Evidence map›Paper›PMID 39966829›Full record

ArticleBMC public health2025

Knowledge, attitudes, and self-reported practices regarding cholera among six MENA countries following cholera outbreaks in the region.

Salma A Bekhit, Rayane Rafei, Fatma Elnaggar, Omar Zain Al-Sakkaf, Hussein Kamal Seif, Dana Samardali, Yara Turkmani Alabead, Mohammed Osman Omer Sanosi, Marwa Shawky Abdou, Eman H Elbanna and 1 more

Abstract read
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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Salma A BekhitDepartment of Environmental Health, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt. salma2010@alexu.edu.eg.
Rayane RafeiLaboratoire Microbiologie Santé et Environnement (LMSE), Doctoral School of Science & Technology, Faculty of Public Health, Lebanese University, Tripoli, 1300, Lebanon.
Fatma ElnaggarHealth Administration and Behavioral Sciences Department, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt.
Omar Zain Al-SakkafPublic Health and Community Medicine Department, Faculty of Medicine and Health Sciences, Aden University, Aden, Yemen.
Hussein Kamal SeifZagazig University Hospitals, Zagazig University, Al Sharqia, Egyp, Egypt.
Dana SamardaliFaculty of Medicine, Yarmouk University, Irbid, Jordan.
Yara Turkmani AlabeadDamascus Hospital, Damascus, Syria.
Mohammed Osman Omer SanosiFaculty of Public Health, University of Shendi, Shendi, Sudan.
Marwa Shawky AbdouDepartment of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt.
Eman H ElbannaHealth Management, Planning and Policy Department, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt.
Doaa Mahmoud KhalilPublic Health and Community Medicine Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCholera persists as a global public health threat, endangering the lives of vulnerable societies including the MENA region where many countries are facing recent cholera outbreaks. The present study aimed to characterize the knowledge, attitude, and practices status related to cholera in six MENA countries in the MENA region.

methodsA cross-sectional study was conducted using a structured, validated questionnaire and distributed across different social media platforms in Egypt, Sudan, Jordan, Syria, Lebanon, and Yemen between December 2022 and January 2023. Univariate and multivariate analyses were used to determine factors associated with knowledge, attitudes, and practices related to cholera.

resultsA total of 2971 participants were included in the study, of which 62.5% were females; with a mean age of 34.8 ± 12.3 years; 85.4% heard about cholera; and 1.9% experienced cholera infection during cholera outbreaks in their countries. Among those who heard about cholera, 50.7% had adequate knowledge, 67.3% had desirable attitudes, and 50.3% reported good practices. Multivariate analysis revealed that being older, highly educated, employed, working in the medical field, and living in an outbreak country were the significant predictors affecting good knowledge. Additionally, good attitudes were significantly increased by older ages, females, those working in the medical sector, and those living in an outbreak country. Whereas working in the medical sector and having a larger number of people living in the same house significantly decreased the practice scores.

conclusionsRaising community awareness about fecal-oral diseases transmitted via contaminated food or water, such as cholera, is crucial. This can be achieved by organizing targeted awareness campaigns for the whole community. Furthermore, mandatory educational workshops and programs for medical professionals are essential, as they serve as role models for the community.

Indexed as

CholeraDisease OutbreaksHealth Knowledge, Attitudes, PracticeAdultCross-Sectional StudiesEgyptFemaleHumansJordanLebanonMaleMiddle AgedMiddle EastSelf ReportSudanSurveys and QuestionnairesAttitudeCholera outbreakKnowledgeMENA countriesPractices

Identifiers

PMID39966829
PMCPMC11837374

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.