Poor Housing Construction Associated with Increased Malaria Incidence in a Cohort of Young Ugandan Children

Abstract
Despite the use of accepted interventions to combat malaria, such as insecticide-treated bed nets and artemisinin-based combination therapy, malaria remains a leading cause of morbidity and mortality in Uganda. We investigated associations between household factors and malaria incidence in a cohort of children living in a highly endemic region of Uganda. Living in a modern house, defined as the use of non-earth floors, non-thatched roofs, and non-mud walls, was associated with approximately half malaria incidence compared with living in a traditional home (incidence rate ratio [IRR] = 0.54, P = 0.001). Other factors found to be associated with a lower incidence of malaria included living in town versus rural setting; sleeping in a room with openings to the outside (windows, eaves, and airbricks); and having an older and more educated primary caregiver. This study adds to the growing body of evidence that improved house construction may be associated with a lower risk of malaria.
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Citation
Snyman, K., Mwangwa, F., Bigira, V., Kapisi, J., Clark, T. D., Osterbauer, B., ... & Dorsey, G. (2015). Poor housing construction associated with increased malaria incidence in a cohort of young Ugandan children. The American journal of tropical medicine and hygiene, 92(6), 1207.https://doi.org/10.4269%2Fajtmh.14-0828