Prevalence of Malaria and Its Risk Factors in Sabah, Malaysia
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by UMS Institutional Repository International Journal of Infectious Diseases 91 (2020) 68–72 Contents lists available at ScienceDirect International Journal of Infectious Diseases journal homepage: www.elsevier.com/locate/ijid Prevalence of malaria and its risk factors in Sabah, Malaysia a,b a, c A.R. Ramdzan , A. Ismail *, Z.S. Mohd Zanib a Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia b Department of Community and Family Medicine, Faculty of Medicine & Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia c Ministry of Health, Putrajaya, Malaysia A R T I C L E I N F O A B S T R A C T Article history: Objectives: The aim of this study was to determine the prevalence of malaria in Sabah and its potential risk Received 6 September 2019 factors. Received in revised form 22 November 2019 Methods: This cross-sectional study analysed secondary data obtained from the health clinics in Sabah, Accepted 22 November 2019 Malaysia from January to August 2016. The Pearson Chi-square test was used to analyse the relationships between malaria infection and socio-demographic characteristics. Multivariable logistic regression was Keywords: performed in order to determine the risk factors for malaria in Sabah. Malaria Results: Out of 1222 patients, 410 (33.6%) had a laboratory-confirmed malaria infection. Infection by Sabah Plasmodium knowlesi accounted for the majority of malaria reports in Sabah (n=340, 82.9%). Multivariable Prevalence analysis indicated that males (prevalence odds ratio 0.023, 95% confidence interval 0.012-0.047) and Plasmodium knowlesi those living in a rural area (prevalence odds ratio 0.004, 95% confidence interval 0.002-0.009) were at higher risk 24.0–95.9) and those living in a rural area (adjusted odds ratio 212.6, 95% confidence interval 105.8–427.2) were at higher risk of acquiring a malaria infection.
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