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Patterns and correlates of ownership and utilization of insecticide-treated bed-nets for malaria control among women of reproductive age (15–49 years) in Malawi
Journal of Biosocial Science ( IF 2.148 ) Pub Date : 2021-02-02 , DOI: 10.1017/s002193202100002x
James Forty 1 , Mpho Keetile 1
Affiliation  

Malaria is a major public health concern in Malawi. This study explored the patterns and correlates of ownership and utilization of ITNs for malaria control among women of reproductive age in Malawi. Data were derived from the multi-stage cross-sectional Malaria Indicator Survey (MIS) conducted in 2017, which followed ITN distribution in 2012 and 2015. Of the 3860 sampled women aged 15–49 years, 88% (3398/3860) and 64% (2473/3860) reported that they owned and utilized ITNs, respectively. Adjusted multivariate logistic regression analysis showed that the odds of ownership of ITNs were significantly low among women with no education (AOR = 0.36, CI = 0.18–0.72), those with primary education (AOR = 0.50, CI = 0.27–0.94) and poor women (AOR = 0.70, CI = 0.51–0.97). Similarly, the odds of utilization of ITNs were significantly low among women with no education, (AOR = 0.40, CI = 0.26–0.63), primary education (AOR = 0.53, CI = 0.36–0.78) and poor women (AOR = 0.70, CI = 0.51–0.97). Furthermore, the odds of utilization of ITNs were significantly low among women living in households without a radio (AOR = 0.79, CI = 0.67–0.93) and those who have not seen or heard a malaria message in the last 6 months (AOR = 0.74, CI = 0.64–0.87). In order to prevent malaria morbidity and mortality among women of reproductive age, especially those from poor households, the Malawi government and relevant stakeholders need to continue the free distribution of ITNs to the poor and encourage social behaviours that promote the ownership and utilization of ITNs.

中文翻译:

马拉维育龄妇女(15-49 岁)拥有和使用经杀虫剂处理的蚊帐控制疟疾的模式和相关性

疟疾是马拉维的主要公共卫生问题。本研究探讨了马拉维育龄妇女控制疟疾的 ITN 所有权和使用的模式和相关性。数据来自 2017 年进行的多阶段横断面疟疾指标调查 (MIS),该调查遵循 2012 年和 2015 年的 ITN 分布。在 3860 名 15-49 岁的抽样女性中,88% (3398/3860) 和 64 % (2473/3860) 报告说他们分别拥有和使用 ITN。调整后的多变量逻辑回归分析显示,在未受过教育(AOR = 0.36,CI = 0.18-0.72)、初等教育(AOR = 0.50,CI = 0.27-0.94)和贫穷的女性中,拥有 ITN 的几率显着较低。女性(AOR = 0.70,CI = 0.51–0.97)。相似地,在未受过教育的女性(AOR = 0.40,CI = 0.26-0.63)、初等教育(AOR = 0.53,CI = 0.36-0.78)和贫困女性(AOR = 0.70,CI = 0.51–0.97)。此外,生活在没有收音机的家庭(AOR = 0.79,CI = 0.67-0.93)和过去 6 个月内没有看到或听到疟疾信息的女性(AOR = 0.74)使用 ITN 的几率显着降低, CI = 0.64–0.87)。为了预防育龄妇女,特别是贫困家庭的育龄妇女的疟疾发病率和死亡率,马拉维政府和相关利益攸关方需要继续向穷人免费分发 ITNs,并鼓励促进 ITNs 拥有和使用的社会行为。78)和贫穷女性(AOR = 0.70,CI = 0.51-0.97)。此外,生活在没有收音机的家庭(AOR = 0.79,CI = 0.67-0.93)和过去 6 个月内没有看到或听到疟疾信息的女性(AOR = 0.74)使用 ITN 的几率显着降低, CI = 0.64–0.87)。为了预防育龄妇女,特别是贫困家庭的育龄妇女的疟疾发病率和死亡率,马拉维政府和相关利益攸关方需要继续向穷人免费分发 ITNs,并鼓励促进 ITNs 拥有和使用的社会行为。78)和贫穷女性(AOR = 0.70,CI = 0.51-0.97)。此外,生活在没有收音机的家庭(AOR = 0.79,CI = 0.67-0.93)和过去 6 个月内没有看到或听到疟疾信息的女性(AOR = 0.74)使用 ITN 的几率显着降低, CI = 0.64–0.87)。为了预防育龄妇女,特别是贫困家庭的育龄妇女的疟疾发病率和死亡率,马拉维政府和相关利益攸关方需要继续向穷人免费分发 ITNs,并鼓励促进 ITNs 拥有和使用的社会行为。93)和那些在过去 6 个月内没有看到或听到疟疾信息的人(AOR = 0.74,CI = 0.64-0.87)。为了预防育龄妇女,特别是贫困家庭的育龄妇女的疟疾发病率和死亡率,马拉维政府和相关利益攸关方需要继续向穷人免费分发 ITNs,并鼓励促进 ITNs 拥有和使用的社会行为。93)和那些在过去 6 个月内没有看到或听到疟疾信息的人(AOR = 0.74,CI = 0.64-0.87)。为了预防育龄妇女,特别是贫困家庭的育龄妇女的疟疾发病率和死亡率,马拉维政府和相关利益攸关方需要继续向穷人免费分发 ITNs,并鼓励促进 ITNs 拥有和使用的社会行为。
更新日期:2021-02-02
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