尼日利亚南部阿布拉卡城市周边地区儿童地蠕虫病的季节流行率、强度和危险因素

Q4 Immunology and Microbiology
E. E. Ito, A. Egwunyenga
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引用次数: 0

摘要

阿布拉卡大都市儿童中的地蠕虫病是一个严重的公共卫生问题。使用结构化问卷和Kato-Katz技术对217名4-12岁的学童(旱季和雨季分别为124名和93名)进行了季节性寄生虫学检查。旱季和雨季的患病率分别为62.90%和79.56%,其中蛔虫的患病率最高。从统计数据来看,土蠕虫/合并感染及其季节性流行率存在显著差异(p<0.05)。主成分分析表明,丰水季节与蛔虫、蛔虫+鞭虫呈正相关,2与鞭虫、鞭虫+钩虫和钩虫呈中度相关。卡方(χ)分析显示,两个季节的性别患病率之间的相关性不显著(p>0.05)。季节性年龄患病率没有显著差异(p>0.05),但毛滴虫除外,毛滴虫在雨季的年龄性别患病率被认为是显著的(p<0.05)。几何对数平均EPG在旱季高于雨季,差异无统计学意义(p>0.05)显著(p0.05)。与个人卫生相比,环境造成的风险因素不那么显著。季节对蠕虫的流行起着重要作用。这些发现对公共卫生的重要性以及促进卫生、饮食习惯和排便健康教育的必要性在阿布拉卡及其周边地区很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seasonal Prevalence, Intensity and Risk Factors of Geohelminthiasis among Children in Peri-Urban Settings, Abraka, Southern, Nigeria
Geohelminthiasis among children in the Abraka metropolis is a serious public health concern. Atotal of 217 (124 and 93 for dry and wet seasons  respectively) schoolchildren between the ages of 4-12 years old were subjected to seasonal parasitological examination using structured questionnaires  and Kato-Katz techniques. A prevalence of 62.90 and 79.56% for dry and wet seasons were established with A. lumbricoides having the highest  prevalence. Statistically, there was a significant difference (p < 0.05) in geohelminths/coinfections and their seasonal prevalence. Principal component  analysis revealed that wet season correlated positively with Ascaris lumbricoides, A. lumbricoides + Trichuris trichiura and 2 moderately with T. trichiura and  T. trichiura + hookworm and hookworm. Chi-square (χ ) analysis revealed that the association in gender prevalence was not significant (p > 0.05) in both  seasons. The seasonal age prevalence was not significantly different (p > 0.05) except for T. trichiura whose age-gender prevalence in the wet season was  considered significant (p < 0.05). Geometric logarithmic mean EPG was higher in the dry season than wet season and the difference was not statistically  significant (p > 0.05). Personal hygiene as a risk factor showed that geohelminths were significantly (p <0.05) influenced by toilet paper usage, wadding in  stagnant waters, washing anal with hand after defecation, eating with unwashed 2 hands, and walking bare-footed. However, χ showed no significant  association in seasonal prevalence for all risk factors. Hookworm and T. trichiura prevalence was greatly (p < 0.05) influenced by parents’ economic status,  toilet facilities and waste disposal. Open garbage sites respondents exhibited the highest geohelminth prevalence. However, the water source  was not significantly affected (p > 0.05). The risk factors posed by the environment are less significant compared to personal hygiene. The seasons played  a significant role in the prevalence of geohelminths. The public health importance of these findings and the need to promote health education on  sanitation, eating habits and defecation are important in Abraka and its environs. 
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来源期刊
Nigerian Journal of Parasitology
Nigerian Journal of Parasitology Medicine-Infectious Diseases
CiteScore
0.20
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发文量
43
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