دورية أكاديمية
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Spatial pattern and predictors of malaria in Ethiopia: Application of auto logistics regression.

التفاصيل البيبلوغرافية
العنوان: Spatial pattern and predictors of malaria in Ethiopia: Application of auto logistics regression.
المؤلفون: Warkaw YM; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia., Mitku AA; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.; Schools of Mathematics, Statistics and Computer Science, College of Agriculture Engineering and Science, University of KwaZulu-Natal, Durban, South Africa., Zeru MA; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia., Ayele M; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.
المصدر: PloS one [PLoS One] 2022 May 20; Vol. 17 (5), pp. e0268186. Date of Electronic Publication: 2022 May 20 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Malaria*/diagnosis , Malaria*/epidemiology, Ethiopia/epidemiology ; Female ; Humans ; Logistic Models ; Male ; Multilevel Analysis ; Spatial Analysis
مستخلص: Introduction: Malaria is a severe health threat in the World, mainly in Africa. It is the major cause of health problems in which the risk of morbidity and mortality associated with malaria cases are characterized by spatial variations across the county. This study aimed to investigate the spatial patterns and predictors of malaria distribution in Ethiopia.
Methods: A weighted sample of 15,239 individuals with rapid diagnosis test obtained from the Central Statistical Agency and Ethiopia malaria indicator survey of 2015. Global Moran's I and Moran scatter plots were used in determining the distribution of malaria cases, whereas the local Moran's I statistic was used in identifying exposed areas. The auto logistics spatial binary regression model was used to investigate the predictors of malaria.
Results: The final auto logistics regression model was reported that male clients had a positive significant effect on malaria cases as compared to female clients [AOR = 2.401, 95% CI: (2.125-2.713) ]. The distribution of malaria across the regions was different. The highest incidence of malaria was found in Gambela [AOR = 52.55, 95%CI: (40.54-68.12)] followed by Beneshangul [AOR = 34.95, 95%CI: (27.159-44.963)]. Similarly, individuals in Amhara [AOR = 0.243, 95% CI:(0.195-0.303], Oromiya [AOR = 0.197, 955 CI: (0.158-0.244)], Dire Dawa [AOR = 0.064, 95%CI(0.049-0.082)], Addis Ababa[AOR = 0.057,95%CI:(0.044-0.075)], Somali[AOR = 0.077,95%CI:(0.059-0.097)], SNNPR[OR = 0.329, 95%CI: (0.261-0.413)] and Harari [AOR = 0.256, 95%CI:(0.201-0.325)] were less likely to had low incidence of malaria as compared with Tigray. Furthermore, for one meter increase in altitude, the odds of positive rapid diagnostic test (RDT) decreases by 1.6% [AOR = 0.984, 95% CI: (0.984-0.984)]. The use of a shared toilet facility was found as a protective factor for malaria in Ethiopia [AOR = 1.671, 95% CI: (1.504-1.854)]. The spatial autocorrelation variable changes the constant from AOR = 0.471 for logistic regression to AOR = 0.164 for auto logistics regression.
Conclusions: This study found that the incidence of malaria in Ethiopia had a spatial pattern which is associated with socio-economic, demographic, and geographic risk factors. Spatial clustering of malaria cases had occurred in all regions, and the risk of clustering was different across the regions. The risk of malaria was found to be higher for those who live in soil floor-type houses as compared to those who lived in cement or ceramics floor type. Similarly, households with thatched, metal and thin, and other roof-type houses have a higher risk of malaria than ceramics tiles roof houses. Moreover, using a protected anti-mosquito net was reducing the risk of malaria incidence.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20220520 Date Completed: 20220524 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9122179
DOI: 10.1371/journal.pone.0268186
PMID: 35594290
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0268186