Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis
Abstract Background Even though malaria is preventable, it remains the leading cause of under-five morbidity and mortality in low-and middle-income countries. Despite the World Health Organization (WHO) recommendations, its advantage, and its free-of-cost access, the utilization of insecticide-treat...
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ftdoajarticles:oai:doaj.org/article:d6583364df7a464fa8655a4e16f64212 2023-05-15T15:17:21+02:00 Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis Tigist Fekadu Seyoum Zewudu Andualem Hailemariam Feleke Yalew 2023-01-01T00:00:00Z https://doi.org/10.1186/s12936-022-04416-y https://doaj.org/article/d6583364df7a464fa8655a4e16f64212 EN eng BMC https://doi.org/10.1186/s12936-022-04416-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04416-y 1475-2875 https://doaj.org/article/d6583364df7a464fa8655a4e16f64212 Malaria Journal, Vol 22, Iss 1, Pp 1-9 (2023) Insecticide-treated bed net Under-five children East Africa Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2023 ftdoajarticles https://doi.org/10.1186/s12936-022-04416-y 2023-01-15T01:29:42Z Abstract Background Even though malaria is preventable, it remains the leading cause of under-five morbidity and mortality in low-and middle-income countries. Despite the World Health Organization (WHO) recommendations, its advantage, and its free-of-cost access, the utilization of insecticide-treated nets (ITN) is still low in East Africa. Therefore, this study aimed to assess ITN use and associated factors among households having under-five children in East Africa. Methods The most recent Demographic and Health Survey (DHS) datasets of East African countries were used. A total of 174,411 weighted samples was used for analysis. Given the hierarchical nature of DHS data, a multilevel binary logistic regression model was fitted to identify factors associated with ITN use. Four models were fitted and a model with the lowest deviance value was chosen as the best-fitted model for the data. Variables with a p-value < 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multivariable multilevel binary logistic regression analysis, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) was reported to declare the statistical significance and strength of association. Results In this study, the proportion of ITN use among households having under-five children in East Africa was 46.32% (95% CI 46.08%, 46.55%), ranging from 11.8% in Zimbabwe to 70.03% in Rwanda. In the multivariable analysis, being in the age group 25–34 years, married, widowed, and divorced, primary and post-primary education, wealthy households, having a lower household size, many under-five children, having media exposure, and male-headed households were associated with higher odds of ITN use. Moreover, respondents from a rural place of residence, communities with a higher level of media exposure, communities with lower poverty levels, and communities with higher education levels had higher odds of ITN use. Conclusion In this study, the proportion of ITN use was relatively low. Both individual and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 22 1 |
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Insecticide-treated bed net Under-five children East Africa Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Insecticide-treated bed net Under-five children East Africa Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Tigist Fekadu Seyoum Zewudu Andualem Hailemariam Feleke Yalew Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis |
topic_facet |
Insecticide-treated bed net Under-five children East Africa Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Even though malaria is preventable, it remains the leading cause of under-five morbidity and mortality in low-and middle-income countries. Despite the World Health Organization (WHO) recommendations, its advantage, and its free-of-cost access, the utilization of insecticide-treated nets (ITN) is still low in East Africa. Therefore, this study aimed to assess ITN use and associated factors among households having under-five children in East Africa. Methods The most recent Demographic and Health Survey (DHS) datasets of East African countries were used. A total of 174,411 weighted samples was used for analysis. Given the hierarchical nature of DHS data, a multilevel binary logistic regression model was fitted to identify factors associated with ITN use. Four models were fitted and a model with the lowest deviance value was chosen as the best-fitted model for the data. Variables with a p-value < 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multivariable multilevel binary logistic regression analysis, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) was reported to declare the statistical significance and strength of association. Results In this study, the proportion of ITN use among households having under-five children in East Africa was 46.32% (95% CI 46.08%, 46.55%), ranging from 11.8% in Zimbabwe to 70.03% in Rwanda. In the multivariable analysis, being in the age group 25–34 years, married, widowed, and divorced, primary and post-primary education, wealthy households, having a lower household size, many under-five children, having media exposure, and male-headed households were associated with higher odds of ITN use. Moreover, respondents from a rural place of residence, communities with a higher level of media exposure, communities with lower poverty levels, and communities with higher education levels had higher odds of ITN use. Conclusion In this study, the proportion of ITN use was relatively low. Both individual and ... |
format |
Article in Journal/Newspaper |
author |
Tigist Fekadu Seyoum Zewudu Andualem Hailemariam Feleke Yalew |
author_facet |
Tigist Fekadu Seyoum Zewudu Andualem Hailemariam Feleke Yalew |
author_sort |
Tigist Fekadu Seyoum |
title |
Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis |
title_short |
Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis |
title_full |
Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis |
title_fullStr |
Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis |
title_full_unstemmed |
Insecticide-treated bed net use and associated factors among households having under-five children in East Africa: a multilevel binary logistic regression analysis |
title_sort |
insecticide-treated bed net use and associated factors among households having under-five children in east africa: a multilevel binary logistic regression analysis |
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BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12936-022-04416-y https://doaj.org/article/d6583364df7a464fa8655a4e16f64212 |
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Malaria Journal, Vol 22, Iss 1, Pp 1-9 (2023) |
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https://doi.org/10.1186/s12936-022-04416-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04416-y 1475-2875 https://doaj.org/article/d6583364df7a464fa8655a4e16f64212 |
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https://doi.org/10.1186/s12936-022-04416-y |
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Malaria Journal |
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22 |
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1766347594549690368 |