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Distance Threshold for the Effect of Urban Agriculture on Elevated Self-reported Malaria Prevalence in Accra, Ghana

Identifieur interne : 000099 ( Pmc/Curation ); précédent : 000098; suivant : 000100

Distance Threshold for the Effect of Urban Agriculture on Elevated Self-reported Malaria Prevalence in Accra, Ghana

Auteurs : Justin Stoler ; John R. Weeks ; Arthur Getis ; Allan G. Hill

Source :

RBID : PMC:2714825

Abstract

Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA. This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socio-economic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.


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PubMed: 19346373
PubMed Central: 2714825

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PMC:2714825

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<name sortKey="Weeks, John R" sort="Weeks, John R" uniqKey="Weeks J" first="John R." last="Weeks">John R. Weeks</name>
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<name sortKey="Getis, Arthur" sort="Getis, Arthur" uniqKey="Getis A" first="Arthur" last="Getis">Arthur Getis</name>
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<p id="P2">Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA. This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socio-economic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.</p>
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<journal-id journal-id-type="nlm-journal-id">0370507</journal-id>
<journal-id journal-id-type="pubmed-jr-id">473</journal-id>
<journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id>
<journal-title>The American journal of tropical medicine and hygiene</journal-title>
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<article-title>Distance Threshold for the Effect of Urban Agriculture on Elevated Self-reported Malaria Prevalence in Accra, Ghana</article-title>
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<name>
<surname>Stoler</surname>
<given-names>Justin</given-names>
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<xref ref-type="corresp" rid="CR1">*</xref>
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<given-names>John R.</given-names>
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<given-names>Arthur</given-names>
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<surname>Hill</surname>
<given-names>Allan G.</given-names>
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<aff id="A1">Department of Geography, San Diego State University, San Diego, California</aff>
<aff id="A2">Department of Population and International Health, Harvard School of Public Health, Cambridge, Massachusetts</aff>
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<fn id="FN1">
<p id="P1">Authors’ addresses: Justin Stoler, Department of Geography, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, Tel: 619−594−5437, Fax: 619−594−4938, E-mail:
<email>stoler@rohan.sdsu.edu</email>
. John R. Weeks, Department of Geography, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, Tel: 619−594−8040, Fax: 619−594−4938, E-mail:
<email>john.weeks@sdsu.edu</email>
. Arthur Getis, Department of Geography, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, Tel: 619−594−6639, Fax: 619−594−4938, E-mail:
<email>arthur.getis@sdsu.edu</email>
. Allan G. Hill, Department of Global Health and Population, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115, Tel: 617−432−4075, E-mail:
<email>ahill@hsph.harvard.edu</email>
.</p>
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<label>*</label>
Address correspondence to Justin Stoler, Department of Geography, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182. E-mail:
<email>stoler@rohan.sdsu.edu</email>
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<year>2009</year>
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<month>7</month>
<year>2009</year>
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<volume>80</volume>
<issue>4</issue>
<fpage>547</fpage>
<lpage>554</lpage>
<permissions>
<copyright-statement>Copyright © 2009 by The American Society of Tropical Medicine and Hygiene</copyright-statement>
<copyright-year>2009</copyright-year>
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<abstract>
<p id="P2">Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA. This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socio-economic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.</p>
</abstract>
<contract-num rid="HD1">R01 HD054906-02</contract-num>
<contract-sponsor id="HD1">National Institute of Child Health & Human Development : NICHD</contract-sponsor>
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