Autor: |
Tim Starck, Peter Dambach, Toussaint Rouamba, Halidou Tinto, Faith Osier, Catherine E. Oldenburg, Maya Adam, Till Bärnighausen, Thomas Jaenisch, Caroline A. Bulstra |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Frontiers in Public Health, Vol 10 (2022) |
Druh dokumentu: |
article |
ISSN: |
2296-2565 |
DOI: |
10.3389/fpubh.2022.1009865 |
Popis: |
BackgroundYoung children in Sub-Saharan Africa (SSA), particularly those from resource-limited settings, are heavily burdened by anemia and malaria. While malaria infected children frequently become anemic (hemoglobin < 110 g/L), anemia is a strongly multifactorial disease with many other risk factors than malaria. Due to the complex and often overlapping contributors to anemia, it remains challenging to isolate the true impact of malaria on population level hemoglobin concentrations.MethodsWe quantified the malaria-induced effect on hemoglobin levels in children under 5 years of age, leveraging data from 7,384 twins and other multiples, aged 6 to 59 months, from 57 nationally representative Demographic and Health Surveys (DHSs) from 23 SSA countries from 2006 to 2019. The quasi-experimental twin fixed-effect design let us minimize the impact of potential confounders that do not vary between twins.ResultsOur analyses of twins revealed a malaria-induced hemoglobin decrease in infected twins of 9 g/L (95% CI -10; -7, p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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