ArticleBMJ global health2020
Spatial and epidemiological drivers of
Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- A systematic review of sample size estimation accuracy on power in malaria cluster randomised trials measuring epidemiological outcomes.BMC medical research methodology · 2024Pooled it
- Asymptomatic malaria: a hidden reservoir for the transmission and circulation of artemisinin partial-resistantEmerging microbes & infections · 2026Article
- Spatial and temporal associations between animal ownership and malaria prevalence in Africa using cross-sectional national Demographic and Health Surveys.One health (Amsterdam, Netherlands) · 2026Article
- In Silico Approach for Early Antimalarial Drug Discovery: De Novo Design of Virtual Multi-Strain Antiplasmodial Inhibitors.Microorganisms · 2025Article
- Malaria prevalence and associated population and ecological risk factors among women and children under 5 years in Rwanda.Heliyon · 2024Article
- Malaria infection among adults residing in a highly endemic region from the Democratic Republic of the Congo.Malaria journal · 2024Article
- Modeling clinical malaria episodes in different ecological settings in Mali, 2018-2022.IJID regions · 2024Article
- Impact of malaria diagnostic choice on monitoring of Plasmodium falciparum prevalence estimates in the Democratic Republic of the Congo and relevance to control programs in high-burden countries.PLOS global public health · 2023Article
- Evaluating malaria prevalence and land cover across varying transmission intensity in Tanzania using a cross-sectional survey of school-aged children.Malaria journal · 2022Article
- The impact of the private sector co-payment mechanism (PSCM) on the private market for ACT in Nigeria: results of the 2018 cross-sectional outlet and household market surveys.Malaria journal · 2022Article
- Impact of extractive industries on malaria prevalence in the Democratic Republic of the Congo: a population-based cross-sectional study.Scientific reports · 2022Article
- Household Prevalence of Plasmodium falciparum, Plasmodium vivax, and Plasmodium ovale in the Democratic Republic of the Congo, 2013-2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- Genetic surveillance for monitoring the impact of drug use on Plasmodium falciparum populations.International journal for parasitology. Drugs and drug resistance · 2021Review
- The epidemiology of Plasmodium vivax among adults in the Democratic Republic of the Congo.Nature communications · 2021Article
- The Burden of Malaria in the Democratic Republic of the Congo.The Journal of infectious diseases · 2021Article
- Under the Radar: Epidemiology of Plasmodium ovale in the Democratic Republic of the Congo.The Journal of infectious diseases · 2021Article
- Spatial analysis of COVID-19 spread in Iran: Insights into geographical and structural transmission determinants at a province level.PLoS neglected tropical diseases · 2020Article
- Asymptomatic Plasmodium falciparum malaria prevalence among adolescents and adults in Malawi, 2015-2016.Scientific reports · 2020Article
- Impact of 1.5AAS open research · 2020Article
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Authors and funding
15 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundAdults are frequently infected with malaria and may serve as a reservoir for further transmission, yet we know relatively little about risk factors for adult infections. In this study, we assessed malaria risk factors among adults using samples from the nationally representative, cross-sectional 2013-2014 Demographic and Health Survey (DHS) conducted in the Democratic Republic of the Congo (DRC). We further explored differences in risk factors by urbanicity.
methods
resultsA total of 16 126 adults were included. Overall prevalence of malaria was 30.3% (SE=1.1) by PCR; province-level prevalence ranged from 6.7% to 58.3%. Only 17% of individuals lived in households with at least one bed-net for every two people, as recommended by the WHO. Protective factors included increasing within-household bed-net coverage (Prevalence Ratio=0.85, 95% CI=0.76-0.95) and modern housing (PR=0.58, 95% CI=0.49-0.69). Community-level protective factors included increased median wealth (PR=0.87, 95% CI=0.83-0.92). Education, wealth, and modern housing showed protective associations in cities but not in rural areas.
conclusionsThe DRC continues to suffer from a high burden of malaria; interventions that target high-risk groups and sustained investment in malaria control are sorely needed. Areas of high prevalence should be prioritised for interventions to target the largest reservoirs for further transmission.
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