ArticleMalaria journal2022
Malaria care-seeking and treatment ideation among gold miners in Guyana.
Article in Malaria journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The Role of Human Behavior inInternational journal of environmental research and public health · 2022Pooled it
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- Anopheles species complexes from Guyana and Venezuela malaria endemic areas using COI sequences.Malaria journal · 2026Article
- Investigating the impact of human behavioural factors on the effectiveness of malaria interventions in malaria-endemic regions: A systematic review.Current research in parasitology & vector-borne diseases · 2026Review
- Empowering communities for malaria control: Effectiveness of community-led biolarviciding usingVeterinary world · 2025Article
- Malaria spillover in Indigenous Guyanese communities following a crackdown on illegal gold mining in Brazil.Lancet regional health. Americas · 2025Article
- Interpersonal communication, cultural norms, and community perceptions associated with care-seeking for fever among children under age five in Magoé district, Mozambique.Malaria journal · 2023Article
- Determination of different social groups' level of knowledge about malaria in a multicultural Amazonian cross-border context.BMC public health · 2023Article
- Exploring barriers to and facilitators of malaria prevention practices: a photovoice study with rural communities at risk to Plasmodium knowlesi malaria in Sabah, Malaysia.BMC public health · 2023Article
- The Relationship between Maternal Ideation and Exclusive Breastfeeding Practice among Saudi Nursing Mothers: A Cross-Sectional Study.Nutrients · 2023Article
- International modified Delphi study on malaria preventive behaviour: new themes, contexts and framework for future research onBMJ open · 2023Article
- Exploring the key anthropological drivers of and barriers to zoonotic malaria preventative behaviour in a community exposed toBMJ open · 2022Article
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Authors and funding
11 authors at 2 institutions in 2 countries.
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Abstract
backgroundAlthough miners are a priority population in malaria elimination in Guyana, scant literature exists on the drivers of malaria-related behaviour. This study explores the relationship between gold miners' malaria-related ideation and the adoption of malaria care-seeking and treatment behaviours including prompt care-seeking, malaria testing, and self-medication.
methodsData are from a cross-sectional quantitative survey of 1685 adult miners between the ages of 18-59 years who live in mining camps in Regions 1, 7, and 8. The analysis focused on miners who reported an episode of fever in the past year (n = 745). Malaria care-seeking and treatment ideation was defined as a composite additive score consisting of the following variables: general malaria knowledge, perceived severity, perceived susceptibility, beliefs, perceived self-efficacy, perceived norms, interpersonal communication, and perceived response efficacy. Multivariable logistic regressions explored the relationship between ideation on care-seeking/treatment behaviours, controlling for confounding variables.
resultsMost miners with a recent episode of fever had perceived risk (92%), self-efficacy (67%), susceptibility (53%) and high malaria knowledge (53%). Overall, miners' care-seeking/treatment ideation score ranged from 0 to 8 with a mean of 4.1. Ideation scores were associated with higher odds of care-seeking for fever (aOR: 1.19; 95% CI 1.04-1.36), getting tested for malaria (aOR: 1.22; 95% CI 1.07-1.38) and lower odds of self-medication (aOR: 0.87; 95% CI 0.77-0.99).
conclusionsA national community case management initiative is using study findings as part of its scale-up, using volunteers to make testing and treatment services more accessible to miners. This is complemented by a multi-channel mass media campaign to improve miners' ideation. Communication messages focus on increasing miners' knowledge of malaria transmission and symptoms, encourage positive beliefs about malaria testing and volunteer testers, promote evidence about the effectiveness of testing, and reminders of how quick and easy it is to get a malaria test with the community case management initiative. Study findings also have implications for efforts to eliminate malaria across the Guiana Shield.
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