The role of family size, employment and education of parents in the prevalence of intestinal parasitic infections in school children in Accra.

The role of family size, employment and education of parents in the prevalence of intestinal parasitic infections in school children in Accra.
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DOI:
10.1371/journal.pone.0192303
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发表时间:
2018
期刊:
影响因子:
3.7
通讯作者:
Ayeh-Kumi PF
Ayeh-Kumi PF
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Forson AO;Arthur I;Ayeh-Kumi PF

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在大多数发展中国家,学龄儿童肠道寄生虫感染是一个公共卫生问题。2016年5月至7月,对居住在加纳阿克拉拥挤的城市贫民窟的学龄儿童进行了一项横断面调查。随机抽取300名2-9岁儿童作为样本。该研究采用结构化的预先测试问卷和粪便测试,以获取有关父母和儿童的流行病学、卫生习惯、就业和教育状况的信息。使用适当的描述性、单变量和多变量逻辑分析工具对数据进行分析。参与者的平均年龄为6.9岁,49%为男性,51.3%为女性。男性(10.95%)和女性(7.79%)分别检出兰第鞭毛虫。曼氏血吸虫、类蛔虫、带绦虫和大肠内阿米巴的流行率很低。没有受过教育的母亲(62.2%)和父亲(55.6%)所生的儿童经常受到感染,而没有工作的父亲(22.2%)和母亲(6.7%)所生的少数儿童也受到感染。大多数感染儿童(93.7%)的家长不了解ipi。母亲的受教育程度和就业状况[p = 1.0和p = 0.422]对寄生虫感染的影响不显著,而家庭规模是寄生虫感染的易感因素(p = 0.031)。肠道寄生虫在来自拥挤家庭和不了解ipi的儿童中普遍存在。关于ipi的教育规划、改善卫生和实施支持性规划以提高社会经济条件,可能有助于减轻儿童肠道寄生虫携带的负担。
Intestinal parasitic infections (IPIs) in school children are a public health problem in most developing countries. A cross sectional survey was conducted from May to July 2016 with school children living in overcrowded urban slums in Accra, Ghana. A simple random sample of 300 children aged 2–9 years was collected. The study used structured pre-tested questionnaire and stool tests to obtain information on epidemiological, sanitation habits, employment and education status of parents and children. Data were analysed using appropriate descriptive, univariate and multivariable logistic tools of analyses. The mean age of participants was 6.9 years and 49% were males and 51.3% were females. Giardia lamblia was found in males (10.95%) and females (7.79%). Very low prevalences for Schistosoma mansoni, Ascaris lumbricoides, Taenia species, and Entamoeba coli were detected. Whilst children from mothers (62.2%) and fathers (55.6%) with no education were often infected, a few children from fathers (22.2%) and mothers (6.7%) with no jobs were infected. Most of the infected children’s (93.7%) parents did not have any knowledge of IPIs. The educational and employment status of the mothers [p = 1.0 and p = 0.422] was not significant, however, the family size was a predisposing factor (p = 0.031) for parasitic infections. Intestinal parasites were prevalent in children from overcrowded families and with no knowledge of IPIs. Educative programmes on IPIs, improving hygiene, and application of supportive programmes to elevate socioeconomic conditions may help reduce the burden of intestinal parasite carriage in children.
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