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Table 1 Factors associated with Plasmodium infection in children below 5 years old in Equatorial Guinea for rural and urban populations

From: Nutritional and socio-economic factors associated with Plasmodium falciparum infection in children from Equatorial Guinea: results from a nationally representative survey

  

RURAL

URBAN

  

Plasmodium infection*

    

Plasmodium infection*

   

Factor

N (%)†

n (%)

se

Unadj. P

Adjusted Odds ratio (95% CI)

Adj. P

N (%)†

n (%)

se

Unadj. P

Adjusted Odds ratio (95% Cl)‡

Adj. P

Child age

            

0-5 months

37(11,4)

11(22.4)

8.5

 

Reference

 

28 (11.4)

8(25.9)

11.0

 

Reference

 

6-11 months

53(16.8)

26 (49.1)

8.6

 

2.54 (0.75,8.67)

 

41 (17.5)

11 (42.4)

17.5

 

6.42(1.08, 38.06)

 

12-23 months

74 (25,6)

44 (59.9)

6.4

 

3.81(1.30,11.17)

 

58(23.5)

18(30)

6.0

 

3.50(0.82,14.87)

 

24-59 months

144 (46,2)

99 (70.5)

5.8

 

7.82(3.42,17.92)

 

113(47.6)

60 (55.7)

6.3

 

13.94(3.10,62.62)

 

p for trend§

   

0.0008

 

<.0001

   

0.07

 

0.004

Sex

            

female

147 (43.9)

85 (60.3)

7.1

 

Reference

 

118(47.9)

43 (45.8)

7.8

 

Reference

 

male

163 (56.1)

96 (57.6)

4.8

0.70

0.85(0.48,1.51)

0.28

124(52.0)

54(41.7)

6.4

0.60

1.49(0.75,2.97)

0.25

Distance to closest health facility in km

            

less than 0.5 kms

184 (55.6)

102 (51.8)

6.7

 

Reference

 

149 (58.8)

57 (44.3)

9.1

...

  

between 0.5 and 10 kms

91 (27.5)

50 (58.1)

7.1

 

1.19(0.47,2.89)

 

93(41.2)

40 (42.7)

7.2

0.86

...

 

10 kms or more

35(16.9)

29 (82.7)

4.4

 

2.86(1.35, 6.03)

     

...

 

p for trend§

   

0.005

 

0.01

      

% of households with access to protected water in the community

            

less than 30%

120 (42.1)

72 (66.2)

7.1

 

Reference

 

34(18.7)

19(53.7)

9

 

...

 

between 30 and 60%

117 (38.3)

79 (64.3)

6.5

 

1.24(0.52,2.98)

 

30(10.2)

17(67.1)

15.4

 

...

 

more than 60%

73(19.6)

30 (31.7)

7.6

 

0.29(0.11,0.77)

 

178(71.1)

61 (37.9)

7.5

0.63

...

 

p for trend§

   

0.03

 

0.02

      

Episode of cough in the 15 days prior to the survey

            

No

114 (37.6)

75 (68.0)

6.8

 

Reference

 

111 (45.5)

43 (40.8)

7,4

 

...

 

Yes

193 (62.4)

105 (53.1)

5.4

0.07

0.43(0.20,0,97)

0.04

125(54.5)

52 (46.8)

7,6

0.49

...

 

Stunting

            

No

183 (58.3)

103 (55.9)

5.6

 

...

 

170(71.5)

61 (38.9)

6.9

 

Reference

 

Yes

118 (41.7)

73 (62.3)

6.6

0.40

...

 

57(28.5)

32 (53.6)

8.0

0.06

3.07(1.40,6.73)

0.005

Colostrum

            

No

60(19.9)

38 (67.7)

7.3

 

...

 

45(19.0)

26 (65.8)

8.3

 

Reference

 

Yes

235 (80.1)

135 (56.4)

5.7

0.18

...

 

170(81.0)

62 (39.8)

7.0

0.004

0.24(0.08,0.71)

0.01

Mother took antimalaric drugs during pregnancy

            

No

126 (41.5)

74 (61.4)

4.6

 

...

 

84 (38.5)

40(53.1)

9.2

 

Reference

 

Yes

184 (58.5)

107 (56.9)

6.2

0.39

...

 

157(61.5)

57 (37.5)

5.5

0.06

0.25 (0.098, 0.62)

0.003

Someone in the house sleeps with bednet

            

No

189 (59.5)

107 (59.7)

5.5

 

...

 

87 (35.2)

33 (36.7)

6.4

 

Reference

 

Yes

127 (40.5)

74 (57.8)

5.5

0.74

...

 

153(64.8)

64 (47.7)

7.1

0.14

3.05(1.52,6.14)

0.002

Socio-economic level

            

low

101 (39.1)

59 (62.4)

6.5

 

...

 

81 (38.5)

38 (53.8)

8.3

 

Reference

 

medium

109 (33.6)

63 (57.3)

6.5

 

...

 

79(31.7)

39(51.8)

8.1

 

0.97(0.29,3.25)

 

high

100 (27.3)

59 (55.4)

7.8

 

...

 

82 (29.8)

20(21.6)

5.4

0.04

0.15(0.05,0.50)

 

p for trend§

   

0.91

       

0.0002

Overall¶

308 (100)

     

240(100)

     
  1. *Plasmodium infection measured by means of thick and thin film.
  2. † Frequencies are weighted and calculated according to the complex design taking into account clustering and stratification.
  3. ‡ Odds ratios obtained by multivariate logistic regresssion models for rural and urban strata. Models are adjusted for survey and clustering effects and include all
  4. variables for which adjusted estimates are presented.
  5. § p value for the predictor when introduced into the model as a continuous variable representing the ordinal categories, adjusted for all other covariates in the multivariate model
  6. ¶ Totals may be less than 310 or 240 respectively, because of missing data.
  7. ... Not included on the multivariate model