Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.

Malaria prevalence in Myanmar is highest among remote and ethnic minority populations living near forest fringes along the country's international borders. Insecticide-treated nets (ITNs) are a key intervention used to prevent malaria transmission, but insufficient ITN availability and low use...

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Autores principales:	Breagh Cheng, Saw Nay Htoo, Naw Pue Pue Mhote, Colleen M Davison
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c1ace28f0b1745d8811dc9b0f0d99b93
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spelling	oai:doaj.org-article:c1ace28f0b1745d8811dc9b0f0d99b932021-12-02T20:07:06ZAssociation between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.1932-620310.1371/journal.pone.0252896https://doaj.org/article/c1ace28f0b1745d8811dc9b0f0d99b932021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252896https://doaj.org/toc/1932-6203Malaria prevalence in Myanmar is highest among remote and ethnic minority populations living near forest fringes along the country's international borders. Insecticide-treated nets (ITNs) are a key intervention used to prevent malaria transmission, but insufficient ITN availability and low use can hinder effectiveness. This study assessed age and sex disparities in ITN possession, access, and use among household members of ethnic minority and internally displaced populations in eastern Myanmar. Cross-sectional data from the 2013 Eastern Burma Retrospective Mortality Survey were used to describe prevalence of ITN possession, access, and use. The association between a household member's biological sex and their ITN use was assessed using multilevel log binomial regression. Age and household ITN supply were tested as potential effect modifiers. Of 37927 household members, 89.8% (95% CI: 89.5, 90.1) of people lived in households with at least one ITN. Approximately half belonged to households with sufficient ITN supply and used an ITN. Pregnant women and children under five had the highest proportion of ITN use regardless of sufficient household ITN status. Female adults aged 15 to 49 years old (Risk ratio or RR: 1.4, 95% CI: 1.29, 1.52) were more likely to use ITNs. This relationship did not differ by sufficient household ITN status. The findings suggest that among ethnic minority populations in areas where ITN use is indicated, many households do not have adequate ITN supply, and many individuals are not using ITNs. Children under five and pregnant women appear to be prioritized for ITN use and overall, women are slightly more likely to use ITNs than men. This study's findings can support efforts ensuring that all household members belonging to ethnic minority and displaced populations in Eastern Myanmar benefit from sufficient ITN access and use for malaria prevention.Breagh ChengSaw Nay HtooNaw Pue Pue MhoteColleen M DavisonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252896 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Breagh Cheng Saw Nay Htoo Naw Pue Pue Mhote Colleen M Davison Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.
description	Malaria prevalence in Myanmar is highest among remote and ethnic minority populations living near forest fringes along the country's international borders. Insecticide-treated nets (ITNs) are a key intervention used to prevent malaria transmission, but insufficient ITN availability and low use can hinder effectiveness. This study assessed age and sex disparities in ITN possession, access, and use among household members of ethnic minority and internally displaced populations in eastern Myanmar. Cross-sectional data from the 2013 Eastern Burma Retrospective Mortality Survey were used to describe prevalence of ITN possession, access, and use. The association between a household member's biological sex and their ITN use was assessed using multilevel log binomial regression. Age and household ITN supply were tested as potential effect modifiers. Of 37927 household members, 89.8% (95% CI: 89.5, 90.1) of people lived in households with at least one ITN. Approximately half belonged to households with sufficient ITN supply and used an ITN. Pregnant women and children under five had the highest proportion of ITN use regardless of sufficient household ITN status. Female adults aged 15 to 49 years old (Risk ratio or RR: 1.4, 95% CI: 1.29, 1.52) were more likely to use ITNs. This relationship did not differ by sufficient household ITN status. The findings suggest that among ethnic minority populations in areas where ITN use is indicated, many households do not have adequate ITN supply, and many individuals are not using ITNs. Children under five and pregnant women appear to be prioritized for ITN use and overall, women are slightly more likely to use ITNs than men. This study's findings can support efforts ensuring that all household members belonging to ethnic minority and displaced populations in Eastern Myanmar benefit from sufficient ITN access and use for malaria prevention.
format	article
author	Breagh Cheng Saw Nay Htoo Naw Pue Pue Mhote Colleen M Davison
author_facet	Breagh Cheng Saw Nay Htoo Naw Pue Pue Mhote Colleen M Davison
author_sort	Breagh Cheng
title	Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.
title_short	Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.
title_full	Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.
title_fullStr	Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.
title_full_unstemmed	Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.
title_sort	association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern myanmar.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/c1ace28f0b1745d8811dc9b0f0d99b93
work_keys_str_mv	AT breaghcheng associationbetweenbiologicalsexandinsecticidetreatednetuseamonghouseholdmembersinethnicminorityandinternallydisplacedpopulationsineasternmyanmar AT sawnayhtoo associationbetweenbiologicalsexandinsecticidetreatednetuseamonghouseholdmembersinethnicminorityandinternallydisplacedpopulationsineasternmyanmar AT nawpuepuemhote associationbetweenbiologicalsexandinsecticidetreatednetuseamonghouseholdmembersinethnicminorityandinternallydisplacedpopulationsineasternmyanmar AT colleenmdavison associationbetweenbiologicalsexandinsecticidetreatednetuseamonghouseholdmembersinethnicminorityandinternallydisplacedpopulationsineasternmyanmar
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Association between biological sex and insecticide-treated net use among household members in ethnic minority and internally displaced populations in eastern Myanmar.

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