喀麦隆西北地区恩多普区医院就诊的农作物种植农民疟疾诱发因素评估

Assessment of Malaria Predisposing Factors among Crop Production Farmers Attending the Ndop District Hospital, Northwest Region of Cameroon.

作者信息

Nlinwe Nfor Omarine, Ateh Tamombi Akonji Emmanuel

机构信息

Faculty of Health Sciences, Department of Medical Laboratory Science, The University of Bamenda, P.O. Box 39 Bambili, Bamenda, North West Region, Cameroon.

出版信息

J Parasitol Res. 2020 Aug 1;2020:1980709. doi: 10.1155/2020/1980709. eCollection 2020.

Abstract

The widespread impacts of malaria in the tropical regions of the developing world are not only on healthcare issues but also an agricultural output. Malaria causes manpower loss when it strikes farmers at critical planting, weeding, and harvesting times. Given the above, the expected outcome to malaria prevention programs in farming communities remains a far cry, especially where the predisposing factors are not properly identified and long-lasting solutions proffered. Consequently, this study was designed to assess the malaria predisposing factors among the crop production farmers attending the Ndop District Hospital. The microscopy method was used to determine the presence of malaria parasitaemia. The following categorical variables were considered predisposing factors: Sex, history on malaria illness/treatment, use of long-lasting insecticide nets (LLINs) and knowledge on malaria transmission/prevention. A four-point Likert-type rating scale was adopted for the scoring of the responses given on the predisposing factors, while Fisher's exact test was used to assess the associations between malaria and each of the predisposing factors. The prevalence of malaria parasitaemia among the crop production farmers was 20% (143/715). The predisposing factors tested were found to be significantly associated to the occurrence of malaria among the crop production farmers. Therefore, the combination of improved existing and innovative malaria control strategies may possibly ensure sustained malaria decrease among the farmers in the Ndop Health District.

摘要

疟疾在发展中世界热带地区的广泛影响不仅涉及医疗保健问题,还关乎农业产出。疟疾在关键的种植、除草和收获时节侵袭农民时会造成劳动力损失。鉴于上述情况,农业社区疟疾预防项目的预期成果仍相差甚远,尤其是在诱发因素未得到妥善识别且未提供持久解决方案的地方。因此,本研究旨在评估前往恩多普地区医院就诊的农作物种植农民中的疟疾诱发因素。采用显微镜检查法来确定疟原虫血症的存在。以下分类变量被视为诱发因素:性别、疟疾患病/治疗史、长效杀虫剂蚊帐(LLINs)的使用情况以及疟疾传播/预防知识。对于诱发因素给出的回答采用四分李克特量表评分,而费舍尔精确检验用于评估疟疾与每个诱发因素之间的关联。农作物种植农民中疟原虫血症的患病率为20%(143/715)。研究发现,所测试的诱发因素与农作物种植农民中疟疾的发生显著相关。因此,结合改进现有和创新的疟疾控制策略可能会确保恩多普健康区的农民中疟疾持续减少。

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