Roosihermiatie Betty, Putro Gurendro, Adji Arga Setyo, Yuana Windy Tri, Siahaan Selma Arsit Selto, Rukmini Rukmini, Rustika Rustika
Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia.
Health Administration and Policy Department, Faculty of Public Health, Universitas Airlangga, Indonesia.
Osong Public Health Res Perspect. 2024 Dec;15(6):508-520. doi: 10.24171/j.phrp.2024.0152. Epub 2024 Nov 28.
Malaria remains a serious public health challenge in tropical and subtropical regions, including Indonesia. Children under 5 years old face particular risk of contracting malaria due to low immunity. We examined potential factors associated with malaria infection among under-5 children in Papua Province, Indonesia.
The study utilized secondary data from Indonesia Basic Health Research 2018. Multistage random sampling was employed, from the province level to census blocks (CBs). In Papua Province, interviews were conducted in 928 CBs. All 2,745 under-5 children were selected. The dependent variable was laboratory-confirmed malaria positivity; independent factors included residential area, socioeconomic characteristics, and behaviors such as sleeping under an insecticide net impregnated ≤3 years ago and the use of ventilation barriers. We also examined the conditions of the bedroom, kitchen, and living room according to the frequency of window-opening, proportion of ventilation area to the floor, and radiance.
Not sleeping under an insecticide net impregnated within the last 3 years (adjusted odds ratio [aOR], 0.518; 95% confidence interval [CI], 0.391-0.685; p<0.001); having a kitchen without windows (aOR, 0.491; 95% CI, 0.285-0.844; p=0.01); rarely opening the living room window (aOR, 2.804; 95% CI, 1.232-6.383; p=0.01), and having a windowless living room (aOR, 3.027; 95% CI, 1.369-6.696; p=0.01) displayed significant relationships with malaria infection among under-5 children.
Not using an insecticide-treated net impregnated ≤3 years ago, along with opening the living room window daily and having a kitchen without windows, appear preventive of malaria infection among under-5 children.
疟疾在包括印度尼西亚在内的热带和亚热带地区仍然是一项严峻的公共卫生挑战。5岁以下儿童由于免疫力低下，面临感染疟疾的特殊风险。我们调查了印度尼西亚巴布亚省5岁以下儿童疟疾感染的潜在相关因素。
本研究利用了2018年印度尼西亚基本卫生研究的二手数据。采用多阶段随机抽样，从省级到普查街区（CBs）。在巴布亚省，对928个普查街区进行了访谈。共选取了2745名5岁以下儿童。因变量是实验室确诊的疟疾阳性；独立因素包括居住地区、社会经济特征以及诸如在≤3年前浸渍过杀虫剂的蚊帐下睡觉和使用通风屏障等行为。我们还根据开窗频率、通风面积与地面面积的比例以及采光情况，对卧室、厨房和客厅的条件进行了检查。
在过去3年内未在浸渍过杀虫剂的蚊帐下睡觉（调整后的优势比[aOR]，0.518；95%置信区间[CI]，0.391 - 0.685；p<0.001）；厨房没有窗户（aOR，0.491；95% CI，0.285 - 0.844；p = 0.01）；很少打开客厅窗户（aOR，2.804；95% CI，1.232 - 6.383；p = 0.01）以及客厅没有窗户（aOR，3.027；95% CI，1.369 - 6.696；p = 0.01）与5岁以下儿童的疟疾感染呈现出显著关系。
在过去3年内未使用浸渍过杀虫剂的蚊帐，以及每天打开客厅窗户和厨房没有窗户，似乎可预防5岁以下儿童感染疟疾。
