Ideational factors associated with consistent use of insecticide-treated nets: a multi-country, multilevel analysis.

Autor: Babalola S; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA. stellababalola@jhu.edu., Kumoji K; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA., Awantang GN; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA., Oyenubi OA; Department of Internal Medicine, Montefiore New Rochelle Hospital, New Rochelle, USA., Toso M; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA., Tsang S; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA., Bleu T; National Malaria Control Programme, Abidjan, Côte d'Ivoire., Achu D; National Malaria Control Programme, Yaounde, Cameroon., Hedge J; U.S. President's Malaria Initiative, Centers for Disease Control and Prevention, Yaounde, Cameroon., Schnabel DC; U.S. President's Malaria Initiative, Centers for Disease Control and Prevention, Freetown, Sierra Leone., Cash S; U.S. President's Malaria Initiative, Centers for Disease Control and Prevention, Atlanta, USA., Van Lith LM; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA., McCartney-Melstad AC; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA., Nkomou Y; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Yaounde, Cameroon., Dosso A; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Abidjan, Côte d'Ivoire., Lahai W; National Malaria Control Programme, Freetown, Sierra Leone., Hunter GC; PMI Breakthrough ACTION Project, Johns Hopkins Center for Communication Programs, Baltimore, USA.
Jazyk: angličtina
Zdroj: Malaria journal [Malar J] 2022 Dec 06; Vol. 21 (1), pp. 374. Date of Electronic Publication: 2022 Dec 06.
DOI: 10.1186/s12936-022-04384-3
Abstrakt: Background: Malaria remains a major cause of morbidity and mortality in sub-Saharan Africa. Using insecticide-treated nets (ITNs) every night, year-round is critical to maximize protection against malaria. This study describes sociodemographic, psychosocial, and household factors associated with consistent ITN use in Cameroon, Côte d'Ivoire and Sierra Leone.
Methods: Cross-sectional household surveys employed similar sampling procedures, data collection tools, and methods in three countries. The survey sample was nationally representative in Côte d'Ivoire, representative of the North and Far North regions in Cameroon, and representative of Bo and Port Loko districts in Sierra Leone. Analysis used multilevel logistic regression and sociodemographic, ideational, and household independent variables among households with at least one ITN to identify correlates of consistent ITN use, defined as sleeping under an ITN every night the preceding week.
Findings: Consistent ITN use in Côte d'Ivoire was 65.4%, 72.6% in Cameroon, and 77.1% in Sierra Leone. While several sociodemographic and ideational variables were correlated with consistent ITN use, these varied across countries. Multilevel logistic regression results showed perceived self-efficacy to use ITNs and positive attitudes towards ITN use were variables associated with consistent use in all three countries. The perception of ITN use as a community norm was positively linked with consistent use in Cameroon and Côte d'Ivoire but was not significant in Sierra Leone. Perceived vulnerability to malaria was positively linked with consistent use in Cameroon and Sierra Leone but negatively correlated with the outcome in Côte d'Ivoire. Household net sufficiency was strongly and positively associated with consistent use in all three countries. Finally, the findings revealed strong clustering at the household and enumeration area (EA) levels, suggesting similarities in net use among respondents of the same EA and in the same household.
Conclusions: There are similarities and differences in the variables associated with consistent ITN use across the three countries and several ideational variables are significant. The findings suggest that a social and behaviour change strategy based on the ideation model is relevant for increasing consistent ITN use and can inform specific strategies for each context. Finally, ensuring household net sufficiency is essential.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje