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Knowledge, Beliefs, and Practices on Epilepsy among High School Students of Central Nepal
时间:2017-07-11 10:13   来源:未知   作者:admin   点击:
       Abstract:Introduction. Epilepsy continues to increase worldwide but, unfortunately, many high school students have inadequate knowledge of and negative beliefs towards the disease. We aimed to assess the knowledge, beliefs, and practices of epilepsy among high school students of Central Nepal. Materials and Methods. A cross-sectional study was performed involving 1360 high school students from 33 private schools across Bharatpur, from June 2013 to July 2013, to assess their knowledge, beliefs, and practices (KBP) on epilepsy using a standardized questionnaire. The differences in mean KBP scores between different sexes, religions, and those personally knowing versus not knowing someone with epilepsy were assessed using independent -tests; a Pearson correlation was calculated to assess the relationship between KBP scores and age. Results. Of 1360 participants, 79 (5.8%) students had never heard or read about epilepsy and were consequently excluded from statistical analysis. Only 261 out of 1360 (19.2%) had personally known someone with epilepsy. The mean KBP scores were 5.0/8, 7.4/12, and 1.7/3, respectively. Statistically significant differences were only observed in the knowledge component of the KBP score; female scored higher than males () and, interestingly, students who had personally known a person with epilepsy actually knew less than those who had not known one (). We also found a significant negative correlation between knowledge and age (). Conclusions. The overall knowledge, beliefs, and practices appear to be inadequate, emphasizing the need for further educational intervention.
1. Introduction
       Epilepsy is a chronic brain disorder characterized by recurrent derangement of the nervous system due to sudden excessive disorderly discharge of the aggregate group of neurons from cerebrum. The excessive discharges result in disturbances of sensation, convulsive movement, or psychic function with or without loss of consciousness [1]. Epilepsy affects all age groups but is more common in children. The reported prevalence of epilepsy in developing countries is 5 to 10 per 1000 people. Global prevalence is 2.8 to 19.5 per 1000 people [1]. Currently epilepsy affects 50 million people worldwide, of which 80% live in developing countries [2–4].
       Social stigma and discrimination often cause more suffering for people with epilepsy than the seizures themselves [5]. People living with epilepsy are discriminated against in all facets of life, from education to employment and marriage [1]. Although the etiology of stigma and discrimination is complex, lack of the knowledge regarding epilepsy is purported to be an important determinant of negative attitudes. Children with epilepsy, especially those who have seizures at school, suffer from discrimination and report feeling different from their peers. They also have fear of suffering a seizure at school [5].
       Historically, epilepsy was believed to be a sacred disease resulting from invasion of the body by a god; it was thought that only god could deprive a healthy man of his senses, throw him to the ground, convulse him, and then rapidly restore him to consciousness [3]. Many people in developing countries believe that epilepsy is contagious and spreads via urine, saliva, flatus and faeces excreted during a convulsion. This belief has played a major role in people living with epilepsy being ostracized, stigmatized, and misunderstood [3].
      Understanding knowledge, beliefs, and practices with respect to epilepsy in the community is the first important step in forming strategies to dispel the myths and misconceptions regarding the disease [5]. Educating children about the reality of epilepsy is critical in alleviating the stigma faced by children with epilepsy at school. Moreover, children are the future workforce and have the potential to become role models in society. The progressive emergence of positive public beliefs towards people with epilepsy has been demonstrated in recently conducted KBP surveys in both developed and developing countries [5].
      KBP surveys comparing developing versus developed countries have demonstrated a significant knowledge and beliefs gap among high school students towards their peers with epilepsy.


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