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Prevalence and determinant factors of intestinal parasites among school children in Arba Minch town, Southern Ethiopia

机译:埃塞俄比亚南部Arba Minch镇小学生肠道寄生虫的患病率及其影响因素

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Back ground: Intestinal parasitic infections are still quite common in developing countries including Ethiopia, particularly in children. They are mostly associated with unsafe and low quality of drinking water, poor personal and environmental sanitation. Thus, the objective of this study was to assess the prevalence and determinant factors of intestinal parasites among school children. Methods: A cross sectional study was conducted in March, 2014, among 498 students selected from three governmental elementary schools in Arbaminch- town, Southern Ethiopia using stratified multistage sampling method. Structured questionnaire was used to identify environmental, socio demographic and behavioral factors. Stool specimens were collected from all study subjects and were examined for intestinal parasites using direct smear (mount examination) and Formal-ether concentration techniques. Finally, data entry and analysis was done using Epi-info and SPSS statistical soft ware respectively. A bivariate and multivariate logistic regression analysis was done. P value less than 0.05 was considered as statistically significant. Results: A total of nine parasites were detected .The overall prevalence of intestinal parasites was 27.7% (95% confidence interval (CI): (23.8-31.6%)). The predominant parasite was E.histolytica/dispar 64(12.9%) followed by A.lumboricoids 53(10.6%), H.nana 21 (4.2%) and G.lamblia 21 (4.2%). Hand washing practice before meal [AOR = 5.7; 95% CI (3.4, 9.7)], nail hygiene [AOR = 2.6; 95% CI (1.5, 4.4)], and children's mother educational level [AOR = 3.5; 95% CI (1.01, 11.4)] showed statistically significant association with high rates of intestinal parasitic infections. Conclusion and recommendations: The prevalence of intestinal parasites is high in the study area among school children .Thus, it indicates the need of interventions like health education regarding to personal hygiene and mass treatment.
机译:背景:肠道寄生虫感染在包括埃塞俄比亚在内的发展中国家仍然很普遍,尤其是在儿童中。它们主要与不安全和饮用水质量低下,个人和环境卫生差有关。因此,本研究的目的是评估学龄儿童肠道寄生虫的患病率和决定因素。方法:2014年3月,采用分层多阶段抽样方法,从埃塞俄比亚南部Arbaminch-town的三所官立小学选拔的498名学生中进行了横断面研究。结构化问卷用于识别环境,社会人口统计学和行为因素。从所有研究对象中收集粪便标本,并使用直接涂片(量检)和甲醚浓缩技术检查肠道寄生虫。最后,分别使用Epi-info和SPSS统计软件进行数据输入和分析。进行了二元和多元逻辑回归分析。 P值小于0.05被认为具有统计学意义。结果:共检出9种寄生虫,肠道寄生虫的总患病率为27.7%(95%置信区间(CI):(23.8-31.6%))。主要的寄生虫是溶组织性大肠杆菌/ dispar 64(12.9%),其次是腰果曲霉53(10.6%),H.nana 21(4.2%)和G.lamblia 21(4.2%)。饭前洗手的习惯[AOR = 5.7; 95%CI(3.4,9.7)],指甲卫生状况[AOR = 2.6; 95%CI(1.5,4.4)]和儿童母亲的教育程度[AOR = 3.5; 95%CI(1.01,11.4)]与肠道寄生虫感染率高相关,具有统计学意义。结论和建议:在学龄儿童中,肠道寄生虫的患病率很高,因此,这表明需要进行有关个人卫生和大规模治疗的健康教育等干预措施。

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