Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis

Abstract Background Scabies has been added to the neglected tropical diseases portfolio for large-scale disease control action since 2017 and is part of the WHO roadmap for NTDs 2021–2030, targeted at ending the neglect to achieve the sustainable development goals. Previous studies have not fitted m...

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Main Authors: Agernesh Ayele, Metadel Adane, Balew Adane, Gete Berihun, Mesfin Gebrehiwot, Lebasie Woretaw, Leykun Berhanu, Getu Atanaw, Hailemariam Feleke, Mekonnen Moges, Eniyew Tegegne, Jember Azanaw, Asmamaw Malede
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s41043-023-00471-6
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author Agernesh Ayele
Metadel Adane
Balew Adane
Gete Berihun
Mesfin Gebrehiwot
Lebasie Woretaw
Leykun Berhanu
Getu Atanaw
Hailemariam Feleke
Mekonnen Moges
Eniyew Tegegne
Jember Azanaw
Asmamaw Malede
author_facet Agernesh Ayele
Metadel Adane
Balew Adane
Gete Berihun
Mesfin Gebrehiwot
Lebasie Woretaw
Leykun Berhanu
Getu Atanaw
Hailemariam Feleke
Mekonnen Moges
Eniyew Tegegne
Jember Azanaw
Asmamaw Malede
author_sort Agernesh Ayele
collection DOAJ
description Abstract Background Scabies has been added to the neglected tropical diseases portfolio for large-scale disease control action since 2017 and is part of the WHO roadmap for NTDs 2021–2030, targeted at ending the neglect to achieve the sustainable development goals. Previous studies have not fitted matched analysis to identify predictors of scabies infestation in Ethiopia. Information is also scarce about predictors of scabies infestation in this area. Therefore, this study aimed to identify predictors of scabies infestation in rural Aneded District, northwest Ethiopia. Methods A community-based matched case–control study involving 183 cases and 549 controls was undertaken from March 1 to May 31, 2021, in rural Aneded District. A two-stage sampling technique with a house-to-house census for the screening of scabies cases was employed. A structured questionnaire with questions on sociodemographics, behavior, water supply, sanitation, and hygiene, and delivery of scabies-specific interventions was used. Pretesting, training of data collectors and supervisors, and supervision were applied to keep the data quality. A multivariable conditional logistic regression model was fitted to identify predictors of scabies. Results Unmarried individuals or those in separated families (adjusted matched odds ratio (AmOR = 2.71; 95% CI 1.30–5.65); those unable to read and write or in illiterate families (AmOR = 5.10; 95% CI 1.81–14.36); those in large families (AmOR = 6.67; 95% CI 2.83–15.73); households that had longer travel times for water collection (AmOR = 2.27; 95% CI 1.08–4.76); those that had low daily water consumption (AmOR = 6.69; 95% CI 2.91–15.37); households that disposed of solid wastes in open fields (AmOR = 5.60; 95% CI 2.53–12.40); and households that did not receive scabies-specific interventions (AmOR = 2.98; 95% CI 1.39–6.39) had increased odds of scabies. Conclusions Being unmarried, illiteracy, large family, long travel time for water collection, low daily water consumption, open dumping of solid wastes, and inaccessibility of scabies-specific interventions are predictors of scabies. This information is instrumental for redesigning improved scabies-specific interventions that consider educational status, marital status, family size, water collection time, daily water consumption, solid waste disposal, and equity and optimization in delivering existing interventions in rural Ethiopia.
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spelling doaj.art-95affcaf662a4f12823d38d327f761e42023-12-03T12:26:41ZengBMCJournal of Health, Population and Nutrition2072-13152023-11-014211910.1186/s41043-023-00471-6Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysisAgernesh Ayele0Metadel Adane1Balew Adane2Gete Berihun3Mesfin Gebrehiwot4Lebasie Woretaw5Leykun Berhanu6Getu Atanaw7Hailemariam Feleke8Mekonnen Moges9Eniyew Tegegne10Jember Azanaw11Asmamaw Malede12Department of Environmental Health, Wollo UniversityDepartment of Environmental Health, Wollo UniversityDepartment of Environmental Health, Debre Markos UniversityDepartment of Environmental Health, Wollo UniversityDepartment of Environmental Health, Wollo UniversityDepartment of Environmental Health, Wollo UniversityDepartment of Environmental Health, Wollo UniversityDepartment of Obstetrics and Gynecology, University of GondarDepartment of Environmental and Occupational Health and Safety, University of GondarDepartment of Environmental Health, Debre Markos UniversityDepartment of Environmental Health, Debre Markos UniversityDepartment of Environmental and Occupational Health and Safety, University of GondarDepartment of Environmental Health, Wollo UniversityAbstract Background Scabies has been added to the neglected tropical diseases portfolio for large-scale disease control action since 2017 and is part of the WHO roadmap for NTDs 2021–2030, targeted at ending the neglect to achieve the sustainable development goals. Previous studies have not fitted matched analysis to identify predictors of scabies infestation in Ethiopia. Information is also scarce about predictors of scabies infestation in this area. Therefore, this study aimed to identify predictors of scabies infestation in rural Aneded District, northwest Ethiopia. Methods A community-based matched case–control study involving 183 cases and 549 controls was undertaken from March 1 to May 31, 2021, in rural Aneded District. A two-stage sampling technique with a house-to-house census for the screening of scabies cases was employed. A structured questionnaire with questions on sociodemographics, behavior, water supply, sanitation, and hygiene, and delivery of scabies-specific interventions was used. Pretesting, training of data collectors and supervisors, and supervision were applied to keep the data quality. A multivariable conditional logistic regression model was fitted to identify predictors of scabies. Results Unmarried individuals or those in separated families (adjusted matched odds ratio (AmOR = 2.71; 95% CI 1.30–5.65); those unable to read and write or in illiterate families (AmOR = 5.10; 95% CI 1.81–14.36); those in large families (AmOR = 6.67; 95% CI 2.83–15.73); households that had longer travel times for water collection (AmOR = 2.27; 95% CI 1.08–4.76); those that had low daily water consumption (AmOR = 6.69; 95% CI 2.91–15.37); households that disposed of solid wastes in open fields (AmOR = 5.60; 95% CI 2.53–12.40); and households that did not receive scabies-specific interventions (AmOR = 2.98; 95% CI 1.39–6.39) had increased odds of scabies. Conclusions Being unmarried, illiteracy, large family, long travel time for water collection, low daily water consumption, open dumping of solid wastes, and inaccessibility of scabies-specific interventions are predictors of scabies. This information is instrumental for redesigning improved scabies-specific interventions that consider educational status, marital status, family size, water collection time, daily water consumption, solid waste disposal, and equity and optimization in delivering existing interventions in rural Ethiopia.https://doi.org/10.1186/s41043-023-00471-6Amhara RegionMatched analysisRural communityScabies cases
spellingShingle Agernesh Ayele
Metadel Adane
Balew Adane
Gete Berihun
Mesfin Gebrehiwot
Lebasie Woretaw
Leykun Berhanu
Getu Atanaw
Hailemariam Feleke
Mekonnen Moges
Eniyew Tegegne
Jember Azanaw
Asmamaw Malede
Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis
Journal of Health, Population and Nutrition
Amhara Region
Matched analysis
Rural community
Scabies cases
title Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis
title_full Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis
title_fullStr Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis
title_full_unstemmed Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis
title_short Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis
title_sort living in a large family and low daily water consumption substantially expose for human scabies in rural ethiopia a matched analysis
topic Amhara Region
Matched analysis
Rural community
Scabies cases
url https://doi.org/10.1186/s41043-023-00471-6
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