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Table 3 Risk factors for gametocyte prevalence at enrolment

From: Gametocyte carriage in uncomplicated Plasmodium falciparum malaria following treatment with artemisinin combination therapy: a systematic review and meta-analysis of individual patient data

 

Africa

Asia

South America

Parameter

Nobs/Npos (%)

OR (95 % CI)

P value

Nobs/Npos (%)

OR (95 % CI)

P value

Nobs/Npos (%)

OR (95 % CI)

P value

Univariable model

         

Age

         

  < 1 year

2492/403 (16.2)

2.506 (1.978–3.174)

<0.001

60/12 (20.0)

2.240 (1.124–4.460)

0.022

0/0

  

 1–4 years

20419/2799 (13.7)

2.558 (2.082–3.144)

<0.001

1374/297 (21.6)

2.095 (1.777–2.469)

<0.001

0/0

  

 5–11 years

6715/495 (7.4)

1.523 (1.245–1.864)

<0.001

3587/563 (15.7)

1.535 (1.354–1.740)

<0.001

111/19 (17.1)

0.834 (0.485–1.432)

0.510

 12+ years

4571/179 (3.9)

 

8438/977 (11.6)

 

803/139 (17.3)

 

Age (years)

34197/3876 (11.3)

0.961 (0.952–0.971)

<0.001

13459/1849 (13.7)

0.975 (0.971–0.980)

<0.001

914/158 (17.3)

0.995 (0.983–1.008)

0.453

Derived haemoglobin (g/dL)

26693/3394 (12.7)

0.785 (0.767–0.803)

<0.001

10854/1433 (13.2)

0.664 (0.645–0.683)

<0.001

606/120 (19.8)

0.600 (0.523–0.688)

<0.001

Anaemia

         

 Yes

13441/2322 (17.3)

2.062 (1.888–2.253)

<0.001

2871/795 (27.7)

4.846 (4.258–5.516)

<0.001

48/22 (45.8)

3.972 (2.162–7.297)

<0.001

 No

13252/1072 (8.1)

Reference

 

7983/638 (8.0)

Reference

 

558/98 (17.6)

Reference

 

Fever

         

 Yes

21115/1910 (9.1)

0.583 (0.538–0.631)

<0.001

5816/566 (9.7)

0.738 (0.649–0.839)

<0.001

438/54 (12.3)

0.529 (0.367–0.762)

0.001

 No

12925/1950 (15.1)

Reference

 

5107/730 (14.3)

Reference

 

476/105 (22.1)

Reference

 

Sex

         

 Female

16119/1782 (11.1)

0.976 (0.908–1.048)

0.501

5205/754 (14.5)

1.083 (0.973–1.206)

0.145

350/52 (14.9)

0.756 (0.525–1.089)

0.133

 Male

17128/1963 (11.5)

Reference

 

7952/1085 (13.6)

Reference

 

566/107 (18.9)

Reference

 

Log10 Parasitaemia (/μL)

34212/3879 (11.3)

0.590 (0.554–0.629)

<0.001

13442/1833 (13.6)

0.726 (0.677–0.779)

<0.001

914/158 (17.3)

0.333 (0.212–0.524)

<0.001

Hyperparasitaemia

         

 Yes

3217/160 (5.0)

0.389 (0.328–0.460)

<0.001

1892/289 (15.3)

0.441 (0.338–0.575)

<0.001

0/0

  

 No

30995/3719 (12.0)

Reference

 

12568/1743 (13.9)

Reference

 

912/158 (17.3)

  

Mixed infection

         

 Yes

   

892/106 (11.9)

1.112 (0.880–1.404)

0.374

   

 No

   

13496/1817 (13.5)

Reference

    

Weight-for-age z-score

21701/2996 (13.8)

0.932 (0.901–0.966)

<0.001

1403/305 (21.7)

0.815 (0.723–0.919)

0.001

0/0

  

Underweight

         

 Yes

3904/651 (16.7)

1.234 (1.113–1.368)

<0.001

517/144 (27.9)

1.404 (1.029–1.915)

0.032

0/0

  

 No

17797/2345 (13.2)

Reference

 

886/161 (18.2)

Reference

 

0/0

  

TIA

         

 Low

9995/802 (8.0)

0.990 (0.674–1.454)

0.959

11799/1383 (11.7)

0.251 (0.074–0.850)

0.026

871/147 (16.9)

  

 Moderate

10575/1069 (10.1)

1.074 (0.801–1.440)

0.631

1361/438 (32.2)

Reference

 

0/0

  

 High

13371/2000 (15.0)

Reference

 

0/0

  

0/0

  

Multivariable model

26669 / 3389 (12.7)

  

8919 / 929 (10.4)

  

605 /120 (19.8)

  

Age (years)

 

0.984 (0.974–0.994)

0.001

 

0.988 (0.982–0.994)

<0.001

   

Derived haemoglobin (g/dL)

 

0.788 (0.770–0.807)

<0.001

 

0.672 (0.648–0.697)

<0.001

 

0.581 (0.502–0.672)

<0.001

Log10 Parasitaemia (/μL)

 

0.617 (0.575–0.662)

<0.001

 

0.735 (0.669–0.807)

<0.001

 

0.330 (0.184–0.592)

<0.001

Fever

 

0.633 (0.579–0.691)

<0.001

 

0.811 (0.689–0.954)

0.011

   

Sex (M)

    

1.252 (1.073–1.462)

0.004

 

2.144 (1.331–3.454)

0.002

  1. Logistic univariable and multivariable mixed effects analysis by region with presence of gametocytaemia at enrolment as dependent variable. Nobs, number of observations; Npos, number of positive observations; Weight-for-age z-score, calculated using “igrowup” package developed by WHO [41] in children < 5 years of age; Underweight, weight-for-age z-scores < –2; TIA, Transmission intensity areas; Derived haemoglobin, conversion from haematocrit: haemoglobin = (haematocrit–5.62)/2.60 [40]; Anaemia, haemoglobin < 10 g/dL; Fever, temperature > 37.5 °C; Hyperparasitaemia, parasitaemia > 100,000 parasites per μL