首页> 外文期刊>Journal of Rural and Remote Environmental Health >MALARIA ASSOCIATED FACTORS IN THAR DESERT OF RAJASTHAN, INDIA: A CASECONTROL STUDY
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MALARIA ASSOCIATED FACTORS IN THAR DESERT OF RAJASTHAN, INDIA: A CASECONTROL STUDY

机译:印度拉贾斯坦沙漠中的疟疾相关因素:病例对照研究

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Objective: In 2007 the Rajasthan state of India reported 55,000 malaria cases and 46 deaths caused by malaria. District Jodhpur is the gateway to the Thar Desert in Western Rajasthan. Here malaria is endemic. Between 2002 and 2006 the slide positivity rate ranged between 0.56% and 2.29 % in Jodhpur. The present study aimed to identify factors associated with malaria in Jodhpur. Methods: An age and gender matched 1:2 case-control study was conducted at three primary health centres in the block Banar of Jodhpur. We recruited prospectively 42 microscopically confirmed cases of malaria and 84 non- fever patients as controls. Information was collected by means of a pre-tested questionnaire after consent was given by the participant. Univariate and multivariate analyses were performed. Results were presented as odds-ratios (OR) and 95% confidence intervals (95% CI). Results: Multivariate conditional logistic regression analysis revealed that cases were 4.9 times more likely compared to controls to report a history of travel within previous month (95% CI 1.3, 17.9; p=0.017), were 11.8 times more likely than controls to report a history of malaria in a family member during the previous month (95% CI 1.1, 124.4; p= 0.041) and were 4.9 times more likely to report the plant Prosopis juliflora within 1 km radius of home (95% CI 1.0, 24.0; p=0.0496). Conclusions: Households with a history of frequent travelling and malaria in family, and monitoring Prosopis juliflora should be given priority during routine screening and treatment under the National Malaria Programme.
机译:目标:2007年,印度拉贾斯坦邦报告了55,000例疟疾病例,其中46人死于疟疾。焦特布尔区是通往拉贾斯坦邦西部塔尔沙漠的门户。疟疾在这里很流行。在2002年至2006年之间,焦特布尔的滑坡阳性率在0.56%至2.29%之间。本研究旨在确定与焦特布尔疟疾相关的因素。方法:在焦特布尔巴纳尔地区的三个主要保健中心进行了年龄和性别匹配的1:2病例对照研究。我们收集了42例经显微镜检查确诊的疟疾病例和84例非发热患者作为对照。参与者表示同意后,通过预先测试的问卷收集信息。进行了单因素和多因素分析。结果以比值比(OR)和95%置信区间(95%CI)表示。结果:多元条件Logistic回归分析显示,与上个月报告过病史的对照相比,病例的可能性高4.9倍(95%CI 1.3,17.9; p = 0.017),比对照报告病例高11.8倍。上个月家庭成员的疟疾史(95%CI 1.1,124.4; p = 0.041),报告家园半径1公里以内的植物Prosopis juliflora的可能性是4.9倍(95%CI 1.0,24.0; p = 0.0496)。结论:在国家疟疾计划的例行筛查和治疗过程中,应优先考虑有经常旅行和疟疾史的家庭,并应监测家庭中的Prosopis juliflora。

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