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埃塞俄比亚西南部米赞-阿曼市7至14岁儿童肠道寄生虫感染情况:一项基于社区的横断面研究。

Intestinal parasitic infections among children aged 7-14 years in Mizan-Aman city, Southwest Ethiopia: a community-based cross-sectional study.

作者信息

Tekalign Eyob, Sebeta Asresash, Nureye Dejen, Duguma Tadesse, Tesfaye Tarkegn

机构信息

Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan-Aman, Ethiopia.

Southwest Ethiopian People Regional State Health Bureau, Dawro Zone, Ethiopia.

出版信息

Front Public Health. 2024 Dec 24;12:1478293. doi: 10.3389/fpubh.2024.1478293. eCollection 2024.

Abstract

BACKGROUND

Intestinal parasitic infections continue to pose a major threat to human health globally, with a particularly high prevalence in developing countries. Soil-borne helminthiasis and schistosomiasis are notably widespread.

OBJECTIVE

The objective of the study was to determine the prevalence and contributing factors of intestinal parasites infection among participants aged 7-14 years.

METHODS

Community-wide prevalence study was undertaken from 30 August to 30 September 2021 in Mizan Aman Town. Socio-demographic information was collected using questionnaires. Three of the five kebels were randomly chosen. Households with children aged 7-14 were gathered from the chosen kebels and health post to recruit one eligible subject. Allocation of study subjects to each of the chosen kebels was computed proportionally. Two thick smear of Kato Katz technique was applied to examine stool samples. Data were entered and analyzed using SPSS version 20. To investigate the association between the dependent and independent variables, a logistic regression analysis was conducted. Statistics were considered significant for -values under 0.05.

RESULTS

The overall prevalence of intestinal parasites was 64.6% (215/333). Of these, 51.05% (170/333) were infected with STHs, while 13.5% (45/333) had . was the most prevalent helminth. Infection intensity ranged from light to moderate was observed. Prior information about STHs (aORr:2.022 = CI:1.222-3.340), poor knowledge about STHs (aOR:1.677 = CI:1.057-2.660), unaware of deworming as prevention method of (aOR:2.620:CI:1267-5.418), swimming (aOR:0.448:CI:0.176-0.992) and contact with water (aOR:0.402:CI:0.169-0.957) were significantly associated with the infection.

CONCLUSION AND RECOMMENDATION

The prevalence of intestinal parasite was high. Heavy infection was not recorded. Beyond mass deworming, the report emphasizes the necessity of ongoing public health interventions to address the high prevalence of these intestinal helminths.

摘要

背景

肠道寄生虫感染继续在全球范围内对人类健康构成重大威胁,在发展中国家的患病率尤其高。土源性蠕虫病和血吸虫病尤为普遍。

目的

本研究的目的是确定7至14岁参与者中肠道寄生虫感染的患病率及相关因素。

方法

2021年8月30日至9月30日在米赞阿曼镇开展了全社区患病率研究。使用问卷收集社会人口学信息。从五个分区中随机选择三个。从选定的分区和卫生站收集有7至14岁儿童的家庭,以招募一名符合条件的受试者。按比例计算将研究对象分配到每个选定的分区。应用改良加藤厚涂片法对粪便样本进行两次检查。使用SPSS 20版输入和分析数据。为了研究因变量和自变量之间的关联,进行了逻辑回归分析。P值小于0.05时,统计结果被认为具有显著性。

结果

肠道寄生虫的总体患病率为64.6%(215/333)。其中,51.05%(170/333)感染土源性蠕虫,而13.5%(45/333)感染其他寄生虫。蛔虫是最常见的蠕虫。观察到感染强度从轻到中。关于土源性蠕虫的既往信息(调整后比值比:2.022,置信区间:1.222 - 3.340)、对土源性蠕虫的了解不足(调整后比值比:1.677,置信区间:1.057 - 2.660)、不知道驱虫是预防寄生虫感染的方法(调整后比值比:2.620,置信区间:1.267 - 5.418)、游泳(调整后比值比:0.448,置信区间:0.176 - 0.992)和接触水(调整后比值比:0.402,置信区间:0.169 - 0.957)与寄生虫感染显著相关。

结论与建议

肠道寄生虫患病率较高。未记录到重度感染。除了群体驱虫外,本报告强调持续开展公共卫生干预措施以应对这些肠道蠕虫高患病率的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11f/11703966/b2b82c2b798a/fpubh-12-1478293-g001.jpg

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