@article{11460b6e4d4c4bb281ac9512dea16c1d,
title = "Temporal trends of gestational malaria in the United States",
abstract = "Background: Although regarded as rare in the United States (US), increased global traffic and importation of malaria from endemic countries may lead to a rise in gestational malaria in the US. Methods: This multi-year retrospective study analyzed trends in diagnosed cases of gestational malaria from 2002 to 2017 using joinpoint regression models. We also assessed the association between gestational malaria and selected maternal-fetal adverse outcomes. Results: Mothers diagnosed with gestational malaria tended to be older, and the majority of diagnosed cases (52.9%) were among Non-Hispanic (NH) Blacks. Diagnosed cases of gestational malaria are on the rise in the US. Mothers diagnosed with gestational malaria were 5 times as likely (OR = 5.05, 95% CI: 4.05–6.29) to be anemic as compared to those without malaria. Compared to NH-Whites, NH-Black mothers were twice as likely to experience stillbirth, had nearly 50% greater adjusted odds of severe preeclampsia, and had about 30% elevated likelihood for preterm labor. Conclusions: There is a need to dedicate appropriate resources to identify women that are at risk for gestational malaria in order to prevent related pregnancy complications.",
keywords = "Gestational malaria, Maternal-fetal complications, Trends, US",
author = "Justin Alexander and Deepa Dongarwar and Emmanuella Oduguwa and Larianna Varnado and Adesola Adenote and Jade Bailey and Chibueze Ezeudu and Patrice Nelson and Alexis Shavers and Abimbola Telufusi and Spooner, {Kiara K.} and Salemi, {Jason L.} and Olaleye, {Omonike A.} and Salihu, {Hamisu M.}",
note = "Funding Information: We thank the HCUP for providing access to the NIS database. Research funding support was provided by the US Department of Health and Human Services, Health Resources and Services Administration for the Maternal and Child Health Pipeline Training Program: TSU-BCM Maternal and Child Health Student Training for Academic Readiness and Success (MCH STARS) Undergraduate Fellowship Program, Grant no. T16MC29831. The authors report no conflicting interests. This work was supported in part by grant number 5G12MD007605-26 from the NIMHD/NIH. Funding Information: We thank the HCUP for providing access to the NIS database. Research funding support was provided by the US Department of Health and Human Services , Health Resources and Services Administration for the Maternal and Child Health Pipeline Training Program: TSU-BCM Maternal and Child Health Student Training for Academic Readiness and Success (MCH STARS) Undergraduate Fellowship Program, Grant no. T16MC29831 . The authors report no conflicting interests. This work was supported in part by grant number 5G12MD007605-26 from the NIMHD/NIH . Publisher Copyright: {\textcopyright} 2020",
year = "2020",
month = nov,
doi = "10.1016/j.parepi.2020.e00191",
language = "English (US)",
volume = "11",
journal = "Parasite Epidemiology and Control",
issn = "2405-6731",
publisher = "Elsevier Ltd",
}