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埃塞俄比亚西南部吉马镇热点地区学童的感染与发病情况:一项横断面研究

Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study.

作者信息

Tiruneh Abebaw, Zemene Endalew, Abdissa Mizana Biru, Girma Hundaol, Dereje Eden, Sharew Bizuwork, Ayana Mio, Mekonnen Zeleke

机构信息

School of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.

Department of Midwifery, Institute of Health, Jimma University, Jimma, Ethiopia.

出版信息

Environ Health Insights. 2023 Mar 22;17:11786302231161047. doi: 10.1177/11786302231161047. eCollection 2023.

Abstract

BACKGROUND

is endemic in all regions of Ethiopia. School-age children are highly vulnerable to schistosomiasis-related morbidities. This study aimed to determine the prevalence of and morbidities among schoolchildren in schistosomiasis hotspot areas of Jimma Town.

METHODS

Cross-sectional study was conducted among schoolchildren in Jimma Town. Stool sample was examined using Kato-Katz for the detection of .

RESULTS

A total of 332 schoolchildren were included in the study. The prevalence of and STHs was 20.2% and 19.9%, respectively. Males (adjusted odds ratio (AOR) = 4.9; 95% CI: 2.4-10.1;  = .001), swimming habits (AOR = 3.0; 95% CI: 1.1-8.3;  = .033) and schools attended (AOR = 4.3; 95% CI: 1.4-13.6;  = .012, AOR = 3.8; 95% CI: 1.3-10.9;  = .014) were associated factors for infections. Blood in stool (AOR = 2.0; CI: 1.0-4.1;  = .045) and feeling general malaise (AOR = 4.0; CI: 1.4-11.3;  = .007) were significantly associated with infection-related morbidities. Moreover, prevalence of stunting among schoolchildren 6 to 11 years of age was 29.7% (71/239).

CONCLUSION

The transmission of among schoolchildren is moderate. Sex, swimming habits and schools attended were associated with infections. Blood in stool and general malaise were clinical characteristics associated with infections. Integration of health promotion is needed to achieve control and elimination goals. Attention should also be given to stunted growth of the children.

摘要

背景

在埃塞俄比亚所有地区均为地方病。学龄儿童极易感染与血吸虫病相关的疾病。本研究旨在确定吉马镇血吸虫病热点地区学童中的感染率及相关疾病。

方法

在吉马镇的学童中开展横断面研究。采用加藤厚涂片法检测粪便样本中的。

结果

本研究共纳入332名学童。的感染率和肠道寄生虫感染率分别为20.2%和19.9%。男性(调整优势比(AOR)=4.9;95%置信区间:2.4 - 10.1;P = 0.001)、游泳习惯(AOR = 3.0;95%置信区间:1.1 - 8.3;P = 0.033)以及就读学校(AOR = 4.3;95%置信区间:1.4 - 13.6;P = 0.012,AOR = 3.8;95%置信区间:1.3 - 10.9;P = 0.014)是感染的相关因素。便血(AOR = 2.0;置信区间:1.0 - 4.1;P = 0.045)和全身不适(AOR = 4.0;置信区间:1.4 - 11.3;P = 0.007)与感染相关疾病显著相关。此外,6至11岁学童的发育迟缓率为29.7%(71/239)。

结论

学童中的传播情况为中度。性别、游泳习惯和就读学校与感染有关。便血和全身不适是与感染相关的临床特征。需要整合健康促进措施以实现控制和消除目标。还应关注儿童的生长发育迟缓问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2868/10034345/c9907346fbc4/10.1177_11786302231161047-fig1.jpg

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