Intestinal parasitic infections and associated factors among mentally disabled and non-disabled primary school students, Bahir Dar, Amhara Regional State, Ethiopia, 2018: A comparative cross-sectional study
Abstract Background: Intestinal parasitic infections are still quite common in low-income countries including Ethiopia, particularly in children due to low-quality drinking water, poor personal and environmental sanitation. Disabled individuals are excluded from most academic, economic, social and cultural opportunities, they're among the poorest and most marginalized of the whole world’s people. The aim of this study was to assess the magnitude of Intestinal parasitic infections and associated factors among mentally disabled and non-disabled students at primary schools in Bahir Dar city, Amhara regional state, Ethiopia, 2018. Methods: A school-based Comparative cross-sectional study design was used from November 1 - 30 2018. A total of 418 study participants, 104 mentally disabled and 314 non-disabled students were recruited through simple random sampling technique. The collected data were coded, entered and cleaned with EpiData version 3.1 and analyzed using SPSS version 23. Multivariable logistic regression was conducted to identify factors associated with intestinal parasitic infections. Adjusted odds ratio with 95% Confidence interval at 5% level of significance was used to measure the strength of association, P-value <0.05 indicated the presence of a statistically significant association. Results: The mean age of study participants was 14.05±3.66 and 11.96 ±2.94 for mentally disabled students and non-disabled students respectively. Prevalence of parasitic infection was 59(56.7%) for mentally disabled students whereas 129(41.1%) for non-disabled students. Unclean fingernails [AOR=2.416; 1.400,4.168], health checkup [AOR=1.869;1.156,3.023], hand washing habit with water only[AOR=2.476; 1.489,4.119],cooking and sanitation source of water [AOR=4.404; 2.319,8.364], Family size>=7[AOR=2.736;1.249,5.994],Grade(1-4)[AOR=2.272;1.408,3.666]and sex [AOR=1.642;1.026,2.627] were variables which showed statistically significant association with intestinal parasitic infections Conclusion: Prevalence of intestinal parasitic infection was higher among mentally disabled students than non-disabled students. Unclean finger nails, health checkup, hand washing habit, source of water, family size, Grade of students and sex of students were had statistically significant association with intestinal parasitic infections. Periodic medicinal treatment was needed twice a year for mentally disabled and once a year for non-disabled students.