Malaria and Intestinal Helminth Co-infection Among Pregnant Women in Ghana: Prevalence and Risk Factors
Both malaria and intestinal helminths are endemic in sub-Saharan Africa, and their co-infection occurs commonly. This cross-sectional study assessed the prevalence of malaria and intestinal helminth co-infection in a sample of > 700 pregnant women in Ghana and identified risk factors for co-infec...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2009-06, Vol.80 (6), p.896-901 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | Yatich, Nelly J Yi, Jiang Agbenyega, Tsiri Turpin, Archer Rayner, Julian C Stiles, Jonathan K Ellis, William O Funkhouser, Ellen Ehiri, John E Williams, Jonathan H Jolly, Pauline E |
| description | Both malaria and intestinal helminths are endemic in sub-Saharan Africa, and their co-infection occurs commonly. This cross-sectional study assessed the prevalence of malaria and intestinal helminth co-infection in a sample of > 700 pregnant women in Ghana and identified risk factors for co-infection. The prevalence of malaria infection, intestinal helminth infection(s), and co-infection was 36.3%, 25.7%, and 16.6%, respectively. Women with intestinal helminth infection(s) were 4.8 times more likely to have malaria infection. Young age, low income, being single, and being primigravid were each associated with increased odds of co-infection. These associations were present when assessed separately for primi- and multigravid women, but the strength of associations varied considerably for the two groups of women. Young age had the strongest association among both primigravid (odds ratio = 5.2) and multigravid (odds ratio = 3.2) women. This study shows relatively high prevalence rates of malaria, intestinal helminths, and co-infection in pregnant women in Ghana. |
| doi_str_mv | 10.4269/ajtmh.2009.80.896 |
| format | Article |
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This cross-sectional study assessed the prevalence of malaria and intestinal helminth co-infection in a sample of > 700 pregnant women in Ghana and identified risk factors for co-infection. The prevalence of malaria infection, intestinal helminth infection(s), and co-infection was 36.3%, 25.7%, and 16.6%, respectively. Women with intestinal helminth infection(s) were 4.8 times more likely to have malaria infection. Young age, low income, being single, and being primigravid were each associated with increased odds of co-infection. These associations were present when assessed separately for primi- and multigravid women, but the strength of associations varied considerably for the two groups of women. Young age had the strongest association among both primigravid (odds ratio = 5.2) and multigravid (odds ratio = 3.2) women. 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This study shows relatively high prevalence rates of malaria, intestinal helminths, and co-infection in pregnant women in Ghana.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anthelmintics - administration & dosage</subject><subject>Anthelmintics - therapeutic use</subject><subject>Antimalarials - administration & dosage</subject><subject>Antimalarials - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>Ghana - epidemiology</subject><subject>Helminthiasis - complications</subject><subject>Helminthiasis - epidemiology</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infectious diseases</subject><subject>Intestinal Diseases, Parasitic - complications</subject><subject>Intestinal Diseases, Parasitic - epidemiology</subject><subject>Malaria</subject><subject>Malaria - complications</subject><subject>Malaria - drug therapy</subject><subject>Malaria - epidemiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Parasitic diseases</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Parasitic - epidemiology</subject><subject>Prevalence</subject><subject>Protozoal diseases</subject><subject>Pyrimethamine - administration & dosage</subject><subject>Pyrimethamine - therapeutic use</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Sulfadoxine - administration & dosage</subject><subject>Sulfadoxine - therapeutic use</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtvFDEQhC0EIkvgB3BBvsBtFr8f3KIVeUhBIATiaPV4PDsOHk-wZ1nx75ndrMiRUx_qq2p1F0KvKVkLpux7uJvHYc0IsWtD1saqJ2hFhVYNVUI-RStCCGus4voMvaj1jhBqGKXP0Rm1Qhsm5AptP0GCEgFD7vBNnkOdY4aEr0MaY54HvJmamPvg5zhlfDFOeYu_lLDNkGf8YxpDxjHjqwEyfDgIvyGF7MMx7musP_El-Hkq9SV61kOq4dVpnqPvlx-_ba6b289XN5uL28YLzueGESZ1S1nbycCDN74nglstTSttp1gbAvQgjeVykWjXdcrLTghLqQRNtOXn6N1D7n2Zfu2Wa9wYqw8pQQ7TrjqlmeHayv-CjBjCJaMLSB9AX6ZaS-jdfYkjlD-OEneowR1rcIcanCFuqWHxvDmF79oxdI-O098X4O0JgOoh9QWyj_Ufx6hUWlryyA1xO-xjCa6OkNISS91-v1_WqePCv6Menik</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Yatich, Nelly J</creator><creator>Yi, Jiang</creator><creator>Agbenyega, Tsiri</creator><creator>Turpin, Archer</creator><creator>Rayner, Julian C</creator><creator>Stiles, Jonathan K</creator><creator>Ellis, William O</creator><creator>Funkhouser, Ellen</creator><creator>Ehiri, John E</creator><creator>Williams, Jonathan H</creator><creator>Jolly, Pauline E</creator><general>ASTMH</general><general>American Society of Tropical Medecine and