Gender differences in the use of insecticide-treated nets after a universal free distribution campaign in Kano State, Nigeria: post-campaign survey results.
Gender differences in the use of insecticide-treated nets after a universal free distribution campaign in Kano State, Nigeria: post-campaign survey results.
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DOI：
10.1186/1475-2875-12-119
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发表时间：
2013-04-10
期刊：
影响因子：
3
通讯作者：
Ye Y
中科院分区：
文献类型：
--
作者：
Garley AE;Ivanovich E;Eckert E;Negroustoueva S;Ye Y
最近扩大了驱虫蚊帐的分发战略，从以孕妇和五岁以下儿童为目标，在产前保健和免疫方案中分发驱虫蚊帐，到免费分发驱虫蚊帐，覆盖整个人口。这些战略上的变化引起了不平等问题，例如不同群体，包括男女之间在使用驱虫蚊帐方面的机会平等和平等。需要进行分析，以评估性别对采取关键疟疾控制干预措施的影响。最近在尼日利亚卡诺州进行的一次全民免费分发驱虫蚊帐运动后的调查提供了一个机会，可以了解性别对驱虫蚊帐使用的影响。2009年10月19日至11月4日，在尼日利亚卡诺州开展了一项运动后三至五个月的调查，随机抽样调查了4 602人。调查采用了根据疟疾指标调查改编的问卷。使用二元逻辑回归，控制几个协变量，作者评估了性别对生活在至少有一个驱虫蚊帐的家庭中的个人使用驱虫蚊帐的影响。调查显示，家庭驱虫蚊帐拥有率增加了10倍以上，从运动前的6%增加到运动后的71%。生活在至少有一个驱虫蚊帐的家庭中的男女比例没有显著差异。然而，女性使用驱虫蚊帐的比例高于男性（57.2%对48.8%）。在控制了几个协变量后，女性仍然比男性更有可能使用驱虫蚊帐（OR：1.5，95% CI：1.3-1.7）。青春期男孩仍然是最不可能使用驱虫蚊帐的群体。这项研究揭示了在使用驱虫蚊帐方面的性别差异，男性使用驱虫蚊帐的可能性较小，特别是在15至25岁之间。风险最高的群体（女性）对干预措施的接受率高于男性，这可能反映了早期的疟疾干预战略。需要进一步研究，以确定驱虫蚊帐使用方面的性别差异是否与疟疾干预措施传统上以孕妇和儿童为目标有关;然而，研究结果提供了证据，可以为普遍分发驱虫蚊帐的运动设计对性别问题有敏感认识的信息，以确保男性平等地从这种宣传和活动中受益。
Recent expansion in insecticide-treated net (ITN) distribution strategies range from targeting pregnant women and children under five and distributing ITN at antenatal care and immunization programmes, to providing free distribution campaigns to cover an entire population. These changes in strategy raise issues of disparities, such as equity of access and equality in ITN use among different groups, including females and males. Analysis is needed to assess the effects of gender on uptake of key malaria control interventions. A recent post-universal free ITN distribution campaign survey in Kano State, Nigeria offered an opportunity to look at gender effects on ITN use. A post-campaign survey was conducted three to five months after the campaign in Kano State, Nigeria from 19 October to 4 November, 2009, on a random sample of 4,602 individuals. The survey was carried out using a questionnaire adapted from the Malaria Indicator Survey. Using binary logistic regression, controlling for several covariates, the authors assessed gender effects on ITN use among individuals living in households with at least one ITN. The survey showed that household ITN ownership increased more than 10-fold, from 6% before to 71% after the campaign. There was no significant difference between the proportion of females and males living in households with at least one ITN. However, a higher percentage of females used ITNs compared to males (57.2% vs 48.8%). After controlling for several covariates, females remained more likely to use ITNs compared to males (OR: 1.5, 95% CI: 1.3-1.7). Adolescent boys remained the least likely group to use an ITN. This study reveals gender disparity in ITN use, with males less likely to use ITNs particularly among ages 15–25 years. The uptake of the intervention among the most at-risk group (females) is higher than males, which may be reflective of earlier strategies for malaria interventions. Further research is needed to identify whether gender disparities in ITN use are related to traditional targeting of pregnant women and children with malaria interventions; however, results provide evidence to design gender-sensitive messaging for universal ITN distribution campaigns to ensure that males benefit equally from such communications and activities.
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