Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria
Background: Malaria threatens the life of under-five in rural Nigerian families. Although, factors that influence malaria in under-five are manifold. However, family biosocial factors may contribute to the variability of the clinical picture. Aim: To determine proximate family biosocial variable ass...
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doaj-d59237ce651b4187b0879a30bee9cce42020-11-24T22:08:36ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632013-01-012325626210.4103/2249-4863.120739Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern NigeriaGabriel Uche Pascal IlohAbali ChukuAgwu Nkwa AmadiJohn Nnaemeka OfoeduBackground: Malaria threatens the life of under-five in rural Nigerian families. Although, factors that influence malaria in under-five are manifold. However, family biosocial factors may contribute to the variability of the clinical picture. Aim: To determine proximate family biosocial variable associated with severe malaria among under-five children in a resource-poor setting of a rural hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on the families of under-five managed for malaria. Data extracted included family biosocial variables and diagnosis. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting, and other symptoms suggestive of malaria, had body temperature exceeding 37.5°C with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. Severe malaria is the malaria that presents with life-threatening features like severe anemia and cerebral malaria. Results: The prevalence of severe malaria was 31.8% The family biosocial variables significantly associated with severe malaria were maternal low level of education (P = 0.031), family size >4 (P = 0.044), low social class of the family (P = 0.025), nonliving together of parents (P = 0.011), and poor access to health facilities (P = 0.038). The most significant predictor of severe malaria was nonliving together of parents (P = 0.000, odds ratio = 3.08, confidence interval = 1.64-5.10). Conclusion: This study has demonstrated that some family biosocial variables are associated with severe malaria. These families should constitute at risk families that could be targeted for malaria interventional programs.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=3;spage=256;epage=262;aulast=IlohFamily variableshospitalNigeriaruralsevere malariaunder-five |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gabriel Uche Pascal Iloh Abali Chuku Agwu Nkwa Amadi John Nnaemeka Ofoedu |
spellingShingle |
Gabriel Uche Pascal Iloh Abali Chuku Agwu Nkwa Amadi John Nnaemeka Ofoedu Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria Journal of Family Medicine and Primary Care Family variables hospital Nigeria rural severe malaria under-five |
author_facet |
Gabriel Uche Pascal Iloh Abali Chuku Agwu Nkwa Amadi John Nnaemeka Ofoedu |
author_sort |
Gabriel Uche Pascal Iloh |
title |
Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria |
title_short |
Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria |
title_full |
Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria |
title_fullStr |
Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria |
title_full_unstemmed |
Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria |
title_sort |
proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern nigeria |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Family Medicine and Primary Care |
issn |
2249-4863 |
publishDate |
2013-01-01 |
description |
Background: Malaria threatens the life of under-five in rural Nigerian families. Although, factors that influence malaria in under-five are manifold. However, family biosocial factors may contribute to the variability of the clinical picture. Aim: To determine proximate family biosocial variable associated with severe malaria among under-five children in a resource-poor setting of a rural hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on the families of under-five managed for malaria. Data extracted included family biosocial variables and diagnosis. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting, and other symptoms suggestive of malaria, had body temperature exceeding 37.5°C with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. Severe malaria is the malaria that presents with life-threatening features like severe anemia and cerebral malaria. Results: The prevalence of severe malaria was 31.8% The family biosocial variables significantly associated with severe malaria were maternal low level of education (P = 0.031), family size >4 (P = 0.044), low social class of the family (P = 0.025), nonliving together of parents (P = 0.011), and poor access to health facilities (P = 0.038). The most significant predictor of severe malaria was nonliving together of parents (P = 0.000, odds ratio = 3.08, confidence interval = 1.64-5.10). Conclusion: This study has demonstrated that some family biosocial variables are associated with severe malaria. These families should constitute at risk families that could be targeted for malaria interventional programs. |
topic |
Family variables hospital Nigeria rural severe malaria under-five |
url |
http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=3;spage=256;epage=262;aulast=Iloh |
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