Bed net use and associated factors in a rice farming community in Central Kenya.
Bed net use and associated factors in a rice farming community in Central Kenya.
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DOI：
10.1186/1475-2875-8-64
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发表时间：
2009-04-16
期刊：
影响因子：
3
通讯作者：
Mutero C
中科院分区：
文献类型：
--
作者：
Ng'ang'a PN;Jayasinghe G;Kimani V;Shililu J;Kabutha C;Kabuage L;Githure J;Mutero C
在疟疾流行地区，使用驱虫蚊帐仍然是预防疟疾的潜在战略。然而，其有效性、可持续性和大规模推广仍然是当地社区社会经济和文化变量的一个因素，在设计和实施阶段是不可或缺的。在四个研究村庄进行了人种学家庭调查，这些村庄是有目的地选择的，以代表社会经济和地理多样性。总共从四个研究村庄中随机选择了400户家庭。调查采用半结构式问卷和焦点小组讨论的方式收集了受访者的定量和定性信息。据报道，疟疾是该地区最常见的疾病（93%），其病因归因于其他非生物医学原因，如积水（16%）和长时间降雨（13%）。影响蚊帐使用差异的主要因素是居住者与户主的关系（χ2 = 105.705; df 14; P = 0.000），年龄（χ2 = 74.483; df 14; P = 0.000），村（χ2 = 150.325; df 6; P = 0.000），职业性别（χ2 = 4.254; df 1; P = 0.039）、户主或配偶文化程度（χ 2 = 33.622; df 6; P = 0.000）。同样的变量决定了家庭一级获得蚊帐的机会和条件。防止蚊虫叮咬（95%）是大多数家庭使用蚊帐的主要原因，而防止疟疾排在第二位（54%）。颜色、形状和可负担性是决定研究地区蚊帐选择、使用和接受的一些关键潜在因素。该研究强调了对在撒哈拉以南非洲有效和可持续地实施蚊帐相关方案至关重要的潜在社会和经济变量。
Use of insecticide-treated nets (ITNs) continues to offer potential strategy for malaria prevention in endemic areas. However their effectiveness, sustainability and massive scale up remain a factor of socio-economic and cultural variables of the local community which are indispensable during design and implementation stages. An ethnographic household survey was conducted in four study villages which were purposefully selected to represent socio-economic and geographical diversity. In total, 400 households were randomly selected from the four study villages. Quantitative and qualitative information of the respondents were collected by use of semi-structured questionnaires and focus group discussions. Malaria was reported the most frequently occurring disease in the area (93%) and its aetiology was attributed to other non-biomedical causes like stagnant water (16%), and long rains (13%). Factors which significantly caused variation in bed net use were occupant relationship to household head (χ2 = 105.705; df 14; P = 0.000), Age (χ2 = 74.483; df 14; P = 0.000), village (χ2 = 150.325; df 6; P = 0.000), occupation (χ2 = 7.955; df 3; P = 0.047), gender (χ2 = 4.254; df 1; P = 0.039) and education levels of the household head or spouse (χ2 = 33.622; df 6; P = 0.000). The same variables determined access and conditions of bed nets at household level. Protection against mosquito bite (95%) was the main reason cited for using bed nets in most households while protection against malaria came second (54%). Colour, shape and affordability were some of the key potential factors which determined choice, use and acceptance of bed nets in the study area. The study highlights potential social and economic variables important for effective and sustainable implementation of bed nets-related programmes in Sub-Saharan Africa.
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影响因子：
2.7
作者：
Mutero, CM;Kabutha, C;Oganda, M
通讯作者：
Oganda, M
影响因子：
5.4
作者：
SILVA, KT
通讯作者：
SILVA, KT
DOI：
10.1046/j.1365-3156.1997.d01-376.x
发表时间：
1997-08-01
影响因子：
3.3
作者：
Winch, PJ;Makemba, AM;Shiff, CJ
通讯作者：
Shiff, CJ
影响因子：
3.3
作者：
Takken, W
通讯作者：
Takken, W
DOI：
10.4269/ajtmh.1995.53.313
发表时间：
1995-10-01
影响因子：
3.3
作者：
KROEGER, A;MANCHENO, M;PESSE, K
通讯作者：
PESSE, K