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Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria.
- Source :
-
Annals of global health [Ann Glob Health] 2019 Sep 11; Vol. 85 (1). Date of Electronic Publication: 2019 Sep 11. - Publication Year :
- 2019
-
Abstract
- Background: Soil-transmitted helminths (STH) have remained a major threat to humans, especially children in developing countries, including Nigeria. Interventions have always been geared towards school-aged children, neglecting preschool-aged children and occupational risk adults. The Soil-Transmitted Helminthiasis Advisory Committee (STHAC) recently suggested incorporating other at-risk groups.<br />Objective: This study assessed the associated risk of STH infection among agrarian communities of Kogi State, Nigeria.<br />Methods: A total of 310 individuals of all ages participated in the cross-sectional survey. Stool samples were analyzed using standard Kato-Katz method.<br />Results: A total of 106 (34.2%) individuals were infected with at least one STH. Hookworm was the most prevalent (18.1%); followed by Ascaris lumbricoides (16.8%). Worm intensity was generally light. Prevalence of infection was similar between four age groups considered (preschool, school, 'women of reproductive age' and older at-risk group). Poor socio-economic status (SES) was a major risk for STH infection. Using a 20-asset based criteria, 68 (23.1%) and 73 (24.7%) of 295 questionnaire respondents were classified into first (poorest) and fifth (richest) wealth quintiles respectively. Risk of infection with STH was 60% significantly lower in the richest wealth quintile compared to the poorest (Prevalence Ratio [PR] = 0.4843, 95% CI = 0.2704-0.8678, p = 0.015). Open defecators were more likely to harbour STH than those who did not (PR = 1.7878, 95% CI = 1.236-2.5846, p = 0.00201). Pit latrine and water closet toilets each approximately reduced STH infection by 50% (p &lt; 0.05).<br />Conclusion: Preventive chemotherapy for all age groups, health education and provision of basic amenities especially toilets are needed in order to achieve the goal toward the 2020 target of STH control.<br />Competing Interests: The authors have no competing interests to declare.<br /> (© 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.)
- Subjects :
- Adolescent
Adult
Agriculture
Animals
Ascariasis parasitology
Ascariasis transmission
Ascaris lumbricoides
Child
Child, Preschool
Cross-Sectional Studies
Defecation
Feces parasitology
Female
Hookworm Infections transmission
Humans
Male
Middle Aged
Nigeria epidemiology
Poverty
Prevalence
Risk Assessment
Social Class
Toilet Facilities statistics & numerical data
Trichuriasis transmission
Young Adult
Ascariasis epidemiology
Health Knowledge, Attitudes, Practice
Hookworm Infections epidemiology
Soil parasitology
Trichuriasis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2214-9996
- Volume :
- 85
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Annals of global health
- Publication Type :
- Academic Journal
- Accession number :
- 31517465
- Full Text :
- https://doi.org/10.5334/aogh.2563