherence/statistics & numerical data ; Middle Aged ; Netherlands/epidemiology ; Psychology
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Contributed Indexing:
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Keywords: Antimalarials; Atovaquone; Health behaviour; Health knowledge attitudes practice; Medication adherence; Patient compliance; Proguanil
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Substance Nomenclature:
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0 (Antimalarials)
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Entry Date(s):
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Date Created: 20191110 Date Completed: 20200416 Latest Revision: 20200416
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Update Code:
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20240105
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DOI:
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10.1016/j.jiph.2019.10.004
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PMID:
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31704047
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Background: The effectiveness of malaria chemoprophylaxis is limited by a lack of compliance in travellers. This study assesses the demographic, travel-related, and psychosocial determinants of non-compliance with chemoprophylaxis.
Methods: 715 adults, who received a pre-travel malaria prophylaxis prescription, were invited to complete a post-travel digital questionnaire on non-compliance, demographics, travel-related and psychosocial variables.
Results: 330 travellers (53% response) reported 32% non-compliance with malaria chemoprophylaxis. Logistic regression analyses revealed that 3/11 assessed psychosocial variables uniquely predicted non-compliance: 'negative attitude towards chemoprophylaxis' (β=0.694, OR 2.0, p<0.01), 'low perceived severity of malaria' (β=0.277, p=0.04) and 'fatigue during travel' (β=2.225, OR 9.3, p<0.01). Furthermore, the age and education of the traveller were uniquely predictive of non-compliance (β=-0.023 (p=0.02) and β=0.684 (p=0.04)). None of the travel-related variables predicted non-compliance.
Conclusions: About one-third of the travellers in our study were non-compliant with malaria prophylaxis, especially young travellers and highly educated travellers. Fatigue during travel seems to lead to non-compliance. Further research should focus on addressing the psychosocial factors in pre-travel consultation, since these appear to be better predictors for intention to comply than travel-related variables.
(Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.)