Mosquito net ownership is rising in sub-Saharan Africa but will substantially reduce malaria only if nets are used and the most vulnerable household members sleep under them. We used data from 9 large-scale household surveys conducted in 6 African countries from 2000 to 2004 that enumerated all household members and nets owned, analyzing only net-owning households. Across countries, women of reproductive age and children under 5 (without gender bias) were most likely to use the net; least likely were children of age 5-14 and adult males. Nets commonly covered 2-3 people. If a baby net was used, fewer people used the family net. Pregnant women were more likely to use a net in 2004 than in 2000. In several countries, a sizable minority of nets owned were not used. Understanding intra-household net-use patterns helps malaria control programs more effectively direct their efforts to increase their public health impact.

译文

:在撒哈拉以南非洲,蚊帐的所有权正在增加,但只有使用蚊帐并且最脆弱的家庭成员在蚊帐下面睡觉,才能大大减少疟疾。我们使用了2000年至2004年在6个非洲国家/地区进行的9项大规模家庭调查的数据,其中列举了所有家庭成员和所拥有的网,仅分析了拥有网的家庭。在各个国家/地区,育龄妇女和5岁以下儿童(无性别偏见)最有可能使用该网络;最不可能的是5-14岁的儿童和成年男性。蚊帐通常覆盖2-3人。如果使用婴儿网,则使用家庭网的人数会减少。与2000年相比,2004年孕妇使用网的可能性更高。在一些国家中,未使用相当数量的网。了解家庭内部的网络使用方式有助于疟疾控制计划更有效地指导其努力,以增加其对公共卫生的影响。

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