A study of the factors associated with behaviors of people exposed to Rabies before consulting with physicians or public health officials in Northeastern Thailand
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Abstract
This study examined data from Northeastern's online rabies exposure reporting system (R36). To study the characteristics of people exposed to rabies and factors influencing behaviors of people exposed to rabies before consulting with physicians or public health officials in Northeastern. Results indicated that the average crude exposure rate was 479.48 per 100,000 people. More than half were female (50.20%), aged 1 to 5 years (14.74%), had bleeding bites (79.30%) on their legs (45.55%) from dogs (79.70%) older than one year (50.11%), and had owners (82.49%) however it is uncertain whether they have been immunized against rabies (51.11%). Wounds were washed (81.16%) with water and soap (86.90%), but no disinfectant was used (79.74%), and 82.92 % of patients had never been vaccinated against rabies or had received fewer than three doses. The structural equation model analysis revealed that the rabies exposure characteristics were the only construct with a significant positive direct influence on the behavior of those exposed to rabies before consulting with physicians or public health officials, with a size of 0.936 (β=0.936, p<0.001). Therefore, it is necessary to inform knowledge that in addition to being bitten, the rabies virus can also enter the body through scratching and licking a wound. Changing mindsets to be aware of the danger and severity of rabies, especially when scratched with a slight wound. It will enhance the behavior of washing wounds with water and soap, using disinfection, and getting vaccinated to prevent rabies.
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