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Am J Trop Med Hyg. 2015 Jun;92(6):1207-13. doi: 10.4269/ajtmh.14-0828. Epub 2015 Apr 13.

Poor housing construction associated with increased malaria incidence in a cohort of young Ugandan children.

Author information

1
Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California; Infectious Diseases Research Collaboration, Kampala, Uganda; Department of Epidemiology and Biostatistics, University of California, San Francisco, California katherine.snyman@ucsf.edu.
2
Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California; Infectious Diseases Research Collaboration, Kampala, Uganda; Department of Epidemiology and Biostatistics, University of California, San Francisco, California.

Abstract

Despite the use of accepted interventions to combat malaria, such as insecticide-treated bed nets and artemisinin-based combination therapy, malaria remains a leading cause of morbidity and mortality in Uganda. We investigated associations between household factors and malaria incidence in a cohort of children living in a highly endemic region of Uganda. Living in a modern house, defined as the use of non-earth floors, non-thatched roofs, and non-mud walls, was associated with approximately half malaria incidence compared with living in a traditional home (incidence rate ratio [IRR] = 0.54, P = 0.001). Other factors found to be associated with a lower incidence of malaria included living in town versus rural setting; sleeping in a room with openings to the outside (windows, eaves, and airbricks); and having an older and more educated primary caregiver. This study adds to the growing body of evidence that improved house construction may be associated with a lower risk of malaria.

PMID:
25870429
PMCID:
PMC4458827
DOI:
10.4269/ajtmh.14-0828
[Indexed for MEDLINE]
Free PMC Article

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