Table 2.
Logistic regression model* of factors affecting the decision to request a malaria slide.
Antimalarial with no slide request (n = 132) | Slide request (n = 214) | Initial adjusted OR | P | Final adjusted OR | P | |
Age 15 years or over, n (%) | 47(36%) | 139(65%) | 4.03 | <0.01 | 3.86 | <0.01 |
Male (%) | 58(44%) | 78(37%) | 1.01 | 0.16 | ||
Distance from village/km†: median (IQR)‡ | 5(5–25) kms | 10(5–25) kms | 1.02 | 0.78 | ||
Hours to travel to clinic: median (IQR) | 1(1–2) hrs | 2(1–2) hrs | 1.95 | <0.01 | 1.77 | <0.01 |
Socio-economic score§: mean | 0.97 | 1.05 | 1.16 | 0.26 | ||
Number of days ill: median (IQR) | 3(2–4) days | 4(3–7) days | 0.97 | 0.15 | ||
Antimalarial used in previous 48 hrs: n (%) | 3(2.3%) | 8(3.8%) | 0.90 | 0.89 | ||
Fever in previous 48 hrs: n (%) | 85(64%) | 149(70%) | 2.23 | 0.03 | 1.72 | 0.03 |
'Body pain' in previous 48 hrs: n (%) | 92(70%) | 168(79%) | 1.06 | 0.84 | ||
Cough in previous 48 hrs: n (%) | 71(54%) | 97(46%) | 0.93 | 0.79 | ||
Diarrhoea or vomiting in prev. 48 hrs: n (%) | 55(43%) | 82(38%) | 0.87 | 0.60 | ||
Other symptom in previous 48 hrs: n (%) | 33(25%) | 46(22%) | 0.66 | 0.18 |
*Logistic regression model with dependant variable = slide requested (1) or not requested (0), independent variables in model: aged 15 years or over, socio-economic score, distance to village, hours of travel to clinic, number of days ill, use of an antimalarial in 48 hrs before attendance, a report in the previous 48 hours of: fever, body pain, cough, diarrhoea or vomiting, or 'other' symptom (not specified). Variables were eliminated in a backwards fashion if p >= 0.1. All binary variables used the negative response as the baseline odds (i.e. OR = 1).
†Estimated distance between hospital outpatient clinic and village of residence.
‡IQR = Interquartile range
§Socio-economic score was derived from principal components analysis of reported possession in the household of the following: car, motorbike, radio, mobile phone, television, or refrigerator.