Factors Associated with Sustained Use of Long-Lasting Insecticide-Treated Nets Following a Reduction in Malaria Transmission in Southern Zambia

The American Journal of Tropical Medicine and Hygiene
Jessie PinchoffSouthern Africa International Centers of Excellence for Malaria Research

Abstract

Understanding factors influencing sustained use of long-lasting insecticide-treated nets (LLIN) in areas of declining malaria transmission is critical to sustaining control and may facilitate elimination. From 2008 to 2013, 655 households in Choma District, Zambia, were randomly selected and residents were administered a questionnaire and malaria rapid diagnostic test. Mosquitoes were collected concurrently by light trap. In a multilevel model, children and adolescents of 5-17 years of age were 55% less likely to sleep under LLIN than adults (odds ratio [OR] = 0.45; 95% confidence interval [CI] = 0.35, 0.58). LLIN use was 80% higher during the rainy season (OR = 1.8; CI = 1.5, 2.2) and residents of households with three or more nets were over twice as likely to use a LLIN (OR = 2.1; CI = 1.4, 3.1). For every increase in 0.5 km from the nearest health center, the odds of LLIN use decreased 9% (OR = 0.9; CI = 0.88, 0.98). In a second multilevel model, the odds of LLIN use were more than twice high if more than five mosquitoes (anopheline and culicine) were captured in the house compared with households with no mosquitoes captured (OR = 2.1; CI = 1.1, 3.9). LLIN use can be sustained in low-transmission settings with continued educ...Continue Reading

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Citations

Mar 21, 2018·The American Journal of Tropical Medicine and Hygiene·Molly Deutsch-Feldman For The Southern Africa International Centers Of Excellence For Malaria Research
Nov 18, 2018·The Journal of Infectious Diseases·Julia C PringleDouglas E Norris
Jan 21, 2018·Malaria Journal·Mufaro KanyangararaUNKNOWN Southern Africa International Centers of Excellence for Malaria Research
Dec 12, 2018·The American Journal of Tropical Medicine and Hygiene·Tamaki Kobayashi For The Southern Africa International Centers Of Excellence For Malaria Research
Jul 3, 2019·The American Journal of Tropical Medicine and Hygiene·Hannah KoenkerAlbert Kilian
Sep 23, 2016·Parasites & Vectors·Jennifer C StevensonUNKNOWN Southern Africa International Centers of Excellence in Malaria Research
Apr 20, 2017·Malaria Journal·Kelly M SearleUNKNOWN Southern Africa International Centers of Excellence for Malaria Research
Feb 14, 2020·BMC Public Health·Desmond T JumbamNicole L Achee
Mar 22, 2021·Journal of Infection and Public Health·Mohammed Aliye Mohammed, Tao Hong
Apr 10, 2021·Journal of Environmental and Public Health·Adejumoke Oluwatosin OmonijoAzeez Oyemomi Ibrahim

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