Intestinal Parasite Infection and Its Association with Undernutrition among Early Adolescents in Hawassa University Technology Village, Southern Ethiopia

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Advances in Public Health Pub Date : 2021-10-15 DOI:10.1155/2021/3937948

Amelo Bolka Gujo, Assefa Philipos Kare, Shambel Gussa Shuramo

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Abstract

Background. Different studies presented negating findings of the association between intestinal parasite infections (IPIs) and undernutrition among early adolescents in Ethiopia. This study was aimed at assessing intestinal parasite infection and its association with undernutrition among early adolescents in four selected districts of the Sidama region. Method. An institution-based cross-sectional study was conducted in October 2020 among 792 early adolescents. The multistage stage sampling was applied to select 16 primary schools. Simple random sampling was applied to select study participants. Trained data collectors administered questionnaires. Stool samples were collected and analyzed. Anthropometric measurements were taken and indices were calculated using AnthroPlus software. Data were entered into and analyzed by SPSS version 25 software. Association between IPI and undernutrition was measured using multivariable analysis. The outputs are presented using an adjusted odds ratio (AOR) with 95% confidence intervals (CIs). Result. The prevalence of IPI, thinness, and stunting was 32% (95% CI: 28.7%, 35.3%), 17.5% (95% CI: 14.8%, 20.2%), and 21.5% (95 CI: 18.6%, 24.4%), respectively. The higher odds of IPIs were observed among adolescents stunted (AOR = 3.61; 95% CI: 2.44–5.33), those who are thin (AOR = 3.07; 95% CI: 2.02–4.66), those who did not wash their hands after toilet (AOR = 1.89; 95% CI: 1.35–2.66), those who ate raw meat (AOR = 1.50; 95% CI: 1.03–2.14), and those whose family did not own toilet (AOR = 1.71; 95% CI: 1.18–2.46). Conclusion. The prevalence of IPI, thinness, and stunting was high and has public health significance in the study area. IPIs were associated with stunting, thinness, lack of toilets, not washing hands after a toilet visit, and eating raw meat. Strengthening nutrition interventions, deworming programs, and health education on personal and environmental hygiene and sanitation are recommended.

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埃塞俄比亚南部哈瓦萨大学科技村早期青少年肠道寄生虫感染及其与营养不良的关系

背景。不同的研究对埃塞俄比亚早期青少年肠道寄生虫感染(IPIs)与营养不良之间的关联提出了否定的发现。本研究旨在评估Sidama地区四个选定地区的早期青少年肠道寄生虫感染及其与营养不良的关系。方法。2020年10月，对792名早期青少年进行了一项基于机构的横断面研究。采用多阶段抽样法选取16所小学。采用简单随机抽样的方法选择研究对象。训练有素的数据收集人员进行问卷调查。收集粪便样本并进行分析。采用AnthroPlus软件进行人体测量并计算各项指标。采用SPSS 25版软件进行数据录入和分析。IPI和营养不良之间的关系采用多变量分析来衡量。输出采用调整后的优势比(AOR)和95%置信区间(ci)。结果。IPI、消瘦和发育迟缓的患病率分别为32% (95% CI: 28.7%， 35.3%)、17.5% (95% CI: 14.8%， 20.2%)和21.5% (95 CI: 18.6%， 24.4%)。发育不良的青少年ipi发生率较高(AOR = 3.61;95% CI: 2.44-5.33)，较瘦者(AOR = 3.07;95% CI: 2.02-4.66)，如厕后不洗手者(AOR = 1.89;95% CI: 1.35-2.66)，吃生肉的人(AOR = 1.50;95% CI: 1.03-2.14)，以及家庭没有厕所的患者(AOR = 1.71;95% ci: 1.18-2.46)。结论。IPI、消瘦和发育迟缓的患病率较高，在研究地区具有公共卫生意义。ipi与发育迟缓、消瘦、没有厕所、上厕所后不洗手以及吃生肉有关。建议加强营养干预、驱虫计划以及个人和环境卫生的健康教育。

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