与感染边境疟疾相关的因素:系统和元分析
Tichaona Fambirai1, Moses Chimbari1, Tafadzwa Mhindu1
1School of Nursing and Public Health, College of Health Sciences, Howard College Campus, University of KwaZulu-Natal, Durban, South Africa.
PloS one
|January 3, 2025
概括
边境疟疾风险因素,如户外活动和贫困住房,与非边境地区相似. 用杀虫剂处理的网 (ITN) 和室内残留喷雾 (IRS) 有效地防止疟疾.
科学领域:
- 医学昆虫学 医学昆虫学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 跨境疟疾和载体耐药性威胁着疟疾消除目标.
- 边境地区面临着诸多挑战,包括医疗保健服务的不足,偏远和高载体丰富度.
- 社会经济和行为因素影响非边境地区的疟疾风险.
研究的目的:
- 系统地审查和元分析与边境疟疾发生相关的因素.
- 描述和量化这些关联因素的聚合效应大小.
主要方法:
- 在多个数据库 (PubMed,EBSCOHost等) 进行了详尽的系统搜索. ) 的情况.
- 选了847篇文章的质量和资格,其中12篇在最终审查中.
- 计算了聚合赔率比率,I2,LFK指数,并生成了用于分析的森林地块.
主要成果:
- 边境疟疾的重大风险因素包括夜间户外活动,林业,采矿,贫困住房和跨境移动.
- 缺乏用杀虫剂处理的网 (ITN) 使用显著增加了疟疾风险.
- 使用ITN和室内残留喷雾 (IRS) 已证明具有保护作用.
结论:
- 边境疟疾的风险因素与非边境地区的风险因素相似.
- 解决社会经济,环境和行为驱动因素的综合控制策略至关重要.
- 维持载体控制干预措施和制定跨境流动的新战略是必不可少的.
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