Evidence map›Paper›PMID 40383398›Full record

ArticleThe Journal of infection2025

Anopheles mosquito exposure is associated with age, gender and bed net use in areas in Uganda experiencing varying malaria transmission intensity.

Sara Lynn Blanken, Maxwell Kilama, Jordache Ramjith, Alex K Musiime, Kjerstin Lanke, Daniel Ayo, Kristiaan Huijbers, Tom Hofste, Melissa Conrad, Paul Krezanoski and 4 more

Abstract read
In one paragraph

Article in The Journal of infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

  • Update of
    2024
5 · Who and what money

Authors and funding

14 authors.

Sara Lynn BlankenDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Maxwell KilamaInfectious Disease Collaboration, Kampala, Uganda.
Jordache RamjithDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Alex K MusiimeInfectious Disease Collaboration, Kampala, Uganda.
Kjerstin LankeDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Daniel AyoInfectious Disease Collaboration, Kampala, Uganda.
Kristiaan HuijbersDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, The Netherlands.
Tom HofsteDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, The Netherlands.
Melissa ConradDepartment of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.
Paul KrezanoskiDepartment of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.
Grant DorseyDepartment of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.
Moses R KamyaDepartment of Medicine, Makerere University, Kampala, Uganda.
Emmanuel ArinaitweInfectious Disease Collaboration, Kampala, Uganda.
Teun BousemaDepartment of Medical Microbiology, Radboud University Medical Centre, Nijmegen, The Netherlands. Electronic address: teun.bousema@radboudumc.nl.

Funding

Transmission ProjectU19AI089674 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHEW G DORSEY, MOSES Robert KAMYA · 2010 to 2026
$29.3M
NIAID NIH HHS U19 AI089674
6 · The paper itself

Abstract

objectivesThe number of Anopheles mosquito bites a person receives determines the risk of acquiring malaria and the likelihood of transmitting infections to mosquitoes. We assessed heterogeneity in Anopheles biting and associated factors in two settings in Uganda with different endemicity.

methodsPlasmodium falciparum parasites in blood-fed indoor caught Anopheles mosquitoes were quantified using qPCR targeting the Pf18S rRNA gene. Human DNA in dried blood spots from household occupants and mosquito blood meals was profiled using 15 short-tandem repeats (STRs) and analysed using a log-likelihood approach for matching of both single and multi-sourced blood meals and incomplete DNA profiles.

resultsThe distribution of mosquito bites was non-random; school-age children (5-15 years) and adults (≥16 years) had a mosquito biting rate ratio (BRR) 1.76 (95%CI 1.27-2.44, P < 0.001) and 1.96 (95%CI 1.41-2.73, P < 0.0001) times that of children under 5 years, respectively. Biting rates were lower in bed net users (BRR: 0.80, 95%CI 0.65-0.99, P = 0.042), and higher in males (BRR: 1.30, 95%CI 1.01-1.66, P = 0.043) and individuals infected with P. falciparum (BRR: 1.42, 95%CI 1.03-1.96, P = 0.030), though the latter effect lost statistical significance in sensitivity analyses.

conclusionsAdults and school-age children are at higher risk of receiving mosquito bites, and this has implications for the relative importance of demographic populations to onward malaria transmission to mosquitoes.

Indexed as

AnophelesInsect Bites and StingsMalaria, FalciparumMosquito VectorsAdolescentAdultAge FactorsAnimalsChildChild, PreschoolFemaleHumansInfantInsecticide-Treated BednetsMaleMiddle AgedAnopheles biting heterogeneityHuman infectious reservoirMalaria parasite transmissionMicrosatellites

Identifiers

PMID40383398
PMCPMC13070349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.