Aivey Sadia Alam, Rahman Md Moshiur, Fukushima Yasuko, Ahmed Ashir, Prihanto Junaidi Budi, Sarker Mohammad Habibur Rahman, Hawlader Mohammad Delwer Hossain, Moriyama Michiko
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Faculty of Information Science and Electrical Engineering, Kyushu University, Japan.
Jpn J Nurs Sci. 2024 Jan;21(1):e12568. doi: 10.1111/jjns.12568. Epub 2023 Oct 6.
Malnutrition and infectious diseases, such as helminthic infections, are widespread among primary school children, especially in low- and middle-income countries. However, there are limited studies on school health in Bangladesh, particularly in rural settings. This study aimed to explore the nutritional status and prevalence of helminthic infections in relation to associated health behavior, awareness, and knowledge regarding malnutrition and helminthic infections which were evaluated by school nurses among primary school children in Bangladesh.
This was a descriptive, cross-sectional survey study with a total duration of 1 month, from September to October, 2021. This study formed part of a school nurse project as a cluster non-randomized clinical trial in Bangladesh. Selected variables from that clinical trial were analyzed and reported in the results section. The study participants were primary school children from four schools in rural Bangladesh.
In total, 604 children participated in the baseline survey and health checkups. Among them, 163 (27.0%) children were classified as malnourished according to the World Health Organization growth reference standard 2007. The prevalence of helminthic infections was 53 (8.8%). Approximately >50% of the children responded that they never/rarely practiced hygiene-related behaviors and had no awareness and knowledge regarding malnutrition and helminthic infections. However, differences between the variables were not statistically significant.
Children's nutritional status and prevalence of helminthic infections with related deprived health behaviors, and minimal awareness and knowledge, reinforce the importance of implementing educational interventions in the future.
营养不良和传染病,如蠕虫感染,在小学生中广泛存在,尤其是在低收入和中等收入国家。然而,关于孟加拉国学校卫生的研究有限,特别是在农村地区。本研究旨在探讨孟加拉国小学生的营养状况和蠕虫感染患病率,以及与之相关的健康行为、对营养不良和蠕虫感染的认识和知识,这些由学校护士进行评估。
这是一项描述性横断面调查研究,总时长为1个月,从2021年9月至10月。本研究是孟加拉国一项学校护士项目的一部分,作为一项整群非随机临床试验。在结果部分分析并报告了从该临床试验中选取的变量。研究参与者是孟加拉国农村四所学校的小学生。
共有604名儿童参加了基线调查和健康检查。其中,根据世界卫生组织2007年生长参考标准,163名(27.0%)儿童被归类为营养不良。蠕虫感染患病率为53例(8.8%)。约50%以上的儿童表示他们从未/很少践行与卫生相关的行为,对营养不良和蠕虫感染没有认识和知识。然而,各变量之间的差异无统计学意义。
儿童的营养状况、蠕虫感染患病率以及相关的不良健康行为、极低的认识和知识水平,凸显了未来实施教育干预措施的重要性。