Risk Factors of Malaria Transmission Dynamics Among Sand Mining Workers in the Kombos West Coast Region, The Gambia

Abstract

Background: Malaria eradication by 2030 is the UN's third Sustainable Development Goal (SDG). However, malaria still poses a severe threat to public health, especially in Sub-Saharan Africa, which includes The Gambia. The present study explores the factors that impact malaria transmission among artisanal small-scale miners (ASSM) in three districts in the West Coast Region of The Gambia: Kombo East, Kombo Central, and Kombo South. Methods: The researchers carried out a cross-sectional study using one hundred participants from the study area. Using a logistic regression model, the researchers looked at risk variables linked to malaria incidence in the Kombos. Results: Age (Adjusted Prevalence Ratio (APR) = 7.989 with 95% Confidence Interval (CI 1.724–37.002) and the existence of mosquito breeding places (APR = 7.685 with 95% Confidence Interval (CI 1.502–39.309) were shown to be risk variables for malaria in the multivariable analysis. On the other hand, protective factors included higher education level (APR = 0.104 with 95% CI 0.027-0.403), using insect repellents (APR = 0.138 with 95% CI 0.035-0.549), and the state of inside home walls (APR = 0.145 with 95% CI 0.0414-0.511). Conclusions: According to this study's findings, the Gambia's malaria risk variables include age and the presence of mosquito breeding grounds. In addition, having greater knowledge, using insect repellents, and having well-maintained interior walls are all protective factors against malaria. In order to eradicate malaria in Gambia's mining regions, it is strongly advised to decrease risk factors and increase prevention measures through effective communication, information, and education.