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Malaria prevention and care seeking among gold miners in Guyana

Despite being a priority population in malaria elimination, there is scant literature on malaria-related behavior among gold miners. This study explores the prevalence and factors influencing malaria prevention, care seeking and treatment behaviors in Guyana gold mining camps. A cross sectional surv...

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Autores principales: Olapeju, Bolanle, Adams, Camille, Hunter, Gabrielle, Wilson, Sean, Simpson, Joann, Mitchum, Lyndsey, Davis, TrishAnn, Orkis, Jennifer, Cox, Horace, Trotman, Neil, Imhoff, Helen, Storey, Douglas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771697/
https://www.ncbi.nlm.nih.gov/pubmed/33373407
http://dx.doi.org/10.1371/journal.pone.0244454
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author Olapeju, Bolanle
Adams, Camille
Hunter, Gabrielle
Wilson, Sean
Simpson, Joann
Mitchum, Lyndsey
Davis, TrishAnn
Orkis, Jennifer
Cox, Horace
Trotman, Neil
Imhoff, Helen
Storey, Douglas
author_facet Olapeju, Bolanle
Adams, Camille
Hunter, Gabrielle
Wilson, Sean
Simpson, Joann
Mitchum, Lyndsey
Davis, TrishAnn
Orkis, Jennifer
Cox, Horace
Trotman, Neil
Imhoff, Helen
Storey, Douglas
author_sort Olapeju, Bolanle
collection PubMed
description Despite being a priority population in malaria elimination, there is scant literature on malaria-related behavior among gold miners. This study explores the prevalence and factors influencing malaria prevention, care seeking and treatment behaviors in Guyana gold mining camps. A cross sectional survey was conducted among adult gold miners living in mining camps in the hinterland Regions 1 (Barima-Waini), 7 (Cuyuni-Mazaruni), and 8 (Potaro-Siparuni). Multivariable logistic regressions explored factors associated with miners’ self-report of mosquito net use, prompt care-seeking; self-medication; and testing for malaria. A third of miners used a mosquito net the night preceding the survey and net use was higher among those who believed that net use was the norm in their camp (aOR: 3.11; 95% CI:1.65, 5.88). Less than half (45%) of miners had a fever in the past 12 months, among whom 36% sought care promptly, 48% tested positive for malaria while 54% self-medicated before seeking care. Prompt care-seeking was higher among miners with high malaria knowledge (aOR: 1.44; 95% CI: 1.01, 2.05). Similarly, testing rates increased with secondary education (aOR: 1.71; 95% CI: (1.16, 2.51), high malaria knowledge (aOR: 1.45; 95% CI: 1.02, 2.05), positive beliefs regarding malaria transmission, threat, self-diagnosis, testing and treatment, and, trust in government services (aOR: 1.59; 95% CI (1.12, 2.27) and experience of a prior malaria episode (aOR: 2.62; 95% CI: 1.71, 4.00). Self-medication was lower among male miners (aOR: 0. 52; 95% CI: 0.32, 0.86). Malaria prevention and care seeking behaviors among miners are somewhat low and influenced by mosquito net usage, perceived norms, malaria knowledge and prior episode of confirmed malaria. Study findings have implications for malaria interventions in the hinterland regions of Guyana such as the mass and continuous distribution of insecticide treated nets as well as community case management initiatives using trained malaria testing and treatment volunteers to curb malaria transmission among remote gold mining populations. These include efforts to identify and address gaps in distributing mosquito nets to miners and address miners’ barriers to prompt care seeking, malaria testing and treatment adherence. Targeted social and behavior change messaging is needed on net acquisition, use and care, prompt care-seeking, malaria testing and treatment adherence. Additional efforts to ensure the overall sustainability of the community case management initiative include increased publicity of the community case management initiative among miners, use of incentives to promote retention rates among the community case management volunteer testers and public private partnerships between the Guyana Ministry of Health and relevant mining organizations.
