Moshi Cypriana Cyprian, Sebastian Penina Joseph, Azizi Kaunara Ally, Killel Erick, Mushumbusi Devotha Gabriel, Meghji Wessy Pirbhai, Kitunda Malimi Emmanuel, Millinga Francis Karl, Adam Hancy, Kasankala Ladislaus Manaku
Tanzania Food and Nutrition Center, P.O. Box 977, Dar es Salaam, Tanzania.
J Nutr Metab. 2023 Jul 21;2023:9529600. doi: 10.1155/2023/9529600. eCollection 2023.
Mass deworming of preschool children is a strategy suggested to prevent soil-transmitted helminth infections in most developing countries. Nonetheless, there is a scarcity of data showing the contribution of mass deworming to a child's nutritional status. The purpose of this study was to assess the effect of deworming on nutritional health outcomes (stunting, underweight, and anemia) in children aged 12 to 59 months.
A secondary analysis of data extracted from the Tanzania Demographic and Health Survey (TDHS) 2015-16 data was carried out. A total of 7,962 children were included in this study. A multilevel logistic regression was used at a 5% level of significance to determine the individual- and community-level determinants of deworming on health outcomes among children.
The prevalence of underweight (62.6%), stunting (61.0%), and anemia (61.8%) was higher in children who were not dewormed than those who were dewormed. Female children were more likely to suffer from poor health outcomes (OR = 1.01 and 95% CI = 0.95-1.07) than male children. Children aged 24-35 months and 36-47 months were significantly less likely to suffer from poor health outcomes (OR = 0.89; 95% CI = 0.82-0.97 and OR = 0.88; 96% CI = 0.81-0.96, respectively; < 0.01). Children from households with unimproved toilets (OR = 1.38 and 95% CI = 1.25-1.52), unimproved water sources (OR = 1.08 and 95% CI = 1.01-1.16), and living in rural areas (OR = 1.02 and 95% CI = 0.91-1.14) had higher odds for poor health outcomes.
Deworming may be an effective technique for preventing poor health outcomes in children and the risks associated with them, such as poor growth and development.
在大多数发展中国家，对学龄前儿童进行群体驱虫是一项预防土壤传播蠕虫感染的策略。然而，缺乏数据表明群体驱虫对儿童营养状况的贡献。本研究的目的是评估驱虫对12至59个月大儿童营养健康结果（发育迟缓、体重不足和贫血）的影响。
对从2015 - 2016年坦桑尼亚人口与健康调查（TDHS）数据中提取的数据进行二次分析。本研究共纳入7962名儿童。采用多水平逻辑回归，在5%的显著性水平下确定儿童驱虫对健康结果的个体和社区层面决定因素。
未驱虫儿童的体重不足（62.6%）、发育迟缓（61.0%）和贫血（61.8%）患病率高于驱虫儿童。女童比男童更易出现健康不佳结果（比值比[OR]=1.01，95%置信区间[CI]=0.95 - 1.07）。24至35个月和36至47个月的儿童出现健康不佳结果的可能性显著较低（OR分别为0.89；95%CI=0.82 - 0.97和OR=0.88；96%CI=0.81 - 0.96；P<0.01）。来自卫生设施未改善的家庭（OR=1.38，95%CI=1.25 - 1.52）、水源未改善的家庭（OR=1.08，95%CI=1.01 - 1.16）以及居住在农村地区的儿童（OR=1.02，95%CI=0.91 - 1.14）出现健康不佳结果的几率更高。
驱虫可能是预防儿童健康不佳结果及其相关风险（如生长发育不良）的有效技术。
