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Co-morbidity of malnutrition with falciparum malaria parasitaemia among children under the aged 6-59 months in Somalia:a geostatistical analysis

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Infectious Diseases of Poverty 2018年第1期7卷 714-722页

作者： Damaris K.Kinyoki Grainne M.Moloney olalekan A.Uthman elijah o.odundo Ngianga-Bakwin Kandala Abdisalan M.Noor Robert W.Snow James A.Berkley Spatial Health Metrics Group INFORM ProjectKenya Medical Research Institute/Wellcome Trust Research ProgrammeNairobiKenya Nutrition Section United Nations Children’s Fund(UNICEF)Kenya Country OfficeUN Complex GigiriNairobiKenya Warwick Medical School Health Sciences Research InstituteWarwick EvidenceUniversity of WarwickGibbet HillCoventry CV47ALUK Food Security and Nutrition Analysis Unit(FSNAU)-Somalia Food and Agriculture Organization of the United NationsNgecha Road CampusNairobiKenya Department of Mathematics and Information sciences Faculty of Engineering and EnvironmentNorthumbria UniversityNewcastle upon TyneUK Faculty of Health and Sport Sciences University of AgderKristiansandNorway Division of Epidemiology and Biostatistics School of Public HealthUniversity of the WitwatersrandJohannesburgSouth Africa Kenya Medical Research Institute/Wellcome Trust Research Programme Centre for Geographic Medicine Research(coast)KilifiKenya Centre for Tropical Medicine and Global Health Nuffield Department of Clinical MedicineUniversity of OxfordCCVTMOxford OX37LJUK

Background:Malnutrition and malaria are both significant causes of morbidity and mortality in African ***,the extent of their spatial comorbidity remains unexplored and an understanding of their spatial correlation structure would inform improvement of integrated *** aimed to determine the spatial correlation between both wasting and low mid upper arm circumference(MUAC)and falciparum malaria among Somalian children aged 6-59 ***:Data were from 49227 children living in 888 villages between 2007 to *** developed a Bayesian geostatistical shared component model in order to determine the common spatial distributions of wasting and falciparum malaria;and low-MUAC and falciparum malaria at 1×1 km spatial ***:The empirical correlations with malaria were 0.16 and 0.23 for wasting and low-MUAC *** spatial residual effects were statistically significant for both wasting and *** posterior spatial relative risk was highest for low-MUAC and malaria(range:0.19 to 5.40)and relatively lower between wasting and malaria(range:0.11 to 3.55).Hotspots for both wasting and low-MUAC with malaria occurred in the South Central region in ***:The findings demonstrate a relationship between nutritional status and falciparum malaria parasitaemia,and support the use of the relatively simpler MUAC measurement in *** spatial distribution and distinct hotspots present opportunities for targeted seasonal chemoprophylaxis and other forms of malaria prevention integrated within nutrition programmes.

关键词： Malnutrition Wasting Low-MUAC Malaria Comorbidity Somalia

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