女性对疟疾及其预防的认知与实践:伊朗疟疾消除计划覆盖地区的一项社区研究
Knowledge and Practices of Women Regarding Malaria and Its Prevention: A Community-Based Study in an Area under Malaria Elimination Programme in Iran.
作者信息
Zare Mehdi, Vatandoost Hassan, Soleimani-Ahmadi Moussa, Sanei-Dehkordi Alireza, Jaberhashemi Seyed Aghil, Mohseni Shokrollah
机构信息
Department of Occupational Health Engineering, Faculty of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Arthropod Borne Dis. 2023 Dec 31;17(4):383-399. doi: 10.18502/jad.v17i4.15301. eCollection 2023 Dec.
BACKGROUND
Indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) are two core interventions for control and prevention of malaria infection. This descriptive cross-sectional study aimed to determine the knowledge and practices of women regarding malaria and its preventive measures in a malarious area in the Jask County, southeast of Iran.
METHODS
Data was collected from 400 households through a two-stage random cluster sampling method in six villages. Pre-tested structured questionnaire was used to collect data. During the survey, visual observations were also made by the interviewers to check use of LLINs and IRS. The data were analyzed by SPSS software version 21.
RESULTS
The majority of households had a high level of knowledge about symptoms (98%, n=392) and transmission (74.5%, n=298) of malaria. The main preventive measures against malaria were: LLINS (39.5%, n=158), IRS (32%, n=128), and screens on doors/windows (16.7%, n=67). In addition, participants with primary or higher educational level reported that they practice more malaria preventive measures, compared to those who were illiterate (OR=3.3, 95% CI= 1.6-6.6, p=0.0001, Table 6). In spite of positive perceptions about IRS and LLINs, only 35.5% (n=142) and 17% (n=68) of households used IRS and LLINs, respectively.
CONCLUSION
According to the results of this study, despite a high level of knowledge about malaria and its preventive measures, a small number of participants use LLINs and IRS for malaria prevention. Therefore, implementation of effective educational interventions is recommended to improve preventive practices against malaria in the study area.
背景
室内滞留喷洒(IRS)和长效驱虫蚊帐(LLINs)是控制和预防疟疾感染的两项核心干预措施。这项描述性横断面研究旨在确定伊朗东南部贾斯克县一个疟疾流行地区妇女对疟疾及其预防措施的知识和实践情况。
方法
通过两阶段随机整群抽样方法,在六个村庄的400户家庭中收集数据。使用预先测试的结构化问卷收集数据。在调查过程中,访谈者还进行了目视观察,以检查长效驱虫蚊帐和室内滞留喷洒的使用情况。数据采用SPSS 21软件进行分析。
结果
大多数家庭对疟疾症状(98%,n =
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