Self-reported malaria and mosquito avoidance in relation to household risk factors in a Kenyan coastal city

Joseph Keating, Kate MacIntyre, Charles M. Mbogo, John I. Githure, John C Beier

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

A geographically stratified cross-sectional survey was conducted in 2002 to investigate household-level factors associated with use of mosquito control measures and self-reported malaria in Malindi, Kenya. A total of 629 households were surveyed. Logistic regressions were used to analyse the data. Half of all households (51%) reported all occupants using an insecticide-treated bed net and at least one additional mosquito control measure such as insecticides or removal of standing water. Forty-nine per cent reported a history of malaria in the household. Of the thirteen household factors analysed, low (OR=0·23, CI 0·11, 0·48) and medium (OR=0·50, CI 0·29, 0·86) education, mud-wood-coral (OR=0·0·39, CI 0·24, 0·66) and mud block-plaster (OR=0·47, CI 0·25, 0·87) wall types, farming (OR=1·38, CI 1·01, 1·90) and travel to rural areas (OR=0·48, CI 0·26, 0·91) were significantly associated with the use of mosquito control, while controlling for other covariates in the model. History of reported malaria was not associated with the use of mosquito control (OR=1·22, CI 0·79, 1·88). Of the thirteen covariates analysed in the second model, only two household factors were associated with history of malaria: being located in the well-drained stratum (OR=0·49, CI 0·26, 0·96) and being bitten while in the house (OR=1·22, CI 0·19, 0·49). These results suggest that high socioeconomic status is associated with increased household-level mosquito control use, although household-level control may not be enough, as many people are exposed to biting mosquitoes while away from the house and in areas that are more likely to harbour mosquitoes.

Original languageEnglish
Pages (from-to)761-771
Number of pages11
JournalJournal of Biosocial Science
Volume37
Issue number6
DOIs
StatePublished - Nov 1 2005

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Culicidae
Malaria
Mosquito Control
history
Insecticide-Treated Bednets
social stratum
Anthozoa
Kenya
social status
rural area
Insecticides
Agriculture
logistics
travel
Social Class
regression
water
Cross-Sectional Studies
Logistic Models
Education

ASJC Scopus subject areas

  • Demography
  • Social Sciences (miscellaneous)

Cite this

Self-reported malaria and mosquito avoidance in relation to household risk factors in a Kenyan coastal city. / Keating, Joseph; MacIntyre, Kate; Mbogo, Charles M.; Githure, John I.; Beier, John C.

In: Journal of Biosocial Science, Vol. 37, No. 6, 01.11.2005, p. 761-771.

Research output: Contribution to journalArticle

Keating, Joseph ; MacIntyre, Kate ; Mbogo, Charles M. ; Githure, John I. ; Beier, John C. / Self-reported malaria and mosquito avoidance in relation to household risk factors in a Kenyan coastal city. In: Journal of Biosocial Science. 2005 ; Vol. 37, No. 6. pp. 761-771.
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abstract = "A geographically stratified cross-sectional survey was conducted in 2002 to investigate household-level factors associated with use of mosquito control measures and self-reported malaria in Malindi, Kenya. A total of 629 households were surveyed. Logistic regressions were used to analyse the data. Half of all households (51{\%}) reported all occupants using an insecticide-treated bed net and at least one additional mosquito control measure such as insecticides or removal of standing water. Forty-nine per cent reported a history of malaria in the household. Of the thirteen household factors analysed, low (OR=0·23, CI 0·11, 0·48) and medium (OR=0·50, CI 0·29, 0·86) education, mud-wood-coral (OR=0·0·39, CI 0·24, 0·66) and mud block-plaster (OR=0·47, CI 0·25, 0·87) wall types, farming (OR=1·38, CI 1·01, 1·90) and travel to rural areas (OR=0·48, CI 0·26, 0·91) were significantly associated with the use of mosquito control, while controlling for other covariates in the model. History of reported malaria was not associated with the use of mosquito control (OR=1·22, CI 0·79, 1·88). Of the thirteen covariates analysed in the second model, only two household factors were associated with history of malaria: being located in the well-drained stratum (OR=0·49, CI 0·26, 0·96) and being bitten while in the house (OR=1·22, CI 0·19, 0·49). These results suggest that high socioeconomic status is associated with increased household-level mosquito control use, although household-level control may not be enough, as many people are exposed to biting mosquitoes while away from the house and in areas that are more likely to harbour mosquitoes.",
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