Determinants of compliance with anti-vectorial protective measures among non-immune travellers during missions to tropical Africa
2011

Understanding Compliance with Malaria Prevention Measures Among Travelers

Sample size: 2205 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sagui Emmanuel, Resseguier Noémie, Machault Vanessa, Ollivier Lénaïck, Orlandi-Pradines Eve, Texier Gaetan, Pages Frédéric, Michel Remy, Pradines Bruno, Briolant Sébastien, Buguet Alain, Tourette-Turgis Catherine, Rogier Christophe

Primary Institution: Institute for Biomedical Research of the French Armed Forces (IRBA)

Hypothesis

What factors influence compliance with anti-vectorial protective measures among non-immune travelers to tropical Africa?

Conclusion

Interventions to improve compliance with malaria prevention measures should focus on younger individuals without management responsibilities in high-risk areas.

Supporting Evidence

  • Correct compliance rates were 48.6% for wearing long clothing, 50.6% for sleeping under bed nets, and 18.5% for using repellents.
  • Older age, management responsibilities, and personal malaria risk perception were associated with better compliance.
  • Interventions should target young individuals without management roles in high-risk malaria areas.

Takeaway

This study looked at how well travelers follow malaria prevention rules, finding that younger people often don't comply as well as older ones.

Methodology

The study used questionnaires to assess compliance with malaria prevention measures among 2,205 French military travelers before and after missions in Africa.

Potential Biases

Potential biases include self-reported compliance and the exclusion of individuals who did not complete both questionnaires.

Limitations

The study may not be generalizable to civilian travelers or those staying for shorter durations.

Participant Demographics

Participants were French military personnel, predominantly male, with a median age of 24 years.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI: 46.5 - 50.7%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-10-232

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