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首页> 外文期刊>Journal of Clinical Sciences >Ownership and utilization of long-lasting insecticide nets among caregivers of children under-5 years in Ogun State, Nigeria: A rural–urban comparison
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Ownership and utilization of long-lasting insecticide nets among caregivers of children under-5 years in Ogun State, Nigeria: A rural–urban comparison

机译：尼日利亚奥贡州5岁以下儿童的看护者中长效杀虫剂网的所有权和使用：城乡比较

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Background: Long-lasting insecticides nets (LLINs) are a key prevention tool that has been found to reduce uncomplicated malaria by 51% and decrease all-cause mortality by 18% in children. LLINs have been shown to be effective in reducing childhood morbidity and mortality by reducing mosquito bites while sleeping. This is a comparative cross-sectional study designed to determine and compare the ownership and utilization of LLINs among caregivers of children under 5 years in a rural and an urban area of Ogun State. Materials and Methods: A community-based comparative cross-sectional study on 575 caregivers of children under 5 years living in the urban and rural area of Ogun State was done using a multistage cluster sampling technique to recruit respondents. A pretested semi-structured interviewer-administered questionnaire was used to collect information on LLINs ownership and use. Analysis and statistical calculation were done using SPSS version 20.0. Relationships between categorical variables were tested using Chi-square test with P = 0.05. Logistic regression model was used to describe predictors of LLIN ownership and utilization among the respondents. Results: The study shows that 80% of caregivers of under-five living in the rural area compared with 63.5% living in the urban area owned LLINs (P P = 0.252). Stagnant water and dirty surroundings were identified as mode of transmission of malaria among 32.6% urban versus 44.8% rural respondents and 44.2% urban versus 29.7% rural respondents respectively (P = 0.005). Children were identified as one of the most vulnerable groups for malaria infection by 44.6% urban versus 33.8% rural respondents (P = 0.008). The LLINs was hanged on the bed by 81.2% urban versus 64.4% rural respondents (P = 0.018). The predictors of ownership of LLINs were as follows: urban residence (OR 0.34 [95% confidence interval [CI] 0.22–0.53]), caregiver with higher education (OR 4.85 [95% CI 1.42–16.55]), and the predictors of utilization of LLINs were as follows: level of education of the caregiver (OR 2.87 [95% CI 1.11–7.41]), possession of LLINs at immunization (OR 2.92 [95% CI 2.02–4.22]). Conclusion: Free distribution of LLINs may not necessarily lead to use. Behavior change interventions that address the community level perceptions that positively position LLINs as an effective prevention tool to prevent malaria should be strengthened among the caregivers of children under-five generally and most especially in the urban areas of Ogun State.
机译：背景：持久性杀虫剂网（LLIN）是一种关键的预防工具，已发现可将儿童的简单疟疾减少51％，将全因死亡率降低18％。业已证明，LLIN可通过减少睡觉时被蚊子叮咬而有效降低儿童发病率和死亡率。这是一项比较性横断面研究，旨在确定和比较奥贡州农村和城市地区5岁以下儿童的看护人中LLIN的所有权和使用情况。材料和方法：采用多阶段整群抽样技术，对奥贡州城乡地区的575名5岁以下儿童的看护人进行了社区比较横断面研究，以招募受访者。使用预先测试的半结构化访调员管理的问卷来收集有关LLIN所有权和使用情况的信息。使用SPSS 20.0版进行分析和统计计算。使用卡方检验检验类别变量之间的关系，P = 0.05。 Logistic回归模型用于描述受访者中LLIN所有权和利用率的预测指标。结果：研究表明，农村地区五岁以下儿童的照料者中有80％属于LLIN（而城市地区中只有63.5％）（P = 0.252）。死水和肮脏的环境被确定为疟疾的传播方式，分别在32.6％的城市受访者和44.8％的农村受访者以及44.2％的城市受访者与29.7％的农村受访者之间（P = 0.005）。儿童被确定为最容易感染疟疾的人群之一，城市居民为44.6％，农村居民为33.8％（P = 0.008）。 81.2％的城市受访者悬挂了LLIN，而农村地区的受访者则为64.4％（P = 0.018）。 LLINs所有权的预测因素如下：城市居住（OR 0.34 [95％置信区间[CI] 0.22–0.53]），受过高等教育的护理人员（OR 4.85 [95％CI 1.42-16.55]）和LLIN的利用如下：护理人员的教育水平（OR 2.87 [95％CI 1.11–7.41]），免疫时拥有LLIN（OR 2.92 [95％CI 2.02–4.22]）。结论：LLIN的免费分发不一定会导致使用。应在一般五岁以下儿童的看护者中，尤其是在奥贡州的城市地区中，加强行为改变干预措施，以解决社区对将LLIN积极定位为预防疟疾的有效预防工具的看法。

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