title: Determinants of public malaria awareness during the national malaria elimination programme: a cross-sectional study in rural China.
abstract: Public malaria health promotion is an integral part of the national malaria elimination programme, which was launched by the Chinese government in 2010. However, the public awareness of malaria needs to improve. This study aims to explore the determinants of public awareness of malaria.
  
  
  
  A cross-sectional survey was conducted using stratified sampling method from June 2015 to March 2016. Bivariate logistic regression was performed to explore the association between predictors and malaria awareness in the sample population. The homogeneity of the interaction between group assignment and the degree of knowledge related to malaria among the subgroups was calculated by Cochran-Mantel-Haenszel test.
  
  
  
  Community media (including bulletin boards of village clinics or township hospitals, newspapers, exercise books, shopping bags, aprons, disposable cups, leaflets and banner advertisements) was the most prominent determinant influencing public awareness of malaria. The probability of having high-degree of knowledge about malaria among participants who received malaria-related information from community media were 3.99 times greater than those who did not (odds ratio 3.99, 95 % confidence interval 3.04-5.25, p < 0.001). Moreover, socio-demographic predictors including age, distance to township hospital, endemic county type, history of suffering from malaria, electronic media, self-assessed household income level, educational attainment and the knowledge about malaria were clearly associated with public awareness of malaria.
  
  
  
  Community media played the most important role in public awareness of malaria. However, only a few participants have received malaria knowledge through this media. It suggests that community media was an effective publicity material, which should expand its coverage. Malaria health promotion campaign needs to be aligned with target populations, in particular, people who are under 45 years old and residents (especially in type-3 counties) in remote areas.
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Shangfeng
authors.initials: S
authors.lastname: Tang
authors.affiliation: Cancer Center, Sun Yat-sen University, Guangzhou, Guangdong, People's Republic of China.
authors.forename: Lu
authors.initials: L
authors.lastname: Ji
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.|Bureau of Disease Prevention and Control, National Health and Family, Beijing, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Hu
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Ghose
authors.initials: G
authors.lastname: Bishwajit
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.lastname: Da Feng
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Hui
authors.initials: H
authors.lastname: Ming
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Yue
authors.initials: Y
authors.lastname: Xian
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Fu
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Zhifei
authors.initials: Z
authors.lastname: He
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China.
authors.forename: Hang
authors.initials: H
authors.lastname: Fu
authors.affiliation: University of Nottingham, Nottingham, UK.
authors.forename: Ruoxi
authors.initials: R
authors.lastname: Wang
authors.affiliation: School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, People's Republic of China. zcfeng@hust.edu.cn.
authors.forename: Zhanchun
authors.initials: Z
authors.lastname: Feng
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003430:Cross-Sectional Studies; D060740:Disease Eradication; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008288:Malaria / Q000453:epidemiology* / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D012424:Rural Population; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Community media; Elimination; Factors; Health promotion; Knowledge; Malaria