尼日利亚埃邦伊州一家抗逆转录病毒治疗诊所的艾滋病毒患者中杀虫剂处理蚊帐的使用情况及其预测因素。

Insecticide Treated Net Usage and Its Predictors among HIV Patients Attending an Antiretroviral Therapy Clinic in Ebonyi State, Nigeria.

作者信息

Afolabi Olaronke Fayosi, Eze Chukwuemeka Okorie, Ugwu Collins Nwachi, Ajayi Nneneya Anthony, Aja Daniel Ogbonna, Uneke Chigozie Jesse

机构信息

Department of Internal Medicine, Alex-Ekweueme Federal University Teaching Hospital, Abakaliki, Nigeria.

African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki, Nigeria.

出版信息

Niger Med J. 2023 Dec 28;64(5):661-670. doi: 10.60787/NMJ-64-5-369. eCollection 2023 Sep-Oct.

DOI:10.60787/NMJ-64-5-369

PMID:38962103

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11218852/

Abstract

BACKGROUND

Malaria prevention is important among HIV patients to mitigate its associated complications. This study explored the predictors of insecticide-treated net (ITN) usage among HIV patients attending an antiretroviral therapy (ART) clinic in Ebonyi state, Nigeria.

METHODOLOGY

It was a cross-sectional study that involved 297 patients who attended an ART clinic in Ebonyi State. An interviewer-administered questionnaire was used to collect relevant data which included perception of malaria prevention, ownership of ITN, condition of ITN, duration of use and ITN usage. The relationship between ITN usage and other variables was assessed using bivariate analysis and the predictors were determined using multivariate logistic regression.

RESULTS

There were 64 (21.5%) males and 233(78.5%) females. Knowledge of the use of ITN (mean= 4.24 ±0.93) was rated better than knowledge of the use of mosquito repellent (mean = 3.79 ± 1.21) and knowledge of the use of protective clothes (mean= 3.86 ±1.26). 246 (83%) of the study population owned ITN. Only 48% (118) of those who had ITNs reported having optimal nets (nets without holes). 135 (45.5%) of the participants reported sleeping under the net every day in the past week. There was a significant relationship between ITN usage and knowledge of the use of ITN, ownership of ITN, duration of use and condition of nets. Predictors of usage of ITN were duration of use (AOR=0.386, 95%C.I for AOR=0.224-0.665) and condition of the nets (AOR=0.399, 95%C.I for AOR=0.226-0.706).

CONCLUSION

Perception of malaria prevention was high among the study group. Ownership of ITN was high although many of the ITNs were not in good condition. Usage of ITN was largely determined by duration of use and good condition of nets. Yearly assessment of the condition of ITNs and replacement exercise of ITNs (2-3 years) at ART clinics to replace old and worn-out nets among HIV patients are recommended.

摘要

背景

在艾滋病患者中预防疟疾对于减轻其相关并发症很重要。本研究探讨了尼日利亚埃邦伊州一家抗逆转录病毒治疗（ART）诊所中艾滋病患者使用经杀虫剂处理蚊帐（ITN）的预测因素。

方法

这是一项横断面研究，涉及297名在埃邦伊州一家ART诊所就诊的患者。采用访谈式问卷收集相关数据，包括对疟疾预防的认知、ITN的拥有情况、ITN的状况、使用时长和ITN的使用情况。使用双变量分析评估ITN使用与其他变量之间的关系，并使用多变量逻辑回归确定预测因素。

结果

有64名（21.5%）男性和233名（78.5%）女性。对ITN使用的认知（均值 = 4.24 ± 0.93）评分高于对驱蚊剂使用的认知（均值 = 3.79 ± 1.21）和对防护服使用的认知（均值 = 3.86 ± 1.26）。研究人群中有246名（83%）拥有ITN。在拥有ITN的人群中，只有48%（118名）报告拥有完好的蚊帐（无破洞的蚊帐）。135名（45.5%）参与者报告在过去一周每天都睡在蚊帐下。ITN使用与ITN使用知识、ITN拥有情况、使用时长和蚊帐状况之间存在显著关系。ITN使用的预测因素是使用时长（比值比[AOR]=0.386，AOR的95%置信区间[C.I]=0.224 - 0.665）和蚊帐状况（AOR=0.399，AOR的95% C.I=0.226 - 0.706）。