@article{fdi:010072251, title = {{T}he associations between malaria, interventions, and the environment : a systematic review and meta-analysis}, author = {{S}adoine, {M}.{L}. and {S}margiassi, {A}. and {R}idde, {V}al{\'e}ry and {T}usting, {L}.{S}. and {Z}inszer, {K}.}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {M}alaria transmission is driven by multiple factors, including complex and multifaceted connections between malaria transmission, socioeconomic conditions, climate and interventions. {F}orecasting models should account for all significant drivers of malaria incidence although it is first necessary to understand the relationship between malaria burden and the various determinants of risk to inform the development of forecasting models. {I}n this study, the associations between malaria risk, environmental factors, and interventions were evaluated through a systematic review. {M}ethods: {F}ive electronic databases ({CAB} {A}bstracts, {EMBASE}, {G}lobal {H}ealth, {MEDLINE} and {P}ro{Q}uest {D}issertations & {T}heses) were searched for studies that included both the effects of the environment and interventions on malaria within the same statistical model. {S}tudies were restricted to quantitative analyses and health outcomes of malaria mortality or morbidity, outbreaks, or transmission suitability. {M}eta-analyses were conducted on a subset of results using random-effects models. {R}esults: {E}leven studies of 2248 potentially relevant articles that met inclusion criteria were identified for the systematic review and two meta-analyses based upon five results each were performed. {N}ormalized {D}ifference {V}egetation {I}ndex was not found to be statistically significant associated with malaria with a pooled {OR} of 1.10 (95% {CI} 0.07, 1.71). {B}ed net ownership was statistically associated with decreasing risk of malaria, when controlling for the effects of environment with a pooled {OR} of 0.75 (95% {CI} 0.60, 0.95). {I}n general, environmental effects on malaria, while controlling for the effect of interventions, were variable and showed no particular pattern. {B}ed nets ownership, use and distribution, have a significant protective effect while controlling for environmental variables. {C}onclusions: {T}here are a limited number of studies which have simultaneously evaluated both environmental and interventional effects on malaria risk. {P}oor statistical reporting and a lack of common metrics were important challenges for this review, which must be addressed to ensure reproducibility and quality research. {A} comprehensive or inclusive approach to identifying malaria determinants using standardized indicators would allow for a better understanding of its epidemiology, which is crucial to improve future malaria risk estimations.}, keywords = {}, booktitle = {}, journal = {{M}alaria {J}ournal}, volume = {17}, numero = {}, pages = {art. 73 [11 ]}, ISSN = {1475-2875}, year = {2018}, DOI = {10.1186/s12936-018-2220-x}, URL = {https://www.documentation.ird.fr/hor/fdi:010072251}, }