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Published on: August 22, 2012
Prevalence and risk factors of Blastocystis infection among underprivileged communities in rural Malaysia
Nabilah Amelia Mohammad1, Hesham M Al-Mekhlafi2, Norhayati Moktar3
1Centre of Medical Laboratory Technology, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, Selangor, Malaysia.
Objectives:
To determine the prevalence and risk factors of Blastocystis among underprivileged communities living in rural Malaysia.
Methods:
This cross-sectional study was conducted among 253 participants aged between 1 and 85 years. Stool samples were examined using Wheatley's trichrome stain after in-vitro cultivation in Jones' medium to detect the presence of Blastocystis. Information pertaining to the demography, socioeconomic and environment were collected using pre-validated questionnaires.
Results:
The total prevalence of Blastocystis infection was 40.7%. The multiple logistic regression analysis revealed that age ≥15 years (OR = 2.72; 95% CI = 1.47-5.04) and presence of infected family members (OR = 8.56; 95% CI = 4.47-16.38) were the significant risk factors associated with blastocystosis in these communities.
Conclusions:
Blastocystosis is revealed through this study to be still prevalent among Orang Asli communities in rural Malaysia. The two main approaches that should be implemented by the public health authority in battling this infection would be the screening of other family members and giving treatment to the infected individuals. Moreover, it is imperative for health education on good personal and food hygiene practices are provided in order to reduce the morbidity and transmission of Blastocystis infection among the Orang Asli in their communities meaningfully.
Insights
Blastocystis infection remains common in rural Malaysian communities, affecting 40.7% of individuals. Key risk factors include being older than 15 and having infected family members, highlighting the need for targeted interventions.
Area of Science:
- Medical Parasitology
- Public Health
- Infectious Diseases
Background:
- Blastocystis is a common intestinal protozoan parasite.
- Prevalence and risk factors in underprivileged rural populations require investigation.
Purpose of the Study:
- To determine the prevalence of Blastocystis.
- To identify risk factors for Blastocystis infection in rural Malaysian communities.
Main Methods:
- Cross-sectional study of 253 participants (aged 1-85).
- Stool sample analysis via in-vitro cultivation and microscopy.
- Demographic, socioeconomic, and environmental data collected via questionnaires.
Main Results:
- Overall prevalence of Blastocystis infection was 40.7%.
- Significant risk factors identified: age ≥15 years (OR=2.72) and presence of infected family members (OR=8.56).
Conclusions:
- Blastocystosis is highly prevalent in Malaysian Orang Asli communities.
- Public health strategies should include family member screening and treatment.
- Health education on hygiene is crucial to reduce transmission and morbidity.
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