Determinants of bed net use in children under five and household bed net ownership on Bioko Island, Equatorial Guinea.
Determinants of bed net use in children under five and household bed net ownership on Bioko Island, Equatorial Guinea.
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在赤道几内亚的Bioko Island的五岁以下儿童和家用床网的儿童中使用床网的决定因素。
DOI：
10.1186/1475-2875-10-179
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发表时间：
2011-06-29
期刊：
影响因子：
3
通讯作者：
Kleinschmidt I
中科院分区：
文献类型：
--
作者：
García-Basteiro AL;Schwabe C;Aragon C;Baltazar G;Rehman AM;Matias A;Nseng G;Kleinschmidt I
作为疟疾控制综合战略的一部分，比奥科岛疟疾控制项目于2007年底分发了110 000顶长效驱虫蚊帐，目的是为每个睡眠区提供一顶蚊帐。根据年度疟疾指标调查，尽管最初蚊帐覆盖率和蚊帐使用率都很高，但到2009年，许多五岁以下儿童没有蚊帐睡觉。这项研究的目的是评估五岁以下儿童使用蚊帐的决定因素和他们所居住的家庭的蚊帐拥有率。利用2008年和2009年年度横断面家庭调查的数据，我们调查了与调查前一晚睡在蚊帐下有关的因素，以及在所有至少有一个五岁以下儿童的家庭中，至少拥有一顶蚊帐的家庭。除其他外，照顾者的疟疾知识和家庭特征，包括社会经济评分（SES），家庭资产的所有权的基础上，分析其对净所有权和使用的影响。2008年至2009年，拥有至少一顶蚊帐的家庭比例下降了约32%。较高的家庭蚊帐拥有率与了解疟疾如何预防和传播，在过去12个月内喷洒房屋，家中5岁以下儿童较少以及儿童在过去14天内的某个时候生病有关。5岁以下儿童蚊帐使用率较高与调查前14天内某个时候生病、居住在城市地区、户主受教育年限较长、家庭拥有至少一顶驱虫蚊帐（而不是未经处理的蚊帐）以及调查发生的年份有关。2008年至2009年蚊帐使用量大幅下降的原因是蚊帐拥有量急剧下降。尽管农村和城市地区的所有权相似，但农村家庭不太可能用蚊帐保护其子女。对疟疾的了解是拥有蚊帐的一个重要决定因素。需要进一步研究，以阐明2008年至2009年期间蚊帐拥有率下降的原因。
As part of comprehensive malaria control strategies, the Bioko Island Malaria Control Project (BIMCP) distributed 110,000 long-lasting insecticide-treated nets (LLIN) in late 2007 with the aim of providing one net for each sleeping area. Despite attaining initially very high levels of net coverage and net use, many children under five years of age did not sleep under a net by 2009, according to annual malaria indicator surveys. The aim of this study was to assess the determinants of bed net use in children under five and bed net ownership of the households in which they live. Using data from annual cross-sectional household surveys of 2008 and 2009, we investigated factors associated with sleeping under a mosquito net the night prior to the survey, and a households owning at least one net, in all households which had at least one child under five years. Amongst others, caregiver's knowledge of malaria and household characteristics including a socio-economic score (SES), based on ownership of household assets, were analysed for their effect on net ownership and use. There was a decline of around 32% in the proportion of households that owned at least one net between 2008 and 2009. Higher household bed net ownership was associated with knowing how malaria was prevented and transmitted, having the house sprayed in the previous 12 months, having fewer children under five in the household, and children being sick at some point in the previous 14 days. Higher bed net use in children < 5 was associated with being sick at some point in the last 14 days prior to the survey, living in an urban area, more years of education of the head of the household, household ownership of at least one ITN (as opposed to an untreated net) and the year in which the survey took place. The big fall in bed net use from 2008 to 2009 was attributable to the striking decline in ownership. Although ownership was similar in rural and urban areas, rural households were less likely to protect their children with bed nets. Knowledge about malaria was an important determinant of bed net ownership. Further research is needed to elucidate the decline in bed net ownership between 2008 and 2009.
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影响因子：
3
作者：
Ng'ang'a PN;Jayasinghe G;Kimani V;Shililu J;Kabutha C;Kabuage L;Githure J;Mutero C
通讯作者：
Mutero C
影响因子：
3.3
作者：
Thwing, Julie;Hochberg, Natasha;Lama, Marcel
通讯作者：
Lama, Marcel
影响因子：
3
作者：
Matovu, Fred;Goodman, Catherine;Mwengee, William
通讯作者：
Mwengee, William
影响因子：
5.4
作者：
Rashed, S;Johnson, H;Schaffer, C
通讯作者：
Schaffer, C
影响因子：
3
作者：
Mugisha, F;Arinaitwe, J
通讯作者：
Arinaitwe, J