Environmental determinants and risk behaviour in the case of indigenous malaria in Muara Enim Regency, Indonesia: A case-control design.

Autor: Hasyim H; Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia., Ihram MA; Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia., Fakhriyatiningrum; Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia., Misnaniarti; Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia., Idris H; Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia., Liberty IA; Department of Public Health and Community Medicine, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia., Flora R; Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia., Zulkifli H; Department of Biology, Faculty of Mathematics and Natural Sciences, Universitas Sriwijaya, Palembang, Indonesia., Tessema ZT; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.; Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Maharani FE; Department of Biology, Faculty of Mathematics and Natural Sciences, Universitas Sriwijaya, Palembang, Indonesia., Syafrudin D; Department Parasitology, Faculty of Medicine, Universitas Hasanuddin, Indonesia., Dale P; Centre for Planetary Health and Food Security (CPHFS) School of Environment, and Science, Griffith University, Nathan, Queensland, Australia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Aug 03; Vol. 18 (8), pp. e0289354. Date of Electronic Publication: 2023 Aug 03 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0289354
Abstrakt: Introduction: Malaria is a significant public health concern in Indonesia. Muara Enim Regency is one of the districts in South Sumatra with the most important number of indigenous malaria cases in the last three years (2018-2020). Therefore, this study aimed to identify determinants of indigenous malaria in the Muara Enim Regency.
Methods: This study was designed as a case-control study. A stratified random sample in 2018, 2019, and 2020 was used at the Primary Health Centres (PHCs) areas of Tanjung Enim and Tanjung Agung. The sample included 49 cases and 49 controls. Indigenous malaria determinants were discovered using both bivariable and multivariable logistic regression models.
Result: The multivariable logistic regression model results show that mosquito repellent reduces malaria risk by 71% (AOR = 0.29, 95% CI: 0.11-0.64). Besides, the presence of wire mesh on ventilation reduces the risk of malaria by 76% (AOR = 0.24, 95% CI: 0.10-0.57), and the distance from mosquito breeding sites near hundred meters and fewer increases the risk of malaria by 3.88 fold (AOR = 3.88; 95% CI: 1.67-8.97).
Conclusions: Multivariable analysis revealed distance from mosquito breeding sites as a risk factor for malaria. Besides, the study shows that using insect repellent, wire netting in ventilation, eliminating mosquito breeding sites, mosquito repellent or protective clothing, and improving house conditions were protective factors for indigenous malaria. Therefore, preventive and promotional efforts are essential as the first step toward malaria elimination at the study site, including avoiding direct contact between residents and vectors near mosquito breeding sites.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Hasyim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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