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The effects of health education on schistosomiasis japonica prevalence and relevant knowledge in the People's Republic of China: a systematic review and meta-analysis.
Parasitol Int. 2013 Apr; 62(2):150-6.PI

Abstract

Schistosomiasis japonica continues to be an important zoonotic disease in the People's Republic of China (P.R. China), despite decades of dedicated control efforts. Different interventions for its control including chemotherapy of humans and animals, mollusciciding, environmental modification, and health education have been implemented at various stages of the control efforts and in different combinations, resulting in remarkable achievements. Here, we present a systematic review and meta-analysis of the documented effectiveness of health education to reduce schistosomiasis japonica transmission in P.R. China. A total of 10 relevant publications were identified and included in the meta-analysis. The reported results indicate that the prevalence of Schistosoma japonicum infection in humans and schistosomiasis-related knowledge are significantly influenced by health education. The implementation of health education over more than 2 years was associated with an overall schistosomiasis japonica prevalence decrease of 6% (95% CI: 2%, 11%) and an overall increase of 51% (95% CI: 41%, 61%) in schistosomiasis-related knowledge after controlling for confounding factors. Among control groups, the prevalence of schistosomiasis japonica and relevant knowledge levels were not significantly influenced. The relative risk (RR) of an infection with S. japonicum following health education lasting more than 2 years was 0.43 (95% CI: 0.24, 0.78). In summary, a considerable effectiveness of health education with regard to preventing S. japonicum infections in P.R. China and increasing relevant knowledge is documented in the extant literature. This suggests that the effectiveness of health education may be considerable, particularly after its long-term implementation.

Authors+Show Affiliations

School of Humanities, Jiangnan University, Wuxi, PR China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

23201566

Citation

Zhou, Li-Ying, et al. "The Effects of Health Education On Schistosomiasis Japonica Prevalence and Relevant Knowledge in the People's Republic of China: a Systematic Review and Meta-analysis." Parasitology International, vol. 62, no. 2, 2013, pp. 150-6.
Zhou LY, Deng Y, Steinmann P, et al. The effects of health education on schistosomiasis japonica prevalence and relevant knowledge in the People's Republic of China: a systematic review and meta-analysis. Parasitol Int. 2013;62(2):150-6.
Zhou, L. Y., Deng, Y., Steinmann, P., & Yang, K. (2013). The effects of health education on schistosomiasis japonica prevalence and relevant knowledge in the People's Republic of China: a systematic review and meta-analysis. Parasitology International, 62(2), 150-6. https://doi.org/10.1016/j.parint.2012.11.006
Zhou LY, et al. The Effects of Health Education On Schistosomiasis Japonica Prevalence and Relevant Knowledge in the People's Republic of China: a Systematic Review and Meta-analysis. Parasitol Int. 2013;62(2):150-6. PubMed PMID: 23201566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of health education on schistosomiasis japonica prevalence and relevant knowledge in the People's Republic of China: a systematic review and meta-analysis. AU - Zhou,Li-Ying, AU - Deng,Yao, AU - Steinmann,Peter, AU - Yang,Kun, Y1 - 2012/11/30/ PY - 2012/09/04/received PY - 2012/10/23/revised PY - 2012/11/23/accepted PY - 2012/12/4/entrez PY - 2012/12/4/pubmed PY - 2013/9/17/medline SP - 150 EP - 6 JF - Parasitology international JO - Parasitol Int VL - 62 IS - 2 N2 - Schistosomiasis japonica continues to be an important zoonotic disease in the People's Republic of China (P.R. China), despite decades of dedicated control efforts. Different interventions for its control including chemotherapy of humans and animals, mollusciciding, environmental modification, and health education have been implemented at various stages of the control efforts and in different combinations, resulting in remarkable achievements. Here, we present a systematic review and meta-analysis of the documented effectiveness of health education to reduce schistosomiasis japonica transmission in P.R. China. A total of 10 relevant publications were identified and included in the meta-analysis. The reported results indicate that the prevalence of Schistosoma japonicum infection in humans and schistosomiasis-related knowledge are significantly influenced by health education. The implementation of health education over more than 2 years was associated with an overall schistosomiasis japonica prevalence decrease of 6% (95% CI: 2%, 11%) and an overall increase of 51% (95% CI: 41%, 61%) in schistosomiasis-related knowledge after controlling for confounding factors. Among control groups, the prevalence of schistosomiasis japonica and relevant knowledge levels were not significantly influenced. The relative risk (RR) of an infection with S. japonicum following health education lasting more than 2 years was 0.43 (95% CI: 0.24, 0.78). In summary, a considerable effectiveness of health education with regard to preventing S. japonicum infections in P.R. China and increasing relevant knowledge is documented in the extant literature. This suggests that the effectiveness of health education may be considerable, particularly after its long-term implementation. SN - 1873-0329 UR - https://www.unboundmedicine.com/medline/citation/23201566/The_effects_of_health_education_on_schistosomiasis_japonica_prevalence_and_relevant_knowledge_in_the_People's_Republic_of_China:_a_systematic_review_and_meta_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1383-5769(12)00158-4 DB - PRIME DP - Unbound Medicine ER -