ArticleThe American journal of tropical medicine and hygiene2015
Factors Associated with Sustained Use of Long-Lasting Insecticide-Treated Nets Following a Reduction in Malaria Transmission in Southern Zambia.
Article in The American journal of tropical medicine and hygiene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Utilization and associated factors of long-lasting insecticide-treated nets among households in Gondar Zuria district, Northwest Ethiopia: a mixed methods study, 2025.Malaria journal · 2026Article
- Low-density asymptomatic parasitemia in southern Zambia does not lead to clinical malaria and is not associated with household transmission: results from a two-year cohort study.Research square · 2026Article
- Seasonal stratification of anopheline abundance and species composition in southern Zambia suggests year-round, season-specific vector control approaches are needed.Malaria journal · 2025Article
- Preserving nets, protecting children: an evaluation of factors influencing the utilization and physical integrity of long-lasting insecticidal nets among under-five children in Osun State, Nigeria.Malaria journal · 2024Article
- Association between indoor residual spraying and the malaria burden in Zambia and factors associated with IRS refusals: a case-control study in Vubwi District.Parasites & vectors · 2024Article
- Climatic, land-use and socio-economic factors can predict malaria dynamics at fine spatial scales relevant to local health actors: Evidence from rural Madagascar.PLOS global public health · 2023Article
- Article
- Factors associated with non-use of insecticide-treated bed nets among pregnant women in Zambia.Malaria journal · 2022Article
- Scientific Findings of the Southern and Central Africa International Center of Excellence for Malaria Research: Ten Years of Malaria Control Impact Assessments in Hypo-, Meso-, and Holoendemic Transmission Zones in Zambia and Zimbabwe.The American journal of tropical medicine and hygiene · 2022Article
- Individual, household and neighborhood risk factors for malaria in the Democratic Republic of the Congo support new approaches to programmatic intervention.Health & place · 2021Article
- Relationship between the Usage of Long-Lasting Insecticide-Treated Bed Nets (LLITNs) and Malaria Prevalence among School-Age Children in Southwestern Nigeria.Journal of environmental and public health · 2021Article
- Genetic Diversity of Anopheles coustani (Diptera: Culicidae) in Malaria Transmission Foci in Southern and Central Africa.Journal of medical entomology · 2020Article
- Demographic and health community-based surveys to inform a malaria elimination project in Magude district, southern Mozambique.BMJ open · 2020Article
- Knowledge, attitudes and practices assessment of malaria interventions in rural Zambia.BMC public health · 2020Article
- Article
- Quantifying Seasonal Variation in Insecticide-Treated Net Use among Those with Access.The American journal of tropical medicine and hygiene · 2019Article
- Genetic Evidence of Focal Plasmodium falciparum Transmission in a Pre-elimination Setting in Southern Province, Zambia.The Journal of infectious diseases · 2019Article
- Characteristics of Subpatent Malaria in a Pre-Elimination Setting in Southern Zambia.The American journal of tropical medicine and hygiene · 2019Article
- Age and gender trends in insecticide-treated net use in sub-Saharan Africa: a multi-country analysis.Malaria journal · 2018Article
- Efficiency of a Malaria Reactive Test-and-Treat Program in Southern Zambia: A Prospective, Observational Study.The American journal of tropical medicine and hygiene · 2018Observational
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10 authors.
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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 education and distributions, and may be partially driven by the presence of nuisance mosquitoes.
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