The effect of malaria on stunting: an instrumental variables approach-Reference-Cited by-同舟云学术

The effect of malaria on stunting: an instrumental variables approach

Published:2021-01-25 Issue:9 Volume:115 Page:1094-1098
ISSN:0035-9203
Container-title:Transactions of The Royal Society of Tropical Medicine and Hygiene
language:en
Short-container-title:

Author:

Ateba François Freddy¹²,Doumbia Seydou¹,ter Kuile Feiko O³⁴,Terlouw Dianne J³⁵,Lefebvre Genevieve²,Kariuki Simon⁴,Small Dylan S⁶

Affiliation:

1. Malaria Research and Training Center & Department of Public Health Education and Research of the Faculty of Medicine and Odonto-Stomatology, University of Sciences, Techniques and Technologies of Bamako, BP 1805 Point G Bamako, Mali

2. Department of Mathematics, University of Quebec at Montreal (UQAM), Montréal, QC H2X 3Y7, Canada

3. Liverpool School of Tropical Medicine, Department of Clinical Sciences, Pembroke Place, Liverpool L3 5QA, UK

4. Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), P.O. Box 1578, 40100 Kisumu, Kenya

5. Malawi-Liverpool Wellcome Trust Clinical Research Programme (MLW), P.O. Box 30096 Blantyre, Malawi

6. Department of Statistics, Wharton School, University of Pennsylvania, 464 Jon M. Huntsman Hall 3730 Walnut Street Philadelphia, PA 19104 Philadelphia, PA, USA

Abstract

Abstract Background Previous studies have found mixed evidence for an effect of malaria on stunting, but have suffered from concerns about confounding and/or power. Currently, an effect of malaria on stunting is not included in the Lives Saved Tool (LiST) model. Methods We used instrumental variables regression with the sickle cell trait and random assignment to bednets as instruments in the analysis of data on children aged 0–2 y from a bednet trial in western Kenya. Results We estimated that one additional clinical malaria episode per year increases the odds of a child being stunted by 6% (OR estimate: 1.06, 95% CI 1.01 to 1.11). Conclusions Our finding that malaria affects stunting suggests that an effect of malaria on stunting in young children should be considered in the LiST model.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,General Medicine,Parasitology

Link

https://academic.oup.com/trstmh/article-pdf/115/9/1094/41118762/traa183.pdf

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