Evidence for Over-Dispersion in the Distribution of Clinical Malaria Episodes in Children
2008

Understanding Malaria Susceptibility in Children

Sample size: 373 publication 10 minutes Evidence: moderate

Author Information

Author(s): Mwangi Tabitha Wanja, Fegan Gregory, Williams Thomas Neil, Kinyanjui Sam Muchina, Snow Robert William, Marsh Kevin

Primary Institution: Kenya Medical Research Institute, Centre for Geographic Medicine Research, Coast/Wellcome Trust Collaborative Program, Kilifi, Kenya

Hypothesis

Some children may experience more episodes of clinical malaria than would be expected under the assumption of a Poisson distribution.

Conclusion

The study found that clinical malaria episodes in children follow a negative binomial distribution, indicating that some children are more susceptible to malaria than others.

Supporting Evidence

  • 21% of children were categorized as 'more susceptible' to malaria.
  • This group experienced 55% of total clinical malaria episodes.
  • Children who were parasite negative were less likely to be in the 'more susceptible' group.

Takeaway

Some kids get sick with malaria more often than others, and this study helps us understand why that happens.

Methodology

The study used Poisson regression to analyze clinical malaria episodes in children followed for 3 to 5 years.

Potential Biases

Potential bias due to the small number of households and variations in exposure among children.

Limitations

The study was conducted in a specific geographical area, which may limit the generalizability of the findings.

Participant Demographics

Children under 10 years of age from Kilifi District, Kenya.

Statistical Information

P-Value

0.001

Confidence Interval

95% CI: 0.14–0.61

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0002196

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication