Frontline knowledge, attitudes, and practices on climate change and its link to zoonotic diseases: a mixed-methods study of healthcare workers in Ada East, Ghana

作者：Abebayehu N. Yilma, Kirstin West, Hannah E. Sauve, Kristin K. Sznajder, Grace Hwang, Leonard Baatiema, Ernest Kenu, Charles Lwanga Noora, Kedir Teji Roba, Abraham Tamirat Gizaw, Marta A. Kisiel · 发表于：Discover Public Health · 年份：2026 · DOI：10.1186/s12982-026-01622-w · 被引用次数：1 · 研究领域：Zoonotic diseases and public health、Climate Change and Health Impacts、Viral Infections and Outbreaks Research

Climate change alters patterns of infectious diseases and increases the risk of zoonotic spillover in vulnerable areas. This study examines how frontline healthcare workers (FHWs) in Ghana’s Ada East District understand and perceive the relationship between climate change and zoonotic disease transmission. We conducted a concurrent mixed-methods study in the Ada East District, Ghana. A cross-sectional survey of FHWs evaluated knowledge, attitudes, and practices (KAP) regarding climate change and its link to zoonotic diseases. KAP scores were classified using Bloom’s cut-off points; adjusted logistic regression models identified predictors of good KAP. A purposively selected focus group (n = 9) explored perceived links between climate change and zoonotic disease, lived experiences, and institutional barriers. Most participants demonstrated good knowledge (≥ 60% correct; 83.2%) and attitudes (≥ 60% positive attitudes; 86.8%), but fewer reported good climate-mitigation practices (≥ 60% of good practices; 62.4%). Clinical staff other than nurses and midwives were associated with higher odds of good knowledge (adjOR = 4.52, 95% CI 1.12–22.76), while those trained on the human monkeypox virus were associated with lower odds of good knowledge (adjOR = 0.24, 95% CI 0.08–0.64). For practices, working in a district/regional hospital was associated with lower odds (adjOR = 0.18, 95% CI 0.05–0.61), as was training delivered by the Ministry/Government authorities (adjOR = 0.44, 95% CI 0.2...