Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/922605

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Title
Household and microeconomic factors associated with malaria in Mpumalanga, South Africa
Author/Creator
Coleman, Marlize;  Coleman, Michael;  Mabaso, Musa L. H.;  Mabuza, Aaron M.;  Kok, Geraldine;  Coetzee, Maureen;  Durrheim, David N.
Institution
The University of Newcastle. Faculty of Health, School of Medicine and Public Health
Description
A household matched case–control study design was used to explore associations between household characteristics and malaria risk in seven study towns in the hypoendemic area of Mpumalanga Province, South Africa. Controls were identified from neighboring households of each case. Principle component analysis was used to calculate a wealth index for households to allow comparison across socioeconomic groups. Conditional univariate and multiple logistic regression analyses were used to assess associations between household malaria risk and potential risk factors. Univariate analysis demonstrated an increased household malaria risk for people living in mud-walled houses compared with those in brick dwellings (OR = 5.10, 95% CI 2.03–12.80, P = 0.001). Multivariate analysis confirmed the association between malaria risk and mud-wall construction (OR = 6.12, 95% CI 2.26–16.59, P = 0.001) and demonstrated an association with opening windows after retiring to sleep (OR = 4.01, 95% CI 1.32–12.18, P = 0.014). An inverse association between household wealth, third (OR = 0.24, 95% CI 0.09–0.65, P = 0.005) and fourth quartiles (OR = 0.27, 95% CI 0.10–0.79, P = 0.016), and malaria risk was observed. Associations found here include increased household malaria risk and mud-wall construction, the practice of opening of windows at night and relative household poverty. Education campaigns targeting risk behavior may reduce malaria risk, but economic development is a more important intervention.
Relation
Transactions of the Royal Society of Tropical Medicine and Hygiene Vol. 104, Issue 2, p. 143-147
Publisher Link
http://dx.doi.org/10.1016/j.trstmh.2009.07.010
Date
2010
Publisher
Elsevier
Keyword(s)
malaria;  microeconomic factors;  socioeconomic factors;  risk factors;  case–control study;  South Africa
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/922605
Identifier
ISSN:0035-9203
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"Transactions of the Royal Society of Tropical Medicine and Hygiene"
 
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