Ibrahim Azeez Oyemomi, Bello Ibrahim Sebutu, Shabi Olabode Muftau, Omonijo Adejumoke Oluwatosin, Ayodapo Abayomi, Afolabi Babatunde Adeola
Federal Teaching Hospital Ido-Eki, Ido-Eki, Nigeria.
Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.
SAGE Open Med. 2022 Aug 22;10:20503121221117853. doi: 10.1177/20503121221117853. eCollection 2022.
The study determined the prevalence of malaria infection and its association with socio-demographics, environmental, housing, and co-morbid ailment factors.
The study was a cross-sectional of 330 consented adult febrile patients who were recruited at a tertiary health facility in rural Southwestern Nigeria. The standardized interviewer-administered questionnaire sought information on their socio-demographics, environmental, housing, and co-morbid ailment factors. Venous blood samples were collected and processed for malaria parasite detection, retroviral screening, glycated hemoglobin, and hemoglobinopathy. Data were analyzed using SPSS version 20. The strength of the association between independent and dependent variables was measured using odds ratio and 95% confidence interval with a significant level ( value <0.05).
The prevalence of malaria parasitemia was 63.3% (95% confidence interval: 57.9%-68.5%). Being a farmer ( = 0.002), lack of formal education ( = 0.043), low-income earners ( = 0.031), presence of bushes ( = 0.048), stagnant water ( = 0.042), not sleeping under long-lasting insecticide-treated nets ( < 0.001), and sickle cell disease ( = 0.041) were significantly associated with malaria infection.
The study revealed that there is a high prevalence of malaria infection in rural Southwestern Nigeria. There may be a need to pay greater attention to adult populations in rural areas for malaria intervention and control programs.
本研究确定了疟疾感染的患病率及其与社会人口统计学、环境、住房和合并疾病因素的关联。
本研究是一项横断面研究，对330名同意参与的成年发热患者进行了调查，这些患者是在尼日利亚西南部农村的一家三级医疗机构招募的。采用标准化的访谈式问卷收集他们的社会人口统计学、环境、住房和合并疾病因素信息。采集静脉血样本并进行处理，以检测疟原虫、进行逆转录病毒筛查、检测糖化血红蛋白和血红蛋白病。使用SPSS 20版软件对数据进行分析。使用比值比和95%置信区间来衡量自变量和因变量之间关联的强度，显著性水平为（ 值<0.05）。
疟原虫血症的患病率为63.3%（95%置信区间：57.9%-68.5%）。农民身份（ = 0.002）、未接受正规教育（ = 0.043）、低收入者（ = 0.031）、有灌木丛（ = 0.048）、有积水（ = 0.042）、未使用长效杀虫剂处理蚊帐（ < 0.001）以及镰状细胞病（ = 0.041）与疟疾感染显著相关。
该研究表明，尼日利亚西南部农村地区疟疾感染率很高。在疟疾干预和控制项目中，可能需要更加关注农村地区的成年人群。
