Table 3.
Characteristics of gametocyte containing infections missed (not detected) by RDT screening at baseline.
Predictor | N gametocyte positive | N RDT negative | Weighted† proportion not detected by RDT | Bivariate association* | Multivariable association* | ||
---|---|---|---|---|---|---|---|
OR [95% CI] | p-value | OR [95% CI] | p-value | ||||
Site/schoola | |||||||
Bvumbwe | 19 | 8 | 0.40 | Ref | 0.059 | Ref.g | 0.01 |
Ngowe | 25 | 4 | 0.15 | 0.27 [0.05–1.4] | 0.21 [0.04–1.2] | ||
Maseya | 71 | 15 | 0.19 | 0.34 [0.10–1.2] | 0.25 [0.06–0.98] | ||
Makhuwira | 65 | 10 | 0.10 | 0.16 [0.04–0.60] | 0.09 [0.02–0.38] | ||
Season | |||||||
Rainy | 103 | 15 | 0.10 | Ref | |||
Dry | 77 | 22 | 0.23 | 2.9 [1.2–7.0] | 0.02 | ||
Age (per year increase) | 180 | 37 | –b | 1.1 [0.96–1.3] | 0.13 | ||
Gametocyte density (log10) | 180 | 37 | –c | 0.76 [0.64–0.90] | 0.002 | 0.76 [0.64–0.90] | 0.002 |
Sex | |||||||
Male | 92 | 16 | 0.13 | Ref | 0.25 | ||
Female | 88 | 21 | 0.20 | 1.6 [0.71–3.7] | |||
Hemoglobin | |||||||
Not anemic | 138 | 31 | 0.17 | Ref | 0.85 | ||
Anemicd | 41 | 6 | 0.13 | 0.90 [0.30–2.7] | |||
Fever statuse | |||||||
Afebrile | 78 | 20 | 0.21 | Ref | 0.36 | ||
Febrile | 102 | 17 | 0.12 | 0.68 [0.30–1.6] | |||
Recent treatmentf | |||||||
Not treated | 169 | 36 | 0.17 | Ref | 0.41 | ||
Treated | 10 | 1 | 0.07 | 0.41 [0.05–3.4] | |||
Slept under a neth | |||||||
No | 102 | 17 | 0.13 | Ref | 0.42 | ||
Yes | 74 | 18 | 0.17 | 1.4 [0.59–3.5] |
†Survey weights were calculated for each stratum, defined as each grade within each school (details in Supplemental Information).
* Obtained in a survey weighted logistic regression of gametocyte-containing infections with the outcome of RDT negativity. All analyzed variables are shown in the table.
OR = Odds Ratio; CI = Confidence Interval. Bold values are statistically significant for p-values < 0.05.
aUnivariate association for school, all other associations include school. Prevalence setting: Bvumbwe-low, seasonal; Ngowe-moderate, seasonal; Maseya-high; Makhuwira-high.
bMean age of students with gametocyte containing infections not detected by RDT was 11.5 compared to 10.8 years for students with gametocyte containing infections detected by RDT.
cAmong students with gametocyte-containing infections not detected by RDT, the mean log gametocyte density was − 2.417 compared to a mean log gametocyte density of − 0.825 among students with gametocyte-containing infections detected by RDT.
dHemoglobin < 11.0 g/dL; 1 missing observation.
eMeasured temperature ≥ 37.5 °C at baseline visit or reported in the last two weeks.
fReported in the last two weeks; 1 missing observation.
gAdjusted OR for Bvumbwe compared to all other schools in the multivariable model is 6.6 [95% CI: 1.9–24], p = 0.004.
h4 missing observations.