In turn, high SEP was associated with lower HBR (highest versus lowest wealth index tertile: Incidence Rate Ratio 0.71, 95 % confidence intervals (CI) 0.54 0.93, P=0.01) and lower odds of malaria infection in children (highest versus lowest wealth index tertile: adjusted Odds Ratio 0.52, 95 % CI 0.35 0.78, P=0.001), but SEP was not associated with clinical malaria incidence. Mediation analysis suggested that part of the total effect of SEP on malaria infection risk was explained by house type (24.9 %, 95 % CI 15.8 58.6 %) and food security (18.6 %, 95 % CI 11.6 48.3 %); however, the assumptions of the mediation analysis may not have been fully met. Improvements and agricultural development interventions to reduce poverty merit further investigation as multisectoral interventions against malaria.
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