Table 3.
Multivariate logistic regression analysis of risk factors associated with a positive malaria rapid diagnostic test (N = 66,756)
| Explanatory variable | Odds ratio (95% CI) | P-value | P-trend | |
|---|---|---|---|---|
| Individual factors | ||||
| Gender | Female | 1.0 | ||
| Male | 0.8 (0.7–0.9) | < 0.001 | ||
| Age group | ≥ 45 years | 1.0 | < 0.001 | |
| 35–44 years | 1.4 (1.2–1.8) | 0.001 | ||
| 25–34 years | 2.2 (1.8–2.7) | < 0.001 | ||
| 15–24 years | 2.4 (1.9–2.9) | < 0.001 | ||
| 5–14 years | 3.2 (2.7–3.9) | < 0.001 | ||
| < 5 years | 2.5 (2.0–3.0) | < 0.001 | ||
| Self-reported fever in last two weeks | No | 1.0 | ||
| Yes | 35.7 (32.3–39.5) | < 0.001 | ||
| History of travel during last 30 days | No | 1.0 | < 0.001 | |
| Within Zanzibar | 0.8 (0.6–1.0) | 0.104 | ||
| Outside Zanzibar | 2.5 (2.3–2.8) | < 0.001 | ||
| Malaria prevention | ||||
| Net access | No access | 1.0 | < 0.001 | |
| < 80% | 0.8 (0.7–0.9) | 0.003 | ||
| ≥ 80%* | 0.6 (0.5–0.6) | < 0.001 | ||
| Slept under an LLIN the previous night | No | 1.0 | ||
| Yes | 0.9 (0.7–0.9) | 0.036 | ||
| IRS in the last 12 months | No | 1.0 | ||
| Yes | 0.8 (0.7–0.9) | 0.002 | ||
| Interaction term: Slept under an LLIN the previous night and household received IRS in the last 12 months | 0.7 (0.6–0.8) | < 0.001 | ||
| Geographical factors | ||||
| Zone | Pemba | 1.0 | ||
| Unguja | 1.2 (1.0–1.5) | 0.034 | ||
CI, confidence Interval; LLIN, long-lasting insecticidal net; IRS, indoor residual spraying of household with insecticide