scholarly journals Prevalence and Associated Risk Factors of Entamoeba Histolytica Infection Among Schoolchildren From Three Primary Schools In Arsi Town, West Zone, Ethiopia

Author(s):  
Geribe Bushura Roro ◽  
Sunil Tulshiram Hajare ◽  
Awdah M Al-Hazim ◽  
Mohammed Kuddus ◽  
Feleke Eriso

Abstract Entamoeba histolytica is one of the major pathogenic intestinal parasites and is amongst the leading causes of diarrheal illness in children. Around 500 million people are infected worldwide, while 75,000 die of the disease annually. E. histolytica is associated with moderate to severe diarrhoea and increased mortality among children in African countries and negatively affects child growth and development. Malnutrition is also an important contributor to the prevalence of E. histolytica in Ethiopia. It is mostly associated with poor hygiene, poverty, illiteracy, lack of access to potable water, and a hot, humid tropical climate. Thus, the present investigation was aimed to assess the prevalence rate and associated factors of E. histolytica among schoolchildren in Arsi Town, West Zone, Oromia Regional State, Ethiopia. A cross-sectional study was conducted from February 1st to May 1st, 2020. A total of 334 students were selected from three governmental elementary schools in the west zone using a systematic sampling method. A structured questionnaire was adopted to identify environmental, socio-demographic, and behavioral factors. Microscopically positive samples for E. histolytica cysts were further characterised using an E. histolytica II antigen detection kit. The statistical analysis of the data was done using SPSS software. A univariate and multivariate logistic regression analysis was done. P value < 0.05 was considered statistically significant. The overall prevalence of E. histolytica was 19.8%. Hand washing habits before eating [AOR = 0.32; 95% CI (0.12, 0.84)], hand washing habits after defecation [AOR = 0.396; 95% CI (0.165, 0.946)], and ameba awareness [AOR = 0.35; 95% CI (0.142, 0.889)] were factors associated with parasite prevalence.

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
Q.L Gou ◽  
R.F Shi ◽  
X Zhang ◽  
Q.T Meng ◽  
X.R Li ◽  
...  

Abstract Background High-altitude pulmonary hypertension (HAPH) remains a concern due to its high mortality, however, studies evaluating its prevalence and risk factors are lacking. Objective To determine the prevalence of HAPH and its correlated factors among the highlanders living at 3200 metres above sea level in Ganzi Tibetan Automous Prefecture, Sichuan Province, China. Methods This was a single-center cross-sectional study involved 1129 subjects (mean age 46.6±14 years, 39% men). Native Tibetans with HAPH were defined as mean pulmonary artery pressure &gt;30mmHg achieved from transthoracic echocardiography. Results The crude prevalence of HAPH was 6.2%, and was more prevalent in men compared to women (8.6% vs 4.6%, P=0.005). The elder was more likely to develop HAPH (OR: 5.308, 95% CI: 2.562–10.993). Highlanders with HAPH had more severe metabolic abnormalities (including elevated blood pressure, blood glucose, blood lipids, BMI, etc. P value&lt;0.05) and significantly increased hemoglobin level (P=0.001). On multivariate logistic regression analysis, independent risk factors for HAPH were metabolic syndrome (OR: 3.128, 95% CI: 1.110–8.818), age (&gt;60 years vs &lt;40 years) (OR: 2.924, 95% CI: 1.282–6.669), and decreased SpO2 (OR: 1.072 per 1-unit decrease; 95% CI: 1.010–1.136). Conclusion It could be concluded that HAPH was prevalent among 6.2% native Tibetans in Sichuan Province, China. Increasing age, metabolic syndrome and decreased SpO2 were independent predisposing factors for HAPH Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): This study was funded by one Science and Technology Pillar Programs in Sichuan Province (Grant no. 2017SZ0008).


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254185
Author(s):  
Hordofa Gutema ◽  
Yamrot Debela ◽  
Bizuayehu Walle ◽  
Kidist Reba ◽  
Tebkew Shibabaw ◽  
...  

