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[云南省沧源县班老乡居民疟疾防治知识、行为及其影响因素]

[Malaria control knowledge and behaviors and their influencing factors among residents in Banlao Township, Cangyuan County, Yunnan Province].

作者信息

Ding C, Xu J, Lin Z, Xu S, Cui X, Sun W, Tian G, Li C, Luo Z, Zhou Y, Yang Y

机构信息

School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China.

Yunnan Institute of Parasitic Diseases, Yunnan Provincial Center of Malaria Research, Yunnan Provincial Key Laboratory of Vector-borne Diseases Control and Research, Yunnan Innovative Team of Key Techniques for Vector Borne Disease Control and Prevention, Training Base of International Scientific Exchange and Education in Tropical Diseases for South and Southeast Asia, Pu'er, Yunnan 665000, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2023 Mar 13;35(1):44-50. doi: 10.16250/j.32.1374.2022248.

Abstract

OBJECTIVE

To investigate the awareness of malaria-related knowledge, the use of mosquito nets and their influencing factors among residents in Banlao Township, Cangyuan County, Yunnan Province.

METHODS

In August 2020, 19 settlement sites in Banlao Township, Cangyuan County, Lincang City, Yunnan Province were selected as study areas, and permanent residents at ages of 10 years and older were enrolled for a questionnaire survey, including residents' demographics, family economic status, malaria control knowledge and use of mosquito nets. In addition, the factors affecting the use of mosquito nets in the night prior to the survey were identified using multivariate logistic regression analysis.

RESULTS

A total of 320 questionnaires were allocated, and all were recovered (a 100% recovery rate). There were 316 valid questionnaires, with an effective recovery rate of 98.75%. The 316 respondents included 152 men and 164 women and 250 Chinese respondents and 66 foreign respondents. The awareness of clinical syndromes of malaria was significantly higher among Chinese residents (71.60%) than among foreign residents (50.00%) (χ = 11.03, < 0.01), and the proportions of Chinese and foreign residents sleeping under mosquito nets were 46.00% and 69.70% on the night prior to the survey, respectively (χ = 11.73, < 0.01). Multivariate logistic regression analysis identified ethnicity group and type of residence as factors affecting the use of mosquito nets in the night prior to the survey.

CONCLUSIONS

The awareness of malaria control knowledge, the coverage and the use of mosquito nets were low among residents in Banlao Township, Cangyuan County, Yunnan Province. Targeted health education is recommended to improve the awareness of malaria control knowledge and self-protection ability. In addition, improving the allocation of long-lasting mosquito nets and health education pertaining to their uses and increasing the proportion of using mosquito nets correctly is needed to prevent re-establishment of imported malaria.

摘要

目的

调查云南省沧源县班老乡居民对疟疾相关知识的知晓情况、蚊帐使用情况及其影响因素。

方法

2020年8月,选取云南省临沧市沧源县班老乡19个聚居点作为研究区域,纳入10岁及以上常住居民进行问卷调查,内容包括居民人口统计学特征、家庭经济状况、疟疾防治知识及蚊帐使用情况。此外,采用多因素logistic回归分析确定调查前一晚影响蚊帐使用的因素。

结果

共发放问卷320份,全部回收(回收率100%)。有效问卷316份,有效回收率98.75%。316名受访者中,男性152名,女性164名;中国受访者250名,外国受访者66名。中国居民对疟疾临床症状的知晓率(71.60%)显著高于外国居民(50.00%)(χ² = 11.03,P < 0.01),调查前一晚中国居民和外国居民睡在蚊帐中的比例分别为46.00%和69.70%(χ² = 11.73,P < 0.01)。多因素logistic回归分析确定民族和居住类型为调查前一晚影响蚊帐使用的因素。

结论

云南省沧源县班老乡居民对疟疾防治知识的知晓率、蚊帐覆盖率及使用率较低。建议开展针对性健康教育,提高疟疾防治知识知晓率和自我防护能力。此外,需改善长效蚊帐的分配及使用相关健康教育,提高正确使用蚊帐的比例,以防止输入性疟疾的重新传播。

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