Hygiene</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>F1W</scope><scope>H95</scope><scope>H97</scope><scope>L.G</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Malaria and Intestinal Helminth Co-infection Among Pregnant Women in Ghana: Prevalence and Risk Factors</title><author>Yatich, Nelly J ; Yi, Jiang ; Agbenyega, Tsiri ; Turpin, Archer ; Rayner, Julian C ; Stiles, Jonathan K ; Ellis, William O ; Funkhouser, Ellen ; Ehiri, John E ; Williams, Jonathan H ; Jolly, Pauline E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-20257b12bd5e3ec8cf0439758b59d62beeafa589358cf1ddd6c5d449115a70793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anthelmintics - administration & dosage</topic><topic>Anthelmintics - therapeutic use</topic><topic>Antimalarials - administration & dosage</topic><topic>Antimalarials - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>Ghana - epidemiology</topic><topic>Helminthiasis - complications</topic><topic>Helminthiasis - epidemiology</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Infectious diseases</topic><topic>Intestinal Diseases, Parasitic - complications</topic><topic>Intestinal Diseases, Parasitic - epidemiology</topic><topic>Malaria</topic><topic>Malaria - complications</topic><topic>Malaria - drug therapy</topic><topic>Malaria - epidemiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Parasitic diseases</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Parasitic - epidemiology</topic><topic>Prevalence</topic><topic>Protozoal diseases</topic><topic>Pyrimethamine - administration & dosage</topic><topic>Pyrimethamine - therapeutic use</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Sulfadoxine - administration & dosage</topic><topic>Sulfadoxine - therapeutic use</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yatich, Nelly J</creatorcontrib><creatorcontrib>Yi, Jiang</creatorcontrib><creatorcontrib>Agbenyega, Tsiri</creatorcontrib><creatorcontrib>Turpin, Archer</creatorcontrib><creatorcontrib>Rayner, Julian C</creatorcontrib><creatorcontrib>Stiles, Jonathan K</creatorcontrib><creatorcontrib>Ellis, William O</creatorcontrib><creatorcontrib>Funkhouser, Ellen</creatorcontrib><creatorcontrib>Ehiri, John E</creatorcontrib><creatorcontrib>Williams, Jonathan H</creatorcontrib><creatorcontrib>Jolly, Pauline E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yatich, Nelly J</au><au>Yi, Jiang</au><au>Agbenyega, Tsiri</au><au>Turpin, Archer</au><au>Rayner, Julian C</au><au>Stiles, Jonathan K</au><au>Ellis, William O</au><au>Funkhouser, Ellen</au><au>Ehiri, John E</au><au>Williams, Jonathan H</au><au>Jolly, Pauline E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malaria and Intestinal Helminth Co-infection Among Pregnant Women in Ghana: Prevalence and Risk Factors</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>80</volume><issue>6</issue><spage>896</spage><epage>901</epage><pages>896-901</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><coden>AJTHAB</coden><abstract>Both malaria and intestinal helminths are endemic in sub-Saharan Africa, and their co-infection occurs commonly. This cross-sectional study assessed the prevalence of malaria and intestinal helminth co-infection in a sample of > 700 pregnant women in Ghana and identified risk factors for co-infection. The prevalence of malaria infection, intestinal helminth infection(s), and co-infection was 36.3%, 25.7%, and 16.6%, respectively. Women with intestinal helminth infection(s) were 4.8 times more likely to have malaria infection. Young age, low income, being single, and being primigravid were each associated with increased odds of co-infection. These associations were present when assessed separately for primi- and multigravid women, but the strength of associations varied considerably for the two groups of women. Young age had the strongest association among both primigravid (odds ratio = 5.2) and multigravid (odds ratio = 3.2) women. This study shows relatively high prevalence rates of malaria, intestinal helminths, and co-infection in pregnant women in Ghana.</abstract><cop>Deerfield, IL</cop><pub>ASTMH</pub><pmid>19478245</pmid><doi>10.4269/ajtmh.2009.80.896</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Anthelmintics - administration & dosage Anthelmintics - therapeutic use Antimalarials - administration & dosage Antimalarials - therapeutic use Biological and medical sciences Cross-Sectional Studies Drug Combinations Female Ghana - epidemiology Helminthiasis - complications Helminthiasis - epidemiology Human protozoal diseases Humans Hygiene Infectious diseases Intestinal Diseases, Parasitic - complications Intestinal Diseases, Parasitic - epidemiology Malaria Malaria - complications Malaria - drug therapy Malaria - epidemiology Medical sciences Middle Aged Parasitic diseases Pregnancy Pregnancy Complications, Parasitic - epidemiology Prevalence Protozoal diseases Pyrimethamine - administration & dosage Pyrimethamine - therapeutic use Risk Factors Socioeconomic Factors Sulfadoxine - administration & dosage Sulfadoxine - therapeutic use Young Adult |
| title | Malaria and Intestinal Helminth Co-infection Among Pregnant Women in Ghana: Prevalence and Risk Factors |
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