Owusu Adjah Ebenezer S, Panayiotou Andrie G
Cyprus International Institute for Environmental and Public Health in Association with the Harvard School of Public Health, Cyprus University of Technology, Limassol, Cyprus.
Malar J. 2014 Mar 28;13:123. doi: 10.1186/1475-2875-13-123.
Media messages have been used in Ghana to promote insecticide-treated net (ITN)/bed net usage in an effort to impact on malaria prevention. The aim of this study was to assess the effect of such malaria-related messages delivered through electronic/print media and by volunteers/health workers on the use of ITNs by children living in a household.
Data was collected from September to November of 2008 using a structured, interviewer-administered questionnaire by the Ghana Statistical Service as part of a national demographic and health survey (DHS). Secondary data analysis was performed on the collected data using multivariate logistic regression for both individual messages and a composite (any of) message variable.
From the 11,788 households surveyed, 45% had at least one net. Households with male heads were more likely to have a child sleeping under a bed net the previous night (p = 0.0001). Individual Messages delivered by a health worker or a dedicated radio programme, had the highest effect for one or more children sleeping under a net the night before (OR(adjusted) = 1.65; 95% CI = 1.44 to 1.88 and OR(adjusted) = 1.26; 95% CI =1.12 to 1.42 respectively) while hearing any of the eight messages (composite score) resulted in the highest odds for one or more children (OR(adjusted) = 3.06; 95% CI = 2.27 to 4.12) sleeping under a bed net.
Efforts to relate ITN messages to the public are very useful in increasing use of bed nets and having multiple ways of reaching the public increases their effect, with the biggest effect seen when health workers and volunteers were used to deliver malaria-related messages to the public.
在加纳，媒体信息已被用于推广经杀虫剂处理的蚊帐（ITN）/蚊帐的使用，以努力预防疟疾。本研究的目的是评估通过电子/印刷媒体以及志愿者/卫生工作者传递的此类疟疾相关信息对家庭中儿童使用ITN的影响。
作为全国人口与健康调查（DHS）的一部分，加纳统计局于2008年9月至11月使用结构化的、由访谈员实施的问卷收集数据。对收集到的数据进行二次数据分析，使用多变量逻辑回归分析单个信息以及复合（任何一条）信息变量。
在接受调查的11,788户家庭中，45%至少有一顶蚊帐。户主为男性的家庭中，前一晚更有可能有孩子睡在蚊帐下（p = 0.0001）。由卫生工作者或专门的广播节目传递的单个信息，对前一晚一个或多个孩子睡在蚊帐下的影响最大（调整后的OR = 1.65；95%置信区间 = 1.44至1.88，以及调整后的OR = 1.26；95%置信区间 = 1.12至1.42），而听到八条信息中的任何一条（综合得分）导致一个或多个孩子睡在蚊帐下的几率最高（调整后的OR = 3.06；95%置信区间 = 2.27至4.12）。
将ITN信息传递给公众的努力对于增加蚊帐的使用非常有用，采用多种方式向公众传递信息会增强效果，当卫生工作者和志愿者向公众传递疟疾相关信息时效果最为显著。
