scholarly journals Magnitude and associated factors of Intestinal Parasitosis and Tuberculosis among Tuberculosis suspected patients attending Kuyu General Hospital, North Shewa, Oromia, Ethiopia

2022 ◽  
Vol 16 (1) ◽  
pp. e0010120
Author(s):  
Sahilu Tesfaye ◽  
Biruk zerfu ◽  
Kassu Desta
Keyword(s):  
Pulmonary Tuberculosis ◽  
General Hospital ◽  
Associated Factors ◽  
Intestinal Parasites ◽  
Multivariable Analysis ◽  
Parasitic Infection ◽  
Public Health Problem ◽  
Cell Mediated Immunity ◽  
Major Public Health Problem ◽  
Intestinal Parasitosis

Background Intestinal parasites and Tuberculosis (TB) co-infection is a major public health problem. The parasitic infection suppresses the cell mediated immunity that protects tuberculosis. Helminthes-induced immune modulation promotes progression to active tuberculosis. However, there is paucity of evidences on the intestinal parasites-tuberculosis co-infection in Ethiopia. This study explores the magnitude and associated factors of intestinal parasitic infection and TB among suspected pulmonary Tuberculosis (PTB) patients. Methodology A cross-sectional study design was conducted in Kuyu General Hospital from December 2019—March 2020. The socio-demographic data and associated factors were collected by structured questionnaire and then spot-spot sputum and fresh stool samples were collected following standard guidelines and were processed. Descriptive analysis was conducted and reported in frequency and percentage. Bivariate analysis was computed and a multivariable analysis was conducted to provide an adjusted odds ratio (AOR). P-value <0.05 at 95% confidence interval was considered as statistically significant. Results The burden of intestinal parasites was 20.2% (49/ 242) and 6.1% (20/ 242) of them were helminths infections and 14.1% (29/ 242) were protozoa infections. Of 242 patients, 14.9% (36/242) were sputum smear-positive for acid fast-bacilli. Of 36 smear positive patients, 9(25%) had TB–intestinal parasites co-infection. Dwelling in rural areas and having untrimmed fingernails were statistically significantly associated with intestinal parasites. Having a contact history of Tb patients was significantly associated with pulmonary tuberculosis. Conclusions The magnitude of intestinal parasites and TB among PTB suspected patients were high. Hookworm infection was the predominant helmenthic infection. It is important to consider screening TB patients for intestinal parasites and treat co-infection properly.

scholarly journals Intestinal Parasitic Infection and Its Associated Factors among Food Handlers in Ginnir Town, Bale Zone, Southeast, Ethiopia

2020 ◽  
Author(s):  
Asfaw Negero ◽  
Tomas Benti ◽  
Solomon Taye
Keyword(s):  
Associated Factors ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Hand Washing ◽  
Personal Hygiene ◽  
Parasitic Infections ◽  
Food Handlers ◽  
Intestinal Parasitic Infections ◽  
Intestinal Parasitosis ◽  
Southeast Ethiopia

Abstract Background: Intestinal parasitic infections are the most common infections in the developing world. Globally, out of the 1.5 billion annual cases of diarrhea, about 70% or 1.05 billion cases are thought to be caused by biological contamination of food. In Ethiopia, due to poor environmental sanitation, low awareness about personal hygiene, lack of pure potable water, and improper faecal disposal, intestinal parasitic infections are highly prevalent. Thus, the aim of this study was to determine the prevalence and associated factors of intestinal parasitosis among food handlers working in food and drinking establishments in Ginnir town, southeast, Ethiopia.Methods: Cross-sectional study design was employed from May 1 to May 29, 2014 in food and drinking establishments in Ginnir town. A total of 348 food handlers were enrolled and stool specimens were collected, and examined using direct saline and formol-ether concentration methods. Bivariable and multivariable logistic regression analysis was performed. A P-value <0.05 was considered as an indicator of statistical significance.Results: The overall prevalence of intestinal parasitosis among food handlers was 48/348 (13.8%) [95%, CI=6.8-20.6]. Entamoeba histolytica/dispar 23/348 (6.6%) followed by Giardia lamblia 16/348 (4.6%), Ascaris lumbricoides 7/348 (2.0%) and Strongyloides stercolaris 2/348 (0.6%) were the detected parasites. Moreover, amongst positives for intestinal parasites, comparable proportions of parasites were detected in males (52%) and females (48%). Habit of eating raw/under cooked vegetables (p=0.00; aOR=2.60; 95%, CI=1.94-8.67), hand washing habit before eating (p=0.03; aOR=1.22; 95%, CI=1.01-3.89), hand washing habit after visiting toilet (p=0.01; aOR=2.85; 95%, CI=2.06-8.31), hand washing habit before food preparation (p=0.02; aOR=1.85; 95%, CI=1.27-4.34) and poor personal hygiene (p=0.00; aOR=3.39; 95%, CI=1.51-10.23) were factors associated with intestinal parasitic infections.Conclusions: The prevalence of intestinal parasitosis among food handlers was relatively low. Though the prevalence was low; regular medical check-up, training and health education on safe food handling and processing should be given to all food handlers.

