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Table 3 Odds of an RDT-positive result by risk factor for individuals 10 years of age and older

From: Mass testing and treatment for malaria in low transmission areas in Amhara Region, Ethiopia

 

N (% of total population ≥ 10 years)

RDT-positive for Pv alone, Pf alone, or Pf and Pv (mixed)

n

% with positive RDT

Distribution of RDT-positive population (%)

Unadjusted OR (95 % CI)

Adjusted OR (95 % CI)c

Individuals tested with RDT

21,774 (100.0)

260

1.2

100.0

 Geography

      

  Kebele 1 (Berhan Chora)

5115 (23.5)

19

0.4

7.3

Ref

Ref***

  Kebele 2 (Choresa)

2750 (12.6)

6

0.2

2.3

0.59 (0.23–1.47)

0.57 (0.21–1.52)

  Kebele 3 (Dehina Sositu)

5140 (23.6)

29

0.6

11.2

1.52 (0.85–2.72)

1.02 (0.54–1.93)

  Kebele 4 (Kumer Aftit)

2151 (9.9)

115

5.4

44.2

15.15 (9.30–24.68)

13.33 (7.73–23.01)

  Kebele 5 (Yeginid Lomi)

4051 (18.6)

73

1.8

28.1

4.92 (2.97–8.17)

3.04 (1.60–5.77)

  Kebele 6 (Zengoba)

2567 (11.8)

18

0.7

6.9

1.89 (0.99–3.62)

1.42 (0.71–2.84)

Sociodemographic characteristics

 Sex

  Female

11,558 (53.1)

99

0.9

38.1

Ref

Ref*

  Male

10,216 (46.9)

161

1.6

61.9

1.85 (1.41–2.44)

1.42 (1.04–1.93)

 Age (years)

      

  10–14 

4224 (19.4)

58

1.4

22.3

Ref

Ref***

  15–19 

3323 (15.3)

44

1.3

16.9

0.96 (0.70–1.33)

0.81 (0.51–1.28)

  20–29 

5045 (23.2)

91

1.8

35.0

1.32 (0.89–1.97)

1.10 (0.69–1.74)

  30–39 

3647 (16.8)

29

0.8

11.2

0.58 (0.42–0.80)

0.39 (0.22–0.72)

  40–49 

2404 (11.0)

22

0.9

8.5

0.66 (0.44–0.99)

0.52 (0.28–0.97)

  50–59 

1535 (7.1)

9

0.6

3.5

0.42 (0.20–0.90)

0.34 (0.15–0.77)

  ≥60 

1596 (7.3)

7

0.4

2.7

0.32 (0.14–0.71)

0.32 (0.13–0.80)

 Occupation

  No occupation

1063 (4.9)

14

1.3

5.4

Ref

Ref

  Migrant labourer

156 (0.7)

8

5.1

3.1

4.05 (2.02–8.12)

2.46 (0.84–7.21)

  Farmer

12,484 (57.3)

136

1.1

52.3

0.83 (0.47–1.44)

1.53 (0.81–2.90)

  Student

5103 (23.4)

69

1.4

26.5

1.03 (0.56–1.90)

1.39 (0.67–2.87)

  Housework

2661 (12.2)

30

1.1

11.5

0.85 (0.40–1.81)

1.01 (0.49–2.09)

  Other

307 (1.4)

3

1.0

1.2

0.74 (0.11–4.76)

0.83 (0.21–3.21)

 Education

      

  None

13,653 (62.7)

141

1.0

54.2

Ref

Ref

  Primary school

6666 (30.6)

90

1.4

34.6

1.31 (0.91–1.90)

1.05 (0.71–1.57)

  Secondary school or higher

1455 (6.7)

29

2.0

11.2

1.95 (1.07–3.54)

1.09 (0.65–1.84)

Malaria risk factors

 Vector controla

  No mosquito net or IRS

4874 (22.4)

62

1.3

23.9

Ref

Ref***

  Mosquito net and no IRS

5797 (26.6)

81

1.4

31.2

1.10 (0.33–3.67)

0.81 (0.52–1.24)

  IRS and no mosquito net

2450 (11.3)

35

1.4

13.5

1.12 (0.29–4.36)

0.70 (0.42–1.19)

  Mosquito net and IRS

8653 (39.7)

82

1.0

31.5

0.74 (0.21–2.63)

0.40 (0.26–0.61)

 Spent ≥1 night away from home in last month

  No

21,355 (98.1)

232

1.1

89.2

Ref

Ref***

  Yes

419 (1.9)

28

6.7

10.8

6.52 (2.56–16.63)

6.07 (2.48–14.81)

 Febrileb

  No

20,430 (93.8)

156

0.8

60.0

Ref

Ref***

  Yes

1344 (6.2)

104

7.7

40.0

10.90 (4.60–25.85)

10.77 (7.93–14.62)

 Took antimalarial drugs in last 2 weeks

  No

21,742 (99.9)

253

1.2

97.3

Ref

Ref***

  Yes

32 (0.1)

7

21.9

2.7

23.78 (9.52–59.41)

9.83 (3.35–28.81)

 >1 RDT-positive individual in household

  No

21,578 (99.1)

195

0.9

75.0

Ref

Ref***

  Yes

196 (0.9)

65

33.2

25.0

54.41 (30.82–96.06)

26.57 (17.66–39.97)

 ≥1 individual in household spent ≥ 1 night away from home in the last month

  No

20,470 (94.0)

222

1.1

85.4

Ref

Ref

  Yes

1304 (6.0)

38

2.9

14.6

2.74 (1.17–6.39)

0.94 (0.44–2.02)

  1. CI confidence interval; IRS indoor residual spraying; OR odds ratio; Pf Plasmodium falciparum; Pv Plasmodium vivax; RDT rapid diagnostic test; Ref reference
  2. * p < 0.05, ** p < 0.01, *** p < 0.001 from likelihood ratio test
  3. aSlept under a mosquito net last night and/or household received IRS in the last 12 months
  4. bMeasured fever (axillary temperature ≥ 37.5 °C) or history of fever in last 24 h
  5. cAdjusted Odds Ratios for all sociodemographic characteristics and malaria risk factors