Covariates | N (% of total population ≥ 10 years) | n (distribution of RDT-positive population (%) ≥ 10 years) | Univariable odds ratio (95% CI) p-value | Multivariable adjusted odds ratio (95% CI) p-value |
---|---|---|---|---|
Sociodemographic characteristics | ||||
Sex | ||||
Female | 6209 (58.2%) | 59 (40.1%) | 1.0 (ref) | 1.0 (ref) |
Male | 4455 (41.8%) | 88 (59.9%) | 2.10 (1.51–2.93) p < 0.001 | 1.93 (1.10–3.36) p = 0.021 |
Age (years) | ||||
10–14 years | 2420 (22.7%) | 67 (45.6%) | 1.0 (ref) | 1.0 (ref) |
15–19 years | 1731 (16.2%) | 27 (18.4%) | 0.56 (0.35–0.87) p = 0.011 | 0.67 (0.38–1.17) p = 0.156 |
20–29 years | 2601 (24.4%) | 22 (15.0%) | 0.30 (0.18–0.49) p < 0.001 | 0.31 (0.17–0.56) p < 0.001 |
30–39 years | 1588 (14.9%) | 14 (9.5%) | 0.31 (0.17–0.56) p < 0.001 | 0.36 (0.18–0.72) p = 0.004 |
40–49 years | 923 (8.7%) | 6 (4.1%) | 0.23 (0.10–0.53) p < 0.001 | 0.22 (0.08–0.56) p = 0.002 |
50–59 years | 644 (6.0%) | 4 (2.7%) | 0.22 (0.08–0.60) p = 0.003 | 0.20 (0.07–0.63) p = 0.006 |
60+ years | 757 (7.1%) | 7 (4.8%) | 0.33 (0.15–0.72) p = 0.005 | 0.33 (0.14–0.79) p = 0.013 |
Education | ||||
None/illiterate | 8635 (81.0%) | 119 (81.0%) | 1.0 (ref) | 1.0 (ref) |
Primary/Arabic school | 1784 (16.7%) | 21 (14.3%) | 0.85 (0.53–1.36) p = 0.503 | 0.65 (0.33–1.30) p = 0.227 |
Secondary/university | 227 (2.1%) | 6 (4.1%) | 1.94 (0.85–4.46) p = 0.117 | 6.12 (1.97–19.08) p = 0.002 |
Other | 18 (0.2%) | 1 (0.7%) | 4.21 (0.56–31.89) p = 0.164 | 7.05 (0.86–57.67) p = 0.068 |
Occupation | ||||
Farmer/shepherd | 3368 (31.6%) | 52 (35.4%) | 1.0 (ref) | 1.0 (ref) |
Student | 982 (9.2%) | 12 (8.2%) | 0.79 (0.42–1.48) p = 0.462 | 0.70 (0.27–1.85) p = 0.473 |
Housekeeper | 4315 (40.5%) | 33 (22.4%) | 0.49 (0.32–0.76) p < 0.001 | 0.84 (0.40–1.74) p = 0.633 |
Unemployed | 1633 (15.3%) | 43 (29.3%) | 1.72 (1.15–2.59) p = 0.009 | 1.25 (0.70–2.25) p = 0.447 |
Other | 366 (3.4%) | 7 (4.8%) | 1.24 (0.56–2.76) p = 0.592 | 1.18 (0.44–3.15) p = 0.738 |
Individual malaria risk factors | ||||
Used a bed net on previous night | ||||
No | 3893 (36.5%) | 55 (37.4%) | 1.0 (ref) | 1.0 (ref) |
Yes | 6771 (63.5%) | 92 (62.6%) | 0.96 (0.69–1.35) p = 0.818 | 0.77 (0.51–1.18) p = 0.233 |
Travelled outside of district in previous two weeks | ||||
No | 10,315 (96.7%) | 144 (98.0%) | 1.0 (ref) | 1.0 (ref) |
Yes | 349 (3.3%) | 3 (2.0%) | 0.61 (0.19–1.93) p = 0.403 | 0.82 (0.18–3.81) p = 0.805 |
Axillary temperature ≥ 37.5 °C or reported fever within previous 24 h | ||||
No | 10,319 (96.8%) | 101 (68.7%) | 1.0 (ref) | 1.0 (ref) |
Yes | 345 (3.2%) | 46 (31.3%) | 15.56 (10.78–22.47) p < 0.001 | 24.75 (15.20–40.30) p < 0.001 |
Used anti-malarial in previous month | ||||
No | 10,610 (99.5%) | 138 (93.9%) | 1.0 (ref) | 1.0 (ref) |
Yes | 54 (0.5%) | 9 (6.1%) | 15.18 (7.28–31.65) p < 0.001 | 8.67 (3.30–22.77) p < 0.001 |
Household-level risk factors | ||||
> 1 RDT positives in household | ||||
No | 10,349 (97.0%) | 88 (59.9%) | 1.0 (ref) | 1.0 (ref) |
Yes | 315 (3.0%) | 59 (40.1%) | 26.87 (18.89–38.22) p < 0.001 | 20.10 (12.90–31.31) p < 0.001 |
Other members of household travelled outside of district in previous two weeks | ||||
No | 8430 (79.1%) | 132 (89.8%) | 1.0 (ref) | 1.0 (ref) |
Yes | 2234 (20.9%) | 15 (10.2%) | 0.42 (0.25–0.73) p = 0.002 | 0.62 (0.32–1.20) p = 0.159 |
Health facility catchment area | ||||
Dounde | 1321 (12.4%) | 13 (8.8%) | 1.0 (ref) | 1.0 (ref) |
Salalatou | 1703 (16.0%) | 57 (38.8%) | 3.48 (1.90–6.39) p < 0.001 | 2.53 (1.18–5.43) p = 0.017 |
Oudalaye | 1012 (9.5%) | 14 (9.5%) | 1.41 (0.66–3.02) p = 0.374 | 2.16 (0.83–5.57) p = 0.113 |
Niaghana tidel | 3602 (33.8%) | 18 (12.2%) | 3.03 (1.55–5.93) p < 0.001 | 2.02 (0.86–4.75) p = 0.107 |
Mbem mbem | 889 (8.3%) | 26 (17.7%) | 0.90 (0.44–1.83) p = 0.777 | 1.03 (0.43–2.47) p = 0.940 |
Gassane | 2137 (20.0%) | 19 (12.9%) | 0.51 (0.25–1.03) p = 0.062 | 0.43 (0.18–1.03) p = 0.058 |
Constant | 0.01 (0.00–0.02) p < 0.001 | |||
Total | 10,664 | 147 | 10,664 | 10,664 |