Mfueni Bikundi Elvire, Coppieters Yves
a Epidemiology, Biostatistics and Clinical Research Center, School of Public Health , Université Libre de Bruxelles (ULB) , Brussels , Belgium.
Int J Environ Health Res. 2017 Oct;27(5):394-408. doi: 10.1080/09603123.2017.1359241. Epub 2017 Aug 8.
To assess the importance of malaria risk factors for children in sub-Saharan African countries. 61,292 children of 16 countries from DHS and MIS surveys were included in analysis. A regression model with analyse of variance and plots of mean decrease accuracy and mean decrease Gini indices were performed. The most important risk factor was the country and it contributed 52.33 % to the variance of the model. Wealth status of the child's family was the first socio-economic factor which contributed more to the difference of malaria risk among African children. There was no geographic factor among the five most important variables. Quantity of precipitation was the sixth most important factor. Our study has the potential for driving control effort in the fight against malaria in the continent which represent the majority of global malaria cases. The study indicates that, when implementing health policies, community characteristics must be taken into account.
为评估撒哈拉以南非洲国家儿童疟疾风险因素的重要性。分析纳入了来自人口与健康调查(DHS)和疟疾指标调查(MIS)的16个国家的61292名儿童。进行了一个带有方差分析以及平均准确度下降和平均基尼系数下降图的回归模型。最重要的风险因素是国家,它对模型方差的贡献率为52.33%。儿童家庭的财富状况是对非洲儿童疟疾风险差异贡献更大的首个社会经济因素。五个最重要的变量中没有地理因素。降水量是第六重要的因素。我们的研究有潜力推动该大陆(全球大多数疟疾病例所在地区)抗击疟疾的防控工作。该研究表明,在实施卫生政策时,必须考虑社区特征。