Department of Mathematics and Statistics, University of Energy and Natural Resources, Sunyani, Ghana.
Department of Mathematics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
PLoS One. 2024 May 2;19(5):e0300431. doi: 10.1371/journal.pone.0300431. eCollection 2024.
Studies have indicated that the risk of malaria, particularly its association with anaemia in pregnant women, increases when treated bed nets are not used. This paper utilizes a statistical mechanical model to investigate whether there is a statistical relationship between the presence or absence of anaemia in pregnant and non-pregnant women and their decision to sleep under treated bed nets. Data from the Ghana Malaria Indicator Survey (GMIS), which includes both rural and urban malaria-endemic areas in Ghana, were employed in this study. A total of 2,434 women, comprising 215 pregnant and 2,219 non-pregnant participants, were involved. Among these, 4.76% of the pregnant and anaemic women and 45.89% of the non-pregnant and anaemic women slept under treated bed nets, while 0.86% of the pregnant and anaemic and 6.82% of the non-pregnant and anaemic women did not. The findings revealed that, in the absence of social interaction, non-anaemic pregnant women have a lower prevalence of choosing to use bed nets compared to their anaemic counterparts. Additionally, non-pregnant anaemic women showed a positive private incentive (30.87%) to use treated bed nets, implying a positive correlation between anaemia and the choice to sleep in a treated bed net. Furthermore, the study demonstrated that both pregnancy and anaemia status have a relationship with the use of treated bed nets in Ghana, especially when social interactions are considered. The interaction strength between non-pregnant and anaemic women interacting with each other shows a negative estimate (-1.49%), implying that there is no rewarding effect from imitation. These insights are crucial for malaria prevention and control programs, emphasizing the need for targeted interventions to enhance the use of treated bed nets among both pregnant and non-pregnant women in Ghana's malaria-endemic regions.
研究表明,在未使用处理过的蚊帐的情况下,疟疾的风险(特别是孕妇贫血症与之相关的风险)会增加。本文利用统计力学模型,研究孕妇和非孕妇是否存在贫血与她们使用经过处理的蚊帐之间的统计关系。本研究使用了加纳疟疾指标调查(GMIS)的数据,该调查包括加纳农村和城市疟疾流行地区。共有 2434 名女性参与了这项研究,其中包括 215 名孕妇和 2219 名非孕妇。在这些女性中,4.76%的孕妇贫血和 45.89%的非孕妇贫血者使用了处理过的蚊帐,而 0.86%的孕妇贫血和 6.82%的非孕妇贫血者则没有使用。研究结果表明,在没有社会互动的情况下,非贫血孕妇选择使用蚊帐的比例低于贫血孕妇。此外,非贫血孕妇表现出积极的私人激励(30.87%)来使用处理过的蚊帐,这表明贫血与选择睡在处理过的蚊帐中有正相关关系。此外,该研究表明,怀孕和贫血状况都与加纳使用处理过的蚊帐有关,尤其是当考虑到社会互动时。非孕妇和贫血女性之间的相互作用的相互作用强度显示出负估计值(-1.49%),这意味着没有模仿的奖励效应。这些发现对于疟疾预防和控制计划至关重要,强调需要针对加纳疟疾流行地区的孕妇和非孕妇开展有针对性的干预措施,以提高处理过的蚊帐的使用。