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影响加纳南部城市贫民窟孕妇疟疾防控的因素

Factors Influencing Prevention and Control of Malaria among Pregnant Women Resident in Urban Slums, Southern Ghana.

作者信息

Dako-Gyeke Mavis, Kofie Humphrey M

出版信息

Afr J Reprod Health. 2015 Mar;19(1):44-53.

Abstract

Throughout Africa and particularly in Ghana, there are concerns about malaria infection during pregnancy. This study aimed to investigate factors that influence malaria prevention and control practices among pregnant women residing in Chorkor and Korle-Gonno in Accra, Ghana. One hundred and twenty pregnant women between ages 18-49 were randomly recruited during antenatal sessions at a maternity facility in Accra, as participants for the study. An interviewer-administered questionnaire was used to collect data, which were analysed using SPSS version16.0. It was found that in Chorkor and Korle-Gonno, 57.4% and 42.6% participants respectively reported having been infected with malaria during their current pregnancy. There was no significant relationship between religious beliefs of participants and their malaria prevention and control practices (X2 = 0.28, P = .53). However, there was a significant relationship between malaria prevention and control practices of participants and their income earning (X2 = 53.94, P = .00) and employment (X2 = 61.76, P = .00) statuses. With the exception of ethnicity (X2 = 35.62, P =.22), other socio-cultural conditions had a significant relationship with malaria prevention and control practices of the participants. The findings suggest the need to consider and integrate factors, such as poverty and poor living conditions in malaria prevention and control strategies.

摘要

在整个非洲,尤其是在加纳,人们对孕期疟疾感染颇为担忧。本研究旨在调查影响居住在加纳阿克拉乔尔科尔和科勒-贡诺的孕妇疟疾预防与控制措施的因素。在阿克拉一家产科机构的产前检查期间,随机招募了120名年龄在18至49岁之间的孕妇作为研究参与者。通过访谈员实施的问卷收集数据,并使用SPSS 16.0版本进行分析。结果发现,在乔尔科尔和科勒-贡诺,分别有57.4%和42.6%的参与者报告在当前孕期感染过疟疾。参与者的宗教信仰与其疟疾预防和控制措施之间没有显著关系(X2 = 0.28,P = 0.53)。然而,参与者的疟疾预防和控制措施与其收入(X2 = 53.94,P = 0.00)和就业(X2 = 61.76,P = 0.00)状况之间存在显著关系。除了种族(X2 = 35.62,P = 0.22)外,其他社会文化条件与参与者的疟疾预防和控制措施有显著关系。研究结果表明,在疟疾预防和控制策略中需要考虑并整合贫困和恶劣生活条件等因素。

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