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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
RURAL LEFT-BEHIND CHILDREN ARE SERIOUSLY AFFLICTED WITH INTESTINAL HELMINTH INFECTIONS IN SOUTHERN SICHUAH, CHINA
Yue Guo1,2, Ming-Ke Lu3, Hai-Yan Dong1
1School of Medicine, Huzhou University, 759 Er Huan Rd., Huzhou, Zhejiang, Peoples Republic of China.
Insights
Rural left-behind children (LBC) in China face significantly higher rates of intestinal helminth infections compared to their non-left-behind peers. This study highlights the urgent need for targeted interventions to address parasitic infections in LBC.
Area of Science:
- * Public Health
- * Parasitology
- * Pediatrics
Background:
- * Intestinal helminth infections are a significant health concern for rural children in China.
- * A clear understanding of the disparity in infection prevalence between rural left-behind children (LBC) and rural non-left-behind children (NLBC) is lacking.
- * Southern Sichuan province was selected as the study area due to its high prevalence of helminth infections.
Purpose of the Study:
- * To investigate and compare the prevalence and severity of intestinal helminth infections between LBC and NLBC in rural China.
- * To identify specific helminth species affecting children in the study region.
- * To provide data for public health strategies targeting parasitic infections in vulnerable child populations.
Main Methods:
- * A cross-sectional study was conducted in Gulin and Xuyong counties, southern Sichuan, in 2019.
- * The Kato Katz thick smear method was employed for detecting helminth eggs.
- * For children aged 3-6 years, the adhesive tape perianal swab method was used to detect Enterobius vermicularis and tapeworm eggs. Statistical analysis utilized the chi-square test.
Main Results:
- * A total of 1,608 children (911 LBC, 697 NLBC) were analyzed, with six species of intestinal helminths detected.
- * The infection rate was significantly higher in LBC (39.3%) compared to NLBC (18.7%) (P < 0.05).
- * LBC also exhibited a statistically significant higher rate of double worm infections, indicating greater infection severity.
Conclusions:
- * Rural left-behind children in southern Sichuan are at a substantially higher risk of intestinal helminth infection.
- * The severity of parasitic infections is considerably worse among LBC.
- * Increased public health attention and targeted interventions are crucial for addressing the parasitic infections prevalent in LBC.
Abstract:
Rural children are seriously afflicted with intestinal helminth infections in China. Of note, the term rural children includes rural left-behind children (LBC) and rural non-left-behind children (NLBC); the difference in the prevalence of intestinal helminths between the 2 groups remains unclear. In this study, Gulin and Xuyong counties in southern Sichuan were chosen for investigation in 2019. The Kato Katz thick smear method was used to detect the presence of intestinal helminth eggs in rural children. For children aged 3-6 yr, the adhesive tape perianal swab method was used to detect Enterobius vermicularis and tapeworm eggs. Statistical differences in infection rates between the 2 groups were determined by the chi-square test. In total, 1,608 rural children, 911 LBC and 697 NLBC, participated in the investigation. Six species of intestinal helminths were detected. A total of 358 (39.3%) and 130 (18.7%) intestinal helminth positives were found among LBC and NLBC, respectively; the former had a higher (P < 0.05) infection level. Moreover, an analysis of double worm infection rates among intestinal helminth positive LBC and NLBC showed a difference between the 2 groups that was also statistically significant. These surveys indicated that the risk of intestinal helminth infection was substantially higher and the severity of infection much worse in rural LBC in southern Sichuan. More attention should be paid to the parasitic infection of LBC.
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