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Table 3 Multivariable associations between malaria exposure in the first 6 months and incidence of malaria after 6 months of age

From: Plasmodium falciparum infection and disease in infancy associated with increased risk of malaria and anaemia in childhood

 

Any malaria incidence

Clinical malaria incidence

Adjusted IRR (95% CI)

P-value

Adjusted IRR (95% CI)

P-value

Any malaria exposure

 

Any malaria

   

 None

REF

0.009

REF

 < 0.0001

 Malaria

1.27 (1.06–1.52)

 

1.76 (1.42–2.19)

 

Study site

  

 Liwonde

REF

 < 0.0001

REF

 < 0.0001

 Mfera

3.52 (2.83–3.90)

 

6.98 (5.37–9.08)

 

Season of birth

   

 Dry

REF

0.03

REF

0.0002

 Rainy

0.84 (0.71–0.99)

 

0.72 (0.57–0.92)

 

Maternal age

   

 Per unit increase

0.94 (0.92–0.96)

< 0.0001

0.92 (0.90–0.95)

< 0.0001

Gravidity

   

 Per unit increase

1.13 (1.05–1.20)

 < .0.0001

1.13 (1.04–1.22)

0.005

Asymptomatic P. falciparum exposure

 

Asymp. Pf infection

 

 None

REF

 < 0.0001

REF

0.002

 Pf infection

1.53 (1.26–1.85)

 

1.56 (1.18–2.07)

 

Study site

    

 Liwonde

REF

 < 0.0001

REF

< 0.0001

 Mfera

3.24 (2.71–3.89)

 

7.41 (5.44–10.07)

 

Season of birth

    

 Dry

REF

0.001

REF

0.0004

 Rainy

0.71 (0.58–0.87)

 

0.55 (0.40–0.77)

 

Maternal age

    

 Per unit increase

0.95 (0.93–0.97)

< 0.0001

0.92 (0.89–0.95)

< 0.0001

Gravidity

    

 Per unit increase

1.13 (1.05–1.22)

0.001

1.19 (1.07–1.31)

0.0009

Clinical malaria exposure

 

Clinical malaria

   

 None

REF

 < 0.0001

REF

< 0.0001

 Clinical malaria

1.64 (1.38–1.94)

 

1.85 (1.48–2.32)

 

Study site

   

 Liwonde

REF

 < 0.0001

REF

< 0.0001

 Mfera

3.19 (2.71–3.75)

 

6.58 (5.04–8.60)

 

Season of birth

   

 Dry

REF

0.02

REF

0.002

 Rainy

0.83 (0.70–0.97)

 

0.69 (0.54–0.87)

 

Maternal age

   

 Per unit increase

0.95 (0.93–0.96)

< 0.0001

0.93 (0.90–0.95)

< 0.0001

Gravidity

   

 Per unit increase

1.11 (1.05–1.18)

0.0005

1.12 (1.03–1.22)

0.006

  1. aPoisson regression