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赞比亚恩多拉市卡瓦马地区 5 至 17 岁上学儿童感染的流行情况及相关因素。

Prevalence and correlates of infections among school going-children aged 5 to 17 years in Kawama, Ndola, Zambia.

机构信息

Copperbelt University, Michael Chilufya School of Medicine, Public Health Department, P.O Box 71191, Ndola, Zambia.

Tropical Diseases Research Centre, Biomedical Sciences Department, P.O Box 71769, Ndola, Zambia.

出版信息

Pan Afr Med J. 2023 Aug 18;45:170. doi: 10.11604/pamj.2023.45.170.41193. eCollection 2023.

Abstract

INTRODUCTION

schistosomiasis is a neglected tropical disease and remains a disease of public health concern. Despite its relative importance, paucity of information on schistosomiasis in urban settings such as Ndola remains. Here, we present findings on the prevalence and factors associated with Schistosoma haematobium (S. haematobium) infections among School-going children in the Kawama in Ndola district in Zambia, an urban area in the Copperbelt Province, Zambia.

METHODS

we employed a cross-sectional study design among 354 school going-children between 5 and 17 years of age between November 2020 and February 2021. A Multivariate forward step-wise logistic regression model was used to determine the associations of risk factors. Adjusted odds ratios and 95% confidence intervals are reported.

RESULTS

of the 354 school-going children included in the analysis, 13.3% had S. haematobium infection. Children who swam in the stream/dam were more likely to have S. haematobium infection as compared to those who did not (aOR 6.531, 95% CI: 2.90-14.69).

CONCLUSION

S. haematobium infection is endemic among school-going children in an urban setup of the Kawama area of Ndola City, Zambia. There is a need for targeted interventions to mitigate infections among this population.

摘要

简介

血吸虫病是一种被忽视的热带病,仍然是一个公共卫生关注的问题。尽管它很重要,但在像恩多拉这样的城市环境中,关于血吸虫病的信息仍然很少。在这里,我们介绍了赞比亚铜带省恩多拉市卡瓦马地区在校学童中曼氏血吸虫(S. haematobium)感染的流行情况和相关因素。

方法

我们在 2020 年 11 月至 2021 年 2 月期间对 354 名 5 至 17 岁的在校学童进行了横断面研究。采用多变量向前逐步逻辑回归模型来确定危险因素的相关性。报告了调整后的优势比和 95%置信区间。

结果

在纳入分析的 354 名在校学童中,有 13.3%患有曼氏血吸虫病。与不游泳的儿童相比,在溪流/水坝游泳的儿童更有可能感染曼氏血吸虫(调整后的优势比 6.531,95%置信区间:2.90-14.69)。

结论

赞比亚恩多拉市卡瓦马地区的在校学童中存在曼氏血吸虫病感染。需要采取有针对性的干预措施来减轻这一人群的感染。

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