Evidence map›Paper›PMID 31885633›Full record

ArticleJournal of tropical medicine2019

Malaria-Associated Factors among Pregnant Women in Guinea.

Almamy Amara Touré, Abdoulaye Doumbouya, Abdourahamane Diallo, Gaspard Loua, Abdourahim Cissé, Sidikiba Sidibé, Abdoul Habib Beavogui

Open access · goldAbstract read
In one paragraph

Article in Journal of tropical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Almamy Amara TouréCentre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forecariah, Guinea.ORCID https://orcid.org/0000-0001-8859-5667
Abdoulaye DoumbouyaCentre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forecariah, Guinea.
Abdourahamane DialloUniversité Gamal Abdel Nasser de Conakry, Conakry, Guinea.ORCID https://orcid.org/0000-0002-8886-2689
Gaspard LouaJohns Hopkins Program for International Education in Gynaecology and Obstetrics (JHPIEGHO-Guinée), Conakry, Guinea.
Abdourahim CisséSightsavers, Conakry, Guinea.ORCID https://orcid.org/0000-0002-5651-0988
Sidikiba SidibéCentre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forecariah, Guinea.
Abdoul Habib BeavoguiCentre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forecariah, Guinea.
Gamal Abdel Nasser University of Conakry · GNInstitut de Recherche Agronomique de Guinée · GNSightsavers · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMalaria is the leading cause of consultation in Guinea health facilities. During pregnancy, it remains a major health concern causing considerable risks for mother, fetus, and newborn. However, little is known about the epidemiology of malaria among pregnant women in Guinea. We aimed to provide information on malaria-associated factors in parturients.

methodsIt was a cross-sectional survey in two regional hospitals and two district hospitals. 1000 parturients and their newborns were surveyed. All patients were interviewed, and thick and thin blood smears were examined. To determine the predictive factors of malaria in parturients, the Classification and Regression Tree (CART) was first performed by using peripheral and placental malaria as dependent variables and sociodemographic and antenatal characteristics as independent variables; then, explanatory profile variables or clusters from these trees were included in the logistic regression models.

resultsWe found 157 (15.8%) and 148 (14.8%) cases of peripheral and placental malaria, respectively. The regular use of long-lasting insecticide-treated nets (LLINs) before delivery was 53.8%, and only 35.5% used sulfadoxine-pyrimethamine doses ≥3. Factors significantly associated with malaria were as follows: women from Forécariah and Guéckédou who did not regularly use LLINs and accomplished less than four antenatal care visits (ANC <4) and primigravid and paucigravid women who did not regularly use LLINs. Similarly, the odds of having malaria infection were significantly higher among women who had not regularly used LLINs and among primigravid and paucigravid women who had regularly used LLINs compared to multigravida women who had regularly used LLINs.

conclusionThis study showed that pregnant women remain particularly vulnerable to malaria; therefore, strengthening antenatal care visit strategies by emphasizing on promoting the use of LLINs and sulfadoxine-pyrimethamine, sexual education about early pregnancies, and family or community support during first pregnancies might be helpful.

Identifiers

PMID31885633
PMCPMC6925697
OpenAlexW2983992576

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.