埃塞俄比亚西北部亚的斯泽门医院产前诊所孕妇中杀虫剂处理蚊帐的使用情况及相关因素：一项基于机构的研究
Utilization and Associated Factors of Insecticide Treated Bed Net among Pregnant Women Attending Antenatal Clinic of Addis Zemen Hospital, North-Western Ethiopia: An Institutional Based Study.
作者信息
Yitayew Azeb Ewinetu, Enyew Habtamu Demelash, Goshu Yitayal Ayalew
机构信息
Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Social and Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
Malar Res Treat. 2018 Dec 24;2018:3647184. doi: 10.1155/2018/3647184. eCollection 2018.
INTRODUCTION
Insecticide treated bed net (ITN) is one type of cost-effective vector control approach for the prevention of malaria. It has to be treated with insecticide and needs ongoing treatment with chemicals. Malaria infcetion during pregnancy is a amajor health problem in Ethiopia. Little is known about the utilization of ITN by pregnant women in the study area. This study was aimed to assess utilization and associated factors of insecticide-treated nets among pregnant women in Adis Zemen Hospital.
METHODS
This hospital based cross-sectional study was conducted in Adis Zemen from May 1 to 30, 2018, among 226 pregnant mothers. After obtaining informed consent, data were collected using a pretested structured questionnaire via face to face interview. To reach the study unit, a systematic random sampling technique was used. The collected data were entered, cleaned, checked using Epi data version 3.1, and finally analyzed using SPSS version 20. Binary and multivariable logistic regressions were computed to identify significantly associated variables at 95% confidence interval.
RESULT
A total of 226 pregnant mothers attending antenatal clinics participated in making the response rate 100%. Among a total 226 subjects, 160(70.8%) of mothers had good utilization of insecticide bet net. Mothers who had an educational status of college and above were 2.8 times more likely to utilize insecticide-treated bed net than mothers who could not read and write (AOR; 2. 8: CI; 1.9, 6.5). Mothers whose age was >30 were 70% times less likely utilized insecticide-treated bed net than mothers whose age was 30 and less (AOR;.3: CI;.2,.6).
CONCLUSION AND RECOMMENDATION
Utilization of insecticide-treated bed net by pregnant women is low in the study area. The participants' age, educational status, household monthly income, and husband educational status were significantly associated with utilization of insecticide-treated bed net. Different stakeholders shall give a special attention to awareness creation on advantageous of insecticide bed net.
引言
经杀虫剂处理的蚊帐（ITN）是预防疟疾的一种具有成本效益的病媒控制方法。它必须用杀虫剂处理，并且需要持续使用化学药品进行处理。孕期疟疾感染是埃塞俄比亚的一个主要健康问题。关于研究地区孕妇对经杀虫剂处理的蚊帐的使用情况，人们了解甚少。本研究旨在评估亚的斯泽门医院孕妇对经杀虫剂处理的蚊帐的使用情况及相关因素。
方法
这项基于医院的横断面研究于2018年5月1日至30日在亚的斯泽门对226名孕妇进行。在获得知情同意后，通过面对面访谈使用预先测试的结构化问卷收集数据。为了到达研究单元，采用了系统随机抽样技术。收集到的数据使用Epi数据3.1版本进行录入、清理和检查，最后使用SPSS 20版本进行分析。计算二元和多变量逻辑回归以确定在95%置信区间内显著相关的变量。
结果
共有226名参加产前诊所的孕妇参与，使应答率达到100%。在总共226名受试者中，160名（70.8%）母亲对经杀虫剂处理的蚊帐有良好的使用情况。受过大学及以上教育的母亲使用经杀虫剂处理的蚊帐的可能性是不识字母亲的2.8倍（优势比；2.8；置信区间；1.9，6.5）。年龄大于30岁的母亲使用经杀虫剂处理的蚊帐的可能性比年龄在30岁及以下的母亲低70%（优势比；0.3；置信区间；0.2，0.6）。
结论与建议
研究地区孕妇对经杀虫剂处理的蚊帐的使用率较低。参与者的年龄、教育程度、家庭月收入和丈夫的教育程度与经杀虫剂处理的蚊帐的使用情况显著相关。不同的利益相关者应特别关注提高对经杀虫剂处理的蚊帐优势的认识。
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