Omonijo Adetunji, Omonijo Adejumoke O
Department of Family Medicine, Federal Teaching Hospital, Ido Ekiti, Ekiti State, Nigeria.
Department of Animal and Environmental Biology, Federal University Oye Ekiti State, Nigeria.
J Parasitol Res. 2019 Apr 1;2019:1273714. doi: 10.1155/2019/1273714. eCollection 2019.
Vector control with long-lasting insecticide treated nets (LLINs) has been identified as a major component of malaria prevention and control. The study examined present status of awareness, ownership, and utilization of LLINs in malaria high-risk areas of Ekiti State, Nigeria. Data were obtained from 352 copies of semistructured interviewer-guided questionnaire distributed to participants of each household in the four Local Government Areas (LGAs) of Ekiti State, where malaria is endemic after mass distribution of LLINs. Findings in this study showed that awareness was high (91.8%) in the Local Government Areas (LGAs) with mass media contributing largely (44.3%) to awareness. Also, LLINs ownership was found to be high (71.3%) with 72.9% of the nets being supplied by the government. Of the owners of LLINs, usage rate was observed to be 67.6%. Multivariate analysis result showed that statistically significant sociodemographic characteristics of respondents predicting the usage of LLINs included age greater than 50 years (p value = 0.008), female gender ( = 8.2014, p value = 0.004), being married ( = 24.721, p value <0.001), civil servants ( = 12.739, p value = 0.005), and average income above poverty line ( = 13.576, p value = 0.004). The study concluded that although not all households surveyed owned LLINs, nevertheless, the level of usage of LLINs among net-owning households was high. The study recommended continuous free distribution, periodic household survey, and expanding public knowledge on the benefits of LLINs usage especially through social media.
使用长效驱虫蚊帐（LLINs）进行病媒控制已被确定为疟疾预防和控制的主要组成部分。该研究调查了尼日利亚埃基蒂州疟疾高风险地区居民对长效驱虫蚊帐的认知、拥有和使用现状。数据来自向埃基蒂州四个地方政府辖区（LGA）每户参与者发放的352份半结构化访谈式问卷，这些地区在大规模分发长效驱虫蚊帐后疟疾呈地方性流行。本研究结果显示，地方政府辖区居民的认知度较高（91.8%），其中大众媒体对认知度的贡献很大（44.3%）。此外，长效驱虫蚊帐的拥有率也较高（71.3%），其中72.9%的蚊帐由政府提供。在长效驱虫蚊帐的拥有者中，使用率为67.6%。多变量分析结果显示，预测长效驱虫蚊帐使用情况的具有统计学意义的受访者社会人口学特征包括年龄大于50岁（p值 = 0.008）、女性（β = 8.2014，p值 = 0.004）、已婚（β = 24.721，p值 <0.001）、公务员（β = 12.739，p值 = 0.00）以及平均收入高于贫困线（β = 13.576，p值 = 0.004）。该研究得出结论，虽然并非所有接受调查的家庭都拥有长效驱虫蚊帐，但在拥有蚊帐的家庭中，长效驱虫蚊帐的使用率较高。该研究建议持续免费分发、定期进行家庭调查，并扩大关于使用长效驱虫蚊帐益处的公众知识，特别是通过社交媒体进行宣传。
