ArticleMalaria journal2015
Social inequalities in malaria knowledge, prevention and prevalence among children under 5 years old and women aged 15-49 in Madagascar.
Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 36 citations in OpenAlex.
- Understanding inequities in the malaria landscape of Madagascar: a scoping review of current evidence.Malaria journal · 2026Review
- Chains of Exchange: The Iterative Process of Resource-Health Conversion.Social theory & health : STH · 2026Article
- Household wealth is associated with child stunting but not wasting: Evidence from the 2024 Nigeria Demographic and Health Survey.PloS one · 2026Article
- Public health surveillance of tropical diseases in Madagascar: a scoping review of population burden, intervention strategies, and health system responses.BMC public health · 2025Article
- Malaria and determinants of health: a scoping review of malaria vulnerabilities in Southeast Asia.Tropical medicine and health · 2025Review
- Socio-economic inequalities in malaria prevalence among under-five children in Ghana between 2016 and 2019: a decomposition analysis.Malaria journal · 2025Review
- Inequitable Access to Healthcare and the Malaria Burden in Colombia: A Value-Based Policy Approach for Sustainable Elimination.Medical journal of the Islamic Republic of Iran · 2025Article
- Effects of Behaviour Change Communication on Knowledge and Prevention of Malaria Among Women in Ghana.Evaluation review · 2024Article
- Landscape and Socioeconomic Factors Determine Malaria Incidence in Tropical Forest Countries.International journal of environmental research and public health · 2024Article
- Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions.European journal of medical research · 2023Article
- Socio-demographic trends in malaria knowledge and implications for behaviour change interventions in Zanzibar.Malaria journal · 2023Article
- Social divisions and risk perception drive divergent epidemics and large later waves.Evolutionary human sciences · 2023Article
- Socio-economic predictors of uptake of malaria interventions among pregnant women and mothers of under 5 children in Oyo State, Nigeria: a cross-sectional study.The Pan African medical journal · 2023Article
- Article
- Malaria among under-five children in rural communities of Al-Mahweet governorate, Yemen.Malaria journal · 2022Article
- A malaria knowledge, attitudes and practice survey in a rural community in Guinea.Malaria journal · 2022Article
- Experiences and perceptions of care-seeking for febrile illness among caregivers, pregnant women, and health providers in eight districts of Madagascar.Malaria journal · 2022Article
- There are no equal opportunity infectors: Epidemiological modelers must rethink our approach to inequality in infection risk.PLoS computational biology · 2022Article
- Mapping socioeconomic inequalities in malaria in Sub-Sahara African countries.Scientific reports · 2021Article
- A retrospective on fundamental cause theory: State of the literature, and goals for the future.Annual review of sociology · 2021Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 15 % of all deaths in Africa among children under five years old are due to malaria, a preventable and treatable disease. A prevailing sociological theory holds that resources (including knowledge, money, power, prestige, or beneficial social connections) are particularly relevant when diseases are susceptible to effective prevention. This study examines the role of socioeconomic inequalities by broadly predicting malaria knowledge and use of preventive technology among women aged 15-49, and malaria among children aged 6-59 months in Madagascar.
methodsData came from women aged 15-49 years (N = 8279) interviewed by Madagascar's 2011/2013 Malaria Indicator Studies, and their children aged under five years (N = 7644). Because geographic location may be associated with socioeconomic factors and exposure to malaria, multilevel models were used to account for unobserved geographic and administrative variation. Models also account for observed social, economic, demographic, and seasonal factors.
resultsPrevalence among children four years old and younger was 7.8 %. Results showed that both mother's education and household wealth strongly influence knowledge about and efforts to prevent and treat malaria. Analyses also revealed that the prevalence of malaria among children aged 6-59 months was determined by household wealth (richest vs poorest: OR = 0.25, 95 % CI [0.10, 0.64]) and maternal education (secondary vs none: OR = 0.51, 95 % CI [0.28, 0.95]).
conclusionsMalaria may be subject to socio-economic forces arising from a broad set of behavioural and geographic determinants, even after adjusting for geographic risk factors and seasonality. Nearly 21 % of the sample lacked primary schooling. To improve malaria reduction efforts, broad-based interventions may need to attack inequalities to ensure that knowledge, prevention and treatment are improved among those who are most vulnerable.
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