Oyindamola B. Yusuf|Babatunde Wasiu Adeoye|Oladimeji Oladepo|David H. Peters|David Bishai
Poverty and fever vulnerability in Nigeria: a multilevel analysis
University of Ibadan|University of Lagos|University of Ibadan|Johns Hopkins University
malaria remains major public health problem sub saharan africa widespread poverty also contribute burden disease study designed investigate relationship prevalence childhood fever socioeconomic factors including poverty nigeria examine effects regional levels determinants fever last two weeks among children five years examined 25004 children records extracted nigeria demographic health survey 2008 data set twolevel random effects logistic model fitted 16 children reported fever two weeks preceding survey prevalence fever highest among children poorest households 17 compared 158 among middle households lowest among wealthiest 13 p00001 3110 respondents bed nets households 506163 children fever 2604837 p0082 multilevel model adjusting demographic variables fever associated rural place residence or127 p00001 95 ci 116 141 sex child female or092 p0022 95 ci 0859 0988 age categories 6months whereas effect wealth longer reached statistical significance overall bednet possession low less fever reported households possessed bednets malaria control strategies interventions designed target poor make impact poverty mechanism wealth may affect malaria occurrence needs investigation