scholarly journals Contribution to the Diagnostic Study of Intestinal Parasitosis, Haiti

2021 ◽  
Vol 17 (17) ◽  
Author(s):  
Daphnee Michel ◽  
Lucainson Raymond ◽  
Ammcise Apply ◽  
Daphenide Daphenide St Louis ◽  
Ketty Balthazard-Accou ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Field Survey ◽  
Intestinal Parasites ◽  
Public Health Problem ◽  
Systematic Sampling ◽  
Diagnostic Study ◽  
Major Public Health Problem ◽  
Blastocystis Hominis ◽  
Intestinal Parasitosis

Parasitic intestinal diseases are widespread in the world with a higher prevalence in developing countries. They are generally a serious public health problem in tropical countries. In October 2020, a cross-sectional study was undertaken to determine the prevalence of intestinal parasites in patients visiting Fermathe Hospital in Haiti. Data were collected on stool results with the presence of parasites and we used systematic sampling for further information regarding patients with parasitology problems. A summary field survey was also carried out in the surrounding areas with more cases recorded such as Corail, Calbasse, Fort Jacques, Center / Marché Kenscoff, Doco, and Douret for direct observations of the inventory and voluntary interviews with the residents of the area on hygiene practices. The prevalence of intestinal parasites was 31.26% and the most common species were: Endolimax nana (39.13%), followed by Blastocystis hominis (14%), Blastocystis hominis / Giardia intestinales (12.07%), Entamoeba coli (5.31%), and others like Iodamoeba butschlii, Ascaris lumbricoides or combined parasites were less than 5%. The field survey revealed a strong relationship between parasitosis and drinking water, parasitosis, and place of defecation. Although there are health centers in the area, many people use self-medication or empiric therapy. The study highlights the important causes of gastrointestinal disorders that present themselves in this hospital and confirms intestinal parasitosis as a major public health problem in Haiti.

scholarly journals Magnitude of Intestinal Parasitosis and Associated Factors in Rural School Children, Northwest Ethiopia

1970 ◽  
Vol 29 (1) ◽  
Author(s):  
Megbaru Alemu ◽  
Abay Anley ◽  
Kiros Tedla
Keyword(s):  
Primary School ◽  
School Children ◽  
Associated Factors ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Cognitive Status ◽  
Primary School Children ◽  
Intestinal Parasitic Infection ◽  
Predominant Species ◽  
Intestinal Parasitosis

BACKGROUND: Intestinal parasitoses are among the most commonly encountered infections among school children in poor regions of the world. Up to 600 million school children are living in areas where there is high transmission of parasitic worms. Intestinal parasitic infection has been found to have a great effect on nutritional and cognitive status, school absenteeism and dropouts among school age children. This study aimed at determining the prevalence of intestinal parasites infections and associated factors among children in a rural primary school, Northwest Ethiopia.METHODS: A cross-sectional study was conducted in May 2016 among Gob Gob Primary School children. The study participants were provided with labeled stool cups to give stool specimen. The stool samples were processed via direct wet mount and formal-ether concentration techniques. A structured questionnaire was used to collect demographic data and data on factors associated with intestinal parasitic infection through face-to-face interview.RESULTS: Out of the 273 school children, 84(30.8%) were infected with at least one parasite species. Higher proportion of intestinal parasitic infection was recorded for boys (38.9%), the age group 6-10 years (38.9%), children with untrimmed finger nails (36.4%) and among those whose drinking water was from a stream (56.1%). The predominant species identified were A. lumburicoides 28(33.3%), H. nana 12(14%), E. histolytica/dispar 11(13%), G. lamblia 9(11%), hookworms 7(8.3%), Taenia spp 6(7%), E. vermicularis 6(7%), T.trichuria 4(4.8%) and S. stericoralis 1(1.2%).CONCLUSION: This study showed that intestinal parasites were prevalent among the school children in focus. Ascaris lumbricoides was the predominant species. 

