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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| Veröffentlicht in: | PloS one 2020-12, Vol.15 (12), p.e0244454-e0244454 |
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| creator | Olapeju, Bolanle Adams, Camille Hunter, Gabrielle Wilson, Sean Simpson, Joann Mitchum, Lyndsey Davis, TrishAnn Orkis, Jennifer Cox, Horace Trotman, Neil Imhoff, Helen Storey, Douglas |
| 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 commun |
| doi_str_mv | 10.1371/journal.pone.0244454 |
| format | Article |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0244454</identifier><identifier>PMID: 33373407</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Adolescent ; Adult ; Aquatic insects ; Behavior ; Biology and Life Sciences ; Camps ; Case management ; Coasts ; Communication ; Community Health Services - organization & administration ; Cross-Sectional Studies ; Disease transmission ; Drug self-administration ; Female ; Fever ; Gold ; Gold miners ; Gold mines & mining ; Government services ; Guyana ; Health aspects ; Health Knowledge, Attitudes, Practice ; Humans ; Hypotheses ; Incentives ; Insecticides ; Malaria ; Malaria - drug therapy ; Malaria - parasitology ; Malaria - prevention & control ; Malaria - transmission ; Male ; Management ; Medicine and Health Sciences ; Middle Aged ; Miners ; Miners - psychology ; Miners - statistics & numerical data ; Mining - organization & administration ; Mosquito Nets - statistics & numerical data ; Mosquitoes ; Motivation ; Nets ; Norms ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; People and places ; Polls & surveys ; Population ; Prevention ; Public private partnerships ; Public-Private Sector Partnerships ; Regions ; Self Medication - psychology ; Self Medication - statistics & numerical data ; Self Report - statistics & numerical data ; Self-medication ; Social behavior ; Social interactions ; Social Sciences ; Sustainability ; Vector-borne diseases ; Volunteers ; Young Adult]]></subject><ispartof>PloS one, 2020-12, Vol.15 (12), p.e0244454-e0244454</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Olapeju et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aquatic insects</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Camps</subject><subject>Case management</subject><subject>Coasts</subject><subject>Communication</subject><subject>Community Health Services - organization & administration</subject><subject>Cross-Sectional Studies</subject><subject>Disease transmission</subject><subject>Drug self-administration</subject><subject>Female</subject><subject>Fever</subject><subject>Gold</subject><subject>Gold miners</subject><subject>Gold mines & mining</subject><subject>Government services</subject><subject>Guyana</subject><subject>Health aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Incentives</subject><subject>Insecticides</subject><subject>Malaria</subject><subject>Malaria - drug therapy</subject><subject>Malaria - parasitology</subject><subject>Malaria - prevention & control</subject><subject>Malaria - transmission</subject><subject>Male</subject><subject>Management</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Miners</subject><subject>Miners - psychology</subject><subject>Miners - statistics & numerical data</subject><subject>Mining - organization & administration</subject><subject>Mosquito Nets - statistics & numerical data</subject><subject>Mosquitoes</subject><subject>Motivation</subject><subject>Nets</subject><subject>Norms</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>People and places</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Prevention</subject><subject>Public private partnerships</subject><subject>Public-Private Sector Partnerships</subject><subject>Regions</subject><subject>Self Medication - psychology</subject><subject>Self Medication - statistics & numerical data</subject><subject>Self Report - statistics & numerical data</subject><subject>Self-medication</subject><subject>Social behavior</subject><subject>Social interactions</subject><subject>Social Sciences</subject><subject>Sustainability</subject><subject>Vector-borne