scholarly journals Intestinal parasites among rural school children in southern Ethiopia: A cross-sectional multilevel and zero-inflated regression model

2019 ◽  
Author(s):  
Hiwot Hailu ◽  
Bernt Lindtjørn
Keyword(s):  
Risk Factors ◽  
Intestinal Parasite ◽  
Parasite Infection ◽  
School Level ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Household Level ◽  
Individual Level ◽  
Intestinal Parasite Infection ◽  
Parasite Infections

AbstractBackgroundOver 28 million school-aged children are at risk of intestinal parasite infection in Ethiopia. Few studies have investigated household-level risk factors or applied multilevel analysis to account for the nested data structure. This study aimed to assess the prevalence, intensity, and risk factors of parasite infection among schoolchildren in rural South Ethiopia.Methodology/Principal FindingsUsing multistage random sampling, we recruited 864 students in the Wonago district. We applied multilevel-logistic and zero-inflated negative binomial regression models (ZINB). Risk factors were concentrated at the individual level; school-level and class-level variables explained less than 5% of the variance. The overall intestinal parasite prevalence was 56% (479/850); Trichuris trichiura prevalence was 75.2% (360/479); and Ascaris lumbricoides prevalence was 33.2% (159/479). The rate of infection increased among children with anemia (AOR: 1.45 [95% CI: 1.04, 2.03]), wasting (AOR: 1.73 [95% CI: (1.04, 2.90]), mothers who had no formal education (AOR: 1.08 [95% CI: 1.25, 3.47]), and those in households using open containers for water storage (AOR: 2.06 [95% CI: 1.07, 3.99]). In the ZINB model, A. lumbricoides infection intensity increased with increasing age (AOR: 1.08 [95% CI: 1.01, 1.16]) and unclean fingernails (AOR: 1.47 [95% CI: 1.07, 2.03]). Handwashing with soap (AOR: 0.68 [95% CI: 0.48, 0.95]), de-worming treatment [AOR: 0.57 (95% CI: 0.33, 0.98)], and using water from protected sources [AOR: 0.46 (95% CI: 0.28, 0.77)] were found to be protective against parasitic infection.Conclusions/SignificanceAfter controlling for clustering effects at the school and class levels and accounting for excess zeros in fecal egg counts, we found an association between parasite infections and the following variables: age, wasting, anemia, unclean fingernails, handwashing, de-worming treatment, mother’s education, household water source, and water storage protection. Improving hygiene behavior, providing safe water at school and home, and strengthening de-worming programs is required to improve the health of schoolchildren in rural Gedeo.Author summaryIntestinal parasite infections are common among school-aged children in Ethiopia. Several cross-sectional studies have investigated the prevalence and risk factors of these intestinal parasite infections. However, most were conducted in an urban setting in northern Ethiopia; they collected household-level risk factor information from the children, not the parents; and they restricted intestinal parasite infection data to binary outcomes. Therefore, we aimed to assess the prevalence and intensity of intestinal parasite infections and the related individual-, household-, and school-level risk factors among rural schoolchildren in southern Ethiopia. Using a multivariate, multilevel, regression model, we found minimal variation across class- and school-level factors for intestinal parasite infection prevalence. We found associations between intestinal parasite infections and most individual-level factors and some household-level factors. Therefore, interventions focusing on the individual, household, and school should be implemented to reduce the prevalence of infection and parasite load among schoolchildren.

