埃塞俄比亚南部古拉格州东梅塞坎区5岁以下儿童家庭中杀虫剂处理蚊帐的使用情况及相关因素
Utilization of Insecticide-Treated Nets in Households for Under-5 Children and Associated Factors in East Mesekan District, Gurage Zone, Southern Ethiopia.
作者信息
Kebede Welyou, Tolcha Alemu, Soboksa Negasa Eshete, Negassa Belay, Kanno Girum Gebremeskel, Aregu Mekonnen Birhanie
机构信息
Meskan District Health Office, Gurage Zone Health Department, Southern Nations & Nationalities Peoples Regional Health Bureau, Wolkite, SNNPR, Ethiopia.
Department of Environmental Health, College of Health Science and Medicine Hawassa University, Hawassa, Southern Nations, Ethiopia.
出版信息
Environ Health Insights. 2023 Mar 26;17:11786302231164287. doi: 10.1177/11786302231164287. eCollection 2023.
INTRODUCTION
Insecticide-treated nets (ITNs) are widely used tools that have been proven effective in preventing and controlling malaria. However, usage varies among households and can greatly affect the benefits of ITNs. Thus, this study aimed to assess the household utilization of insecticide-treated nets and its associated factors for under-5 children.
METHODS
A cross-sectional study was conducted in March-April 2020 in the East Mesekan district. A total of 591 households with under-5 children were chosen by using a systematic random sampling approach for the interviews. The data was collected using a pretested questionnaire. Epi-Data version 3.1 was used to enter data and SPSS version 21 for analysis. A -value of .05 was considered statistically significant.
RESULTS
In this study, 58.2% (95% CI: [54.1%-62.2%]) of household participants used ITN for children under 5 years of age while sleeping the night before the survey. The study participants' overall knowledge and practice of malaria prevention were 27.1% and 23.9%, respectively. Having a family size of less than 5 (AOR = 0.60, 95% CI: [0.37-0.98]) and complaints of skin irritation (AOR = 0.43, 95% CI: [0.29-0.63]) significantly decreased ITN utilization. However, having 1 ITN (AOR = 2.15, 95% CI: [1.15-4.02]) or 2 ITNs (AOR = 2.58, 95% CI: [1.51-4.39]), as well as low (AOR = 2.07, 95% CI: [1.33-3.20]) and medium (AOR = 1.83, 95% CI: [1.11-3.02]) knowledge of ITN importance, increased ITN utilization significantly.
CONCLUSIONS
The households' use of ITNs for children under the age of 5 was inadequate. It was significantly associated with having a family size of less than 5, complaints of skin irritation, owning 1 or 2 ITNs, and having low and medium knowledge of its importance. It is recommended that continuous and progressive health awareness about the consistent use of ITN for malaria prevention in the study area be promoted.
引言
经杀虫剂处理的蚊帐（ITN）是广泛使用的工具，已被证明在预防和控制疟疾方面有效。然而，家庭之间的使用情况各不相同，这可能会极大地影响经杀虫剂处理的蚊帐的效益。因此，本研究旨在评估5岁以下儿童家庭对经杀虫剂处理的蚊帐的使用情况及其相关因素。
方法
2020年3月至4月在东梅塞坎区进行了一项横断面研究。采用系统随机抽样方法选取了591户有5岁以下儿童的家庭进行访谈。使用预先测试的问卷收集数据。使用Epi-Data 3.1版本录入数据，SPSS 21版本进行分析。P值<0.05被认为具有统计学意义。
结果
在本研究中，58.2%（95%CI：[54.1%-62.2%]）的家庭参与者在调查前一晚睡觉时为5岁以下儿童使用了经杀虫剂处理的蚊帐。研究参与者对疟疾预防的总体知识和实践分别为27.1%和23.9%。家庭规模小于5人（调整后比值比[AOR]=0.60，95%CI：[0.37-0.98]）以及皮肤刺激投诉（AOR=0.43，95%CI：[0.29-0.63]）显著降低了经杀虫剂处理的蚊帐的使用率。然而，拥有1顶经杀虫剂处理的蚊帐（AOR=2.15，95%CI：[1.15-4.02]）或2顶经杀虫剂处理的蚊帐（AOR=2.58，95%CI：[1.51-4.39]），以及对经杀虫剂处理的蚊帐重要性的低（AOR=2.07，95%CI：[1.33-3.20]）和中等（AOR=1.83，95%CI：[1.11-3.02]）认识，显著提高了经杀虫剂处理的蚊帐的使用率。
结论
家庭对5岁以下儿童使用经杀虫剂处理的蚊帐的情况并不理想。这与家庭规模小于5人、皮肤刺激投诉、拥有1顶或2顶经杀虫剂处理的蚊帐以及对其重要性的低和中等认识显著相关。建议在研究区域持续且逐步地提高对持续使用经杀虫剂处理的蚊帐预防疟疾的健康意识。
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