Prevalence soil transmitted helminthiasis and malaria co-infection among pregnant women and risk factors in Gilgel Gibe Dam area, southwest Ethiopia.
Prevalence soil transmitted helminthiasis and malaria co-infection among pregnant women and risk factors in Gilgel Gibe Dam area, southwest Ethiopia.
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DOI：
10.1186/1756-0500-6-263
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发表时间：
2013-07-09
影响因子：
1.8
通讯作者：
Yewhalaw D
中科院分区：
文献类型：
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作者：
Getachew M;Tafess K;Zeynudin A;Yewhalaw D
疟疾和土传蠕虫病（STH）是埃塞俄比亚的共同流行病和主要公共卫生问题。该研究的目的是评估疟疾和 STH 混合感染的患病率并确定相关风险因素。对居住在埃塞俄比亚西南部 Gilgel Gibe Dam 地区周围三个地区的 388 名孕妇进行了一项横断面社区研究。从每个参与者那里收集社会人口统计和社会经济数据、单一粪便样本和血液样本。 STH和疟疾的患病率分别为159（41%）和45（11.6%），STH/疟疾混合感染的患病率为30（7.7%）。钩虫是最常见的土壤传播蠕虫病感染 114 (29.4%)，其次是蛔虫 (A. lumbricoides) 58 (15%) 和鞭虫 (T. trichiura) 13 (3.4%)。吃土的习惯（调整后优势比 (AOR) = 4.64，95% CI：1.50-14.36，P=0.008）、研究参与者房屋附近存在积水（AOR=2.99，95% CI：1.28-6.99，P=0.012）以及使用人类粪便作为肥料的习惯（AOR= 5.34， 95% CI: 1.99-14.28, P<0.001)被发现与孕妇中疟疾和STH合并感染显着相关。钩虫寄生量与疟疾寄生量呈正相关（r=0.299，P<0.001），而蛔虫寄生量与疟疾寄生量呈负相关（r=-0.095，P<0.001）。肠道寄生虫和/或疟疾混合感染是居住在 Gilgel Gibe 大坝地区的孕妇面临的一个健康问题。因此，应对孕妇进行改善卫生、清除积水、健康教育等干预措施。
Malaria and Soil Transmitted Helminthiasis (STH) are co-endemic and major public health problems in Ethiopia. The aim of the study was to assess the prevalence of malaria and STHs co-infection and to determine the association risk factors. A cross-sectional community based study was conducted on 388 pregnant women living in three districts around Gilgel Gibe Dam area, southwestern Ethiopia. Socio-demographic and socio-economic data, single stool sample and blood sample were collected from each participant. The prevalence of STH and malaria was 159 (41%) and 45 (11.6%), respectively and the prevalence of STHs/malaria co-infection was 30 (7.7%). Hookworm was the most prevalent 114 (29.4%) soil transmitted helminthiasis infection followed by Ascaris lumbricoides (A. lumbricoides) 58 (15%) and Trichuris trichiura (T. trichiura) 13 (3.4%). Habit of eating soil (Adjusted Odds Ratio (AOR) = 4.64, 95% CI: 1.50-14.36, P=0.008), presence of stagnant water near study participants’ house (AOR=2.99, 95% CI: 1.28-6.99, P=0.012) and habit of using human feces as a fertilizer (AOR= 5.34, 95% CI: 1.99-14.28, P<0.001) were found to be significantly associated with malaria and STH co-infection among the pregnant women. Hookworm parasitic load was positively correlated with malaria parasitic load (r = 0.299, P<0.001) while A. lumbricoides parasitic load was negatively correlated with malaria parasitic load (r = −0.095, P<0.001). Intestinal parasite and/or malaria co-infection is a health problem among pregnant women living around Gilgel Gibe dam area. Therefore, intervention including improving sanitation, removing stagnant water, and health education to the pregnant women should be given.