Malaria knowledge and bed net use in three transmission settings in southern Africa.
Malaria knowledge and bed net use in three transmission settings in southern Africa.
复制标题
南部非洲三种传输环境中的疟疾知识和床网使用。
DOI：
10.1186/s12936-018-2178-8
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发表时间：
2018-01-19
期刊：
影响因子：
3
通讯作者：
Southern Africa International Centers of Excellence for Malaria Research
中科院分区：
文献类型：
--
作者：
Kanyangarara M;Hamapumbu H;Mamini E;Lupiya J;Stevenson JC;Mharakurwa S;Chaponda M;Thuma PE;Gwanzura L;Munyati S;Mulenga M;Norris DE;Moss WJ;Southern Africa International Centers of Excellence for Malaria Research
驱虫蚊帐可降低疟疾流行地区的发病率和死亡率。尽管驱虫蚊帐的供应量不断增加，但在某些情况下使用仍然有限。对疟疾的知识贫乏是广泛使用驱虫蚊帐的一个障碍。本研究的目的是评估疟疾知识水平，并评估与居住在南部非洲三个地区的疟疾传播和控制水平不同的个人之间使用蚊帐的相关因素。对2012年3月至2017年3月期间从津巴布韦Mutasa区（季节性疟疾传播）、赞比亚Choma区（低传播）和赞比亚Nchelenge区（高传播）的2066个家庭招募的7535名居民进行了一项横断面研究。使用标准化问卷收集人口统计学、疟疾相关知识和预防措施使用情况的数据。多变量逻辑回归分析被用来评估蚊帐使用的决定因素。在3836名成年参与者中，大多数人正确地将蚊子叮咬与疟疾联系起来（85.0%），至少提到一种疟疾症状（95.5%），并知道睡在驱虫蚊帐下的好处。Choma和Nchelenge区的蚊帐拥有率和使用率最高，Mutasa区最低。在多变量分析中，在调整所有地点的潜在混杂因素后，驱虫蚊帐知识与蚊帐使用可能性增加30-40%相关。与蚊帐使用显著相关的其他因素是年龄、家庭规模和社会经济地位，尽管研究地点的关联方向、强度和大小各不相同。重要的是，与5岁以下的儿童相比，5-14岁的参与者睡在蚊帐下的几率降低。驱虫蚊帐的相关知识转化为预期的在蚊帐下睡觉的预防行为，突出表明需要继续宣传预防疟疾的健康信息。在执行和提供控制和消除疟疾的干预措施时，需要考虑到社会经济平等方面的差距，并以学龄儿童为目标，以确保获得驱虫蚊帐并提高其利用率。
Insecticide-treated nets (ITNs) reduce malaria morbidity and mortality in endemic areas. Despite increasing availability, the use of ITNs remains limited in some settings. Poor malaria knowledge is a barrier to the widespread use of ITNs. The goal of this study was to assess the levels of malaria knowledge and evaluate factors associated with bed net use among individuals residing in three regions of southern Africa with different levels of malaria transmission and control. A cross-sectional study was conducted on a sample of 7535 residents recruited from 2066 households in Mutasa District, Zimbabwe (seasonal malaria transmission), Choma District, Zambia (low transmission) and Nchelenge District, Zambia (high transmission), between March 2012 and March 2017. A standardized questionnaire was used to collect data on demographics, malaria-related knowledge and use of preventive measures. Multivariate logistic regression analyses were used to assess determinants of bed net use. Most of the 3836 adult participants correctly linked mosquito bites to malaria (85.0%), mentioned at least one malaria symptom (95.5%) and knew of the benefit of sleeping under an ITN. Bed net ownership and use were highest in Choma and Nchelenge Districts and lowest in Mutasa District. In multivariate analyses, knowledge of ITNs was associated with a 30–40% increased likelihood of bed net use after adjusting for potential confounders across all sites. Other factors significantly associated with bed net use were age, household size and socioeconomic status, although the direction, strength and size of association varied by study site. Importantly, participants aged 5–14 years had reduced odds of sleeping under a bed net compared to children younger than 5 years. Relevant knowledge of ITNs translated into the expected preventive behaviour of sleeping under a bed net, underscoring the need for continued health messaging on malaria prevention. The implementation and delivery of malaria control and elimination interventions needs to consider socioeconomic equity gaps, and target school-age children to ensure access to and improve utilization of ITNs.
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影响因子：
3.7
作者：
Koenker H;Kilian A
通讯作者：
Kilian A
DOI：
10.1016/s0035-9203(00)90103-2
发表时间：
2000-07-01
影响因子：
2.2
作者：
Howard, SC;Omumbo, J;Snow, RW
通讯作者：
Snow, RW
影响因子：
3
作者：
Graves, Patricia M.;Ngondi, Jeremiah M.;Richards, Frank O., Jr.
通讯作者：
Richards, Frank O., Jr.
DOI：
10.4269/ajtmh.2003.68.121
发表时间：
2003-04-01
影响因子：
3.3
作者：
Hawley, WA;Phillips-Howard, PA;Hightower, AW
通讯作者：
Hightower, AW
影响因子：
5.4
作者：
Panter-Brick, Catherine;Clarke, Sian E.;Lindsay, Steve W.
通讯作者：
Lindsay, Steve W.