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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-3-25
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pubmed:abstractText |
Current epidemiologic and clinical research on cerebral malaria is directed towards prognostic criteria and neurologic sequelae. However, the assessment of risk factors related to the environment and the socioeconomic standard of the family is of practical as well as theoretical interest. A prospective survey was carried out in March 1990 in Brazzaville, Congo by interviewing subjects in two groups: 1) 600 households representative of the Brazzaville population and 2) 84 households with a child who had been hospitalized for cerebral malaria between January 1, 1988 and June 30, 1989 (i.e., 9-27 months prior to the interview). The mothers' knowledge and attitudes with regard to the prevention and treatment of malaria in children were assessed, as was the socioeconomic standards of the households. The group in which at least one child had been hospitalized for cerebral malaria had a lower socioeconomic standard than the control group. Other differences in this group included a greater number of offspring and a higher average number of decreased children, less chemoprophylaxis, antimalarials available less often in the household, less early treatment of fever at home, and drugs bought more often at the market. There was no significant difference between the groups with regard to using the correct dosage of chloroquine, ownership of a mosquito net, or the use of insecticides or repellents.
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pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Age Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Biology,
http://linkedlifedata.com/resource/pubmed/keyword/CHILD,
http://linkedlifedata.com/resource/pubmed/keyword/CONGO,
http://linkedlifedata.com/resource/pubmed/keyword/Cerebrovascular Effects,
http://linkedlifedata.com/resource/pubmed/keyword/Comparative Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Family And Household,
http://linkedlifedata.com/resource/pubmed/keyword/French Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Households,
http://linkedlifedata.com/resource/pubmed/keyword/MALARIA,
http://linkedlifedata.com/resource/pubmed/keyword/Middle Africa,
http://linkedlifedata.com/resource/pubmed/keyword/PARASITIC DISEASES,
http://linkedlifedata.com/resource/pubmed/keyword/Physiology,
http://linkedlifedata.com/resource/pubmed/keyword/Population,
http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Risk Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Socioeconomic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Youth
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0002-9637
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
50
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
131-6
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pubmed:dateRevised |
2006-11-15
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pubmed:otherAbstract |
PIP: The aim was to compare a cerebral malaria group (B) with a control group (A) representative of the entire population of Brazzaville. Group A was composed of mothers with at least 1 child younger than 10 years old living in the urban district of Brazzaville. 30 clusters of 20 households totalling 600 were selected from the 1984 population census. Group B was composed of Brazzaville children who had been admitted to the University Hospital for cerebral malaria between January 1, 1988, and June 30, 1989. Of the 170 children for whom precise hospital records were available 145 were discharged from the hospital. In the 1st quarter of 1990 a family-based survey was carried out on 84 households to study postcerebral malaria mortality analyzing: 1) the preventive and therapeutic measures taken by mothers, and 2) the socioeconomic standards of the families in 68 and 84 households, respectively. The socioeconomic standard of group B was lower than that of group A. Those with less than a primary school education constituted: 502 (84%) in 600 controls vs. 61 (73%) in 84 cases (p = 0.02 odds ratio [OR] = 1.9). For 461 controls (77%) vs. 47 cases (56%), mothers had a good comprehension of French (p = 0.0007, OR = 2.3). The other differences were that Group B had a greater number of children, a higher average number of deceased children, less use of chemoprophylaxis, antimalarials available less often in the household, less early treatment of fever at home, and the purchase of drugs more often at the market. However, significant differences were not found with respect to owning a mosquito net or the use of insecticides and repellents.
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pubmed:meshHeading |
pubmed-meshheading:8116802-Adult,
pubmed-meshheading:8116802-Age Distribution,
pubmed-meshheading:8116802-Antimalarials,
pubmed-meshheading:8116802-Child,
pubmed-meshheading:8116802-Child, Preschool,
pubmed-meshheading:8116802-Congo,
pubmed-meshheading:8116802-Family Characteristics,
pubmed-meshheading:8116802-Female,
pubmed-meshheading:8116802-Health Knowledge, Attitudes, Practice,
pubmed-meshheading:8116802-Humans,
pubmed-meshheading:8116802-Infant,
pubmed-meshheading:8116802-Malaria, Cerebral,
pubmed-meshheading:8116802-Mothers,
pubmed-meshheading:8116802-Prospective Studies,
pubmed-meshheading:8116802-Risk Factors,
pubmed-meshheading:8116802-Socioeconomic Factors,
pubmed-meshheading:8116802-Urban Population
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pubmed:year |
1994
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pubmed:articleTitle |
Cerebral malaria in African children: socioeconomic risk factors in Brazzaville, Congo.
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pubmed:affiliation |
Department of Parasitology, University Hospital of Brazzaville, Congo.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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