ArticleTropical medicine and health2017
Individual and household factors associated with incidences of village malaria in Xepon district, Savannakhet province, Lao PDR.
Article in Tropical medicine and health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessment of malaria risk in Southeast Asia: a systematic review.Malaria journal · 2023Pooled it
- Asymptomatic malaria infections and associated risk factors in malaria-eliminating settings of Nong District, Savannakhet Province, Lao People's Democratic Republic.Tropical medicine and health · 2025Article
- Do they really boil their drinking water? a descriptive study in a rural district of the Lao people's democratic republic.Tropical medicine and health · 2024Article
- Primary health care situations in remote rural villages of the Savannakhet province, Lao People's Democratic Republic.Tropical medicine and health · 2022Article
- Forest malaria and prospects for anti-malarial chemoprophylaxis among forest goers: findings from a qualitative study in Lao PDR.Malaria journal · 2022Article
- Socio-economic determinants of malaria in tribal dominated Mandla district enrolled in Malaria Elimination Demonstration Project in Madhya Pradesh.Malaria journal · 2021Article
- New insights into malaria vector bionomics in Lao PDR: a nationwide entomology survey.Malaria journal · 2020Article
- Malaria among foreign migrant workers in Savannakhet Province, Lao People's Democratic Republic.Tropical medicine and health · 2019Article
- Heterogeneous distribution of k13 mutations in Plasmodium falciparum in Laos.Malaria journal · 2018Article
- Patients' adherence to artemisinin-based combination therapy and healthcare workers' perception and practice in Savannakhet province, Lao PDR.Tropical medicine and health · 2018Article
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Abstract
backgroundIn the Lao PDR, the incidence of malaria greatly differs among villages even within a subdistrict, and the reasons for this difference are poorly understood. The objective of this study was to identify differences in villagers' behavior and the household environment between villages with high incidences and those with low incidences of malaria in a rural district of the Lao PDR.
methodsA case-control study was conducted in Xepon district, Savannakhet province. Case villages were defined as those with a high incidence (> 10 cases per 1000 population per year), and control villages were those with a low incidence (0-10 cases per 1000 population per year). Data were collected from 178 households in the six case villages and six control villages between December 2016 and January 2017. The data collection consisted of an interview survey with the heads of households and an observational survey in and around the house. Logistic regression was used to assess the association between the case-control status and individual-level behavioral factors and household-level environmental factors adjusted for socio-demographic and economic factors.
resultsCompared to the household members in the control villages, household members in the case villages were significantly more likely to work at night in the forest (adjusted odds ratio 1.95; 95% confidence interval 1.28 to 2.98) and more likely to sleep overnight in the forest (adjusted odds ratio 1.94; 95% confidence interval 1.13 to 3.33). Additionally, compared to the households in the control villages, households in the case villages were significantly more likely to have an open space on the house surface (adjusted odds ratio 3.64; 95% confidence interval 1.68 to 7.84).
conclusionsThere were significant differences in nighttime working and sleeping behaviors in the forest and the presence of an open space on the house surface in the case versus control villages. These differences can partly explain the difference in the incidences of malaria among the villages. The Lao National Malaria Control Program should recommend that villagers use personal protection when working and sleeping in the forest and to reduce any open space on the house surfaces.
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