scholarly journals Prevalence of Intestinal Parasitosis and Its Associated Factors Among Children Aged 6 to 59 months Attending Mekane Eyesus Primary Hospital, Northcentral Ethiopia

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110366
Author(s):  
Tahir Eyayu ◽  
Amilaku Wubie ◽  
Teklehaimanot Kiros ◽  
Tegenaw Tiruneh ◽  
Shewaneh Damtie ◽  
...  
Keyword(s):  
Associated Factors ◽  
Intestinal Parasites ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Logistic Analysis ◽  
Intestinal Parasitosis ◽  
Modifiable Factors ◽  
Primary Hospital

Background. Intestinal parasites are still a serious public health problem and important cause of morbidity and mortality all over the world, particularly in developing countries. Unfortunately, pre-school children are more susceptible to infection. However, information is scarce in the study area. Thus, this study aimed to assess the prevalence of intestinal parasitosis and associated factors among children aged 6 to 59 months in Northcentral Ethiopia. Methods. An institutional-based cross-sectional study was carried out at Mekane Eyesus primary hospital from June 10 to November 30, 2020. Stool samples were collected from 322 children and examined by using direct wet mount and formal ether concentration techniques. The data were entered and analyzed using EPI Info v7 and SPSS v23 statistical software, respectively. Both bivariable and multivariable logistic analysis was carried out and potential associated factors were identified based on adjusted odds ratio with 95% confidence interval and P-value <.05. Results. The prevalence of intestinal parasitosis was 18.0% (95% CI: 14.0%-22.0%). A total of 4 parasites were examined and the dominant parasite was E. histolytica /dispar (8.1%) followed by A. limbricoide (4.7%). Children with irregular trimming of fingernails (AOR = 3.14, 95% CI: 1.59-6.21), and child who have habit of eating unwashed fruits/vegetables (AOR = 3.80, 95% CI: 1.14-12.82) were strongly associated with IPIs. Conclusions. Protozoa parasites are most common cause of diseases in children. The study identified some preventable and modifiable factors to address the prevalence of IPIs. Additionally, improving mothers/guardians awareness about source of infection and mode of transmission is necessary.

scholarly journals Psycho-social wellbeing among in-school adolescents of Sri Lanka; prevalence of selected attributes and associated factors

2020 ◽  
Author(s):  
Nalinda Wellappuli ◽  
Nalika Sepali Gunawardena ◽  
PK Buddhika Mahesh ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Associated Factors ◽  
Social Issues ◽  
Multivariable Analysis ◽  
Public Health Problem ◽  
Well Being ◽  
Major Public Health Problem ◽  
Age Group ◽  
Social Wellbeing ◽  
Being Bullied

Abstract Background Adolescence period is associated with psycho-social issues which affect their day to day activities and go beyond their adolescent age group. It has been recorded that prevalence of psycho-social issues are rising globally. The aim of this study was to estimate the prevalence and factors associated with the selected attributes of psycho-social well-being among 13 to 17-year in-school adolescents of Sri Lanka using the Global School Health Survey (GSHS), conducted in Sri Lanka. Methods GSHS, was a cross-sectional study conducted among 3,650 adolescents of aged 13–17, attending government schools. Data was collected using a self-administered questionnaire. Psychosocial well-being included questions of four selected outcomes (i.e. bullying, felling alone, sleep disturbances due to a worry, suicidal ideation and practices) and 10 potential associated factors of these. The sample was selected through a two-staged cluster sampling technique. In determining the independent associated factors, multivariable analysis was done with multiple logistic regression. Results Most of the students who responded belonged to the 13–15 age group (66.5%) and with 51.1% were females. More than one third of the participants (37.7%, 95%CI 36.1–39.5) had experienced bullying 30 days prior to the study. ‘Feeling loneliness’ and ‘experiencing anxiety’ had been experienced by 9.0% (95%CI 8.0–10.0) and 4.7% (95%CI 3.9–5.4), respectively. The prevalence of planning an attempt of suicide was 6.3%, while 6.6% had at least once attempted suicide. Multivariable analysis revealed that lacked parental support and being engaged in a fight were independently associated with being bullied, feeling lonely and considering attempting suicide. Mutual association of the four outcomes with each other indicate that being bullied was significantly associated with experiencing loneliness and feeling anxiety. In addition, experiencing loneliness was independently associated “considering an attempt of suicide” (OR = 2.9, 95%CI = 2.0 to 4.3). Feeling anxiety was also associated with considering attempting suicide (OR = 3.4, 95%CI = 2.1 to 5.4). Conclusion This study demonstrated that the prevalence of psycho-social wellbeing is among school going adolescents is a major public health problem in Sri Lanka. School-based interventions to address these issues should be designed with the goal of increasing adolescents’ awareness of possible preventive measures of unintentional injuries.

