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Independent Associations of Maternal Education and Household Wealth with Malaria Risk in Children

Bibliographic Data

ID5129478
AuthorsJasmin Siri (0000-0001-7041-0310, International Institute for Applied Systems Analysis, corresponding author), José G Siri
Year2014
Volume19
Issue1
Publication date2014-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueConservation Ecology (JOURNAL)
Journal identifiersISSN: 1195-5449 • E-ISSN: 1708-3087
PublisherResilience Alliance (PUBLISHER • CA)
DOI10.5751/es-06134-190133
OpenAlexW2093187419
LanguageEN
Citations received5
References cited14

Despite evidence that they play similar but independent roles, maternal education and household wealth are usually conflated in studies of the effects of socioeconomic status (SES) on malaria risk. Demographic and Health Survey and Malaria Indicator Survey data from nine countries in sub-Saharan Africa were used to explore the relationship of malaria parasitemia in children with SES factors at individual and cluster scales, controlling for urban/rural residence and other important covariates. In multilevel logistic regression modeling, completion of six years of maternal schooling was associated with significantly lower odds of infection in children (OR = 0.73), as was a household wealth index at the 40th percentile compared to the lowest percentile (OR = 0.48). These relationships were nonlinear, with significant quadratic terms for both education and wealth. Cluster-level wealth index was also associated with a reduction in risk (OR = 0.984 for a one percentile increase in mean wealth index), as was urban residence (OR = 0.59). Among other covariates, increasing child's age and household size category were positively correlated with infection, and sleeping under an insecticidetreated bednet the previous night (OR = 0.80) was associated with a moderate reduction in risk. Considerable variation in parameter estimates was observed among country-specific models. Future work should clearly distinguish between maternal education and household resources in assessing malaria risk, and malaria prevention and control efforts should be aware of the potential benefits of supporting the development of human capital

Economics · Environmental health · Geography · Logistic regression · Malaria · Percentile · Population · Residence · Socioeconomic status · Socioeconomics · Sociology · Statistics · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Malaria Research and Control · Medicine

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Unique citing works5
Citations per year0.42
Citation span2014 - 2026 (13)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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