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Prevalence and Predictors of Malaria in Human Immunodeficiency Virus Infected Patients in Beira, Mozambique

1
Department of Infectious Diseases, University of Bari “Aldo Moro”, 35128 Bari, Italy
2
Department of Science for Health Promotion and Mother to Child Care “G. D’Alessandro”, via del Vespro, University of Palermo, 90217 Palermo, Italy
3
Doctors with Africa—CUAMM, Research Unit, Beira 1363, Mozambique
4
Center for Research in Infectious Diseases, Faculty of Health Sciences, Catholic University of Mozambique, Beira 1363, Mozambique
5
Research Section, Doctors with Africa CUAMM, 35128 Padova, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(9), 2032; https://doi.org/10.3390/ijerph15092032
Received: 31 July 2018 / Revised: 13 September 2018 / Accepted: 14 September 2018 / Published: 17 September 2018
(This article belongs to the Special Issue Mosquito-Borne Disease)
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PDF [307 KB, uploaded 17 September 2018]

Abstract

Co-infection between malaria and HIV has major public health implications. The aims of this study were to assess the malaria prevalence and to identify predictors of positivity to malaria Test in HIV positive patients admitted to the health center São Lucas of Beira, Mozambique. A retrospective cross-sectional study was performed from January 2016 to December 2016. Overall, 701 adult HIV patients were enrolled, positivity to malaria test was found in 232 (33.0%). These patients were found to be more frequently unemployed (76.3%), aged under 40 (72.0%), with a HIV positive partner (22.4%) and with a CD4 cell count <200 (59.9%). The following variables were predictors of malaria: age under 40 (O.R. = 1.56; 95%CI: 1.22–2.08), being unemployed (O.R. = 1.74; 95%CI: 1.24–2.21), irregularity of cotrimoxazole prophylaxis’s (O.R. = 1.42; 95%CI: 1.10–1.78), CD4 cell count <200 (O.R. = 2.01; 95%CI: 1.42–2.32) and tuberculosis comorbidity (O.R. = 1.58; 95%CI: 1.17–2.79). In conclusion, high malaria prevalence was found in HIV patients accessing the out-patients centre of São Lucas of Beira. Our findings allowed us to identify the profile of HIV patients needing more medical attention: young adults, unemployed, with a low CD4 cell count and irregularly accessing to ART and cotrimoxazole prophylaxis. View Full-Text
Keywords: malaria prevalence; HIV; HIV-malaria co-infection; malaria predictors in developing countries; cotrimoxazole prophylaxis; Mozambique malaria prevalence; HIV; HIV-malaria co-infection; malaria predictors in developing countries; cotrimoxazole prophylaxis; Mozambique
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Di Gennaro, F.; Marotta, C.; Pizzol, D.; Chhaganlal, K.; Monno, L.; Putoto, G.; Saracino, A.; Casuccio, A.; Mazzucco, W. Prevalence and Predictors of Malaria in Human Immunodeficiency Virus Infected Patients in Beira, Mozambique. Int. J. Environ. Res. Public Health 2018, 15, 2032.

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