埃塞俄比亚西北部梅特马和西阿玛切霍地区移民和季节性农业工人中疟疾预防措施的实施率很低。

Low practice of malaria prevention among migrants and seasonal farmworkers in Metema and west Armacheho districts, Northwest Ethiopia.

机构信息

Department of Health Education and Behavioral Science, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Infect Dis. 2021 Feb 4;21(1):145. doi: 10.1186/s12879-021-05853-x.

DOI:10.1186/s12879-021-05853-x

PMID:33541286

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7863355/

Abstract

BACKGROUND

More than hundreds and thousands of migrants and seasonal farm workers move from the highlands (relatively low malaria endemicity areas) to the lowlands (higher malaria endemicity areas) for the development of the corridor of the Amhara region during planting, weeding, and harvesting seasons in each year. Seasonal migrant workers are at high risk of malaria infection. Therefore, evidence of their knowledge level and practice in the prevention of malaria during their stay would be important.

OBJECTIVE

The aims of this study was to assess the knowledge and practice of malaria prevention and associated factors among migrants and seasonal farm workers in Northwest Ethiopia.

METHOD

A cross-sectional study was conducted from October to November, 2018 in Metema and West Armacheho districts, northwest Ethiopia. A sample of about 950 migrants and seasonal farm workers were included using two stages of cluster sampling technique. Interview administered structured questionnaire was used. Both bi-variable and multivariable binary logistic regressions were applied to identify predictors of malaria prevention.

RESULT

The overall good knowledge of malaria (those participants who scored more than 60% of correct response for knowledge related questions) was 50.2% with 95% CI (47.0-53.0) and the overall good practice of malaria (those participants who practiced more than 60% for practice related questions) was 27.2% with 95% CI (244.3-29.9). Age (AOR = 0.51(95%CI; 0.33-0.80)), level of education (AOR = 0.55(95%CI; 0.32-0.94)), using mass media as a source of information (AOR = 2.25(95%CI; 1.52-3.32)) and length of stay at the farming site (AOR = 0.59(95%CI; 0.44-0.79)) were significantly associated with knowledge of malaria prevention. Knowledge (AOR = 6.62(95%CI; 4.46-9.83)), attitude (AOR = 2.17(95%CI1.40-3.37), use of mass media (AOR = 1.64(95%CI; 1.30-2.60)) and the length of stay (AOR = 1.93(95%CI; 1.35-2.77)) in the farming area were significantly associated with practice of malaria prevention.

CONCLUSION

The practice of malaria prevention among migrant and seasonal farm workers was low. The programmers and implementers should design tailored malaria intervention programs and strategies for these hard to reach population.

摘要

背景

每年种植、除草和收获季节，成千上万的移民和季节性农业工人从高地（疟疾流行程度相对较低的地区）迁往低地（疟疾流行程度较高的地区），为阿姆哈拉地区走廊的发展服务。季节性移民工人感染疟疾的风险很高。因此，在他们逗留期间，了解他们在预防疟疾方面的知识水平和实践情况将非常重要。

目的

本研究旨在评估埃塞俄比亚西北部移民和季节性农业工人预防疟疾的知识和实践情况及其相关因素。

方法

2018 年 10 月至 11 月，在埃塞俄比亚西北部的梅特马和西阿玛切霍区进行了一项横断面研究。采用两阶段聚类抽样技术，抽取了约 950 名移民和季节性农业工人作为样本。采用访谈式结构化问卷进行调查。采用双变量和多变量二元逻辑回归分析确定疟疾预防的预测因素。

结果

总体而言，移民和季节性农业工人对疟疾的了解程度较好（答对与知识相关问题 60%以上的参与者），比例为 50.2%，95%置信区间（CI）为 47.0-53.0%；对疟疾的预防措施执行情况较好的比例为 27.2%，95%CI 为 244.3-29.9%。年龄（AOR=0.51（95%CI；0.33-0.80））、教育程度（AOR=0.55（95%CI；0.32-0.94））、使用大众媒体作为信息来源（AOR=2.25（95%CI；1.52-3.32））和在农业区的逗留时间（AOR=0.59（95%CI；0.44-0.79））与预防疟疾的知识显著相关。知识（AOR=6.62（95%CI；4.46-9.83））、态度（AOR=2.17（95%CI1.40-3.37））、使用大众媒体（AOR=1.64（95%CI；1.30-2.60））和在农业区的逗留时间（AOR=1.93（95%CI；1.35-2.77））与预防疟疾的措施执行情况显著相关。