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Prevalence of Parasitic Infection and its Determinants Among Children Aged 6-13 Years in Rural Areas of Gorakhpur
Anand Mohan Dixit1, Vivek Hada2, Rama Shankar Rath3
1Department of Community Medicine and Family Medicine, AIIMS Gorakhpur, Uttar Pradesh, India.
Insights
A study in rural India found nearly 30% of asymptomatic children have parasitic infections like Blastocystis hominis. Factors such as age and housing influence infection rates, highlighting the need for improved hygiene and sanitation interventions.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Parasitic infections pose a significant public health challenge in low-resource settings, disproportionately affecting children and adolescents.
- Asymptomatic infections are common and can have long-term health consequences.
Purpose of the Study:
- To determine the prevalence of parasitic infections in asymptomatic children aged 6-13 years in rural India.
- To investigate the association between parasitic infections and sociodemographic and environmental factors.
Main Methods:
- A cross-sectional study was conducted in rural Uttar Pradesh, India.
- Data on sociodemographic, birth order, and hygiene practices were collected.
- Microscopic examination of stool samples and anthropometric measurements were performed.
Main Results:
- The overall prevalence of parasitic infections was 29.3%, with Blastocystis hominis, Entamoeba histolytica, and Giardia sp. being most common.
- Younger children (6-9 years) and males exhibited higher infection rates.
- Higher birth order and living in pucca houses were associated with increased infection risk.
Conclusions:
- A substantial burden of asymptomatic parasitic infections exists among children in rural India.
- Socioeconomic and environmental factors significantly influence infection rates.
- Public health interventions focusing on hygiene, sanitation, and screening are crucial for child health.
Background:
Parasitic infections are a significant public health concern in low-resource settings, particularly among children and adolescents. This study aims to determine the prevalence of parasitic infections and their association with various sociodemographic and environmental factors among asymptomatic children aged 6-13 years in rural India.
Methods:
This cross-sectional study was conducted at the rural field practice area of AIIMS, Gorakhpur, located in Uttar Pradesh, India. Data on sociodemographic factors, birth order, and hygiene practices were collected. Stool samples were examined microscopically. Anthropometric measurements followed standard guidelines.
Results:
The prevalence of parasitic infections among the children was 29.3%, with Blastocystis hominis (11.6%), Entamoeba histolytica (8.9%), and Giardia sp. (8.3%) being the most common pathogens. Younger children (6-9 years) had a higher infection rate (32.1%) compared to older children (10-13 years) at 23.9%. Males showed a slightly higher infection prevalence (31.5%) compared to females (27.6%). Higher birth order and living in pucca houses were associated with higher infection rates. Logistic regression analysis living in pucca houses was associated with increased infection risk (adjusted OR: 2.69, 95% CI: 1.07-4.00).
Conclusions:
The study reveals a significant burden of asymptomatic parasitic infections among children in rural India, with various socioeconomic and environmental factors influencing infection rates. These findings underscore the need for comprehensive public health interventions focusing on hygiene education, improved sanitation, and routine screening to mitigate the impact of these infections on child health.
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