Journal
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
Volume 80, Issue 4, Pages 547-554Publisher
AMER SOC TROP MED & HYGIENE
DOI: 10.4269/ajtmh.2009.80.547
Keywords
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Funding
- Ethel Kennedy Shriver National Institute of Child Health and Human Development [R21 HD046612-01, R01 HD054906-01]
- World Health Organization
- US Agency for International Development
- Fulbright New Century Scholars Award (AGH)
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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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