加纳沃尔特地区三个区小学生感染的社会经济风险因素

Socioeconomic Risk Factors for Infection in Primary School Children in Three Districts of the Volta Region Of Ghana.

作者信息

Orish Verner N, Agbemafle Isaac, Obum Edem K, Onyeabor Onyekachi S, Sanyaolu Adekunle O, Okorie Chuku, Adzaku Festus K

出版信息

J Health Care Poor Underserved. 2019;30(3):1165-1183. doi: 10.1353/hpu.2019.0080.

DOI:10.1353/hpu.2019.0080

PMID:31422995

Abstract

BACKGROUND

Socioeconomic factors influence the prevalence of malaria infection in endemic areas. This study evaluated the socioeconomic risk factors for Plasmodium falciparum infection in primary school children in the Volta region of Ghana.

METHODS

This cross-sectional study involved selected primary school children from the region; questionnaires were administered, and blood samples were collected for malaria detection using a rapid diagnostic test (RDT) and microscopy.

RESULTS

A total of 550 primary school children were enrolled in this study. The predominant occupation of the parents was trading (mothers, 334, 60.73%; fathers, 254, 46.18%) and farming (mothers, 156, 28.36%; fathers, 170, 30.91%). Three hundred and five (305; 55.45%) children tested positive for malaria with RDT and microscopy. Male sex (AOR=1.53), rural area (Afegame school) (AOR=4.01) and parental farming occupation (AOR=6.39), were independently associated with P. falciparum infection.

CONCLUSIONS

Plasmodium falciparum infection was significantly found in children in rural areas of Ghana with low socioeconomic status in this study.

摘要

背景

社会经济因素影响疟疾流行地区的疟疾感染率。本研究评估了加纳沃尔特地区小学生感染恶性疟原虫的社会经济风险因素。

方法

这项横断面研究纳入了该地区选定的小学生；发放了问卷，并采集血样，使用快速诊断检测（RDT）和显微镜检查来检测疟疾。

结果

本研究共纳入550名小学生。父母的主要职业是经商（母亲334人，占60.73%；父亲254人，占46.18%）和务农（母亲156人，占28.36%；父亲170人，占30.91%）。305名（55.45%）儿童的RDT和显微镜检查结果显示疟疾检测呈阳性。男性（调整后比值比[AOR]=1.53）、农村地区（阿费加梅学校）（AOR=4.01）和父母的务农职业（AOR=6.39）与恶性疟原虫感染独立相关。