scholarly journals Study of Intestinal Parasitosis among School Going Children in Pokhara, Nepal

2019 ◽  
Vol 3 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Kamal Singh Khadka ◽  
Hari Prasad Kaphle ◽  
Krishna Gurung ◽  
Yogendra Shah ◽  
Manoj Sigdel
Keyword(s):  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Age Groups ◽  
Public Health Problem ◽  
Concentration Technique ◽  
Concentration Method ◽  
Asymptomatic Children ◽  
Intestinal Parasitosis ◽  
Hook Worm ◽  
Pokhara Valley

The study was carried out in order to estimate the prevalence of intestinal parasitosis in school-going children in schools located in Pokhara, Nepal from November 2011 to January 2012. A total number of 100 stool samples were collected from children of ages 3 to 15 years. A questionnaire including the factors predisposing to parasitosis was filled up and parasitic examination was carried out by direct wet mount examination and concentration method using standard formal ether concentration technique. The prevalence rate was found to be 15%. Prevalence of parasitic infection was higher in girls (16%) than in boys (14%) and age group 8-12 years were found to be more suffering (17.3%) than other age groups. The occurrence of parasitic infection in symptomatic children was found to be 40% and 10% in asymptomatic children. The symptoms were found statistically significant with infestation of parasites. Intestinal infection was highest in Dalit students (20%) compared to other caste students. Prevalence of parasitic infection in other caste was 15% in Brahman, 9.5% in Newar and 9% in Chhetri. Among 15 positive cases 5 types of parasites were detected. The results showed Giardia lamblia to be the most common parasite. Occurrence of other intestinal parasites was Entamoeba histolytica (26.6%), Ascaris lumbricoides (26.6%), Trichuris trichura (6.6%) and Hook worm (6.6%). The study concluded that intestinal parasitosis is still public health problem among school going children of Pokhara valley especially among Dalit students. Key words: Intestinal parasitosis, Formal ether concentration, Children, Pokhara, Nepal

scholarly journals Screening for intestinal parasites in adults from three different regions of Colombia

Infectio ◽  
2018 ◽  
Vol 23 (1) ◽  
pp. 33 ◽  
Author(s):  
Hernán Carvajal-Restrepo ◽  
Clara Orrego-Morales ◽  
Tatiana Vega-Orrego ◽  
Susana Arango-Arango ◽  
Daniela Buitrago-Agudelo ◽  
...  
Keyword(s):  
Intestinal Parasites ◽  
Adult Population ◽  
Parasitic Infection ◽  
Public Health Problem ◽  
Septic Tank ◽  
Blastocystis Hominis ◽  
Convenience Sample ◽  
Intestinal Parasitosis ◽  
Screening Study ◽  
Global Population

Intestinal parasitosis (IP) is a public health problem in developing countries affecting one fourth of the global population. IP are common studied in children, neglecting the adults that are also at high risk and source of transmission. A screening study was performed with a convenience sample in three Colombian regions: Guachené (Cauca), Quibdó (Chocó), and Urabá (Antioquia). Feces samples from 284 volunteers (older than 18 years old) were tested by microscopy to identify parasite ova and cysts. The IP frequency was 14.5%, and 52.1% were males. 63.2% of the parasitized patients exhibited diarrhea, and/or abdominal pain with significant association. 39.5% had single parasitic infection and 60.5% had multiple parasites: Blastocystis hominis (63.9%), Entamoeba hystolitica/dispar (39.4%), Endolimax nana (33.3%), Ascaris lumbricoides (22.2%), Giardia lamblia (19.4%), Entamoeba coli (13.9%), Trichuris trichiura (11.1%), hookworm species (11.1%), Strongyloides stercolaris (5.6%), and Iodamoeba butschlii (2.8%). A multivariate approach was used to determine predictor factors for IP: male gender, rainwater as drinking source, and feces disposal different to toilet, latrine or septic tank were positively associated with infection. This study evidences that adult population, not only children from vulnerable areas of Colombia, must have to include as a risk for intestinal parasitism.

