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埃塞俄比亚西北部学龄儿童父母对肠道蠕虫病和疟疾的知识和做法。

Knowledge and practices of parents of school age children towards Helminthiasis and malaria in northwestern Ethiopia.

机构信息

Aklilu Lemma Institute of Pathobiology, Addis Ababa Unversity, P. O. Box 1176, Addis Ababa, Ethiopia.

Department of Epidemiology, Colledge of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198-4395, USA.

出版信息

BMC Public Health. 2024 Nov 30;24(1):3345. doi: 10.1186/s12889-024-20848-4.

Abstract

BACKGROUND

Helminthiasis and malaria prevail in developing countries including Ethiopia, where they claim lives, retard physical and mental growth, reduce productivity and contain economic growth. Implementing helminthiasis and malaria control strategies require adequate knowledge and practices of the affected communities. Knowledge and practices of parents of school age children was assessed in relation to risk of child infection with Helminthiasis and malaria.

METHODS

A total of 398 parents of school age children attending Maksegnit Number Two Elementary School from September 2020 to June 2021 were interviewed regarding their sociodemography, knowledge and practice towards Helminthiasis and malaria. The risk of child infection with Helminthiasis and malaria in relation to sociodemography and household practices was tested using multivariable logistic regression model.

RESULTS

Risk of child infection with Helminthiasis was lower when the responding parent was female (OR = 0.54; CI = 0.32-0.92) and monthly household income was ≥ 2001 birr (OR = 0.39; CI = 0.22-0.70). A monthly income of ≥ 2001 birr was associated with a low risk of child infection with malaria (OR = 0.37; CI = 0.21-0.65). Children living with married parents were at higher risk of Helminthiasis (OR = 2.25, CI = 1.33-3.81) and malaria (OR = 2.71, CI = 1.60-4.58) infection. Latrine with wooden floor was correlated with a high risk of child infection with Helminthiasis (OR = 7.2; CI = 2.16-23.95). While washing with soap after toilet (OR = 0.09; CI = 0.03-0.34) and eating washed cabbage/fruit (OR = 0.26; 0.15-0.44) were associated with a lower risk of infection. Parents who participated in environmental management based vector control were less likely to report child infection with malaria (OR = 0.44; 0.20-0.97). A child living in residual insecticide sprayed house was at risk of malaria infection (OR = 3.16; CI = 1.45-6.92).

CONCLUSIONS

In general female responding parent, higher household income, and washing with soap after toilet or eating washed cabbage/fruit were associated with decreased risk of intestinal helminthiasis infection in children. In addition, higher income and participation in enviroinmental management based vector contol were associated with decreased malaria infection risk in children.

摘要

背景

在包括埃塞俄比亚在内的发展中国家,寄生虫病和疟疾普遍存在,它们夺走了生命,阻碍了身体和精神的成长,降低了生产力,并遏制了经济的增长。实施寄生虫病和疟疾控制战略需要受影响社区有足够的知识和实践。评估了学龄儿童父母对儿童感染寄生虫病和疟疾风险的知识和做法。

方法

2020 年 9 月至 2021 年 6 月期间,共有 398 名学龄儿童的家长参加了马克塞格尼特 2 号小学,他们接受了关于社会人口统计学、寄生虫病和疟疾知识和实践的访谈。使用多变量逻辑回归模型测试儿童感染寄生虫病和疟疾的风险与社会人口统计学和家庭实践之间的关系。

结果

当回应的父母是女性(OR=0.54;CI=0.32-0.92)和月家庭收入≥2001 比尔(OR=0.39;CI=0.22-0.70)时,儿童感染寄生虫病的风险较低。月收入≥2001 比尔与儿童感染疟疾的风险较低相关(OR=0.37;CI=0.21-0.65)。与已婚父母同住的儿童感染寄生虫病(OR=2.25;CI=1.33-3.81)和疟疾(OR=2.71;CI=1.60-4.58)的风险更高。带木地板的厕所与儿童感染寄生虫病的风险较高相关(OR=7.2;CI=2.16-23.95)。而便后用肥皂洗手(OR=0.09;CI=0.03-0.34)和食用洗净的白菜/水果(OR=0.26;0.15-0.44)与感染风险较低相关。参与基于环境管理的病媒控制的父母不太可能报告儿童感染疟疾(OR=0.44;0.20-0.97)。生活在残留杀虫剂喷洒房屋中的儿童感染疟疾的风险较高(OR=3.16;CI=1.45-6.92)。

结论

一般来说,女性回应者、高家庭收入以及便后用肥皂洗手或食用洗净的白菜/水果与儿童肠道寄生虫病感染风险降低有关。此外,高收入和参与基于环境管理的病媒控制与儿童疟疾感染风险降低有关。

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