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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Determinants of compliance with anti-vectorial protective measures among non-immune travellers during missions to tropical Africa
Malaria Journal, Volume 10, Article 232, Year 2011
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Description
Background: The effectiveness of anti-vectorial malaria protective measures in travellers and expatriates is hampered by incorrect compliance. The objective of the present study was to identify the determinants of compliance with anti-vectorial protective measures (AVPMs) in this population that is particularly at risk because of their lack of immunity. Methods. Compliance with wearing long clothing, sleeping under insecticide-impregnated bed nets (IIBNs) and using insect repellent was estimated and analysed by questionnaires administered to 2,205 French military travellers from 20 groups before and after short-term missions (approximately four months) in six tropical African countries (Senegal, Ivory Coast, Chad, Central African Republic, Gabon and Djibouti). For each AVPM, the association of "correct compliance" with individual and collective variables was investigated using random-effect mixed logistic regression models to take into account the clustered design of the study. Results: The correct compliance rates were 48.6%, 50.6% and 18.5% for wearing long clothing, sleeping under bed nets and using repellents, respectively. Depending on the AVPM, correct compliance was significantly associated with the following factors: country, older than 24 years of age, management responsibilities, the perception of a personal malaria risk greater than that of other travellers, the occurrence of life events, early bedtime (i.e., before midnight), the type of stay (field operation compared to training), the absence of medical history of malaria, the absence of previous travel in malaria-endemic areas and the absence of tobacco consumption. There was no competition between compliance with the different AVPMs or between compliance with any AVPM and malaria chemoprophylaxis. Conclusion: Interventions aimed at improving compliance with AVPMs should target young people without management responsibilities who are scheduled for non-operational activities in countries with high risk of clinical malaria. Weak associations between compliance and history of clinical malaria or variables that pertain to threat perception suggest that cognition-based interventions referencing a "bad experience" with clinical malaria could have only a slight impact on the improvement of compliance. Further studies should focus on the cognitive and behavioural predictors of compliance with AVPMs. © 2011 Sagui et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Sagui, Emmanuel
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
France, Marseille
Hia Laveran a Marseille
Rességuier, Noémie
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
MacHault, Vanessa
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
Ollivier, Lénaïck
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
France, Marseille
Imtssa Institut de Médecine Tropicale du Service de Santé Des Armées
Orlandi-Pradines, Ève
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
Texier, Gaëtan
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
France, Marseille
Imtssa Institut de Médecine Tropicale du Service de Santé Des Armées
Pagés, Frédéric
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
Michel, Rémy
France, Marseille
Imtssa Institut de Médecine Tropicale du Service de Santé Des Armées
Pradines, Bruno
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
Briolant, Sébastien
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
Buguet, Alain G.C.
France, Villeurbanne
Université Claude Bernard Lyon 1
Tourette-Turgis, Catherine
France, Paris
Sorbonne Université
Rogier, Christophe
France, Marseille
Institute for Biomedical Research of the French Armed Forces Irba
Madagascar, Antananarivo
Institut Pasteur de Madagascar
Statistics
Citations: 20
Authors: 13
Affiliations: 6
Identifiers
Doi:
10.1186/1475-2875-10-232
e-ISSN:
14752875
Research Areas
Infectious Diseases
Substance Abuse
Study Design
Cross Sectional Study
Study Locations
Central African Republic
Chad
Djibouti
Gabon
Ivory Coast
Senegal