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埃塞俄比亚西区阿尔西镇三所小学学童感染的患病率及相关危险因素

Prevalence and associated risk factors of infection among school children from three primary schools in Arsi Town, West Zone, Ethiopia.

作者信息

Roro Geribe Bushura, Eriso Feleke, Al-Hazimi Awdah M, Kuddus Mohammed, Singh Suresh Chandra, Upadhye Vijay, Hajare Sunil Tulshiram

机构信息

Department of Biology, College of Natural and Computational Sciences, Dilla University, Dilla, SNNPR Ethiopia.

Faculty of Medicine, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

J Parasit Dis. 2022 Sep;46(3):776-784. doi: 10.1007/s12639-022-01495-1. Epub 2022 May 20.

Abstract

is one of the major pathogenic intestinal parasites and is amongst the leading causes of diarrheal illness in children. Around 500 million people are infected worldwide, while 75,000 die of the disease annually. is associated with moderate to severe diarrhoea and increased mortality among children in African countries and negatively affects child growth and development. Malnutrition is also an important contributor to the prevalence of in Ethiopia. It is mostly associated with poor hygiene, poverty, illiteracy, lack of access to potable water, and a hot, humid tropical climate. Thus, the present investigation was aimed to assess the prevalence rate and associated factors of among schoolchildren in Arsi Town, West Zone, Oromia Regional State, Ethiopia. A cross-sectional study was conducted from February 1st to May 1st, 2020. A total number of 334 students were selected from three governmental elementary schools in the west zone using a systematic sampling method. A structured questionnaire was adopted to identify environmental, socio-demographic, and behavioral factors. Microscopically positive samples for cysts were further characterised using an II antigen detection kit. The statistical analysis of the data was done using SPSS software. A univariate and multivariate logistic regression analysis was done. value < 0.05 was considered statistically significant. The overall prevalence of was 19.8%. Hand washing habits before eating [AOR = 0.32; 95% CI (0.12, 0.84)], hand washing habits after defecation [AOR = 0.396; 95% CI (0.165, 0.946)], and ameba awareness [AOR = 0.35; 95% CI (0.142, 0.889)] were factors associated with parasite prevalence. The findings of this study could assist the government in targeting infected areas, improving sanitation to prevent transmission, and implementing effective control measures in these rural communities, particularly among youngsters, who represent the nation's future.

摘要

是主要的致病性肠道寄生虫之一,也是儿童腹泻病的主要病因之一。全球约有5亿人感染,每年有7.5万人死于该病。在非洲国家,它与中度至重度腹泻以及儿童死亡率增加有关,并对儿童的生长发育产生负面影响。营养不良也是埃塞俄比亚该病流行的一个重要因素。它主要与卫生条件差、贫困、文盲、缺乏安全饮用水以及炎热潮湿的热带气候有关。因此,本研究旨在评估埃塞俄比亚奥罗米亚州西区阿尔西镇学童中该寄生虫的流行率及相关因素。于2020年2月1日至5月1日进行了一项横断面研究。采用系统抽样方法从西区三所政府小学共选取了334名学生。采用结构化问卷来确定环境、社会人口学和行为因素。对显微镜下检测到该寄生虫囊肿呈阳性的样本,使用第二代抗原检测试剂盒进一步进行鉴定。使用SPSS软件对数据进行统计分析。进行了单因素和多因素逻辑回归分析。P值<0.05被认为具有统计学意义。该寄生虫的总体流行率为19.8%。饭前洗手习惯[AOR = 0.32;95%可信区间(0.12, 0.84)]、便后洗手习惯[AOR = 0.396;95%可信区间(0.165, 0.946)]以及对该寄生虫的认知度[AOR = 0.35;95%可信区间(0.142, 0.889)]是与寄生虫流行率相关的因素。本研究结果可协助政府确定感染地区,改善卫生条件以预防该寄生虫传播,并在这些农村社区,特别是在代表国家未来的年轻人中实施有效的控制措施。

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