STUDY ON THE RELATIONSHIP BETWEEN PARASITIC INFECTION AND KNOWLEDGE, HYGIENIC PRACTICAL MEASURES OF PARASITIC INFECTIOUS PREVENTION IN VINH THAI COMMUNITY

2017 ◽  
pp. 119-124
Author(s):  
Keyword(s):  
Health Education ◽  
Risk Behaviors ◽  
Ascaris Lumbricoides ◽  
Intestinal Parasite ◽  
Parasitic Infection ◽  
Parasite Infection ◽  
Intestinal Parasite Infection ◽  
Before And After ◽  
Parasite Infections ◽  
The Relationship

Introduction: Intestinal parasite infections werecommonintropical country such as Vietnam. Having good knowledge of parasitic infectious prevention and changing risk behaviors can decrease the infection rate. Objective: To evaluate the parasitic infectious rate in Vinh Thai community before and after being health education and the changing of knowledge of parasitic infectious prevention and risk behaviors. Materials and methods: 60 households in Vinh Thai commune were interviewed their knowledge of parasitic infectious prevention and examined intestinal parasite infection by Kato technique and then trained the knowledge of parasitic infectious prevention. The interview and examination parasite infectiousrate were carried out after 6 months to evaluating their knowledge. Result: Before health education, the rate of intestinal parasite infection was 17.4% with the prevalence of Ascaris lumbricoides, hookworm, whipworm, pinworm, small fluke worm and co-infection with A. lumbricoides - whipworm, hookworm-whipworm were 0.1%; 8.0%; 5.8%; 0.6%; 0.3%; 1.2% and 3.0% respectively. Six months later the rate of intestinal parasite infection was decreased in 12.6% even though not statistical significantly. However, there were no case of small fluke worm and co-infection with hookworm-whipworm. Receiving health education, their knowledge of parasitic infectious prevention was higher significantly but their risk behaviors were not changed so much. Conclusion: Health education can change the rate of parasite infection with higher knowledge of parasitic infectious prevention but it was necessary continuous study to change the risk behaviors. Key words: intestinal parasite, health education

scholarly journals Prevalence and associated factors of intestinal parasite infection by HIV infection status among asymptomatic adults in rural Gabon

2020 ◽  
Vol 20 (3) ◽  
pp. 1024-1034
Author(s):  
Jeanne Vanessa Koumba Lengongo ◽  
Bedrich Pongui Ngondza ◽  
Bridy Moutombi Ditombi ◽  
Noé Patrick M’Bondoukwé ◽  
Jacques Mari Ndong Ngomo ◽  
...  
Keyword(s):  
Intestinal Parasite ◽  
Intestinal Parasites ◽  
Tap Water ◽  
Parasite Infection ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Cd4 Cell Count ◽  
Intestinal Parasite Infection ◽  
Cd4 Cell ◽  
Hiv Negative

Introduction: Intestinal parasites infections are endemic in Gabon. Nevertheless, they are rarely described in people living with HIV (PLHIV). Objective: The frequency of intestinal parasite infection was estimated and compared between HIV-positive and HIV un- infected individuals in Gabon; factors associated with intestinal parasites were also analysed. Material and Methods: Using a cross-sectional study design sociodemographic data, life style habits, antiretroviral therapy, cotrimoxazole use and CD4 cell count were recorded.. Stool samples from participants living in Koulamoutou and Oyem were analysed using microscopy. Chi-squared or fisher’s exact tests and logistic regression were performed. Results: Among participants (n=332), female gender was predominant (73.7%; n=135/183) and the median age was 45 [33-57] years old. Among 183 samples, 53.6% (n = 98/183) were infected by intestinal parasites. The proportion was higher (72.1%) in HIV negative participants compared to PLHIV (42.6%) (p <0.01). PLHIV were more frequently poly-infected. Infection was frequent in patients using external toilets and tap water (>70.0%). Conclusion: Prevalence of intestinal parasites is higher in seronegative participants but polyparasitism is more frequent in PLHIV. Strategies are focused on HIV negative population, but this study shows the importance of sensitization for PLHIV to improve their quality of life. Keywords: Intestinal parasites; Human immunodeficiency virus; cotrimoxazole; CD4 cell; Gabon.

scholarly journals Occurrence of intestinal parasites amongst persons on highly active antiretroviral drug therapy in Calabar, Cross River State, Nigeria

