Prevalence and Associated Risk Factors of Urinary Schistosomiasis among Primary School Pupils in the Jidawa and Zobiya Communities of Jigawa State, Nigeria.

Prevalence and Associated Risk Factors of Urinary Schistosomiasis among Primary School Pupils in the Jidawa and Zobiya Communities of Jigawa State, Nigeria.
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DOI:
10.5334/aogh.3704
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发表时间:
2022
影响因子:
2.9
通讯作者:
Balogun, E. O.
Balogun, E. O.
中科院分区:
医学4区
文献类型:
--
作者:
Balogun, J. B.;Adewale, B.;Balogun, S. U.;Lawan, A.;Haladu, I. S.;Dogara, M. M.;Aminu, A. U.;Caffrey, C. R.;De Koning, H. P.;Watanabe, Y.;Balogun, E. O.

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泌尿生殖道血吸虫病(UgS)是一种由埃及血吸虫引起的寄生虫病,可导致慢性疾病。尼日利亚是血吸虫病的流行地,但UgS的流行病学尚未在大多数州进行研究。这项研究的目的是促进对UgS在尼日利亚准确的国家形象。首次在尼日利亚吉川州Dutse地方政府区(LGAs)的Jidawa和Zobiya社区的小学生中调查了UgS的患病率和相关风险因素。与教师和家长进行了焦点小组讨论。在获得家长的书面同意后,对学生进行问卷调查,以获得社会人口数据和与水接触活动的信息。收集279份尿液样本,通过尿液过滤技术进行处理,以评估血尿和S。血吸虫卵Jidawa和Zobiya社区的患病率分别为65.7%(90/137)和69.0%(98/142)。在这两个社区,性别与UgS之间存在显著关联:63.3%的受感染学生为男性,而女性为36.7%(χ2 = 5.42,p = 0.020)。五年级学生的患病率(80.0%)显著高于二、三、四、六年级学生(分别为63.8%、66.7%、61.5%、64.6%)(χ2 = 17.919,p = 0.001)。水接触活动显示,在吉达瓦和佐比亚,参与钓鱼、灌溉和游泳的学生感染的风险更大,比值比(风险因子)分别为5.4(0.994-28.862)和4.1(1.709-9.862)(p = 0.05)。吉川州Dutse LGAs的Jidawa和Zobiya社区都是UgS的高发区。在这项研究之后,与国家卫生部合作,在Jidawa和Zobiya社区开展了大规模吡喹酮管理。
Urogenital schistosomiasis (UgS) is a parasitic disease caused by Schistosoma haematobium and can lead to chronic ill-health. Nigeria is endemic for schistosomiasis, but epidemiology of UgS has not been studied in most states. This study was conceived with the aim to contribute towards an accurate national picture of UgS in Nigeria. The prevalence of UgS and the associated risk factors were for the first time investigated among primary school pupils in Jidawa and Zobiya communities of the Dutse Local Government Area (LGAs) of Jigawa State, Nigeria. Focus group discussions with teachers and parents were conducted. After obtaining written consent from parents, questionnaires were administered to pupils to obtain socio-demographic data and information on water contact activities. Urine samples (279) were collected and processed by the urine filtration technique to evaluate haematuria and the presence of S. haematobium eggs. Prevalences of 65.7% (90/137) and 69.0% (98/142) were recorded in the Jidawa and Zobiya communities, respectively. In both communities, there was a significant association between gender and UgS: 63.3% of the infected pupils were males as compared to 36.7% females (χ2 = 5.42, p = 0.020). Grade 5 students had a significantly higher prevalence (χ2 = 17.919, p = 0.001) (80.0%) compared to those in grades 2, 3, 4, and 6 (63.8%, 66.7%, 61.5%, and 64.6%, respectively). Water contact activities showed that pupils involved in fishing, irrigation, and swimming were at greater risk of becoming infected in Jidawa and Zobiya, with odds ratios (risk factors) of 5.4 (0.994–28.862) and 4.1 (1.709–9.862), respectively (p = 0.05). Both the Jidawa and Zobiya communities of the Dutse LGAs of Jigawa State are hyperendemic for UgS. In collaboration with the State Ministry of Health, mass administration of praziquantel was carried out in the Jidawa and Zobiya communities after this study.
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