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在尼日利亚湿润热带地区产前诊所就诊的孕妇中,食土癖作为胃肠道线虫感染的风险行为。

Geophagy as risk behaviour for gastrointestinal nematode infections among pregnant women attending antenatal clinics in a humid tropical zone of Nigeria.

作者信息

Ivoke Njoku, Ikpor Nnenna, Ivoke Obinna, Ekeh Felicia, Ezenwaji Ngozi, Odo Gregory, Iyaji Florence, Onoja Uwakwe, Eyo Joseph

机构信息

University of Nigeria, Department of Zoology and Environmental Biology.

Jackson State University, Department of Epidemiology and Biostatistics, School of Public Health.

出版信息

Afr Health Sci. 2017 Mar;17(1):24-31. doi: 10.4314/ahs.v17i1.5.

Abstract

BACKGROUND

Geophagy is wide spread among pregnant women in Ebonyi State, Nigeria.

OBJECTIVE

The aim of this study was to assess intestinal nematode infections among geophagous pregnant women in Southern Ebonyi State, Nigeria.

METHODS

Pregnant women were aged 17-45 years at gestational ages of ≥ 14 to 24 weeks on hospital enrolment were sampled. Data on geophagy was collected using structured questionnaire. Gastrointestinal nematode status of the participants was determined by stool analyses. Soil types ingested were examined for intestinal nematode ova / larvae.

RESULTS

The prevalence of geophagy (46.4%) was associated with socio-demographic characteristics. and hookworm were associated with geophagy while and had no association. Prevalence of and differed significantly (p<0.05) between geophagous and non-geophagous women. The soil types consumed had eggs / larvae of and . Geophagy is a risk behaviour directly associated with , hookworm, , and to a lesser extent infection among pregnant women.

CONCLUSION

Sensitization and mass education of pregnant women on the dangers of geophagy is needed. Furthermore, deworming of pregnant women should be integrated into the healthcare delivery system of the State.

摘要

背景

食土癖在尼日利亚埃邦伊州的孕妇中广泛存在。

目的

本研究旨在评估尼日利亚埃邦伊州南部有食土癖的孕妇的肠道线虫感染情况。

方法

选取入院时孕周≥14至24周、年龄在17 - 45岁的孕妇作为样本。使用结构化问卷收集食土癖相关数据。通过粪便分析确定参与者的胃肠道线虫感染状况。对所摄入的土壤类型进行检查,以查找肠道线虫虫卵/幼虫。

结果

食土癖的患病率(46.4%)与社会人口学特征相关。钩虫与食土癖有关,而蛔虫和鞭虫则无关联。食土癖孕妇和非食土癖孕妇的蛔虫和鞭虫患病率差异显著(p<0.05)。所食用的土壤类型含有蛔虫和钩虫的虫卵/幼虫。食土癖是一种直接与孕妇感染蛔虫、钩虫、鞭虫以及在较小程度上与蛲虫感染相关的危险行为。

结论

需要对孕妇进行关于食土癖危害的宣传和大众教育。此外,应将孕妇驱虫纳入该州的医疗保健服务体系。

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Geophagy is common among Luo women in western Kenya.食土癖在肯尼亚西部的洛族女性中很常见。
Trans R Soc Trop Med Hyg. 1999 Sep-Oct;93(5):515-6. doi: 10.1016/s0035-9203(99)90355-3.

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