scholarly journals Seizure control status and associated factors among pediatric epileptic patients at a neurologic outpatient clinic in Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259079
Author(s):  
Habtamu Digis Adal ◽  
Kassahun Alemu ◽  
Esileman Abdela Muche
Keyword(s):  
Associated Factors ◽  
Seizure Control ◽  
Statistical Significance ◽  
Univariate Analysis ◽  
Multivariable Analysis ◽  
Public Health Problem ◽  
P Value ◽  
Major Public Health Problem ◽  
Adherence To Medication ◽  
Epileptic Patients

Background Childhood epilepsy is a major public health problem worldwide. Even though anti-seizure medications (ASM) have been demonstrated to control seizures, children with epilepsy continue to have frequent seizures. There is a scarcity of data on seizure control status among pediatric epileptic patients in Ethiopia. The aim of this study was to assess seizure control status and associated factors among pediatric epileptic patients. Methods A hospital based cross-sectional study was done on 261 pediatric epileptic patients being followed up at the University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia, from May 11 to August 11, 2019. The data were collected through caregiver interviews and patients’ medical records. All independent variables with p value of ≤ 0.2 in univariate analysis were taken to multivariable analysis. Adjusted odds ratio (AOR) with a 95% confidence interval was computed to see the predictors of seizure control status. Level of statistical significance was declared if p-value < 0.05. Result From a total of 261 patients, 159 (60.9%) were males and had a mean age was 10.16 ± 4.62 years. More than half (57.1%) of participants were urban dwellers. Almost all (98.5%) were diagnosed with generalized tonic-clonic seizures. Majority (75.1%) of the patients were on mono-therapy. Forty-six (17.6%) of the patients reported adverse effects related to ASMs. Two hundred-three (77.8%) of the patients were adherent to their medications. Nearly half (49.0%) of the patients had controlled seizures. Urban residency (AOR: 2.12; 95% CI: 1.15–3.89; P = 0.016), adherence to medication (AOR: 3.92; 95% CI: 1.84–8.36; P < 0.001), use of combined ASM(AOR: 0.29; 95% CI: 0.14–0.59; P = 0. 001), durations of ASM use [2–5 years (AOR: 5.81; 95% CI: 2.89–11.70; P <0.001) and >5years (AOR: 4.80; 95% CI: 1.91–12.09; P = 0.001)]were significantly associated with seizure control status. Conclusion Inadequate numbers of pediatric epileptic patients’ at the Ethiopian neurologic clinic achieved seizure control. Coming from a rural area, non-adherence to ASMs, use of multiple ASMs, and the use of ASMs for <2years were found to have a significant association with poorer seizure control, needing special attention to get control of seizure. Caregivers should closely monitor and address any barriers that contribute to ASM non-adherence and adverse drug events.

scholarly journals Iron-rich food consumption and associated factors among children aged 6–23 months in sub-Saharan Africa: A multilevel analysis of Demographic and Health Surveys

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253221
Author(s):  
Yonas Akalu ◽  
Yigizie Yeshaw ◽  
Getayeneh Antehunegn Tesema ◽  
Getu Debalkie Demissie ◽  
Meseret Derbew Molla ◽  
...  
Keyword(s):  
Associated Factors ◽  
Intestinal Parasites ◽  
Public Health Problem ◽  
Prevalence Ratio ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Major Public Health Problem ◽  
Rich Food ◽  
Sub Saharan ◽  
Ssa Countries

