Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study

Background: Schistosoma mansoni is endemic in all regions of Ethiopia. School-age children are highly vulnerable to schistosomiasis-related morbidities. This study aimed to determine the prevalence of S. mansoni and morbidities among schoolchildren in schistosomiasis hotspot areas of Jimma Town. Met...

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Main Authors: Abebaw Tiruneh, Endalew Zemene, Biru Abdissa Mizana, Hundaol Girma, Eden Dereje, Bizuwork Sharew, Mio Ayana, Zeleke Mekonnen
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:Environmental Health Insights
Online Access:https://doi.org/10.1177/11786302231161047
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author Abebaw Tiruneh
Endalew Zemene
Biru Abdissa Mizana
Hundaol Girma
Eden Dereje
Bizuwork Sharew
Mio Ayana
Zeleke Mekonnen
author_facet Abebaw Tiruneh
Endalew Zemene
Biru Abdissa Mizana
Hundaol Girma
Eden Dereje
Bizuwork Sharew
Mio Ayana
Zeleke Mekonnen
author_sort Abebaw Tiruneh
collection DOAJ
description Background: Schistosoma mansoni is endemic in all regions of Ethiopia. School-age children are highly vulnerable to schistosomiasis-related morbidities. This study aimed to determine the prevalence of S. mansoni and morbidities among schoolchildren in schistosomiasis hotspot areas of Jimma Town. Methods: Cross-sectional study was conducted among schoolchildren in Jimma Town. Stool sample was examined using Kato-Katz for the detection of S. mansoni . Results: A total of 332 schoolchildren were included in the study. The prevalence of S. mansoni and STHs was 20.2% and 19.9%, respectively. Males (adjusted odds ratio (AOR) = 4.9; 95% CI: 2.4-10.1; p  = .001), swimming habits (AOR = 3.0; 95% CI: 1.1-8.3; p  = .033) and schools attended (AOR = 4.3; 95% CI: 1.4-13.6; p  = .012, AOR = 3.8; 95% CI: 1.3-10.9; p  = .014) were associated factors for S. mansoni infections. Blood in stool (AOR = 2.0; CI: 1.0-4.1; p  = .045) and feeling general malaise (AOR = 4.0; CI: 1.4-11.3; p  = .007) were significantly associated with S. mansoni infection-related morbidities. Moreover, prevalence of stunting among schoolchildren 6 to 11 years of age was 29.7% (71/239). Conclusion: The transmission of S. mansoni among schoolchildren is moderate. Sex, swimming habits and schools attended were associated with S. mansoni infections. Blood in stool and general malaise were clinical characteristics associated with S. mansoni infections. Integration of health promotion is needed to achieve control and elimination goals. Attention should also be given to stunted growth of the children.
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spelling doaj.art-20e1eeed60eb4596b8871e79001bdc2d2023-03-22T12:03:39ZengSAGE PublishingEnvironmental Health Insights1178-63022023-03-011710.1177/11786302231161047 Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional StudyAbebaw Tiruneh0Endalew Zemene1Biru Abdissa Mizana2Hundaol Girma3Eden Dereje4Bizuwork Sharew5Mio Ayana6Zeleke Mekonnen7School of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, EthiopiaSchool of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, EthiopiaDepartment of Midwifery, Institute of Health, Jimma University, Jimma, EthiopiaMolecular Biology and NTD Research Center, Jimma University, Jimma, EthiopiaMolecular Biology and NTD Research Center, Jimma University, Jimma, EthiopiaSchool of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, EthiopiaSchool of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, EthiopiaSchool of Medical Laboratory Sciences, Institute of Health, Jimma University, Jimma, EthiopiaBackground: Schistosoma mansoni is endemic in all regions of Ethiopia. School-age children are highly vulnerable to schistosomiasis-related morbidities. This study aimed to determine the prevalence of S. mansoni and morbidities among schoolchildren in schistosomiasis hotspot areas of Jimma Town. Methods: Cross-sectional study was conducted among schoolchildren in Jimma Town. Stool sample was examined using Kato-Katz for the detection of S. mansoni . Results: A total of 332 schoolchildren were included in the study. The prevalence of S. mansoni and STHs was 20.2% and 19.9%, respectively. Males (adjusted odds ratio (AOR) = 4.9; 95% CI: 2.4-10.1; p  = .001), swimming habits (AOR = 3.0; 95% CI: 1.1-8.3; p  = .033) and schools attended (AOR = 4.3; 95% CI: 1.4-13.6; p  = .012, AOR = 3.8; 95% CI: 1.3-10.9; p  = .014) were associated factors for S. mansoni infections. Blood in stool (AOR = 2.0; CI: 1.0-4.1; p  = .045) and feeling general malaise (AOR = 4.0; CI: 1.4-11.3; p  = .007) were significantly associated with S. mansoni infection-related morbidities. Moreover, prevalence of stunting among schoolchildren 6 to 11 years of age was 29.7% (71/239). Conclusion: The transmission of S. mansoni among schoolchildren is moderate. Sex, swimming habits and schools attended were associated with S. mansoni infections. Blood in stool and general malaise were clinical characteristics associated with S. mansoni infections. Integration of health promotion is needed to achieve control and elimination goals. Attention should also be given to stunted growth of the children.https://doi.org/10.1177/11786302231161047
spellingShingle Abebaw Tiruneh
Endalew Zemene
Biru Abdissa Mizana
Hundaol Girma
Eden Dereje
Bizuwork Sharew
Mio Ayana
Zeleke Mekonnen
Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study
Environmental Health Insights
title Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study
title_full Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study
title_fullStr Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study
title_full_unstemmed Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study
title_short Infections and Morbidities Among School Children in Hotspot Areas of Jimma Town, Southwest Ethiopia: A Cross-Sectional Study
title_sort infections and morbidities among school children in hotspot areas of jimma town southwest ethiopia a cross sectional study
url https://doi.org/10.1177/11786302231161047
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