埃塞俄比亚Gena Bossa tiwooreda小学儿童土壤传播蠕虫感染流行及其决定因素:横断面研究

Teklemariam Yarinbab, Abebe Demissie Darcha
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引用次数: 1

摘要

背景:土壤传播蠕虫(STH)感染是发展中国家学龄儿童的一个主要公共卫生问题。在埃塞俄比亚,学龄儿童已被确定为感染土壤传播蠕虫的高危人群。有效预防和控制STH感染需要识别高危人群中的危险因素。因此,本研究的目的是评估埃塞俄比亚Gena Bossa wooreda小学生中土壤传播蠕虫感染的流行情况及其决定因素。方法:在埃塞俄比亚Gena Bossa wooreda进行横断面研究。数据是通过预先测试和结构化的问卷收集的。采用简单随机抽样技术。数据分析采用SPSS for Windows Version 20.0软件。进行了双变量和多变量logistic回归分析。以p值<0.05表示变量有统计学意义。结果:约303名(97.7%)研究对象参与研究。超过三分之一(38.3%)的研究参与者在至少一种STH物种的检测中呈阳性。寄生虫以蚓类为主(42.1%),其次为钩虫(37.4%)和毛螺旋体(11.2%)。缺乏私人厕所(AOR=4.12, 95% CI: 1.64和3.37)、不经常穿鞋(AOR=1.80, 95% CI: 1.01和3.23)、儿童年龄(5至10岁)(AOR=2.43, 95% CI: 1.42和4.16)和不知道STH感染的病原体(AOR=2.60, 95% CI: 1.37和4.93)是土壤传播性蠕虫感染的决定因素。结论:缺乏私人厕所、不常穿鞋、儿童年龄(5 ~ 10岁)和不了解STH感染病原体是STH感染的主要决定因素。因此;公共卫生政策制定者和利益相关方应将预防STH感染的干预措施重点放在综合控制计划上,包括定期对儿童穿鞋习惯进行健康教育,提高学童及其家庭对STH感染的认识,以及在每个家庭推广私人厕所。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Soil Transmitted Helminthes Infections and its Determinants among Primary School Children in Gena Bossa Tiworeda, Ethiopia: Cross-Sectional Study
Background: Soil-Transmitted Helminths (STH) infection is a major public health problem among school-aged children in developing countries. In Ethiopia, school-aged children have been identified as a high-risk group of population to be infected with Soil Transmitted Helminthes. Effective prevention and control of STH infection require the identification of risk factors among high-risk groups. Therefore, the aim of this study was to assess the prevalence of Soil Transmitted Helminthes infections and its determinants among primary school children in Gena Bossa Woreda, Ethiopia. Methods: Cross-sectional study was conducted in Gena Bossa Woreda, Ethiopia. The data were collected using pre-tested and structured questionnaires. Simple random sampling technique was used. Data analysis was done by SPSS for Windows Version 20.0. Bivariate and Multivariate logistic regressions analyses were conducted. p-value <0.05 was used to declare statistically significant variables. Result: About 303 (97.7%) of the study subjects participated in the study. Above one-third (38.3%) of the study, participants were tested positive for at least one of the STH species. lumbricoides (42.1%) was the predominant parasite followed by Hookworms (37.4%) and T. trichiura (11.2%). Lack of private latrines (AOR=4.12, 95% CI: 1.64 and 3.37), not wearing shoes always (AOR=1.80, 95% CI: 1.01, 3.23), age of children (5 to 10 years) (AOR=2.43, 95%, CI: 1.42 and 4.16) and not knowing causative agents of STH infection (AOR=2.60, 95% CI: 1.37 and 4.93) were found to be determinants of Soil Transmitted Helminthes Infections. Conclusion: Lack of private latrines, not wearing shoes always, age of children (5 to 10 years) and not knowing causative agents of STH infections were found to be major determinants of STH Infections. Therefore; public health policymakers and stakeholders working in the area should focus their intervention against STH infections on integrated control programs including regular health education on children ’ s shoes wearing habits, raising awareness of school children and their families on STH infections and promoting private latrines in every household.
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