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季节变化对马来西亚原住民社区鞭虫病患病率及危险因素的作用

Role of Seasonal Variation on The Prevalence and Risk Factors of Trichuriasis Among the Aboriginal Community in Malaysia.

作者信息

Noradilah S A, Anuar T S, Lee I L

机构信息

Department of Medical Sciences II, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Bandar Baru Nilai, Malaysia.

Centre for Medical Laboratory Technology Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, Selangor, Malaysia.

出版信息

Helminthologia. 2022 May 4;59(1):55-63. doi: 10.2478/helm-2022-0004. eCollection 2022 Mar.

Abstract

is a soil-transmitted helminth prevalent in developing countries with poor, inadequate sanitation and unsafe water sources. In Malaysia, the prevalence of trichuriasis is relatively high among the aboriginal community due to poverty and poor sanitation. However, there are few studies to determine the seasonal variation on the prevalence and risk factors to acquire infection in Malaysia. The present study found higher infection during the dry season (63.6%; 138/217) in comparison to the wet season (55.5%; 142/256). Low household income, low education level and practice of open defecation were significant risk factors to acquire infection during the wet season. Usage of untreated water supplies for daily activities was a risk factor to acquire trichuriasis during the dry season. This study highlighted that poverty and poor sanitation practices as well as drinking untreated water put the aborigines at high risk to acquire trichuriasis. Therefore, health education, improved sanitation and provision of treated water supply are recommended for the prevention and control of infections in the aboriginal community.

摘要

是一种在卫生条件差、卫生设施不足且水源不安全的发展中国家流行的土源性蠕虫。在马来西亚,由于贫困和卫生条件差,原住民社区中鞭虫病的患病率相对较高。然而,在马来西亚,很少有研究确定患病率的季节性变化以及感染的风险因素。本研究发现,与雨季(55.5%;142/256)相比,旱季的感染率更高(63.6%;138/217)。家庭收入低、教育水平低和露天排便习惯是雨季感染的重要风险因素。日常活动使用未经处理的水源是旱季感染鞭虫病的一个风险因素。这项研究强调,贫困、不良的卫生习惯以及饮用未经处理的水使原住民感染鞭虫病的风险很高。因此,建议开展健康教育、改善卫生条件并提供经处理的供水,以预防和控制原住民社区的感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eff2/9075873/5feb9e377bda/helm-59-055-g001.jpg

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