{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T17:17:05Z","timestamp":1775668625445,"version":"3.50.1"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malaria is endemic in Guinea. The use of mosquito nets by women of childbearing age helps protect children under five from malaria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To estimate the proportion of mosquito nets use and identify the factors explaining that use among women aged 15 to 49 in four regions of Guinea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was carried out in Guinea specifically in Conakry, Boke, Kindia, and Labe regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary analysis of a 2023 cross-sectional study, yielding a sample of 1,876 women. The outcome was mosquito net use the night before the survey. Simple logistic regressions assessed associations with independent variables were included in multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In our study, 64.23% of women slept under a mosquito net the night before the survey. Living in an urban area is associated with a reduced likelihood of sleeping under a mosquito net (OR\u202f=\u202f0.54; 95% CI\u202f=\u202f0.43\u20130.68). Believing that sleeping under a mosquito net poses no health risk significantly increases the likelihood of using it (OR\u202f=\u202f2.14; 95% CI\u202f=\u202f1.64\u20132.79), as does the belief that mosquito nets are very useful (OR\u202f=\u202f2.33; 95% CI\u202f=\u202f1.38\u20134.00).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results suggest that communication strategies must focus on transforming women\u2019s knowledge and attitudes by using approaches that are more engaging, participatory, and adapted to local realities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contribution<\/jats:title>\n                    <jats:p>This study shows that knowledge and attitudes toward malaria matter when it comes to preventive practices like the use of mosquito nets among women in childbearing age.<\/jats:p>\n       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Public Health, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University","place":["Conakry, Guinea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houssainatou","family":"Bah","sequence":"additional","affiliation":[{"name":"Department of Public Health Research, National Institute of Public Health","place":["Coyah, Guinea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdoulaye Fod\u00e9","family":"Toure","sequence":"additional","affiliation":[{"name":"Department of Public Health Research, National Institute of Public Health","place":["Coyah, Guinea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amadou","family":"Wann","sequence":"additional","affiliation":[{"name":"Department of Public Health Research, National Institute of Public Health","place":["Coyah, Guinea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Prince","family":"Kaba","sequence":"additional","affiliation":[{"name":"Department of Public Health Research, National Institute of Public Health","place":["Coyah, Guinea"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1186\/s12889-017-4155-5","article-title":"Determination of the predictive factors of long-lasting insecticide-treated net ownership and utilisation in the Bamenda health district of Cameroon","volume":"17","author":"Fokam","year":"2017","journal-title":"BMC Public Health"},{"key":"ref2","volume-title":"Donn\u00e9es et Tendances R\u00e9gionales Rapport 2024 sur le Paludisme Dans le Monde","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1261254","DOI":"10.3389\/fpubh.2023.1261254","article-title":"Utilization of long-lasting insecticide-treated net and its associated factors among pregnant 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Gynecol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1186\/s12936-024-05018-6","article-title":"Predictors of insecticide-treated bed nets use among pregnant women in Sierra Leone: evidence from the 2019 Sierra Leone demographic health survey","volume":"23","author":"Osborne","year":"2024","journal-title":"Malar J"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1186\/s12936-024-05203-7","article-title":"The influence of caregiver\u2019s malaria-related knowledge on the use of insecticide-treated net among children under-five: a cross-sectional study","volume":"23","author":"Kumah","year":"2024","journal-title":"Malar J"}],"container-title":["Frontiers in Public 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