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spelling pubmed-77716972021-01-08 Malaria prevention and care seeking among gold miners in Guyana Olapeju, Bolanle Adams, Camille Hunter, Gabrielle Wilson, Sean Simpson, Joann Mitchum, Lyndsey Davis, TrishAnn Orkis, Jennifer Cox, Horace Trotman, Neil Imhoff, Helen Storey, Douglas PLoS One Research Article Despite being a priority population in malaria elimination, there is scant literature on malaria-related behavior among gold miners. This study explores the prevalence and factors influencing malaria prevention, care seeking and treatment behaviors in Guyana gold mining camps. A cross sectional survey was conducted among adult gold miners living in mining camps in the hinterland Regions 1 (Barima-Waini), 7 (Cuyuni-Mazaruni), and 8 (Potaro-Siparuni). Multivariable logistic regressions explored factors associated with miners’ self-report of mosquito net use, prompt care-seeking; self-medication; and testing for malaria. A third of miners used a mosquito net the night preceding the survey and net use was higher among those who believed that net use was the norm in their camp (aOR: 3.11; 95% CI:1.65, 5.88). Less than half (45%) of miners had a fever in the past 12 months, among whom 36% sought care promptly, 48% tested positive for malaria while 54% self-medicated before seeking care. Prompt care-seeking was higher among miners with high malaria knowledge (aOR: 1.44; 95% CI: 1.01, 2.05). Similarly, testing rates increased with secondary education (aOR: 1.71; 95% CI: (1.16, 2.51), high malaria knowledge (aOR: 1.45; 95% CI: 1.02, 2.05), positive beliefs regarding malaria transmission, threat, self-diagnosis, testing and treatment, and, trust in government services (aOR: 1.59; 95% CI (1.12, 2.27) and experience of a prior malaria episode (aOR: 2.62; 95% CI: 1.71, 4.00). Self-medication was lower among male miners (aOR: 0. 52; 95% CI: 0.32, 0.86). Malaria prevention and care seeking behaviors among miners are somewhat low and influenced by mosquito net usage, perceived norms, malaria knowledge and prior episode of confirmed malaria. Study findings have implications for malaria interventions in the hinterland regions of Guyana such as the mass and continuous distribution of insecticide treated nets as well as community case management initiatives using trained malaria testing and treatment volunteers to curb malaria transmission among remote gold mining populations. These include efforts to identify and address gaps in distributing mosquito nets to miners and address miners’ barriers to prompt care seeking, malaria testing and treatment adherence. Targeted social and behavior change messaging is needed on net acquisition, use and care, prompt care-seeking, malaria testing and treatment adherence. Additional efforts to ensure the overall sustainability of the community case management initiative include increased publicity of the community case management initiative among miners, use of incentives to promote retention rates among the community case management volunteer testers and public private partnerships between the Guyana Ministry of Health and relevant mining organizations. Public Library of Science 2020-12-29 /pmc/articles/PMC7771697/ /pubmed/33373407 http://dx.doi.org/10.1371/journal.pone.0244454 Text en © 2020 Olapeju et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Olapeju, Bolanle
Adams, Camille
Hunter, Gabrielle
Wilson, Sean
Simpson, Joann
Mitchum, Lyndsey
Davis, TrishAnn
Orkis, Jennifer
Cox, Horace
Trotman, Neil
Imhoff, Helen
Storey, Douglas
Malaria prevention and care seeking among gold miners in Guyana
title Malaria prevention and care seeking among gold miners in Guyana
title_full Malaria prevention and care seeking among gold miners in Guyana
title_fullStr Malaria prevention and care seeking among gold miners in Guyana
title_full_unstemmed Malaria prevention and care seeking among gold miners in Guyana
title_short Malaria prevention and care seeking among gold miners in Guyana
title_sort malaria prevention and care seeking among gold miners in guyana
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771697/
https://www.ncbi.nlm.nih.gov/pubmed/33373407
http://dx.doi.org/10.1371/journal.pone.0244454
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