加纳育龄妇女对疟疾预防与控制的认知及寻求护理情况：2016年疟疾指标调查分析
Reproductive-Age Women's Knowledge and Care Seeking for Malaria Prevention and Control in Ghana: Analysis of the 2016 Malaria Indicator Survey.
作者信息
Ayanore Martin Amogre, Tetteh John, Ameko Asiwome, Axame Wisdom Kudzo, Alhassan Robert Kaba, Adoliba Ayanore Augustine, Mogre Victor, Owusu-Agyei Seth
机构信息
Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe campus, Ghana.
Centre for Health Policy Advocacy, Innovation & Research in Africa (CHPAIR-Africa), Ghana.
出版信息
J Trop Med. 2019 Feb 12;2019:2316375. doi: 10.1155/2019/2316375. eCollection 2019.
INTRODUCTION
Malaria is a major cause of morbidity and mortality worldwide, requiring individual and environmental level controls to prevent its adverse morbidity effects. This study examined reproductive-aged women's knowledge and care-seeking practices for malaria prevention and control in Ghana.
METHODS
The 2016 Ghana Malaria Indicator Survey data for reproductive-age women was analysed (n=5,150). Multilevel mixed-effects logistic regression model was used to determine factors associated with reproductive-aged women's knowledge and care-seeking practices for malaria.
RESULTS
62.3%, 81.3%, and 64.6% knowledge levels on causes, signs/symptoms, and prevention of malaria were found, respectively, among respondents. Age, wealth and educational status, religion, region, and place of residence (rural) were found to significantly influence respondents' knowledge of causes, signs/symptoms, and care-seeking practices for malaria. A 15% differential among Insecticide Treated Nets (ITNs) awareness and use was found. Increasing age (≥35 years) was associated with increasing knowledge of malaria. Regional variations were observed to significantly influence knowledge of malaria treatment.
CONCLUSION
Though ownership of ITNs and knowledge of malaria prevention were high, it did not necessarily translate into use of ITNs. Thus, there is a need to intensify education on the importance and the role of ITNs use in the prevention of malaria.
引言
疟疾是全球发病和死亡的主要原因，需要在个人和环境层面进行控制，以预防其不良发病影响。本研究调查了加纳育龄妇女对疟疾预防和控制的知识及就医行为。
方法
分析了2016年加纳疟疾指标调查中育龄妇女的数据（n = 5150）。采用多水平混合效应逻辑回归模型来确定与育龄妇女疟疾知识及就医行为相关的因素。
结果
受访者中，分别有62.3%、81.3%和64.6%的人知晓疟疾的病因、体征/症状及预防知识。年龄、财富和教育程度、宗教、地区以及居住地点（农村）被发现对受访者关于疟疾病因、体征/症状及就医行为的知识有显著影响。经杀虫剂处理的蚊帐（ITN）的知晓率和使用率存在15%的差异。年龄增长（≥35岁）与疟疾知识的增加相关。观察到地区差异对疟疾治疗知识有显著影响。
结论
尽管ITN的拥有率和疟疾预防知识水平较高，但这并不一定转化为ITN的使用。因此，有必要加强关于ITN在预防疟疾中的重要性和作用的教育。
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