Background Binge drinking is a pattern of harmful use of alcohol and it is defined as four drinks for women and five drinks for men in about 2 hours. This behavior causes public health problems like damaging different body organs. Objective To assess binge drinking and associated factors among Bahir Dar University students in Northwest Ethiopia. Method A cross sectional study was conducted in November 2017. Systematic sampling technique was used to select 422 participants. Structured questionnaire was used to collect data. Linear and Logistic regression models were used to predict the role of explanatory variables on behavioral intention and binge drinking, respectively. Independent variables with a p-value of <0.05 at 95% confidence interval were considered as statistically significant in the final model. Result A total of 413 students participated in this study and 33.4%(95% CI: 28.3–38.9) were engaged in binge drinking. Experiential attitude, instrumental attitude, and self-efficacy were found to be significant predictors of intention to binge drinking (p<0.05). Experiential attitude, environmental constraint, injunctive norm, and knowledge predictors were significantly associated with binge drinking (p<0.05). Conclusion Our study indicated that one-third of the students practiced binge drinking. This behavior was associated with experiential attitude, injunctive norm, environmental constraints, and knowledge factors. Additionally, experiential attitude, instrumental attitude, and self-efficacy constructs had explained behavioral intention. This implies focusing on the abovementioned determinant factors is imperative while designing intervention strategy.


2015 ◽  
Vol 11 (2) ◽  
Author(s):  
Siti Muthoharoh ◽  
Djauhar Ismail ◽  
Muhammad Hakimi

Children are the nation’s investment. The future quality of a nation is determined in the children’s current quality. The prevalence of worm infestation in Indonesia is quite high between 60-80% and especially attacks on elementary school children. A long term worm infestation can reduce health that impairs the ability to learn. Risk factors of worm disease include poor environmental sanitation, education level, socio-economic conditions, and health habits such as bowel movement in any places, lack of awareness in hand washing, no footwear as well as geographical conditions.Objective: To know the relationship of hand washing behavior with the incidence of worm on elementary school students in Petanahan Sub-District Kebumen District.The research was observational analytic with a cross sectional design. Sampling was done with a two-level clustering method. The sample size was 213 elementary school students in Grades 3, 4, and 5 that met the inclusion and exclusion criteria. The data was collected using a questionnaire and the results of laboratory tests. Hypothesis testing used chi-square with p <0.05 and 95% Confidence Interval. Data analysis used univariable, bivariable, and multivariable.There was a relationship between worm infestation and hand washing behavior seen from the results that the students who did not wash their hands and were positive with worm infestation were 66 students or 59.46%, while the students that performed hand washing and were negative with worm infestation were 72 students or 70.59%. Statistical test result was significant seen from the p value of 0.0001 and the prevalence ratio of 2.02 (95% CI 1.44 to 2.83).Hand washing behavior on elementary school students of Petanahan District, Kebumen, showed that 52.11% of the students did not wash their hands. There was a relationship between hand washing and worm infestation on elementary school students of Petanahan Sub-District, Kebumen District. Keywords: hand washing behavior, the incidence of worm infestation


2021 ◽  
Vol 21 (1) ◽  
pp. 331
Author(s):  
Yeni Indrawatiningsih ◽  
ST Aisjah Hamid ◽  
Erma Puspita Sari ◽  
Heru Listiono

Anemia is a major health problem for people in the world, especially in developing countries, about 50-80% of anemia is caused by iron deficiency. The purpose of this study was to determine the factors that influence the occurrence of young women. This research is an analytical survey with a cross sectional research design, the study was conducted in May - June 2020 in the village of Sidomakmur, Gumawang Community Health Center, East OKU Regency, the population in this study were all young women recorded by village midwives in Sidomakmur Village, totaling 212 people. and the sample is some of the young women who take part in the Posyandu Youth in Sidomakmur Village, amounting to 98 people, through Proportional Random Sampling, univariate (proportion), bivariate (chi square test) and multivariate (logistic regression) analysis. The results of the analysis showed that adolescent education (p value: 0,000), parents' income (p value: 0.012) and adolescent nutritional status (p vaue: 0,000) had a significant relationship with the incidence of anemia in adolescent girls, while adolescent age (p value: 0.224). ) does not have a significant relationship with the incidence of anemia in adolescent girls, while the age of adolescents. Based on the final model of multivariate analysis, the variable that had the greatest influence on anemia status was the variable nutritional status. It is necessary to provide counseling to young women and improve the way of delivering information when young women conduct examinations on how to prevent anemia, both in the form of a good healthy lifestyle and how to maintain health for the growth and development of young women themselves. 


1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.