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Paul C. Inyang-Etoh ◽  
Mfoniso I. Udonkang ◽  
Ade O. Adeboboye
Keyword(s):  
Drug Therapy ◽  
Intestinal Parasite ◽  
Intestinal Parasites ◽  
Parasite Infection ◽  
Cd4 Count ◽  
Intestinal Parasite Infection ◽  
Highly Active ◽  
Significant Difference ◽  
Parasite Infections ◽  
Stool Samples

Opportunistic and intestinal parasite infections are common health problem among HIV/AIDS patients. Early detection and treatment of these parasites are important to improve the quality of life of this category of patients. The occurrence of intestinal parasites among 400 patients on highly active anti-retroviral drug therapy (HAART) aged 11-60 years was investigated. Standard parasitological techniques like direct microscopy, formol ether concentration and modified Ziehl- Neelsen staining techniques were used to analyze the stool samples. Intestinal parasite infections were positive in 116 (29%) of the subjects on HAART while control subjects had 12 (12%) and the difference was statistically significant (P&lt;0.05). Subjects in the age group 21-30 years had the highest infection rate 54 (35.1%). There was no statistically significant difference in infection according to age (P&gt;0.05). Females 76 (32.5%) had a higher prevalence rate than males 40 (24.1%). But there was no statistically significant difference in infection according to gender (P&lt;0.05). Patients with CD4 count of less than 200 cells/mm3 were observed to be more infected than those with CD4 count of more than 200 cells/mm3. There was a strong positive correlation (r=0.94) between CD4 count and the occurrence of intestinal parasite infection. Protozoan parasites 84 (21.0%) accounted for a higher prevalence rate than helminthic parasites 32 (8.0%). These findings has revealed a high prevalence of intestinal parasite infection among patients on HAART thus the routine screening of stool samples from these category of patients for intestinal parasites is advocated for effective management of the disease.

scholarly journals A Retrospective Study of Intestinal Parasite among Patients in the Ho Teaching Hospital, Ghana

2019 ◽  
pp. 1-8
Author(s):  
Maxwell Afranie Appiah ◽  
Ebenezer Enam Adzaklo ◽  
Eric Agboli
Keyword(s):  
Retrospective Study ◽  
Teaching Hospital ◽  
Intestinal Parasite ◽  
Intestinal Parasites ◽  
Age Groups ◽  
Parasite Infection ◽  
Stool Examination ◽  
Parasitic Infections ◽  
Intestinal Parasite Infection ◽  
Parasite Infections

Aim: To assess the prevalence of intestinal parasite infections among patients who visit the Ho Teaching Hospital for stool examination from 2012 to 2016. Study Design: Retrospective study. Place and Duration of Study: Ho Teaching Hospital, August 2017 to January 2018. Methodology: The hospital’s laboratory records were reviewed. Patients’ data were recorded using a well-designed data collection tool. Data was analyzed with Statistical Package for Social Science (SPSS) version 20.0. Results:  A total of 7045 patients visited the Ho Teaching Hospital laboratory for routine stool examination within the five-year period. From the 7045 patients, 703 of them were infected with at least one of the intestinal parasites. The overall prevalence of intestinal parasite infection for the five-year period was 10.0%. Intestinal flagellates (90.0%) were the most predominant intestinal parasites, and Entamoeba histolytica recorded 5.7%. Hookworm (0.9%) was the most prevailing soil-transmitted helminth. Ascaris lumbricoides (0.1%) and Schistosoma mansoni (0.1%) were the least recorded parasites. Highest infection was among patients within age group 20 to 29 years. However, age groups below 10 years recorded low infection. This study showed that age was a risk factor for acquiring intestinal parasite infection (P≤0.001). Conclusion: Intestinal parasitic infections were recorded among patients who visited the Ho Teaching Hospital. However, most of the patients were infected with intestinal flagellates. Various stakeholders should provide advance techniques in laboratory investigation of stool samples to enhance accurate diagnosis. Sensitization of the public about the dangers of intestinal parasites should also be undertaken by the stakeholders.

