中缅边境两个少数民族居民蚊帐使用情况及其影响因素

目的了解佤族和拉祜族居民蚊帐使用情况及其影响因素,探讨促进蚊帐使用和推广杀虫剂浸泡蚊帐(ITNs)的方法.方法问卷调查,对资料采用EpiInfo 2000进行统计学处理.结果佤族和拉祜族经常或有时使用蚊帐的分别占2.8%和4.8%;而没有蚊帐的分别占67.7%和59.7%;Logistic多因素回归分析结果证实,大部分有蚊帐者不经常使用蚊帐防蚊的原因与当地居民缺乏疟疾预防知识有关.结论两个少数民族中的蚊帐覆盖率和使用率均很低,健康教育、交流沟通和市场营销等是促进蚊帐和ITNs的使用的适当策略.

BEDNET USE AND INFLUENTIAL FACTORS OF TWO ETHNICAL MINORITIES AT CHINA-MYANMAR BORDER

Objectives To learn the bednet use and influential factors among Wa and Lahu ethnics,and further to explore feasible ways of promoting the use of bednets and insecticide-treated nets (ITNs). Methods Questionnaire surveys and statistical analysis with EpiInfo 2000 software package were carried out. Results Only did 2.8% 95% confidence intervals(95%CI):1.2%-5.4%] of Wa and 4.8 % (95%CI:2.8%-8.1%) of Lahu ethnic members use bednets frequently or sometimes. Bednets were not available for 67.7% (95% CI:62.0%-73.1%) of Wa and 59.7% (95% CI:53.1%- 66.1%) of Lahu ethnic peoples. Most people who had bednets did not often use them for anti-mosquitoes. Results of multivariate logistic regression confirmed significant correlation between bednet use and knowledge of malaria prevention. Conclusion The coverage and use rates are very low in the two ethnical minorities. Health education, communication and social marketing are the strategies for promoting the usage of bednet and ITNs.