Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
Who sleeps under bednets in Ghana? A doer/non-doer analysis of malaria prevention behaviours
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DOI：
10.1186/1475-2875-5-61
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发表时间：
2006-07-25
期刊：
影响因子：
3
通讯作者：
Davis, Robb
中科院分区：
文献类型：
--
作者：
De La Cruz, Natalie;Crookston, Benjamin;Davis, Robb
背景：疟疾预防方案应部分基于对为什么有些人使用蚊帐而另一些人不使用蚊帐的了解。本文确定的因素和特点的妇女，影响他们的孩子之间的蚊帐使用不到5岁的年龄在Ghana.Methods：数据来自基线组成部分的自由从饥饿的疟疾课程的评价。一个准实验设计被用来选择客户（n = 516）的信贷与教育（小额信贷和健康教育的综合包）和非客户（n = 535）。采用卡方检验、Fisher精确检验和逻辑回归分析，比较孩子使用蚊帐的母亲（使用者）与孩子不使用蚊帐的母亲的特征结果：以下因素与蚊帐用途：居住地区、更大的食品安全、更高的卫生保健水平、更高的卫生以及照顾者对症状、病因和最易感染疟疾的群体的看法。大多数受访者知道蚊子会导致疟疾;然而，20.6%的实干家和12.3%的非实干家（p = 0.0228）认为过度工作会导致疟疾。90%的行动者和77.0%的非行动者认为睡在蚊帐里可以预防疟疾（p = 0.0040）。此外，16.5%的实干家和7.5%的非实干家（p =.0025）确定成年男性最容易受到疟疾。结论：更多的知识，疟疾并不总是转化为改善蚊帐的使用。虽然基于文化的疟疾观念可能因社区而异，但将其纳入传统的健康教育信息可能会提高公共卫生工作的有效性。
Background: Malaria prevention programmes should be based in part on knowledge of why some individuals use bednets while others do not. This paper identifies factors and characteristics of women that affect bednet use among their children less than five years of age in Ghana.Methods: Data come from the baseline component of an evaluation of Freedom from Hunger's malaria curriculum. A quasi-experimental design was used to select clients (n = 516) of Credit with Education ( an integrated package of microfinance and health education) and non-clients ( n = 535). Chi-squares, Fisher's Exact tests and logistic regression were used to compare the characteristics of mothers whose children use bednets ( doers) with those whose children do not (non-doers) and to identify factors associated with bednet use among children less than five years of age.Results: The following factors were most closely associated with bednet use: region of residence; greater food security; and caregivers' beliefs about symptoms, causation and groups most vulnerable to malaria. Most respondents knew mosquitoes caused malaria; however, 20.6% of doers and 12.3% of non-doers ( p =.0228) thought overworking oneself caused malaria. Ninety percent of doers and 77.0% of non-doers felt that sleeping under a net was protective against malaria ( p =.0040). In addition, 16.5% of doers and 7.5% of non-doers ( p =.0025) identified adult males as most vulnerable to malaria.Conclusion: Greater knowledge about malaria does not always translate into improved bednet use. Though culturally-based ideas about malaria may vary between communities, integrating them into traditional health education messages may enhance the effectiveness of public health efforts.