Evidence map›Paper›PMID 40890748›Full record

ArticleMalaria journal2025

Malaria care-seeking behaviours and infection prevalence among short-term Myanmar migrants in Thailand.

Pyae Linn Aung, Piyarat Sripoorote, Nichakan Inthitanon, Yupaporn Wattanagoon, Raph L Hamers, Jennifer Ilo Van Nuil, Liwang Cui, Wang Nguitragool, Leigh Jones, Anindita Gabriella Sudewo and 2 more

Abstract read
In one paragraph

Article in Malaria journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Epidemiology of malaria and leishmaniasis in Thailand (2004-2025): A systematic review.Current research in parasitology & vector-borne diseases · 2026
    Review
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

12 authors.

Pyae Linn AungMahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. pyaelinn.aun@mahidol.ac.th.
Piyarat SripooroteMahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Nichakan InthitanonMahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Yupaporn WattanagoonDepartment of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Raph L HamersCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Jennifer Ilo Van NuilCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Liwang CuiDivision of Infectious Diseases and International Medicine, Department of Internal Medicine, Morsani College of Medicine, University of South Florida, 3720 Spectrum Boulevard, Suite 304, Tampa, FL, 33612, USA.
Wang NguitragoolDepartment of Molecular Tropical Medicine and Genetics, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Leigh JonesCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Anindita Gabriella SudewoOxford University Clinical Research Unit Indonesia, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
Jetsumon SattabongkotMahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Daniel M ParkerDepartment of Population Health and Disease Prevention, Department of Epidemiology & Biostatistics, University of California, Irvine, CA, USA.

Funding

The changing landscape of human and zoonotic malaria in Southeast AsiaU19AI181583 · NIAID · MAHIDOL UNIVERSITY · PI Jetsumon Prachumsri · 2024 to 2026
$3.6M
Training in Malaria Research in MyanmarD43TW011509 · FIC · UNIVERSITY OF SOUTH FLORIDA · PI LIWANG CUI · 2021 to 2026
$1.2M
FIC NIH HHS D43 TW011509National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), USA U19AI181583 and D43 TW011509NIAID NIH HHS U19 AI181583
6 · The paper itself

Abstract

backgroundThe recent resurgence of malaria in western Thailand has coincided with increased cross-border migration from Myanmar following political unrest. As short-term migrants from endemic areas may contribute to sustained local transmission, this study examined their malaria care-seeking behaviours and infection prevalence.

methodsA community-based cross-sectional study was conducted during March-April 2025 in six malaria-endemic villages of Tha Song Yang District, Tak Province, western Thailand. A structured questionnaire was administered, including a nine-item section on care-seeking behaviours. Malaria prevalence was determined by PCR testing of dried blood spot samples. Determinants of care-seeking scores were analysed using a generalized linear model, and infection risk was estimated using Firth logistic regression.

resultsAmong 300 participants (mean age: 34.5 ± 14.5 years; 47.3% male), over 60% recognised the need to seek care for fever or chills, yet only 35% reported doing so within 24 h of symptom onset. Although 98.0% preferred public health facilities, only 50.3% had ever visited one for suspected malaria. Higher care-seeking scores were associated with being a daily wage labourer (β = 0.66; 95% CI 0.01-1.31), infrequent return to Myanmar (β = 1.34; 95% CI 0.05-2.62), prior malaria experience (β = 1.08; 95% CI 0.59-1.58), and higher malaria knowledge (β = 0.34; 95% CI 0.24-0.44). Karen ethnicity was negatively associated with care-seeking (β = - 0.95; 95% CI - 1.74 to - 0.16). Six (2%) afebrile Plasmodium vivax infections were detected. Lower malaria knowledge (OR = 13.5; 95% CI 1.58-177.0) and care-seeking scores (OR = 5.86; 95% CI 1.15-57.7) were significantly associated with infection.

conclusionsDespite generally positive attitudes toward malaria, self-reported timely care-seeking among short-term Myanmar migrants remained limited. Socioeconomic status, migration patterns, ethnicity, and malaria knowledge significantly influenced care-seeking behaviours. The detection of asymptomatic P. vivax underscores the need for migrant-focused surveillance and targeted health education to support malaria elimination efforts.

Indexed as

MalariaMalaria, VivaxPatient Acceptance of Health CareTransients and MigrantsAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedMyanmarPrevalenceThailandYoung AdultHealthcare seekingMalariaMigrantsMyanmarPrevalenceThailand

Identifiers

PMID40890748
PMCPMC12400559

What OpenQuestion holds

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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.