Reported bed net ownership and use in social contacts is associated with uptake of bed nets for malaria prevention in pregnant women in Ghana
Reported bed net ownership and use in social contacts is associated with uptake of bed nets for malaria prevention in pregnant women in Ghana
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DOI：
10.1186/s12936-016-1660-4
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发表时间：
2017-01-04
期刊：
影响因子：
3
通讯作者：
Ehiri, John
中科院分区：
文献类型：
--
作者：
Ernst, Kacey C.;Erly, Steven;Ehiri, John
背景：尽管过去几十年取得了进展，但疟疾仍然是撒哈拉以南非洲一个紧迫的卫生问题。孕妇特别容易受到感染，并对自己和未出生的孩子造成严重的健康后果。可以通过适当使用经杀虫剂处理的蚊帐等控制措施来减轻风险。虽然社会网络可以影响预防战略的采用，但尚未探讨社会影响对蚊帐拥有率的作用。在评估一项蚊帐分发方案期间，审查了非保健顾问对加纳库马西孕妇拥有和使用蚊帐的影响。方法：对在加纳库马西一家城市医院接受产前护理的300名孕妇进行面对面访谈。参与者被问及他们的蚊帐拥有量，蚊帐使用情况，以及他们寻求怀孕建议的三个私人联系人的信息。这些顾问的信息被合并成影响力分数。Logistic回归模型用于确定得分与蚊帐拥有率之间的关系。研究人员进一步评估了那些拥有蚊帐的人，以确定人际影响是否与前一天晚上睡在蚊帐下的自我报告有关。结果：在分析的294名妇女中，229名（78%）报告拥有蚊帐。在这些拥有蚊帐的人中，139人（61%）报告在前一天晚上使用了蚊帐。人际影响评分与蚊帐拥有率和使用率呈剂量反应关系。与影响评分最低的人相比，影响评分最高的人（比平均值高1个标准差）在调整其他因素后，拥有蚊帐的可能性略高[OR = 2.37, 95% CI(0.87, 6.39)]，使用蚊帐的可能性要高得多[5.38,95% CI(1.89, 15.25)]。结论：人际影响似乎对加纳城市地区孕妇拥有和使用蚊帐的影响不大。需要进行进一步的调查，以确定这种关系是因果关系，还是有关联的人更有可能有类似的行为。
Background: Despite progress made in the last decades, malaria persists as a pressing health issue in sub-Saharan Africa. Pregnant women are particularly vulnerable to infection and serious health outcomes for themselves and their unborn child. Risk can be mitigated through appropriate use of control measures such as insecticide-treated bed nets. Although social networks can influence uptake of preventive strategies, the role of social influence on bed net ownership has not been explored. During an evaluation of a bed net distribution programme, the influence of non-health care advisors on ownership and use of bed nets by pregnant women in Kumasi, Ghana was examined.Methods: Data were collected through in-person interviews with 300 pregnant women seeking antenatal care in an urban hospital in Kumasi, Ghana. Participants were asked about their bed net ownership, bed net use, and information about three personal contacts that they go to for pregnancy advice. Information about these advisors was combined into an influence score. Logistic regression models were used to determine the association between the score and bed net ownership. Those who owned a bed net were further assessed to determine if interpersonal influence was associated with self-reported sleeping under the bed net the previous night.Results: Of the 294 women in the analysis, 229 (78%) reported owning bed nets. Of these bed net owners, 139 (61%) reported using a bed net the previous night. A dose response relationship was observed between the interpersonal influence score and bed net ownership and use. Compared to the lowest influence score, those with the highest influence score (> 1 SD above the mean) were marginally more likely to own a bed net [OR = 2.37, 95% CI (0.87, 6.39)] and much more likely to use their bed net [5.38, 95% CI (1.89, 15.25)] after adjusting for other factors.Conclusions: Interpersonal influence appears to have modest impact on ownership and use of bed nets by pregnant women in an urban area of Ghana. Further investigations would need to be conducted to determine if the relationship is causal or if individuals who associate are simply more likely to have similar practices.