五岁及以上发热病人的疟疾程度及其相关因素:卢旺达恩戈马地区的一项横断面研究

Jc Niyoyita, Laetitia Nyirazinyoye, François Hakizayezu, J. Ntaganira
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引用次数: 0

摘要

疟疾仍然是五岁及以上人群面临的一项公共卫生挑战。尽管卢旺达政府在疟疾控制方面作出了努力,但疟疾负担仍然是五岁及以上人群的健康威胁。目的评估卢旺达恩戈马县五岁及以上发热患者中疟疾的流行情况及其相关因素。方法采用系统抽样技术,对420名参与者进行了基于设施的横断面研究。对血液涂片进行疟疾寄生虫检测,并使用问卷进行其他数据收集。使用STATA 13.0版本进行分析。采用多变量logistic回归分析,以95%置信区间确定与疟疾感染相关的因素,p< 0.05具有统计学意义。结果调查对象中,女性占60.7%,35岁及以上人口占35.9%,检出疟原虫257例(61.2%)。疟疾阳性与年龄≥35岁相关(AOR=3.6;CI = 1.3 - -10.02;P=0.012),居住在Mutenderi区(AOR=3.15;Ci: 1.2, 3.9;P = 0.038)。结论该地区疟疾流行率较高,居住在穆蒂蒂里区的人群易患疟疾。需要加强对老年人的疟疾预防,特别是在穆特涅里区。卢旺达医学与健康科学,2023;6(1):27-35
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Magnitude of Malaria and its Associated Factors among Febrile Patients Aged Five Years and above: A cross-sectional Study in Ngoma District, Rwanda
BackgroundMalaria remains a public health challenge among people aged five years and above. Despite the efforts made by the government of Rwanda in malaria control, the burden of malaria continues to be a health threat among humans aged five years and aboveObjectivesTo assess the prevalence and factors associated with malaria among febrile patients aged five and older in Ngoma District, Rwanda.MethodA facility based cross-sectional study was conducted among 420 participants using a systematic sampling technique. Blood smears were tested for malaria parasites and questionnaire used for other data collection. Analysis was done using STATA version 13.0. Multivariable logistic regression analyses were computed to determine factors associated with malaria infection at 95% confidence intervals and statistical significance at p< 0.05.ResultsAmong participants, 60.7% were females, 35.9% were of 35 years and older, Malaria parasites were identified in 257 cases (61.2%). Malaria positivity associated with age ≥35 years (AOR=3.6; CI=1.3-10.02; P=0.012) and living in Mutenderi Sector (AOR=3.15; CI: 1.2, 3.9; P=0.038).ConclusionMalaria prevalence was considerable and people living in Mutenderi Sector were more likely to suffer from it. Need of strengthening Malaria prevention in older people and in Muteneri Sector in particular.Rwanda J Med Health Sci 2023;6(1):27-35
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