Author(s):  
Joseph O. Adoyo ◽  
Eliphas G. Makunyi ◽  
George O. Otieno ◽  
Alison Yoos

Background: Self-referral to higher-level hospitals by women seeking skilled birth attendance services reflects in part their non-adherence to established referral pathways. This choice results in an inappropriate utilization of resources within health system. The Kenya Health Sector Referral Strategy aims at optimising the utilization and access of facilities. The aim of this study was to determine the prevalence and factors associated with self-referral among women seeking skilled birth attendance services in Marsabit County between 1st and 31st Oct 2019.Methods: A cross-sectional study was adopted at the maternity department in the selected public hospitals in Marsabit County, by use of interviewer-administered questionnaires to collect information from 161 women, through systematic sampling between 1st and 31st Oct 2019. Chi-square and multiple logistic regression analysis were used to test for factors associated with self-referral at 95% confidence interval.Results: Of the 161 women interviewed, 47.2% (n=76) were self-referrals. The odds of self-referral to the higher level health facilities were more likely among women: - aged 25-29 (AOR 5.174, CI 1.015-26.365, p-value 0.048); those referred for other ANC services (AOR 4.057, CI 1.405-11.720, p-value 0.010); and those, - who visited the referral facility before for delivery (AOR 5.395, CI 1.411 – 20.628, p-value 0.014). However, self-referral were less likely among women who perceived privacy and confidentiality of services at the referral hospitals (AOR 0.370, CI 0.138-0.990, p-value 0.048).Conclusions: Almost half of women seeking skilled birth attendance were self-referrals, relates to a possible implication on an unprecedented increased workload at referral hospitals and underutilization of primary health facilities.


2020 ◽  
Author(s):  
Dagaga Goboto Kenea ◽  
Mesfin Negawo ◽  
Firaol Kitila Lemessa ◽  
Solomon Tejineh

Abstract Background: Helicobacter pylori infection is the most common chronic bacterial infection and there were approximately 4.4 billion individuals with H pylori infection worldwide. Among those, hundreds of millions of people develop peptic ulcer disease during their lifetime and still tens of millions might progress to gastric cancer. Hence, early information is very important to prevent upper gastrointestinal complications. Consequently, the current study aimed to assess the magnitude and associated risk factors of Helicobacter pylori infection among adult dyspeptic patients attending Bokoji hospital, Southeast Ethiopia.Methods: A hospital-based cross-sectional study involving 348 adult dyspeptic patients attending Bokoji hospital was carried out from July 16 to October 31, 2019. About 50 mg of fresh stool and 60 µl of capillary blood were collected from each dyspeptic patient and analyzed for detection of Helicobacter pylori antigens, presence of intestinal parasites and ABO blood grouping respectively. Data were entered using Epi Info 7 and Statistical analysis was done using SPSS version 21 and a p-value less than 0.05 was considered as statistically significant.Results: The overall magnitude of Helicobacter pylori infection was 47.7%. The magnitude of H. pylori infection was almost two times higher in patients who do not have a habit of handwashing after toilet visit than those who wash their hand's habit of handwashing after visiting toilet (AOR 2.241, 95% CI (1.410, 3.563) and alcohol drinking habit (AOR 1.796, 95% CI (1.087, 2.968). Conclusions: The magnitude of H. pylori was high in the study area and associated with handwashing habits after toilet use and alcohol drinking habits. Therefore, the community could be educated on the handwashing habit to minimize H. pylori infections.


2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Siti Nur Madihah Che Rozela ◽  
Nor Faiza Mohd Tohit ◽  
Razman Mohd Rus

Introduction: Pediculosis capitis  among primary school children is a worldwide problem which carries significant consequences among the school children and caregivers. Despite causing significant health problem which needs to be intervened, only few studies were conducted in Malaysia and there is no previous study conducted in Pahang. Thus, this study aims to investigate the determinants  of prevalence of Pediculosis capitis  among primary school children in Kuantan, Pahang, Malaysia. Materials and method: An analytical cross-sectional study using cluster random sampling of primary schools was carried out in Kuantan. Selfadministered validated questionnaire was used followed by hair and scalp examination. Multivariate logistics was done to determine the predictors and to control for confounding effect. Results: The overall median age of the 1,365 respondents was 8.0 years. Majority of them were males (53.41%), Malays (60.29%), household income between RM1000-RM2999 (31.87%) and from urban school location (98.68%). The overall prevalence of Pediculosis capitis  was 9.6% (n=131). Multivariate logistic regression analysis showed that female (Odds ratio (OR)=8.571, 95% Confidence interval (CI)=5.024-14.620), Indian (OR = 5.560, 95% CI=3.3849.136), those who had number of siblings more than five (OR = 2.644, 95% CI=1.0446.700), history of contact with infested person (OR=2.445, 95% CI=1.619-3.691) and urban school location (OR=0.030, 95% CI=0.284-0.091) were predictors for  Pediculosis capitis. Conclusion: The prevalence of  Pediculosis capitis  among primary school children in Kuantan, Pahang is endemic(9.6%) and predictors are female, Indian, having siblings of more than 5 and contact with infested person. Hence, preventive measures are necessary to reduce the transmission of head lice among school children.


