背景:疟疾在缅甸构成了巨大的公共卫生威胁,这表明需要做出严格的努力,到2030年在全国范围内消除这种疾病。使用经杀虫剂处理的蚊帐是预防传播的关键战略的一部分。这项研究探讨了缅甸ITN的所有权和使用情况,并确定了与不使用ITN相关的因素。
方法:利用了2015-2016年缅甸人口和健康调查的家庭数据集,包括所有家庭成员,五岁以下儿童除外。描述性统计和推理测试,包括简单和多元物流回归模型和皮尔逊相关性,被用于分析。所有的分析,考虑到两阶段分层整群抽样设计,在STATA中使用了加权因子和\"svyset\"命令。在QGIS地图中还可视化了蚊帐的所有权和使用。
结果:在46,507名参与者中,22.3%(95%CI20.0%,24.5%)有权使用ITN,调查前一天晚上,只有15.3%(95%CI13.7,17.1%)的人在ITN下睡觉。与不使用ITN相关的因素包括年龄类别(15-34岁-aOR:1.17,95%CI1.01,1.30;50岁以上-aOR:1.19,95%CI1.06,1.33),位置(三角洲或低地-aOR:5.39,95%CI3.94,7.38;山丘-aOR:1.80,95%CI1.20,2.71;平原-aOR:3.89,95%CI2.51,6.03),城市居住权(AOR:1.63,95%CI1.22,2.17),和财富五分之一(第三aOR:1.38,95%CI1.08,1.75;第四aOR:1.65,95%CI1.23,2.23;第五aOR:1.47,95%CI1.02,2.13)。在所有州/地区都看到了ITN的所有权和使用的一致分布,ITN的所有权和使用之间存在很强的相关性(r:0.9795,95%CI0.9377,0.9933,α<0.001)。
结论:这项研究发现,ITN拥有和使用的百分比相对较低,表明需要增加驱虫蚊帐的分布,以实现每两个人至少有一个驱虫蚊帐的目标。加强驱虫蚊帐的使用需要有针对性的健康促进干预措施,特别是在居住在三角洲或低地地区的相对富裕的人中,山丘,和平原。
BACKGROUND: Malaria poses a substantial public health threat in Myanmar, indicating the need for rigorous efforts to achieve elimination of the disease nationwide by 2030. The
use of insecticide-treated nets (ITNs) forms part of a pivotal strategy for preventing transmission. This study explored the ownership and
use of ITNs in Myanmar and identified factors associated with non-
use of ITNs.
METHODS: Household datasets from the 2015-2016 Myanmar Demographic and Health Survey were utilised, which encompassed all household members except children under the age of five. Descriptive statistics and inferential tests, including simple and multiple logistics regression models and Pearson correlations, were employed for analysis. All analyses, taking the two-stage stratified cluster sampling design into account, used weighting factors and the \"svyset\" command in STATA. The ownership and
use of bed nets were also visualised in QGIS maps.
RESULTS: Among the 46,507 participants, 22.3% (95% CI 20.0%, 24.5%) had access to ITNs, with only 15.3% (95% CI 13.7, 17.1%) sleeping under an ITN the night before the survey. Factors associated with the non-
use of ITNs included age category (15-34 years-aOR: 1.17, 95% CI 1.01, 1.30; 50+ years-aOR: 1.19, 95% CI 1.06, 1.33), location (delta or lowland-aOR: 5.39, 95% CI 3.94, 7.38; hills-aOR: 1.80, 95% CI 1.20, 2.71; plains-aOR: 3.89, 95% CI 2.51, 6.03), urban residency (aOR: 1.63, 95% CI 1.22, 2.17), and wealth quintile (third-aOR: 1.38, 95% CI 1.08, 1.75; fourth-aOR: 1.65, 95% CI 1.23, 2.23; fifth-aOR: 1.47, 95% CI 1.02, 2.13). A coherent distribution of the ownership and use of ITNs was seen across all states/regions, and a strong correlation existed between the ownership and
use of ITNs (r: 0.9795, 95% CI 0.9377, 0.9933, alpha < 0.001).
CONCLUSIONS: This study identified relatively low percentages of ITN ownership and use, indicating the need to increase the distribution of ITNs to achieve the target of at least one ITN per every two people. Strengthening the use of ITNs requires targeted health promotion interventions, especially among relatively affluent individuals residing in delta or lowland areas, hills, and plains.