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Table 2 Crude and adjusted odds ratios for factors associated with malaria infection in travellers to mainland Tanzania (N = 378)

From: Risk of imported malaria infections in Zanzibar: a cross-sectional study

 

qPCR results

Univariable analysis

Multivariable analysis**

Negative

n (%)

Positive

n (%)

OR

95% CI

P-value

Adjusted OR

95% CI

P-value

Sex

        

 Males

126 (71)

51 (29)

Ref

 

0.85

Ref

 

0.57

 Females

144 (72)

57 (28)

1.0

0.6–1.8

 

0.8

0.4–1.7

 

Age groups (years)

        

 Less than 5

15 (71)

6 (29)

0.9

0.3–2.9

0.36

0.7

0.2–2.8

0.75

 5–19

81 (78)

23 (22)

0.6

0.3–1.1

 

0.5

0.2–1.2

 

 20–25

38 (68)

18 (32)

1.0

0.5–2.2

 

0.7

0.3–2.0

 

 26+

136 (69)

61 (31)

Ref

  

Ref

  

Households types

        

 Other households members

115 (93)

9 (7)

Ref

 

< 0.001

   

 Index households members

156 (61)

99 (39)

14

5.4–41.3

    

Districts of residence

        

 Pemba

51 (74)

18 (26)

0.9

0.4–2.1

0.78

Ref

 

0.89

 Unguja

219 (71)

90 (29)

Ref

  

1.1

0.3–3.6

 

Occupation

        

 Entrepreneur

60 (58)

43 (42)

Ref

 

< 0.001

   

 Not employed

95 (71)

38 (29)

0.5

0.3–1.0

    

 Wage Job

28 (70)

12 (30)

0.6

0.2–1.4

    

 Student

87 (85)

15 (15)

0.2

0.1–0.5

    

Wealth quintile

        

 Lowest

32 (71)

13 (29)

1.8

0.5–6.2

0.15

1.2

0.3–5.8

0.28

 2nd

47 (72)

18 (28)

1.7

0.6–5.4

 

1.6

0.4–7.1

 

 Middle

61 (62)

38 (38)

3.5

1.2–9.6

 

2.6

0.7–9.7

 

 4th

60 (76)

19 (24)

1.2

0.4–3.7

 

0.9

0.2–3.5

 

 Highest

70 (78)

20 (22)

Ref

  

Ref

  

Highest endemicity district visited

        

 High

158 (66)

83 (34)

5.4

2.0–14.2

0.002

7.0

1.9–25.5

0.004

 Moderate

34 (76)

11 (24)

2.0

0.6–7.1

 

1.7

0.3–8.5

 

 Low or very low

78 (85)

14 (15)

Ref

  

Ref

  

Travel nights by endemicity

High endemicity districts

        

 Did not visit

113 (82)

25 (18)

Ref

 

0.002

   

 1–7 days

32 (65)

17 (35)

4.7

1.5–14.6

    

 8–14 days

62 (76)

20 (24)

1.9

0.7–5.2

    

 15 –30 days

27 (71)

11 (29)

2.6

0.7–9.1

    

 More than a month

37 (51)

35 (49)

8.6

3.0–25.1

    

High and moderate endemicity districts

        

 Did not visit

78 (85)

14 (15)

Ref

 

0.008

   

 1–7 days

44 (69)

20 (31)

4.2

1.4–13.1

    

 8–14 days

60 (72)

23 (28)

3.0

1.0–8.8

    

 15–30 days

36 (73)

13 (27)

2.7

0.8–9.0

    

 More than a month

52 (58)

38 (42)

8.1

2.6–24.7

    

Low endemicity councils of Dar es Salaam region only**

        

 Did not visit

203 (75)

99 (92)

Ref

 

0.001

   

 1–7 days

48 (18)

5 (5)

0.2

0.1–0.6

    

 8–14 days

6 (2)

1 (1)

0.3

0–2.9

    

 15–30 days

14 (5)

3 (3)

0.4

0.1–1.6

    

Malaria protective measures during travel

Bed net use

        

 Never used

48 (56)

37 (44)

0.7

0.3–1.6

< 0.001

0.7

0.2–1.8

< 0.001

 Used sometimes

13 (52)

12 (48)

1.6

0.4–6.7

 

1.9

0.4–10.0

 

 Always used

46 (48)

49 (52)

Ref

  

Ref

  

 Missing

163 (94)

10 (6)

0

0–0.1

 

0

0.0–0.1

 

Burn coils

        

 Never used

95 (52)

87 (48)

1.4

0.3–6.7

< 0.001

   

 Used sometimes

3 (33)

6 (67)

4.3

0.3–56.2

    

 Always used

9 (64)

5 (36)

Ref

     

 Missing

163 (94)

10 (6)

0

0–0.3

    

Repellent use

        

 Never used

89 (51)

86 (49)

1.5

0.4–6.0

< 0.001

   

 Used sometimes

6 (60)

4 (40)

0.8

0.1–7.7

    

 Always used

12 (60)

8 (40)

Ref

     

 Missing

163 (94)

10 (6)

0

0–0.2

    

Seasons

        

 Rainy season

79 (72)

30 (28)

Ref

 

0.49

Ref

  

 Dry season

191 (71)

78 (29)

1.3

0.6–2.7

 

2.7

1.0–7.6

0.05

  1. Classification of endemicity categories according to Thawer et al. [33]
  2. *Multivariable logistic regression model with household as random effect
  3. **Excluding Kigamboni district council (moderate endemicity category)