Donacho Dereje Oljira, Korsa Tura Sisay, Tefera Kefeni Bilisumamulifna
Department of Health Informatics, Mattu University, Ethiopia.
Gechi Woreda Health Office, Bunno Bedele Zonal Health Office, Oromia Regional Health Bureau, Addis Ababa, Ethiopia.
Environ Health Insights. 2025 May 11;19:11786302251335135. doi: 10.1177/11786302251335135. eCollection 2025.
Long-lasting insecticide-treated bed nets (LLITNs) are a key malaria prevention method, but their consistent use in Ethiopia, particularly among rural mothers, remains challenging. Information on LLITN usage among pregnant women in resource-limited settings is especially scarce. This study investigated LLITN utilization and the factors influencing its use among pregnant women in the Gechi district, Southwest Ethiopia, in 2024.
A community-based cross-sectional study was conducted from June to July 2024, including 422 randomly selected pregnant women. Data collection employed a pretested questionnaire, and logistic regression analysis was utilized to identify factors influencing LLITN usage. Variables with a -value < .25 in univariable analysis were incorporated into the multivariable logistic regression model. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were computed, and statistical significance was set at ⩽ .05. The model's performance was assessed using the Hosmer-Lemeshow goodness-of-fit test.
The finding of this study revealed that 93.9% of the respondents had LLITN, and the current utilization status of pregnant women was 46.5% [41.7%-51.3%]. The low level of utilization was significantly associated with women' education, parity, antenatal care (ANC) attendance, and family size. Accordingly, women without formal education were 52% less likely [AOR: 0.48, 95% CI: 0.28-0.81]; those with primipara were 1.98 times more likely [AOR: 1.98, 95% CI: 1.30-3.03]; a family size of less than 5 was 2.53 times [AOR: 2.53, 95% CI: 1.61-3.87] more likely, and women who attended at least 1 ANC visit were 2.08 times more likely [AOR: 2.08, 95% CI: 1.21-2.58] to use LLITN.
The pregnant women's LITN utilization in settings was low, associated with women's education, parity, antenatal care attendance, and family size. Key players should focus on awareness creation and ANC follow-up to reduce illness during pregnancy, particularly in rural, hard-to-reach settings.
长效驱虫蚊帐是预防疟疾的关键方法，但在埃塞俄比亚持续使用蚊帐，尤其是农村母亲持续使用蚊帐，仍然具有挑战性。关于资源有限地区孕妇使用长效驱虫蚊帐的信息尤其匮乏。本研究调查了2024年埃塞俄比亚西南部盖奇地区孕妇对长效驱虫蚊帐的使用情况及其影响因素。
2024年6月至7月进行了一项基于社区的横断面研究，随机选取了422名孕妇。数据收集采用了经过预测试的问卷，并利用逻辑回归分析来确定影响长效驱虫蚊帐使用的因素。单变量分析中P值<0.25的变量被纳入多变量逻辑回归模型。计算了调整后的比值比（AOR）及其95%置信区间（CI），设定统计学显著性为P≤0.05。使用Hosmer-Lemeshow拟合优度检验评估模型的性能。
本研究结果显示，93.9%的受访者拥有长效驱虫蚊帐，孕妇目前的使用率为46.5%[41.7%-51.3%]。使用率低与女性的教育程度、胎次、产前检查（ANC）就诊情况和家庭规模显著相关。因此，未接受正规教育的女性使用长效驱虫蚊帐的可能性低52%[AOR：0.48，95%CI：0.28-0.81]；初产妇使用长效驱虫蚊帐的可能性高1.98倍[AOR：1.98，95%CI：1.30-3.03]；家庭规模小于5人的使用长效驱虫蚊帐的可能性高2.53倍[AOR：2.53，95%CI：1.61-3.87]，至少进行过1次产前检查的女性使用长效驱虫蚊帐的可能性高2.08倍[AOR：2.08，95%CI：1.21-2.58]。
在该地区孕妇对长效驱虫蚊帐的使用率较低，与女性的教育程度、胎次、产前检查就诊情况和家庭规模有关。关键参与者应注重提高认识和加强产前检查随访，以减少孕期疾病，特别是在农村难以到达的地区。
