LLIN evaluation in Uganda project (LLINEUP2): association between housing construction and malaria burden in 32 districts

Autor: Samuel Gonahasa, Martha Nassali, Catherine Maiteki‑Sebuguzi, Jane F. Namuganga, Jimmy Opigo, Isaiah Nabende, Jaffer Okiring, Adrienne Epstein, Katherine Snyman, Joaniter I. Nankabirwa, Moses R. Kamya, Grant Dorsey, Sarah G. Staedke
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Malaria Journal, Vol 23, Iss 1, Pp 1-11 (2024)
Druh dokumentu: article
ISSN: 1475-2875
DOI: 10.1186/s12936-024-05012-y
Popis: Abstract Background Well-built housing limits mosquito entry and can reduce malaria transmission. The association between community-level housing and malaria burden in Uganda was assessed using data from randomly selected households near 64 health facilities in 32 districts. Methods Houses were classified as ‘improved’ (synthetic walls and roofs, eaves closed or absent) or ‘less-improved’ (all other construction). Associations between housing and parasitaemia were made using mixed effects logistic regression (individual-level) and multivariable fractional response logistic regression (community-level), and between housing and malaria incidence using multivariable Poisson regression. Results Between November 2021 and March 2022, 4.893 children aged 2–10 years were enrolled from 3.518 houses; of these, 1.389 (39.5%) were classified as improved. Children living in improved houses had 58% lower odds (adjusted odds ratio = 0.42, 95% CI 0.33–0.53, p 67% of houses improved had a 63% lower parasite prevalence (adjusted prevalence ratio 0.37, 95% CI 0.19–0.70, p
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje