Your browser doesn't support javascript.
loading
Gender difference in the incidence of malaria diagnosed at public health facilities in Uganda.
Okiring, Jaffer; Epstein, Adrienne; Namuganga, Jane F; Kamya, Emmanuel V; Nabende, Isaiah; Nassali, Martha; Sserwanga, Asadu; Gonahasa, Samuel; Muwema, Mercy; Kiwuwa, Steven M; Staedke, Sarah G; Kamya, Moses R; Nankabirwa, Joaniter I; Briggs, Jessica; Jagannathan, Prasanna; Dorsey, Grant.
Afiliação
  • Okiring J; Clinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda. okjaffer@gmail.com.
  • Epstein A; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda. okjaffer@gmail.com.
  • Namuganga JF; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, USA.
  • Kamya EV; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Nabende I; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Nassali M; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Sserwanga A; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Gonahasa S; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Muwema M; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Kiwuwa SM; Clinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Staedke SG; Department of Child Health and Development Centre, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Kamya MR; London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
  • Nankabirwa JI; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
  • Briggs J; School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Jagannathan P; Clinical Epidemiology Unit, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Dorsey G; Infectious Diseases Research Collaboration, 2C Nakasero Hill Road, Kampala, Uganda.
Malar J ; 21(1): 22, 2022 Jan 21.
Article em En | MEDLINE | ID: mdl-35062952
BACKGROUND: Routine malaria surveillance data in Africa primarily come from public health facilities reporting to national health management information systems. Although information on gender is routinely collected from patients presenting to these health facilities, stratification of malaria surveillance data by gender is rarely done. This study evaluated gender difference among patients diagnosed with parasitological confirmed malaria at public health facilities in Uganda. METHODS: This study utilized individual level patient data collected from January 2020 through April 2021 at 12 public health facilities in Uganda and cross-sectional surveys conducted in target areas around these facilities in April 2021. Associations between gender and the incidence of malaria and non-malarial visits captured at the health facilities from patients residing within the target areas were estimated using poisson regression models controlling for seasonality. Associations between gender and data on health-seeking behaviour from the cross-sectional surveys were estimated using poisson regression models controlling for seasonality. RESULTS: Overall, incidence of malaria diagnosed per 1000 person years was 735 among females and 449 among males (IRR = 1.72, 95% CI 1.68-1.77, p < 0.001), with larger differences among those 15-39 years (IRR = 2.46, 95% CI 2.34-2.58, p < 0.001) and over 39 years (IRR = 2.26, 95% CI 2.05-2.50, p < 0.001) compared to those under 15 years (IRR = 1.46, 95% CI 1.41-1.50, p < 0.001). Female gender was also associated with a higher incidence of visits where malaria was not suspected (IRR = 1.77, 95% CI 1.71-1.83, p < 0.001), with a similar pattern across age strata. These associations were consistent across the 12 individual health centres. From the cross-sectional surveys, females were more likely than males to report fever in the past 2 weeks and seek care at the local health centre (7.5% vs. 4.7%, p = 0.001) with these associations significant for those 15-39 years (RR = 2.49, 95% CI 1.17-5.31, p = 0.018) and over 39 years (RR = 2.56, 95% CI 1.00-6.54, p = 0.049). CONCLUSIONS: Females disproportionately contribute to the burden of malaria diagnosed at public health facilities in Uganda, especially once they reach childbearing age. Contributing factors included more frequent visits to these facilities independent of malaria and a higher reported risk of seeking care at these facilities for febrile illnesses.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instalações de Saúde / Malária Tipo de estudo: Diagnostic_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Male / Middle aged País/Região como assunto: Africa Idioma: En Revista: Malar J Assunto da revista: MEDICINA TROPICAL Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Uganda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instalações de Saúde / Malária Tipo de estudo: Diagnostic_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Male / Middle aged País/Região como assunto: Africa Idioma: En Revista: Malar J Assunto da revista: MEDICINA TROPICAL Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Uganda