scholarly journals Helminth infections among rural schoolchildren in Southern Ethiopia: A cross-sectional multilevel and zero-inflated regression model

2020 ◽  
Vol 14 (12) ◽  
pp. e0008002
Author(s):  
Hiwot Hailu Amare ◽  
Bernt Lindtjørn
Keyword(s):  
Risk Factors ◽  
Formal Education ◽  
Negative Binomial ◽  
Water Storage ◽  
Infection Intensity ◽  
Water Source ◽  
School Level ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
The Individual

Although the prevalence of helminths infection among schoolchildren is known, there has been little progress in the application of count model for modelling the risk factors of helminths egg. Only a few studies applied multilevel analysis to explore the variation in helminths prevalence across schools and classes. This study aimed to assess the prevalence, intensity of helminths infection, and identify risk factors at the individual-, household-, and school-level among schoolchildren in Southern Ethiopia. Using multistage random sampling, we recruited 864 students in the Wonago District. We applied multilevel-logistic and zero-inflated negative binomial regression models (ZINB). Risk factors were concentrated at the individual level; school-level and class-level variables explained less than 5% of the variance. The overall helminths prevalence was 56% (479/850); Trichuris trichiura prevalence was 42.4% (360/850); and Ascaris lumbricoides prevalence was 18.7% (159/850). The rate of any helminths increased among thin children (AOR: 1.73 [95% CI: (1.04, 2.90]), anemic (AOR: 1.45 [95% CI: 1.04, 2.03]), mothers who had no formal education (AOR: 2.08 [95% CI: 1.25, 3.47]), and those in households using open containers for water storage (AOR: 2.06 [95% CI: 1.07, 3.99]). In the ZINB model, A. lumbricoides infection intensity increased with increasing age (AOR: 1.08 [95% CI: 1.01, 1.16]) and unclean fingernails (AOR: 1.47 [95% CI: 1.07, 2.03]). Handwashing with soap (AOR: 0.68 [95% CI: 0.48, 0.95]), de-worming treatment [AOR: 0.57 (95% CI: 0.33, 0.98)], and using water from protected sources [AOR: 0.46 (95% CI: 0.28, 0.77)] were found to be protective against helminths infection. After controlling for clustering effects at the school and class levels and accounting for excess zeros in fecal egg counts, we found an association between helminths infection and the following variables: age, thinness, anemia, unclean fingernails, handwashing, de-worming treatment, mother’s education, household water source, and water storage protection. Improving hygiene behavior, providing safe water at school and home, and strengthening de-worming programs is required to improve the health of schoolchildren in rural Gedeo.

Prevalence and risk factors for intestinal parasite infection in goats raised in Nakhon Pathom Province, Thailand

2011 ◽  
Vol 44 (4) ◽  
pp. 741-745 ◽  
Author(s):  
Niorn Ratanapob ◽  
Pipat Arunvipas ◽  
Suwicha Kasemsuwan ◽  
Waraphon Phimpraphai ◽  
Supachart Panneum
Keyword(s):  
Risk Factors ◽  
Intestinal Parasite ◽  
Parasite Infection ◽  
Intestinal Parasite Infection

scholarly journals Systematic Review Of Risk Factor Of Intestinal Parasite Infection

2021 ◽  
Vol 10 (1) ◽  
pp. 165
Author(s):  
Nur Afidah Novitasari ◽  
Mohammad Zainal Fatah
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Risk Factor ◽  
Intestinal Parasite ◽  
Intestinal Parasites ◽  
Univariate Analysis ◽  
Parasite Infection ◽  
Personal Hygiene ◽  
Exclusion Criteria ◽  
Intestinal Parasite Infection

