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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
[The prevalence of Enterobius vermicularis in schoolchildren and affecting factors]
Hatice Giray1, Pembe Keskinoğlu
1Dokuz Eylül Universitesi Tip Fakültesi Halk Sağliği Anabilim Dali, Inciralti, Izmir. haticesimsek@yahoo.com
Insights
Enterobius vermicularis, or pinworm infection, is prevalent in schoolchildren, particularly in crowded homes lacking sanitation. Family history of parasites may offer protection.
Area of Science:
- Parasitology
- Public Health
- Epidemiology
Context:
- Enterobius vermicularis (pinworm) infections are common in school-aged children globally.
- Factors influencing pinworm prevalence in schoolchildren require detailed investigation for effective control strategies.
Purpose:
- To identify key factors associated with the presence of Enterobius vermicularis in primary schoolchildren.
- To analyze the relationship between parasitic infection and child, family, housing, sanitation, and water source characteristics.
Summary:
- A cross-sectional study of 477 schoolchildren in Izmir, Turkey, revealed a 43.8% prevalence of Enterobius vermicularis.
- Logistic regression identified higher infection rates in students from specific schools, crowded homes (≥6 residents), and households lacking modern sanitary facilities.
- Conversely, a family history of parasites was associated with a significantly decreased risk of infection.
Impact:
- Findings highlight the importance of improved sanitation and reduced household crowding in controlling pinworm infections among schoolchildren.
- The study provides crucial data for public health interventions targeting parasitic diseases in educational settings.
Abstract:
This study was carried out in order to determine the factors affecting the presence of Enterobius vermicularis in schoolchildren. This investigation was a cross-sectional and analytic study. The dependent variable was the presence of parasites and the independent variables were the characteristics of the children, families, houses, toilets and drinking water. A stool specimen was taken in the morning using the cellophane tape method, and examined the same day by microscopy. Data were evaluated using the Chi square test and logistic regression analysis and p < 0.05 was accepted as being statistically significant. There were 529 students in the kindergarten and 1-5 classes in the Isikkent and Sait Guzelcan primary schools in the region of the Isikkent Health Center in Izmir. However specimens could only be obtained from 477 (90.2%) students. The mean age of children was 8.6+/-2.0 years. The number of residents in their homes averaged 5.4+/-2.0, the average number of children in the homes was 3.2+/-1.9 and 290 (60.8%) houses were single dwellings. The source for piped water in 404 houses (84.7%) was the city network, and there were modern sanitary facilities (toilets) in 377 (70.6%) houses. Enterobius vermicularis was found in 209 (43.8%) children. According to logistic regression analyses, the rate of Enterobius vermicularis was found to be 3.05 times higher in students from the Sait Guzelcan primary school, if there were more than 6 residents in the home 2.05 times even higher and 2.02 times still higher if there were no sanitary facilities at his/her home. When there was a history of parasites in the family, the risk was significantly decreased. The prevalence of Enterobius vermicularis in schoolchildren was higher in slum areas, in crowded homes and in those that lacked modern sanitary facilities.
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