diseases</subject><subject>Volunteers</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoso7rr6D0QLgujFjGlymrQ3yrLoOrCy4NdtOE3TTsZOMibt4v57053uMpW9kNCkpM95z0ffJHmekWXGRPZu4wZvsVvunNVLQgEghwfJcVYyuuCUsIcH70fJkxA2hOSs4PxxcsQYEwyIOE4-fMEOvcF05_WVtr1xNkVbpwq9ToPWv4xtU9y6uLeuq9OtsdqH1Nj0fLhGi0-TRw12QT-bzpPkx6eP388-Ly4uz1dnpxcLxUvaL7ioqBqfPANasbrIQWkQlSiqomJAGw5AMwWkUZhxUkJOkQEQBhVHBGAnycu97q5zQU69B0lBMEELVvJIrPZE7XAjd95s0V9Lh0beXDjfSvS9UZ2WlHMoSq2F1hpU3hQaGqRIBGOIJB-zvZ-yDdVW1yoOxmM3E51_sWYtW3clhRAZL0UUeDMJePd70KGXWxOU7jq02g37uosyz2_qfvUPen93E9VibMDYxsW8ahSVpxxiyjgsGqnlPVRctd4aFY3SmHg_C3g7C4hMr__0LQ4hyNW3r__PXv6cs68P2LXGrl8H1w2jv8IchD2ovAvB6-ZuyBmRo89vpyFHn8vJ5zHsxeEPugu6NTb7C7wF9cM</recordid><startdate>20201229</startdate><enddate>20201229</enddate><creator>Olapeju, Bolanle</creator><creator>Adams, Camille</creator><creator>Hunter, Gabrielle</creator><creator>Wilson, Sean</creator><creator>Simpson, Joann</creator><creator>Mitchum, Lyndsey</creator><creator>Davis, TrishAnn</creator><creator>Orkis, Jennifer</creator><creator>Cox, Horace</creator><creator>Trotman, Neil</creator><creator>Imhoff, Helen</creator><creator>Storey, Douglas</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9127-4212</orcidid><orcidid>https://orcid.org/0000-0001-6088-3579</orcidid><orcidid>https://orcid.org/0000-0002-2958-2708</orcidid></search><sort><creationdate>20201229</creationdate><title>Malaria prevention and care seeking among gold miners in Guyana</title><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></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-67b2c7b2c5142b3d854ce47b78b8b342f64421c40fca1609452a344034b6aa443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aquatic insects</topic><topic>Behavior</topic><topic>Biology and Life Sciences</topic><topic>Camps</topic><topic>Case management</topic><topic>Coasts</topic><topic>Communication</topic><topic>Community Health Services - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olapeju, Bolanle</au><au>Adams, Camille</au><au>Hunter, Gabrielle</au><au>Wilson, Sean</au><au>Simpson, Joann</au><au>Mitchum, Lyndsey</au><au>Davis, TrishAnn</au><au>Orkis, Jennifer</au><au>Cox, Horace</au><au>Trotman, Neil</au><au>Imhoff, Helen</au><au>Storey, Douglas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malaria prevention and care seeking among gold miners in Guyana</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-12-29</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>e0244454</spage><epage>e0244454</epage><pages>e0244454-e0244454</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33373407</pmid><doi>10.1371/journal.pone.0244454</doi><tpages>e0244454</tpages><orcidid>https://orcid.org/0000-0002-9127-4212</orcidid><orcidid>https://orcid.org/0000-0001-6088-3579</orcidid><orcidid>https://orcid.org/0000-0002-2958-2708</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-12, Vol.15 (12), p.e0244454-e0244454 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2473728396 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adolescent Adult Aquatic insects Behavior Biology and Life Sciences Camps Case management Coasts Communication Community Health Services - organization & administration Cross-Sectional Studies Disease transmission Drug self-administration Female Fever Gold Gold miners Gold mines & mining Government services Guyana Health aspects Health Knowledge, Attitudes, Practice Humans Hypotheses Incentives Insecticides Malaria Malaria - drug therapy Malaria - parasitology Malaria - prevention & control Malaria - transmission Male Management Medicine and Health Sciences Middle Aged Miners Miners - psychology Miners - statistics & numerical data Mining - organization & administration Mosquito Nets - statistics & numerical data Mosquitoes Motivation Nets Norms Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data People and places Polls & surveys Population Prevention Public private partnerships Public-Private Sector Partnerships Regions Self Medication - psychology Self Medication - statistics & numerical data Self Report - statistics & numerical data Self-medication Social behavior Social interactions Social Sciences Sustainability Vector-borne diseases Volunteers Young Adult |
| title | Malaria prevention and care seeking among gold miners in Guyana |
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