有蚊帐可用却不使用的报告原因：已发表文献综述。
Reported reasons for not using a mosquito net when one is available: a review of the published literature.
机构信息
Papua New Guinea Institute of Medical Research (PNGIMR), PO Box 60, Goroka, EHP 441, Papua New Guinea.
出版信息
Malar J. 2011 Apr 11;10:83. doi: 10.1186/1475-2875-10-83.
BACKGROUND
A review of the barriers to mosquito net use in malaria-endemic countries has yet to be presented in the published literature despite considerable research interest in this area. This paper partly addresses this gap by reviewing one component of the evidence base; namely, published research pertaining to self-reported reasons for not using a mosquito net among net 'owning' individuals. It was anticipated that the review findings would potentially inform an intervention or range of interventions best suited to promoting greater net use amongst this group.
METHOD
Studies were sought via a search of the Medline database. The key inclusion criteria were: that study participants could be identified as owning a mosquito net or having a mosquito net available for use; that these participants on one or more occasions were identified or self-reported as not using the mosquito net; and that reasons for not using the mosquito net were reported. Studies meeting these criteria were included irrespective of mosquito net type.
RESULTS
A total of 22 studies met the inclusion criteria. Discomfort, primarily due to heat, and perceived (low) mosquito density were the most widely identified reason for non-use. Social factors, such as sleeping elsewhere, or not sleeping at all, were also reported across studies as were technical factors related to mosquito net use (i.e. not being able to hang a mosquito net or finding it inconvenient to hang) and the temporary unavailability of a normally available mosquito net (primarily due to someone else using it). However, confidence in the reported findings was substantially undermined by a range of methodological limitations and a dearth of dedicated research investigation.
CONCLUSIONS
The findings of this review should be considered highly tentative until such time as greater quantities of dedicated, well-designed and reported studies are available in the published literature. The current evidence-base is not sufficient in scope or quality to reliably inform mosquito net promoting interventions or campaigns targeted at individuals who own, but do not (reliably) use, mosquito nets.
背景
尽管人们对这一领域非常感兴趣，但在疟疾流行国家，关于阻碍蚊帐使用的因素的综述尚未在已发表的文献中呈现。本文通过回顾证据基础的一个组成部分，即与蚊帐“拥有者”中个人自述不使用蚊帐的原因相关的已发表研究，部分解决了这一差距。预计审查结果可能会为促进该人群中更多使用蚊帐的干预措施或一系列干预措施提供信息。
方法
通过搜索 Medline 数据库寻找研究。主要纳入标准为：研究参与者可以被确定为拥有蚊帐或有可用的蚊帐；这些参与者在一次或多次被确定或自述未使用蚊帐；并且报告了不使用蚊帐的原因。符合这些标准的研究无论蚊帐类型如何都被包括在内。
结果
共有 22 项研究符合纳入标准。主要由于热而导致的不适和感知（低）蚊虫密度是最广泛识别的不使用原因。社会因素，如睡在其他地方或根本不睡觉，也在研究中被报道，与蚊帐使用相关的技术因素（即无法悬挂蚊帐或发现悬挂不方便）以及通常可用的蚊帐暂时不可用（主要是因为其他人正在使用）也是如此。然而，由于存在各种方法学限制和缺乏专门研究调查，报告结果的可信度受到了严重损害。
结论
在已发表的文献中提供了更多数量的专门、精心设计和报告的研究之前，应将本综述的研究结果视为高度初步的。目前的证据基础在范围或质量上都不足以可靠地为针对拥有但不（可靠）使用蚊帐的个人的促进蚊帐的干预措施或活动提供信息。
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