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坦桑尼亚基洛萨区的土地利用模式及其对疟疾传播的影响。

Land-use patterns and their implication on malaria transmission in Kilosa District, Tanzania.

作者信息

Paul Phillipo, Kangalawe Richard Y M, Mboera Leonard E G

机构信息

1Institute of Resource Assessment, University of Dar es Salaam, P.O. Box 35097, Dar es Salaam, Tanzania.

2National Institute for Medical Research, P.O. Box 9653, Dar es Salaam, Tanzania.

出版信息

Trop Dis Travel Med Vaccines. 2018 Jun 20;4:6. doi: 10.1186/s40794-018-0066-4. eCollection 2018.

Abstract

BACKGROUND

Understanding of the land use and malaria transmission among farming communities in Tanzania is of great significance. Water resource development projects, deforestation, wetland cultivation, and land use changes for agricultural purposes all expand habitats for malaria-carrying mosquitoes. The main objective of this study was to assess land use patterns and their implication on malaria transmission in two villages in Kilosa District, Tanzania.

METHODS

Multiple research methods were used for data collection, including household interviews using a structured questionnaire; key informant interviews; transect walks and direct field observations. A larval search was conducted using the dipper standard method whereby mosquito larvae and pupae were identified to genus level. Data analysis was undertaken using the Stata software version 10 and descriptive statistics were used.

RESULTS

A total of 211 diverse mosquito breeding habitats were surveyed during this study. The mosquito breeding sites ranged from small areas such as hoof prints and coconut shells to large ones such as swamps created through anthropogenic activities. The relationships between land use patterns and malaria transmission were statistically insignificant, indicating that malaria transmission in Kilosa could possibly be due to other human activities, including seasonal movement to distant farms during farming seasons. Communities were knowledgeable about malaria preventive measures such as the use of mosquito nets. While knowledge that links mosquitoes and malaria was relatively high among respondents, knowledge related to mosquito ecology and breeding sites was generally low.

CONCLUSION

Although analysis of land use patterns did not show statistical significance in the study area, agricultural activities, brick making and settlement seem to be highly linked to malaria transmission. The association of land use patterns and malaria transmission is well observed in habitats created that harbour mosquitoes, and evidenced by presence of immature Anopheles mosquito larvae. Lack of knowledge of the epidemiology of transmission by the inhabitants is a major issue. Although it might be difficult to change land use patterns, as they are driven by economic necessity, future reduction of spread, through better education, is something that could be modified. In addition, more detailed studies are recommended to further confirm the linkages between land use/cover changes and malaria transmission in the study area.

摘要

背景

了解坦桑尼亚农业社区的土地利用与疟疾传播情况具有重要意义。水资源开发项目、森林砍伐、湿地开垦以及为农业目的而进行的土地利用变化,都扩大了携带疟疾蚊子的栖息地。本研究的主要目的是评估坦桑尼亚基洛萨区两个村庄的土地利用模式及其对疟疾传播的影响。

方法

采用多种研究方法收集数据,包括使用结构化问卷进行入户访谈;关键 informant 访谈;横断面行走和直接实地观察。使用勺舀标准方法进行幼虫搜索,据此将蚊子幼虫和蛹鉴定到属级水平。使用 Stata 软件版本 10 进行数据分析,并采用描述性统计方法。

结果

在本研究期间,共调查了 211 个不同的蚊子繁殖栖息地。蚊子繁殖地点范围从小面积的如蹄印和椰子壳到大面积的如通过人为活动形成的沼泽。土地利用模式与疟疾传播之间的关系在统计学上不显著,这表明基洛萨的疟疾传播可能是由于其他人类活动,包括在耕种季节季节性迁移到遥远的农场。社区对疟疾预防措施如使用蚊帐有一定了解。虽然受访者中认为蚊子与疟疾有关的知晓率相对较高,但与蚊子生态和繁殖地点相关的知识普遍较低。

结论

尽管对研究区域土地利用模式的分析未显示出统计学意义,但农业活动、制砖和定居点似乎与疟疾传播高度相关。在有蚊子栖息的人造栖息地中,土地利用模式与疟疾传播的关联得到了很好的观察,并通过未成熟按蚊幼虫的存在得到了证明。居民对传播流行病学缺乏了解是一个主要问题。虽然由于经济需求驱动可能难以改变土地利用模式,但通过更好的教育在未来减少传播是可以改变的。此外,建议进行更详细的研究以进一步确认研究区域土地利用/覆盖变化与疟疾传播之间的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/6011254/aafcfe5b3b6c/40794_2018_66_Fig1_HTML.jpg

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