Table 3 The odds ratios for HbAS in case-patients versus community controls

From: The indirect health effects of malaria estimated from health advantages of the sickle cell trait

Diagnosis

Proportion HbAS among cases (n/N, %)

OR (95% CI)

P value

aOR (95% CI)

P value

Clinical syndromes

 All cause hospital admission

1791/18,293 (9.8)

0.62 (0.56–0.68)

 < 0.0001

0.62 (0.55–0.69)

 < 0.0001

 Neonatal conditions

224/1839 (12.2)

0.79 (0.67–0.93)

0.005

0.79 (0.67–0.93)

0.005

 Malaria

252/5560 (4.5)

0.27 (0.23–0.32)

 < 0.0001

0.26 (0.22–0.31)

 < 0.0001

 Severe malaria

20/858 (2.3)

0.14 (0.09–0.21)

 < 0.0001

0.14 (0.09–0.22)

 < 0.0001

 Severe pneumonia

54/500 (10.8)

0.69 (0.52–0.93)

0.014

0.70 (0.51–0.96)

0.026

 Very severe pneumonia

1073/10,833 (9.9)

0.63 (0.57–0.70)

 < 0.0001

0.64 (0.56–0.72)

 < 0.0001

 Meningitis/encephalitis

294/3073 (9.6)

0.60 (0.52–0.70)

 < 0.0001

0.60 (0.50–0.72)

 < 0.0001

 Severe malnutrition

166/1594 (10.4)

0.66 (0.56–0.80)

 < 0.0001

0.67 (0.55–0.83)

 < 0.0001

 Gastroenteritis

378/3416 (11.1)

0.71 (0.62–0.81)

 < 0.0001

0.72 (0.61–0.86)

 < 0.0001

 Other

204/1273 (16.0)

1.09 (0.92–1.29)

0.32

1.08 (0.90–1.29)

0.41

Laboratory features and outcomes

 Bacteremia

98/952 (10.3)

0.66 (0.52–0.82)

 < 0.0001

0.69 (0.54–0.88)

0.003

 Malaria blood film positive

384/7606 (5.0)

0.30 (0.27–0.35)

 < 0.0001

0.30 (0.26–0.35)

 < 0.0001

 Malaria blood film negative

1407/10,687 (13.2)

0.87 (0.79–0.96)

0.004

0.90 (0.83–0.98)

0.011

 Severe anemia

80/1469 (5.4)

0.33 (0.26–0.42)

 < 0.0001

0.35 (0.27–0.46)

 < 0.0001

 Transfused

80/1623 (4.9)

0.30 (0.23–0.38)

 < 0.0001

0.32 (0.25–0.41)

 < 0.0001

 Died

113/1087 (10.4)

0.66 (0.54–0.82)

 < 0.0001

0.69 (0.55–0.88)

0.002

  1. OR: crude odds ratios for HbAS were derived through comparison of the genotype frequencies for HbAA and HbAS in cases versus community controls using logistic regression. Those for cases are shown in the second column while the frequency of HbAS among controls was 701/4707 (14.9%). aOR is the odds ratios adjusted for age groups defined as 0–3 years, 4–7 years and 8–12 years. The genotype frequencies for the control group, stratified by age category, are described in more detail under methods. P values were estimated using logistic regression