Details

Autor(en) / Beteiligte

• Gitonga, Caroline W
• Edwards, Tansy
• Karanja, Peris N
• Noor, Abdisalan M
• Snow, Robert W
• Brooker, Simon J

Titel

Plasmodium infection, anaemia and mosquito net use among school children across different settings in Kenya; Infection àPlasmodium, anémie et utilisation des moustiquaires chez les écoliers dans différentes zones au Kenya; Infección por Plasmodium, anemia y uso de redes mosquiteras en escolares de diferentes emplazamientos de Kenia

Ist Teil von

• Tropical medicine & international health, 2012-07, Vol.17 (7), p.858

Ort / Verlag

Oxford: Blackwell Publishing Ltd

Erscheinungsjahr

2012

Quelle

Wiley Online Library All Journals

Beschreibungen/Notizen

• Objective: To investigate risk factors, including reported net use, for Plasmodium infection and anemia among school children and to explore variations in effects across different malaria ecologies occurring in Kenya. Methods: This study analyzed data for 49975 school children in 480 schools surveyed during a national school malaria survey, 2008-2010. Mixed effects logistic regression was used to investigate factors associated with Plasmodium infection and anemia within different malaria transmission zones. Results: Insecticide-treated net (ITN) use was associated with reduction in the odds of Plasmodium infection in coastal and western highlands epidemic zones and among boys in the lakeside high transmission zone. Other risk factors for Plasmodium infection and for anemia also varied by zone. Plasmodium infection was negatively associated with increasing socio-economic status in all transmission settings, except in the semi-arid north-east zone. Plasmodium infection was a risk factor for anemia in lakeside high transmission, western highlands epidemic and central low-risk zones, whereas ITN use was only associated with lower levels of anemia in coastal and central zones and among boys in the lakeside high transmission zone. Conclusions: The risk factors for Plasmodium infection and anemia, including the protective associations with ITN use, vary according to malaria transmission settings in Kenya, and future efforts to control malaria and anemia should take into account such heterogeneities among school children.[PUBLICATION ABSTRACT]