Table 3.
P. falciparum (microscopy-detectable) | P. falciparum (molecularly diagnosed) | P. falciparum (submicroscopic) | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Univariable model | Multivariable model | Univariable model | Multivariable model | Univariable model | Multivariable model | ||||||||||||||||||
N* | PfPR† | OR | 95% CI‡ | P | AOR | 95% CI‡ | P | PfPR† | OR | 95% CI‡ | P | AOR | 95% CI‡ | P | PfPR† | OR | 95% CI‡ | P | AOR | 95% CI‡ | P | ||
Gender | Female | 1,086 | 2.6% | Reference | 7.0% | Reference | 5.2% | Reference | |||||||||||||||
Male | 977 | 1.9% | 0.75 | (0.41–1.34) | 0.3400 | 7.1% | 1.01 | (0.72–1.42) | 0.95 | 5.4% | 1.06 | (0.72–1.55) | 0.790 | ||||||||||
Age (year) | 2,061 | 2.3% | 0.99 | (0.97–1.01) | 0.3800 | 7.0% | 1.00 | (0.99–1.01) | 0.79 | 4.8% | 1.00 | (0.99–1.01) | 0.600 | ||||||||||
Exposure (year)§ | 2,050 | 2.3% | 0.99 | (0.93–1.05) | 0.7600 | Not selected | 7.0% | 0.98 | (0.95–1.02) | 0.35 | 4.8% | 0.98 | (0.94–1.02) | 0.400 | |||||||||
Not selected | Not selected | ||||||||||||||||||||||
Other | 103 | 3.9% | Reference | 10.7% | Reference | 6.8% | Reference | ||||||||||||||||
Ethnicity‖ | Betsileo | 455 | 1.8% | 0.45 | (0.13–2.10) | 0.5100 | 7.0% | 0.67 | (0.31–1.62) | 0.53 | 5.5% | 0.86 | (0.34–2.61) | 0.860 | |||||||||
Merina | 1,505 | 2.3% | 0.60 | (0.21–2.54) | 6.8% | 0.65 | (0.32–1.49) | 5.1% | 0.80 | (0.34–2.32) | |||||||||||||
Water distance (m)¶ | 2,063 | 2.3% | 1.00 | (1.00–1.00) | 0.0005 | 1.00 | (1.00–1.00) | 0.012 | 7.0% | 1.00 | (1.00–1.00) | 0.043 | 4.8% | 1.00 | (1.00–1.00) | 0.480 | |||||||
Insecticide-treated bednet ownership | No | 242 | 5.0% | Reference | Reference | 17.4% | Reference | Reference | 12.8% | Reference | Reference | ||||||||||||
Yes | 1,810 | 1.9% | 0.37 | (0.19–0.75) | 0.0035 | 0.31 | (0.14–0.70) | 0.004 | 5.6% | 0.28 | (0.19–0.42) | < 0.0001 | 0.39 | (0.26–0.59) | < 0.0001 | 4.3% | 0.31 | (0.20–0.48) | < 0.0001 | 0.43 | (0.28–0.68) | 0.0002 | |
Center | 775 | 1.2% | Reference | Reference | 1.9% | Reference | Reference | 1.0% | Reference | Reference | |||||||||||||
Health center | North | 492 | 1.2% | 1.05 | (0.35–2.93) | 0.0004 | 0.49 | (0.14–1.50) | 0.043 | 7.3% | 4.00 | (2.21–7.60) | < 0.0001 | 3.02 | (1.61–5.96) | < 0.0001 | 6.1% | 6.23 | (2.97–14.68) | < 0.0001 | 5.31 | (2.51–12.60) | < 0.0001 |
South | 796 | 4.0% | 3.56 | (1.76–7.99) | 1.72 | (0.72–4.33) | 11.8% | 6.78 | (4.02–12.28) | 5.98 | (3.46–11.13) | 8.9% | 9.39 | (4.77–21.29) | 8.22 | (4.14–18.73) | |||||||
Fever# | No | 1,904 | 2.0% | Reference | Reference | 6.5% | Reference | Reference | 5.0% | Reference | Not selected | ||||||||||||
Yes | 111 | 6.3% | 3.22 | (1.29–6.95) | 0.0057 | 3.79 | (1.46–8.74) | 0.003 | 16.2% | 2.78 | (1.58–4.65) | 0.0002 | 2.56 | (1.25–3.91) | 0.0051 | 9.9% | 2.07 | (1.02–3.83) | 0.029 |
AOR = adjusted odds ratios; CI = confidence interval; OR = odds ratio; PfPR = prevalence of Plasmodium falciparum. Each infection level was modeled separately, using univariable (OR) and multivariable (AOR) models.
Totals tested by category. Any totals less than 2,063 are because of incomplete information about the different fields.
PfPR infection including both mono- and mixed-species infections.
95% CI of the AOR. P values were derived from the Wald test and represent each categorical factor’s overall statistical significance. Significant P values (P < 0.05) are identified in bold.
Exposure time corresponds to the total years of residency in the malaria-endemic area. Participants born in the study area are considered to have been exposed since birth.
Ethnicity is self-reported and inherited via the female line.
Fever was present if axillary temperature was ≥ 37.5°C.