Table 1_Factors associated with the use of long-lasting insecticide-treated mosquito nets among women of childbearing age: secondary analysis of data from a KAP survey in four regions of Guinea 2023.docx

BackgroundMalaria is endemic in Guinea. The use of mosquito nets by women of childbearing age helps protect children under five from malaria.
AimTo estimate the proportion of mosquito nets use and identify the factors explaining that use among women aged 15 to 49 in four regions of Guinea.
SettingThe study was carried out in Guinea specifically in Conakry, Boke, Kindia, and Labe regions.
MethodsWe conducted a secondary analysis of a 2023 cross-sectional study, yielding a sample of 1,876 women. The outcome was mosquito net use the night before the survey. Simple logistic regressions assessed associations with independent variables were included in multivariate analysis.
ResultsIn our study, 64.23% of women slept under a mosquito net the night before the survey. Living in an urban area is associated with a reduced likelihood of sleeping under a mosquito net (OR = 0.54; 95% CI = 0.43–0.68). Believing that sleeping under a mosquito net poses no health risk significantly increases the likelihood of using it (OR = 2.14; 95% CI = 1.64–2.79), as does the belief that mosquito nets are very useful (OR = 2.33; 95% CI = 1.38–4.00).
ConclusionThese results suggest that communication strategies must focus on transforming women’s knowledge and attitudes by using approaches that are more engaging, participatory, and adapted to local realities.
ContributionThis study shows that knowledge and attitudes toward malaria matter when it comes to preventive practices like the use of mosquito nets among women in childbearing age.