Background: Intestinal parasites infection is a common problem in the world. Intestinal parasites infection causes morbidity, mortality, and complication. Objectives: The purpose of this research was to identify the intestinal parasite infection risk factors by using a systematic review of intestinal parasite infection-related existing publications. Methods: This study used a systematic review method. A systematic review of intestinal parasite risk factors was then performed following PRISMA guidelines. The data source of this study was derived from the literature obtained through the internet in the form of research results from publications in journals that were conducted in Hindawi, PubMed, emedicalj, tandfonline, knepublishing, portalnepas, ojs unud, plos, jurnal.umsb, and publications were assessed against inclusion and exclusion criteria. The population is the research paper about prevalence and risk factors for intestinal parasites infection from 2013-2019 and 35 studies were used. Inclusion criteria were researched that identifies risk factors intestinal parasites infection and uses primary data for the research. Exclusion criteria were review study and use secondary data for the study. Data are presented in tabular form. Univariate analysis to see the average, minimum and maximum values, and frequency and percentage distribution. Results: The results of the systematic study analysis are that the most risk factors for intestinal parasite infection are age, sex, residence, toilet, washing hand with soap before a meal, shoe-wearing habit, trimming nails, eating undercooked food, personal hygiene, and source of drinking water. Conclusions: Intestinal parasites can occur in children, adolescents, and adults who are affected by demographic factors, clean and healthy lifestyle behaviors and lifestyle. Cleanliness, health, and lifestyle are aspects that need to be improved to prevent intestinal parasites. Keywords:  intestinal parasites infection, lifestyle, risk factor, systematic review

scholarly journals Understanding Food Waste, Food Insecurity, and the Gap between the Two: A Nationwide Cross-Sectional Study in Saudi Arabia

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 681
Author(s):  
Nora A. Althumiri ◽  
Mada H. Basyouni ◽  
Ali F. Duhaim ◽  
Norah AlMousa ◽  
Mohammed F. AlJuwaysim ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Food Insecurity ◽  
Food Waste ◽  
Cross Sectional ◽  
Household Level ◽  
Individual Level ◽  
Factors Associated ◽  
Household Factors ◽  
Cooked Food ◽  
The Individual

Background: Food waste and food insecurity may co-exist in various balances in developing and developed countries. This study aimed to explore the levels of food waste and food insecurity, the factors associated with them, and their relationships at the household and individual levels in Saudi Arabia. Methods: This study was a nationwide cross-sectional survey conducted via computer-assisted phone interviews in January 2021. Quota sampling was utilized to generate balanced distributions of participants by gender across all the administrative regions of Saudi Arabia. Data collection included household demographics, food waste and disposal, the Food Insecurity Experience Scale (FIES), and the Household Food Insecurity Access Scale (HFIAS). Results: Out of the 2807 potential participants contacted, 2454 (87.4%) completed the interview. The mean age was 31.4 (SD = 11.7; range = 18–99) and 50.1% were female. The weighted prevalence of uncooked food waste in the last four weeks was 63.6% and the cooked food waste was 74.4%. However, the food insecurity weighted prevalence at the individual level (FIES) was 6.8%. In terms of food insecurity at the household level (HFIAS), 13.3% were in the “severely food insecure” category. Moreover, this study found that “moderately food insecure” households were associated with an increased likelihood to waste uncooked food (relative risk (RR) = 1.25), and the “mildly food insecure” (RR = 1.21) and “moderately food insecure” (RR = 1.17) households were associated with an increased likelihood to waste cooked food. However, “food secure” households were associated with a decreased likelihood to waste cooked food (RR = 0.56). Finally, this study identified four household factors associated with food waste and three household factors that were associated with “severe food insecurity.” Conclusions: This first national coverage study to explore food waste and food insecurity at the individual level and household level, identified household factors associated with food waste and food insecurity and identified new associations between food waste and food insecurity in Saudi Arabia. The associations found between food waste and food insecurity are potential areas of intervention to reduce both food waste and food insecurity at the same time, toward achieving the Sustainable Development Goal (SDG) targets related to food waste and food security.

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