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dc.contributor.authorCustodio, Estefania 
dc.contributor.authorVillamor, Eduardo
dc.contributor.authorMolina, Laura
dc.contributor.authorSanchez, Ignacio 
dc.contributor.authorLwanga, Magdalena
dc.contributor.authorBernis, Cristina
dc.contributor.authorBenito, Agustin 
dc.contributor.authorRoche, Jesus 
dc.contributor.authorDescalzo, Miguel Angel 
dc.date.accessioned2018-12-07T09:56:00Z
dc.date.available2018-12-07T09:56:00Z
dc.date.issued2009-10-08
dc.identifier.citationMalar J. 2009 Oct 8;8:225.es_ES
dc.identifier.issn1475-2875es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/6777
dc.description.abstractBACKGROUND: Malaria has traditionally been a major endemic disease in Equatorial Guinea. Although parasitaemia prevalence on the insular region has been substantially reduced by vector control in the past few years, the prevalence in the mainland remains over 50% in children younger than five years. The aim of this study is to investigate the risk factors for parasitaemia and treatment seeking behaviour for febrile illness at country level, in order to provide evidence that will reinforce the EG National Malaria Control Programme. METHODS: The study was a cross-sectional survey of children 0 to 5 years old, using a multistaged, stratified, cluster-selected sample at the national level. It included a socio-demographic, health and dietary questionnaires, anthropometric measurements, and thick and thin blood smears to determine the Plasmodium infection. A multivariate logistic regression model was used to determine risk factors for parasitaemia, taking into account the cluster design. RESULTS: The overall prevalence of parasitemia was 50.9%; it was higher in rural (58.8%) compared to urban areas (44.0%, p = 0.06). Age was positively associated with parasitemia (p < 0.0001). In rural areas, risk factors included longer distance to health facilities (p = 0.01) and a low proportion of households with access to protected water in the community (p = 0.02). Having had an episode of cough in the 15 days prior to the survey was inversely related to parasitemia (p = 0.04). In urban areas, the risk factors were stunting (p = 0.005), not having taken colostrum (p = 0.01), and that someone in the household slept under a bed net (p = 0.002); maternal antimalarial medication intake during pregnancy (p = 0.003) and the household socio-economic status (p = 0.0002) were negatively associated with parasitemia. Only 55% of children with fever were taken outside their homes for care, and treatment seeking behaviour differed substantially between rural and urban populations. CONCLUSION: Results suggest that a national programme to fight malaria in Equatorial Guinea should take into account the differences between rural and urban communities in relation to risk factors for parasitaemia and treatment seeking behaviour, integrate nutrition programmes, incorporate campaigns on the importance of early treatment, and target appropriately for bed nets to reach the under-fives.es_ES
dc.description.sponsorshipThe study was funded by the Instituto de Salud Carlos III (ISCIII), the Spanish Research Network of Tropical Diseases (RICET), and the Spanish Agency for International Cooperation (AECI).es_ES
dc.language.isoenges_ES
dc.publisherBioMed Central (BMC) es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subject.meshAnimals es_ES
dc.subject.meshAnthropometry es_ES
dc.subject.meshBlood es_ES
dc.subject.meshChild, Preschool es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshGuinea es_ES
dc.subject.meshHumans es_ES
dc.subject.meshInfant es_ES
dc.subject.meshInfant, Newborn es_ES
dc.subject.meshMalaria, Falciparum es_ES
dc.subject.meshMale es_ES
dc.subject.meshMalnutrition es_ES
dc.subject.meshParasitemia es_ES
dc.subject.meshPatient Acceptance of Health Care es_ES
dc.subject.meshPregnancy es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshRural Population es_ES
dc.subject.meshSocioeconomic Factors es_ES
dc.subject.meshSurveys and Questionnaires es_ES
dc.subject.meshUrban Population es_ES
dc.titleNutritional and socio-economic factors associated with Plasmodium falciparum infection in children from Equatorial Guinea: results from a nationally representative surveyes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID19814788es_ES
dc.format.volume8es_ES
dc.format.number1es_ES
dc.format.page225es_ES
dc.identifier.doi10.1186/1475-2875-8-225es_ES
dc.contributor.funderRETICS-Investigación colaborativa en Enfermedades Tropicales (RICET-ISCIII) (España) 
dc.contributor.funderAgencia Española de Cooperación Internacional para el Desarrollo 
dc.contributor.funderInstituto de Salud Carlos III 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1475-2875es_ES
dc.relation.publisherversionhttps://doi.org/10.1186/1475-2875-8-225es_ES
dc.identifier.journalMalaria journales_ES
dc.repisalud.centroISCIII::Centro Nacional de Medicina Tropicales_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Atribución 4.0 Internacional
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