Relative Undernourishment and Food Insecurity Associations with Plasmodium falciparum Among Batwa Pygmies in Uganda: Evidence from a Cross-Sectional Survey

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dc.contributor.authorLewnard, Joseph A.
dc.contributor.authorLwasa, Shuaib
dc.contributor.authorNamanya, Didacus Bambaiha
dc.contributor.authorOgden, Nicholas H.
dc.contributor.authorCarcamo, Cesar P.
dc.date.accessioned2022-04-20T17:47:10Z
dc.date.available2022-04-20T17:47:10Z
dc.date.issued2013
dc.description.abstractAlthough malnutrition and malaria co-occur among individuals and populations globally, effects of nutritional status on risk for parasitemia and clinical illness remain poorly understood. We investigated associations between Plasmodium falciparum infection, nutrition, and food security in a cross-sectional survey of 365 Batwa pygmies in Kanungu District, Uganda in January of 2013. We identified 4.1% parasite prevalence among individuals over 5 years old. Severe food insecurity was associated with increased risk for positive rapid immunochromatographic test outcome (adjusted relative risk [ARR] = 13.09; 95% confidence interval [95% CI] = 2.23–76.79). High age/sex-adjusted mid-upper arm circumference was associated with decreased risk for positive test among individuals who were not severely food-insecure (ARR = 0.37; 95% CI = 0.19–0.69). Within Batwa pygmy communities, where malnutrition and food insecurity are common, individuals who are particularly undernourished or severely food-insecure may have elevated risk for P. falciparum parasitemia. This finding may motivate integrated control of malaria and malnutrition in low-transmission settings.en_US
dc.identifier.citationLewnard, J. A., Berrang-Ford, L., Lwasa, S., Namanya, D. B., Patterson, K. A., Donnelly, B., ... & Indigenous Health Adaptation to Climate Change Research Team. (2014). Relative undernourishment and food insecurity associations with Plasmodium falciparum among Batwa pygmies in Uganda: evidence from a cross-sectional survey. The American Journal of Tropical Medicine and Hygiene, 91(1), 39.https://dx.doi.org/10.4269%2Fajtmh.13-0422en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/2918
dc.language.isoenen_US
dc.publisherThe American Journal of Tropical Medicine and Hygieneen_US
dc.titleRelative Undernourishment and Food Insecurity Associations with Plasmodium falciparum Among Batwa Pygmies in Uganda: Evidence from a Cross-Sectional Surveyen_US
dc.typeArticleen_US
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