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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Individual and household level factors associated with malaria incidence in a highland region of Ethiopia: A multilevel analysis
American Journal of Tropical Medicine and Hygiene, Volume 80, No. 1, Year 2009
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Description
Multilevel analysis was used to identify individual and household level factors associated with malaria risk in 1,367 individuals in a peri-urban area of highland Ethiopia. Living within 450 m of a major vector-breeding site accounted for 38.78% and 78.49% of between-household variance in malaria incidence in adults and children, respectively. In adults, other individual level factors associated with malaria risk were regular or recent travel to rural areas (incidence rate ratio [IRR] = 12.96; 95% confidence interval [CI] = 4.05, 41.48) and having an indoor job (IRR = 0.37; 95% CI = 0.16, 0.87). Household level factors associated with adult malaria risk were low vegetation level in compound (IRR = 0.27; 95% CI = 0.10, 0.78), tidy compound (IRR = 0.29; 95% CI = 0.12, 0.71), household use of preventive measures (IRR = 0.31; 95% CI = 0.13, 0.74), and the number of 5- to 9-year-old children in the household (IRR = 1.66; 95% CI = 1.08, 2.53). Aside from distance to the vector-breeding site, few other malaria risk factors were identified in children. Malaria interventions in highland African communities should address household level factors associated with malaria clustering. Copyright © 2009 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Peterson, Ingrid
Gambia, Banjul
Medical Research Council Laboratories Gambia
Borrell, Luisa N.
United States, New York
Lehman College
El-Sadr, W. M.
United States, New York
Mailman School of Public Health
Teklehaimanot, Awash
United States, New York
Columbia University
Statistics
Citations: 100
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.4269/ajtmh.2009.80.103
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cohort Study
Study Locations
Ethiopia