From: Ideational factors associated with net care behaviour: a multi-country analysis
Correlates | Cameroon | Côte d’Ivoire | Sierra Leone | |||
---|---|---|---|---|---|---|
AOR | 95% CI | AOR | 95% CI | AOR | 95% CI | |
Individual characteristics | ||||||
Gender | ||||||
Male (RC†) | 1.000 | – | 1.000 | 1.000 | ||
Female | 1.107 | 0.792–1.548 | 1.456** | 1.121–1.890 | 1.851*** | 1.342–2.555 |
Age in years | 1.002 | 0.986–1.018 | 0.993 | 0.981–1.006 | 1.002 | 0.988–1.016 |
Education level | ||||||
None (RC) | 1.000 | – | 1.000 | 1.000 | ||
Primary | 1.941 | 0.678–1.305 | 1.330* | 1.007–1.756 | 1.678** | 1.237–2.278 |
Secondary or above | 1.105 | 0.610–2.000 | 1.242 | 0.930–1.660 | 1.144 | 0.827–1.582 |
Exposure to malaria-related messages | ||||||
None (RC) | 1.000 | 1.000 | 1.000 | |||
At least one message | 1.426* | 1.042–1.952 | 1.197 | 0.946–1.514 | 1.157 | 0.861–1.557 |
Consistent ITN use | ||||||
No (RC) | 1.000 | 1.000 | 1.000 | |||
Yes | 2.233*** | 1.557–3.202 | 4.575*** | 3.367–6.215 | 1.560** | 1.173–2.075 |
Ideational variables | ||||||
Positive attitudes towards net care (RC = negative attitude) | 1.983* | 1.112–3.535 | 1.850* | 1.144–2.991 | 1.667* | 1.083–2.565 |
Positive attitude towards the use of bed nets (RC = negative attitude) | 2.079*** | 1.443–2.996 | 1.780** | 1.146–2.763 | 0.982 | 0.754–1.278 |
Perceived severity of malaria (RC = Did not perceive) | 0.893 | 0.643–1.240 | 0.616*** | 0.487–0.778 | 0.974 | 0.766–1.239 |
Perceived susceptibility for malaria (RC = Did not perceive) | 1.800** | 1.147–2.823 | 1.918*** | 1.460–2.520 | 1.297§ | 0.994–1.691 |
In the last six months, talked to spouse/partner, friends, or relations about malaria | 0.862 | 0.583–1.274 | 2.200*** | 1.701–2.844 | 0.988 | 0.775–1.261 |
Perceived response-efficacy of bed nets (RC = Did not perceive) | 0.576*** | 0.411–0.808 | 1.528*** | 1.208–1.932 | 1.920*** | 1.471–2.506 |
Perceived self-efficacy for consistent use of bed nets (RC = Did not perceive) | 2.166*** | 1.452–3.230 | 1.218 | 0.829–1.789 | 2.507*** | 1.822–3.448 |
Perceived consistent use of bed nets was a community norm (RC = Did not perceive) | 2.017 *** | 1.409–2.889 | 1.498** | 1.164–1.928 | 1.367§ | 0.934–2.002 |
Household/Community Variables | ||||||
Number of de facto household residents | 0.924* | 0.856–0.998 | 1.001 | 0.943–1.062 | 1.000 | 0.953–1.048 |
Number of nets in the household | 1.127§ | 0.978–1.300 | 1.172** | 1.046–1.314 | 0.983 | 0.858–1.125 |
Household wealth quintile | ||||||
Lowest (RC) | 1.000 | 1.000 | 1.000 | |||
Second | 1.155 | 0.713–1.871 | 1.797** | 1.180–2.736 | 0.885 | 0.616–1.273 |
Middle | 1.174 | 0.676–2.038 | 2.290** | 1.438–3.647 | 0.848 | 0.581–1.238 |
Fourth | 0.847 | 0.465–1.542 | 1.799* | 1.089–2.982 | 1.141 | 0.747–1.742 |
Highest | 0.507§ | 0.255–1.007 | 2.004* | 1/157–3.470 | 1.215 | 0.737–2.004 |
Type of place of residence | ||||||
Rural (RC) | 1.000 | 1.000 | 1.000 | |||
Urban | 1.084 | 0.592–1.983 | 0.557** | 0.371–0.838 | 2.13** | 1.237–3.668 |
Region | ||||||
North region (RC) | 1.000 | — | — | |||
Far North | 0.220*** | 0.126–0.385 | ||||
Zone | ||||||
North (RC) | — | 1.000 | — | |||
Centre | 0.499* | 0.290–0.858 | ||||
South | 0.871 | 0.511–1.486 | ||||
Abidjan | 0.616 | 0.314–1.208 | ||||
District | ||||||
Bo (RC) | — | — | 1.000 | |||
Port Loko | 0.503*** | 0.342–0.739 | ||||
Random Effects | ||||||
Variance: Household | 4.806 | 3.481–6.636 | 9.378 | 7.377–11.269 | 0.793 | 0.431–1.458 |
ICC‡: Household | 0.660 | 0.589–0.724 | 0.759 | 0.711–0.791 | 0.272 | 0.189–0.374 |
Variance: Cluster | 1.571 | 1.002–2.464 | 0.999 | 0.636–1.565 | 0.435 | 0.247–0.768 |
ICC: Cluster | 0.163 | 0.113–0.227 | 0.074 | 0.050–0.109 | 0.096 | 0.057–0.157 |
Number of observations | 2940 | 6040 | 2730 |