Socio-cultural factors influencing insecticide treated bed net utilization in a malaria endemic city in north-central Nigeria

Jombo GTA; Akosu JT; Mbaawuaga EM; Gyuse AN; Enenebeaku MNO; Okwori EE; Peters EJ; Akpan S; Odey F; Etukumana EA

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Socio-cultural factors influencing insecticide treated bed net utilization in a malaria endemic city in north-central Nigeria

机译：影响尼日利亚中北部疟疾流行城市使用杀虫剂处理的蚊帐的社会文化因素

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Objective: To ascertain the socio-cultural factors influencing the rate of utilization of insecticide treated bed nets (ITNs) in a malaria endemic city of Makurdi, north central Nigeria. Methods:The study was cross-sectional in nature using systematic sampling method to identify households. Both quantitative and qualitative data was generated from adult women using structured and semi structured questionnaires, and focused group discussions (FGDs) to obtain information on rate and patterns of utilization of ITNs. Information such as age, educational level, marital status, awareness or otherwise of the existence of malaria, and factors influencing rate of ownership and utilization of ITNs were obtained. FGDs were used to obtain qualitative information on rate of utilization of ITNs not captured in the questionnaires. Data obtained was analysed using Epi Info 6 statistical software. Results: Among the respondents interviewed, 97.0%(2 013/2 075) were aware of existence of malaria and 87.0%of these (1 751/2 013) would associate it with mosquitoes. The rate of ownership of any bed net, ITNs and untreated bed nets (UTNs) was 25.1%, 17.0%and 8.3%, respectively. Utilization of ITNs among children was 30.0%(112/373) and UTNs 12.9%(48/373). Positive contributors to ITNs utilization were literacy, enhanced economy, experience of marriage, and being gainfully employed (P<0.05);while negative contributors were ignorance, poverty and some cultural beliefs and values. Conclusions: A more synchronized advocacy should be carried out on the potential benefits of ITNs utilization and sustained. Also ITNs should be made available to the people of the community at minimal or no cost.

机译：目的：确定影响尼日利亚中北部疟疾流行城市马库尔迪（Makurdi）疟疾流行城市使用杀虫剂处理过的蚊帐（ITN）利用率的社会文化因素。方法：本研究是横断面的，采用系统抽样方法来识别住户。成年妇女使用结构化和半结构化问卷，以及集中的小组讨论（FGDs）来获得定量和定性数据，以获得有关ITN利用率和使用模式的信息。获得了诸如年龄，学历，婚姻状况，对疟疾存在的认识或其他方面的信息以及影响ITN拥有率和利用率的因素等信息。 FGD用于获得有关问卷中未捕获的ITN利用率的定性信息。使用Epi Info 6统计软件分析获得的数据。结果：在受访者中，有97.0％（2 013/2 075）知道存在疟疾，其中87.0％（1 751/2 013）将其与蚊子相关。任何床网，ITN和未经处理的床网（UTN）的拥有率分别为25.1％，17.0％和8.3％。儿童中ITN的使用率为30.0％（112/373），UTN的使用率为12.9％（48/373）。促进ITN利用率的正面因素是识字，经济增长，结婚经历和有酬工作（P <0.05）;而负面因素则是无知，贫穷和一些文化信仰和价值观。结论：应该就利用ITN的潜在利益进行持续的倡导，并持续进行。此外，ITN应该以最低或最低的成本提供给社区的人们。

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《亚太热带医药杂志（英文版）》 |2010年第005期|402-406|共5页
作者
Jombo GTA; Akosu JT; Mbaawuaga EM; Gyuse AN; Enenebeaku MNO; Okwori EE; Peters EJ; Akpan S; Odey F; Etukumana EA;
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Department of Medical Microbiology and Parasitology, College of Health Sciences, Benue State University, PMB 102119 Makurdi, Nigeria;

Department of Community Medicine, College of Medical Sciences, University of Jos, Nigeria;

Department of Biological Sciences, Faculty of Science, Benue State University, PMB 102119 Makurdi, Nigeria;

Department of Family Medicine, College of Medical Sciences, University of Calabar, PMB 1115 Calabar, Nigeria;

Department of Medical Microbiology, College of Medical Sciences, University of Jos, Nigeria;

Department of Medical Microbiology and Parasitology, College of Health Sciences, Benue State University, PMB 102119 Makurdi, Nigeria;

Department of Internal Medicine, College of Medical Sciences, University of Calabar PMB 1115 Calabar, Nigeria;

Department of Medical Microbiology and Parasitology, College of Medical Sciences, University of Calabar, PMB 1115 Calabar, Nigeria;

Department of Paediatrics, College of Medical Sciences, University of Calabar, PMB 1115 Calabar, Nigeria;

Department of Family Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria;

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Socio-cultural factors influencing insecticide treated bed net utilization in a malaria endemic city in north-central Nigeria

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