Distance threshold for the effect of urban agriculture on elevated self-reported malaria prevalence in accra, ghana

Justin B Stoler, John R. Weeks, Arthur Getis, Allan G. Hill

Research output: Contribution to journalArticle

29 Scopus citations


Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA.This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socioeconomic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.

Original languageEnglish
Pages (from-to)547-554
Number of pages8
JournalAmerican Journal of Tropical Medicine and Hygiene
Issue number4
StatePublished - Apr 1 2009
Externally publishedYes


ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology
  • Medicine(all)

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