Introduction Anemia remains a major public health problem for children in sub-Saharan Africa (SSA). Iron-rich foods consumption has a determinant role on the anemia status. Hence, this study aimed to determine the prevalence of good consumption of iron-rich foods and its associated factors among children aged 6–23 months in SSA. Materials and methods The recent Demographic and Health Survey data sets of thirty-five SSA countries were used. Data were analyzed using STATA/MP version 16.0 and all statistical analyses were done after weighting the data. A generalized linear mixed model using Poisson regression with robust error variance was used to determine factors associated with good consumption of iron-rich food. Association of variables was declared at a p-value of ≤0.05 and adjusted prevalence ratio (aPR) ratio with its 95% confidence interval (CI) was calculated for each variable. Results The total weighted samples of 77,001 children aged 6–23 months were included. The prevalence of consumption of iron rich foods was 42.1% (95% CI: 41.78–42.48). Children with age of 12–17 (adjusted prevalence ratio (aPR) = 1.96, 95% CI: 1.89–2.04) and 18–23 months (aPR = 2.05, 95% CI: 1.97–2.14), who took drugs for intestinal parasites (aPR = 1.30, 95% CI: 1.26–1.34), with postnatal check within 2 months (aPR = 1.09, 95% CI: 1.06–1.13), and children from women with ANC visit of 1–3 (aPR = 1.31, 95% CI: 1.24–1.37) and ≥4 (aPR = 1.41, 95% CI: 1.34–1.48) had higher prevalence of good consumption of iron rich foods. Moreover, the prevalence of consumptions of iron rich foods was higher among children from; family with rich (aPR = 1.36, 95%CI: 1.30–1.42) and middle (aPR = 1.14 95% CI: 1.09–1.19) wealth index, and mother with media exposure (aPR = 1.26, 95%CI: 1.22–1.31). Conclusion The prevalence of good consumption of iron-rich foods among children aged 6–23 months in SSA countries is low. Child factors, family factors, and community-level factors were significantly associated with consumption of iron rich foods. Strategies to increase the consumption of iron-rich foods during this critical stage of growth and development should be designed in SSA.

scholarly journals Psycho-social wellbeing among in-school adolescents of Sri Lanka; prevalence of selected attributes and associated factors

2021 ◽  
Author(s):  
Nalinda Wellappuli ◽  
Nalika Sepali Gunawardena ◽  
PK Buddhika Mahesh ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Parental Support ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Public Health Problem ◽  
Well Being ◽  
Major Public Health Problem ◽  
Age Group ◽  
Social Wellbeing ◽  
Being Bullied

Abstract Background An optimum adolescence is associated with a psycho-social and cognitive development. These developments affects the interactions in the day-to-day activities of young people and have impacts on their lives beyond the adolescence age-group. The prevalence of psycho-social problems among adolescents are on the rise. The aim of this study was to estimate the prevalence and factors associated with the selected attributes of psycho-social well-being among 13 to 17-year in-school adolescents of Sri Lanka using the Global School Health Survey (GSHS). Methods GSHS, was a cross-sectional study conducted among 3,650 adolescents of aged 13-17, attending government schools. Data were collected using a self-administered questionnaire. Four selected psychosocial well-being outcomes (i.e. being bullied, loneliness, feeling anxious, suicidal ideation and practices) were assessed with questions for 11 potential associated factors of those. The sample was selected through a two-staged cluster sampling technique. Multivariable analysis was done with multiple logistic regression to determine the independent associated factors. Results Majority of the respondents belonged to the 13-15 age group (66.5%) and with 51.1% were females. More than one third of the participants (37.7%, 95%CI 36.1-39.5) had experienced bullying 30 days prior to the study. ‘Loneliness’ and ‘feeling anxious’ had been experienced by 9.0% (95%CI 8.0-10.0) and 4.7% (95%CI 3.9- 5.4), respectively. The prevalence of planning an attempt of suicide was 6.3%, while 6.6% had at least attempted suicide once. Multivariable analysis revealed that ‘lacked parental support’ and ‘being engaged in a fight’ were independently associated with being bullied, feeling lonely and considering attempting suicide. Mutual associations of the four outcomes with each other indicate that being bullied was significantly associated with loneliness and feeling anxious. In addition, loneliness was independently associated ‘considering an attempt of suicide’ (OR=2.9, 95%CI=2.0 to 4.3). Feeling anxious was also associated with considering attempting suicide (OR=3.4, 95%CI= 2.1 to 5.4). Conclusion This study demonstrated that the prevalence of psycho-social wellbeing is among school going adolescents is a major public health problem in Sri Lanka. School-based interventions to address these issues should be designed with the goal of increasing adolescents’ awareness of the measures of raising the psycho-social wellbeing.

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