2019 ◽  
Author(s):  
Gemechu Kejela ◽  
Feleke Gebremeskel ◽  
Hadiya Hassen ◽  
Misgun Shewangizaw ◽  
Markos Desalegn

Abstract Background Maternal Nutrition contributes significantly to the long term health of mothers and their children. Despite this importance, globally, about 795 million people are undernourished and women and their children are the most vulnerable groups.Objective the main aim of this study was to assess under nutrition and associated factors among lactating mothers in Arba Minch zuria district, Southern Ethiopia.Methods institution based cross-sectional study was used. Data was collected using interview administered questionnaire from a total of 441 lactating mothers. To get the required respondents, first health centers in Arba Minch zuria district were selected by using lottery method and probability to population size was performed for each health center. Finally, eligible respondents were selected using systematic sampling method. The questionnaire was pretested and close supervision was undertaken during data collection to assure the quality of data. The collected data was entered using Epi data version 3.02 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression were conducted, and finally variables with p-value of <0.05 were considered as statistically significant predictors.Results Prevalence of under nutrition in this study was 26.1%. Under nutrition is higher among mothers who are unable to read and write (AOR[95%CI]= 3.931[1.700,9.091]), mothers who experienced more than five numbers of pregnancies (AOR[95%CI]= 2.453[1.051, 5.728]), those with more than four members of family size (AOR[95%CI]= 2.289[1.171, 4.472]), those who live in the household with no toilet (AOR [95%CI] = 6.407[3.556, 11.545]) and those who have less than 4 antenatal care visits (AOR[95%CI]= 2.053[1.185, 3.559]).Conclusions and Recommendations In this study, the magnitude of under nutrition among lactating women was high. So, nutrition based health information, education and communication is needed for mothers especially during pregnancy and lactation in the study area.


Author(s):  
Pedro Santos-Moreno ◽  
Carlos Alberto Castro ◽  
Laura Villarreal ◽  
Guillermo Sánchez-Vanegas

Abstract Background: Rheumatoid arthritis (RA) is an autoimmune chronic pathology, present in between 0.5% and 1% of adults. This disease is accompanied by comorbidities such as sleep disorders (SD) that occur in between 54% and 70% of the population with RA. The objective of this study was to identify the associated risk factors and the prevalence of sleep disorders in a group of patients with rheumatoid arthritis in a referral center for the management of autoimmune diseases in Bogotá, Colombia.Methods: An analytical cross-sectional study was carried out on a population of patients with Rheumatoid Arthritis (RA) evaluated with the DSM-V. The factors related to sleep disorders and disease activity of were explored. The prevalence of sleep disorders was determined, and a multivariate logistic regression analysis was conducted.Results: the study analyzed a total of 1436 patients, with a median age of 56 years. The prevalence of sleep disorders was 31.1%. There was an association between the presence of sleep disorders and Disease Activity Score 28 (DAS28) (OR: 3.8 CI 95%: 3-5), Health Assessment Questionnaire (HAQ) (OR: 3.2 CI 95%: 2.5-4.1), self-care activities (OR: 0.6 CI 95%: 0.4-0.9), and somatic symptom disorder (OR: 1.8, CI 95%: 1.3-2.6). Conclusions: An association (p-value <0.05) was found between SDs and disease activity (DAS28), functional capacity (HAQ), scholarship level, smoking, sedentary lifestyle, metabolic diseases, and leisure and self-care activities. In one third of patients SD were prevalent. It is suggested that patients be approached comprehensively carrying out behavioral and cognitive activities.


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