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Table 4 Univariate and multivariable analyses of demographic, clinical, parasitological, haematological, and other risk factors for gametocyte carriage

From: Gametocyte prevalence and risk factors of P. falciparum malaria patients admitted at the Hospital for Tropical Diseases, Thailand: a 20-year retrospective study

Characteristics

Gametocytes on admission

Crude OR (95% CI)

p value

Adjusted OR (95% CI)

No

Yes

Gender (n = 1962)

–

 Male

1061 (67.9)

501 (32.1)

1

0.796

 

 Female

269 (67.3)

131 (32.8)

1.03 (0.82−1.30)

  

Age, years (n = 1962)

 

p value = 0.008

 15–24

630 (62.6)

377 (37.4)

2.39 (1.57−3.64)

< 0.001

1.96 (1.18−3.26)

 25–34

399 (71.4)

160 (28.6)

1.60 (1.03−2.49)

 

1.47 (0.87−2.50)

 35–44

181 (73.6)

65 (26.4)

1.44 (0.88−2.35)

 

1.24 (0.69−2.21)

 ≥ 45

120 (80.0)

30 (20.0)

1

 

1

Occupation (n = 1955)

 

p value = 0.624

 Employees

108 (73.0)

40 (27.0)

1

< 0.001

1

 Unemployed

197 (58.3)

141 (41.7)

1.93 (1.27−2.95)

 

0.99 (0.62−1.60)

 Manual labourers

777 (67.6)

373 (32.4)

1.30 (0.88−1.90)

 

0.86 (0.48−1.52)

 Merchants

37 (74.0)

13 (26.0)

0.95 (0.46−1.97)

 

1.47 (0.59−3.62)

 Farmers

163 (75.5)

53 (24.5)

0.88 (0.55−1.42)

 

1.11 (0.67−1.84)

 Others

43 (81.1)

10 (18.9)

0.63 (0.29−1.37)

 

0.61 (0.26−1.47)

Ethnicity (n = 1962)

 

p value = 0.005

 Thai

191 (82.7)

40 (17.3)

1

< 0.001

1

 Burmese

577 (68.5)

265 (31.5)

2.19 (1.51−3.18)

 

2.25 (1.37−3.69)

 Karen

287 (62.4)

173 (37.6)

2.88 (1.95−4.25)

 

2.59 (1.56−4.29)

 Mon

228 (62.5)

137 (37.5)

2.87 (1.92−4.29)

 

2.51 (1.49−4.21)

 African

19 (95.0)

1 (5.0)

0.25 (0.03−1.93)

 

0.19 (0.16−2.17)

 Others

28 (63.6)

16 (36.4)

2.73 (1.35−5.51)

 

2.73 (1.17−6.40)

BMI, kg/m2 (n = 1943)

 

p value = 0.605

 Normal \(\ge\) 18.5–25

953(68.9)

430 (31.1)

1

0.06

1

 Underweight < 18.5

296 (64.2)

165 (35.8)

1.24 (0.99−1.54)

 

0.96 (0.73−1.25)

 Overweight > 25

74 (74.7)

25 (25.3)

0.75 (0.47−1.10)

 

1.30 (0.74−1.94)

Population group (n = 1962)a

 

–

 Thai

191 (82.7)

40 (17.3)

1

< 0.001

 

 Immigrant

1116 (65.5)

589 (34.5)

2.52 (1.77−3.56)

  

 Travellers

23 (88.5)

3 (11.5)

0.62 (0.18−2.18)

  

History of malaria (n = 1825)

 

p value = 0.746

 None

635 (64.8)

345 (35.3)

1

0.008

1

 1 time

322 (69.8)

139 (30.2)

0.79 (0.62−1.01)

 

1.08 (0.81−1.43)

 ≥ 2 times

279 (72.8)

346 (35.3)

0.68 (0.53−0.89)

 

0.96 (0.73−1.25)

Duration of fever, days (n = 1961)

 

p value < 0.001

 ≤ 3

702 (80.6)

169 (19.4)

1

< 0.001

1

 > 3–7

487 (63.7)

277 (36.3)

2.36 (1.89−2.95)

 

2.47 (1.91−3.19)

 > 7

141 (43.3)

185 (56.7)

5.45 (4.14−7.12)

 

5.40 (3.92−7.41)

Fever on admission (> 37.5 °C) (n = 1962)

 

p value < 0.001

 No

376 (61.6)

234 (38.4)

1

< 0.001

1

 Yes

954 (70.6)

398 (29.4)

0.67 (0.55−0.82)

 

0.61 (0.48−0.77)

Asexual parasite density, /µL (n = 1962)

 

p value = 0.002

 ≤ 5000

290 (62.2)

176 (37.8)

1

0.017

1

 > 5000–25,000

334 (67.5)

161 (32.5)

0.79 (0.61−1.04)

 

0.71 (0.52−0.98)

 > 25,000–100,000

346 (69.9)

149 (30.1)

0.71 (0.54−0.93)

 

0.74 (0.53−1.03)

 > 100,000

360 (71.1)

146 (32.2)

0.67 (0.51−0.87)

 

0.51 (0.36−0.72)

Haemoglobin (≤ 8 g/dL) (n = 1961)

 

p value < 0.001

 No

1298 (70.9)

532 (29.1)

1

< 0.001

1

 Yes

31 (23.7)

100 (76.3)

7.87 (5.20−11.92)

 

3.32 (2.06−5.33)

Thrombocytopenia,

(≤ 100,000/µL) (n = 1962)

 

p value = 0.002

 No

435 (63.9)

246 (36.1)

1

0.007

1

 Yes

894 (69.8)

386 (30.2)

0.76 (0.63−0.93)

 

0.65 (0.50−0.85)

Severe malaria

 

p value < 0.001

 No

1051 (73.3)

383 (26.7)

1

< 0.001

1

 Yes

279 (52.8)

249 (47.2)

2.45 (1.99–3.01)

 

2.33 (1.76−3.10)

Seasonalityb

 

p value = 0.006

 Rainy

925 (69.3)

409 (30.7)

1

0.032

1

 Dry

405 (64.5)

223 (35.5)

1.25 (1.02–1.52)

 

1.41 (1.10−1.79)

Import malaria (n = 1934)

 

p value = 0.128

 Indigenous

673 (71.5)

268 (28.5)

1

< 0.001

1

 Border

595 (62.6)

356 (37.4)

1.50 (1.24−1.82)

 

1.28 (1.01−1.62)

 Transnational

37 (88.1)

5 (11.9)

0.34 (0.13−0.87)

 

1.07 (0.28−4.07)

  1. aPopulation group was not included in the multivariable logistic regression model due to collinearity with ethnicity
  2. Immigrant refers to patients whose ethnicities were Burmese, Cambodian, Laotian and minor ethnicities. Travellers refer to patients whose ethnicities were neither Thai nor immigrant
  3. bRainy season between May and October, dry season between September and April