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埃塞俄比亚西北部阿尔马奇霍西区无症状流动劳工中疟疾的流行情况及相关危险因素

Prevalence of malaria and associated risk factors among asymptomatic migrant laborers in West Armachiho District, Northwest Ethiopia.

作者信息

Aschale Yibeltal, Mengist Abeba, Bitew Abebaw, Kassie Bekalu, Talie Asmare

机构信息

Department of Medical Parasitology, College of Medicine and Health Sciences, DebreMarkos University, DebreMarkos, Ethiopia,

Department of Medical Microbiology, College of Medicine and Health Sciences, DebreMarkos University, DebreMarkos, Ethiopia.

出版信息

Res Rep Trop Med. 2018 Jun 20;9:95-101. doi: 10.2147/RRTM.S165260. eCollection 2018.

Abstract

BACKGROUND

Malaria is a febrile illness caused by protozoan parasites of the genus . It is prevalent in tropical and subtropical countries and becomes a challenge to a highly endemic area of Africa including Ethiopia. The West Armachiho district is a malaria-endemic lowland area where communities are experiencing hyperendemic malaria transmission.

OBJECTIVE

The aim of this study was to determine the prevalence of malaria and the associated risk factors among asymptomatic migrant laborers in the West Armachiho district, Northwest Ethiopia.

MATERIALS AND METHODS

Community-based cross-sectional study was conducted from September to December 2016 on 385 migrant laborers selected by proportionate two-stage sampling method in Agricultural camps of the West Armachiho district. A standardized questionnaire was used to collect sociodemographic data and risk factors. Capillary blood was collected for Giemsa-stained blood film examination to detect and identify parasites. Data were coded, entered, checked for completeness, and analyzed using SPSS version-20 statistical software. Multivariate logistic regression was used to asses significantly associated risk factors. A -value <0.05 was considered as statistically significant.

RESULTS

The prevalence of malaria was found to be 18.4% (n=71). Education level, home area or origin of migrant laborers, number of visits, outdoor sleeping, and bed net utilization were associated with the risk of malaria (<0.05).

CONCLUSION

Malaria was high in this study area and associated with outdoor sleeping, number of visits, home area, and bed net utilization.

摘要

背景

疟疾是由疟原虫属原生动物寄生虫引起的发热性疾病。它在热带和亚热带国家流行,对包括埃塞俄比亚在内的非洲高度流行地区构成挑战。西阿尔马奇霍区是疟疾流行的低地地区,当地社区正经历着高度流行的疟疾传播。

目的

本研究旨在确定埃塞俄比亚西北部西阿尔马奇霍区无症状流动劳工中疟疾的流行情况及相关危险因素。

材料与方法

2016年9月至12月,在西阿尔马奇霍区农业营地采用按比例两阶段抽样方法选取385名流动劳工进行基于社区的横断面研究。使用标准化问卷收集社会人口学数据和危险因素。采集毛细血管血制作吉姆萨染色血涂片检查,以检测和鉴定疟原虫。数据进行编码、录入、检查完整性,并使用SPSS 20版统计软件进行分析。采用多因素logistic回归分析显著相关的危险因素。P值<0.05被认为具有统计学意义。

结果

疟疾患病率为18.4%(n = 71)。教育程度、流动劳工的家乡地区或来源地、探访次数、户外睡眠和蚊帐使用情况与疟疾风险相关(P<0.05)。

结论

本研究地区疟疾发病率较高,且与户外睡眠、探访次数、家乡地区和蚊帐使用情况有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e65/6047623/01d802406938/rrtm-9-095Fig1.jpg

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