학술논문

Regional variation and demographic factors associated with knowledge of malaria risk and prevention strategies among pregnant women in Nigeria.
Document Type
Article
Source
Women & Health. Apr2020, Vol. 60 Issue 4, p456-472. 17p.
Subject
*MALARIA prevention
*ANTIMALARIALS
*CONFIDENCE intervals
*HEALTH promotion
*HEALTH services accessibility
*METROPOLITAN areas
*POPULATION geography
*PREGNANCY & psychology
*SURVEYS
*WOMEN'S health
*ECONOMIC status
*RESIDENTIAL patterns
*SOCIOECONOMIC factors
*EDUCATIONAL attainment
*MOSQUITO nets
*HEALTH literacy
*ODDS ratio
*ATTITUDES toward illness
RISK of malaria
Language
ISSN
0363-0242
Abstract
Pregnant women and children are the most vulnerable populations for malaria infection. Yet, knowledge of risk, and preventive measures are poor among this population. Using the 2015 Nigeria Malaria Indicator Survey, we applied logit link function to estimate the associations of wealth status, educational attainment, and region of residence with malaria risk knowledge and prevention strategies (using a treated mosquito net and malaria drugs) among 739 Nigerian pregnant women aged 15–49 years. Urban women who had obtained a secondary school education (Adjusted odds ratio [aOR] = 2.12; 95% confidence interval [CI] 1.09–4) or higher (aOR = 8.31; 95% CI 3.2–22) had more knowledge of malaria risk. Urban women in the South-West (aOR = 5.02; [CI] 2.02–12.50) and South-East (aOR = 2.68; 95% CI 1.19–6.06) were more likely to use treated mosquito nets during pregnancy. Women in the urban South-West (aOR = 4.04; 95% CI 1.5–11) were more likely to use malaria drugs during pregnancy than those in the North-Central. A wide regional disparity in the knowledge of malaria risks and use of preventive measures exists. Thus, promoting equal access to malaria preventive measures as well as improving knowledge about malaria transmission by mosquitoes should be considered as essential components of ongoing malaria control and elimination efforts in Nigeria. [ABSTRACT FROM AUTHOR]