Examining the determinants of mosquito-avoidance practices in two Kenyan cities.

Kate Macintyre, Joseph Keating, Stephen Sosler, Lydiah Kibe, Charles M. Mbogo, Andrew K. Githeko, John C. Beier

Research output: Contribution to journalArticle

Abstract

BACKGROUND: This study assesses the behavioural and socio-economic factors associated with avoiding mosquitoes and preventing malaria in urban environments in Kenya. METHODS: Data from two cities in Kenya were gathered using a household survey and a two-stage cluster sample design. The cities were stratified based on planning and drainage observed across the urban areas. This helped control for the strong environmental and topographical variation that we assumed influences mosquito ecology. Individual interviews given to each household included questions on socio-economic status, education, housing type, water source, rubbish disposal, mosquito-prevention practices and knowledge of mosquitoes. In multivariate regression, factors measuring wealth, education level, and the communities' level of planning and drainage were used to estimate the probability that a household engages in multiple mosquito-avoidance activities, or has all members sleeping under a bed net. RESULTS: Our analysis shows that people from wealthier, more educated households were more likely to sleep under a net, in Kisumu (OR = 6.88; 95% CI = 2.56,18.49) and Malindi (OR = 3.80; 95% CI = 1.91,7.55). Similarly, the probability that households use several mosquito-prevention activities was highest among the wealthiest, best-educated households in Kisumu (OR = 5.15; 95% CI = 2.04,12.98), while in Malindi household wealth alone is the major determinant. CONCLUSION: We demonstrate the importance of examining human-mosquito interaction in terms of how access to resources may enhance human activities. The findings illustrate that the poorest segments of society are already doing many things to protect themselves from being bitten, but they are doing less than their richer neighbours.

Original languageEnglish
JournalMalaria journal [electronic resource]
Volume1
Issue number1
StatePublished - Nov 15 2002
Externally publishedYes

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Culicidae
Kenya
Drainage
Behavioral Economics
Economics
Education
Ecology
Human Activities
Malaria
Sleep
Interviews
Water

ASJC Scopus subject areas

  • Medicine(all)
  • Immunology and Microbiology(all)

Cite this

Macintyre, K., Keating, J., Sosler, S., Kibe, L., Mbogo, C. M., Githeko, A. K., & Beier, J. C. (2002). Examining the determinants of mosquito-avoidance practices in two Kenyan cities. Malaria journal [electronic resource], 1(1).

Examining the determinants of mosquito-avoidance practices in two Kenyan cities. / Macintyre, Kate; Keating, Joseph; Sosler, Stephen; Kibe, Lydiah; Mbogo, Charles M.; Githeko, Andrew K.; Beier, John C.

In: Malaria journal [electronic resource], Vol. 1, No. 1, 15.11.2002.

Research output: Contribution to journalArticle

Macintyre, K, Keating, J, Sosler, S, Kibe, L, Mbogo, CM, Githeko, AK & Beier, JC 2002, 'Examining the determinants of mosquito-avoidance practices in two Kenyan cities.', Malaria journal [electronic resource], vol. 1, no. 1.
Macintyre K, Keating J, Sosler S, Kibe L, Mbogo CM, Githeko AK et al. Examining the determinants of mosquito-avoidance practices in two Kenyan cities. Malaria journal [electronic resource]. 2002 Nov 15;1(1).
Macintyre, Kate ; Keating, Joseph ; Sosler, Stephen ; Kibe, Lydiah ; Mbogo, Charles M. ; Githeko, Andrew K. ; Beier, John C. / Examining the determinants of mosquito-avoidance practices in two Kenyan cities. In: Malaria journal [electronic resource]. 2002 ; Vol. 1, No. 1.
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