Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study

Background: Soil-transmitted helminths and protozoan parasitic infections are endemic throughout the world. The problem of intestinal parasitic infection is higher among developing countries where children are the most vulnerable groups. Although health information related to parasitic infections is...

Full description

Bibliographic Details
Main Authors: Zemichael Gizaw, Ayenew Addisu, Mulat Gebrehiwot
Format: Article
Language:English
Published: SAGE Publishing 2019-12-01
Series:Environmental Health Insights
Online Access:https://doi.org/10.1177/1178630219896804
_version_ 1811330612658700288
author Zemichael Gizaw
Ayenew Addisu
Mulat Gebrehiwot
author_facet Zemichael Gizaw
Ayenew Addisu
Mulat Gebrehiwot
author_sort Zemichael Gizaw
collection DOAJ
description Background: Soil-transmitted helminths and protozoan parasitic infections are endemic throughout the world. The problem of intestinal parasitic infection is higher among developing countries where children are the most vulnerable groups. Although health information related to parasitic infections is available globally, it is often limited in rural setups in least developed countries. This study was, therefore, conducted to assess socioeconomic predictors of intestinal parasitic infections among under-five children in rural Dembiya, Northwest Ethiopia. Methods: This cross-sectional study was conducted among 224 randomly selected households with under-five children. We used questionnaire to collect data and direct stool examination to identify intestinal parasitic infections. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and P  < .05 was used to identify socioeconomic predictors of parasitic infections. Results: We found that 25.4% (95% CI = [20.2, 31.1]) under-five children had intestinal parasitic infection. Ascaris lumbricoides was the leading infection, which accounted 44 of 224 (19.6%). The prevalence of childhood intestinal parasitic infections was higher among households with no members whose education level is secondary and above (AOR = 3.36, 95% CI = [1.23, 9.17]). Similarly, intestinal parasitic infections were statistically associated with presence of 2 under-five children in a household (AOR = 3.56, 95% CI = [1.29, 9.82]), absence of frequent health supervision (AOR = 3.49, 95% CI = [1.72, 7.09]), larger family size (AOR = 2.30, 95% CI = [1.09, 4.85]), and poor household economic status (AOR = 2.58, 95% CI = [1.23, 5.41]). Conclusions: Significant proportion of children was infected with intestinal parasitic infection in rural Dembiya. Educational status of family members, number of under-five children in a household, health supervision, family size, and wealth index were statistically associated with parasitic infections. Provision of anthelmintic drugs, health supervision, and health education targeted with transmission and prevention of infections are recommended.
first_indexed 2024-04-13T16:05:01Z
format Article
id doaj.art-e46a2ce6f0eb47f48a0c4bfa76367c8f
institution Directory Open Access Journal
issn 1178-6302
language English
last_indexed 2024-04-13T16:05:01Z
publishDate 2019-12-01
publisher SAGE Publishing
record_format Article
series Environmental Health Insights
spelling doaj.art-e46a2ce6f0eb47f48a0c4bfa76367c8f2022-12-22T02:40:25ZengSAGE PublishingEnvironmental Health Insights1178-63022019-12-011310.1177/1178630219896804Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional StudyZemichael Gizaw0Ayenew Addisu1Mulat Gebrehiwot2Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Parasitology, School of Biomedical Science, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaBackground: Soil-transmitted helminths and protozoan parasitic infections are endemic throughout the world. The problem of intestinal parasitic infection is higher among developing countries where children are the most vulnerable groups. Although health information related to parasitic infections is available globally, it is often limited in rural setups in least developed countries. This study was, therefore, conducted to assess socioeconomic predictors of intestinal parasitic infections among under-five children in rural Dembiya, Northwest Ethiopia. Methods: This cross-sectional study was conducted among 224 randomly selected households with under-five children. We used questionnaire to collect data and direct stool examination to identify intestinal parasitic infections. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and P  < .05 was used to identify socioeconomic predictors of parasitic infections. Results: We found that 25.4% (95% CI = [20.2, 31.1]) under-five children had intestinal parasitic infection. Ascaris lumbricoides was the leading infection, which accounted 44 of 224 (19.6%). The prevalence of childhood intestinal parasitic infections was higher among households with no members whose education level is secondary and above (AOR = 3.36, 95% CI = [1.23, 9.17]). Similarly, intestinal parasitic infections were statistically associated with presence of 2 under-five children in a household (AOR = 3.56, 95% CI = [1.29, 9.82]), absence of frequent health supervision (AOR = 3.49, 95% CI = [1.72, 7.09]), larger family size (AOR = 2.30, 95% CI = [1.09, 4.85]), and poor household economic status (AOR = 2.58, 95% CI = [1.23, 5.41]). Conclusions: Significant proportion of children was infected with intestinal parasitic infection in rural Dembiya. Educational status of family members, number of under-five children in a household, health supervision, family size, and wealth index were statistically associated with parasitic infections. Provision of anthelmintic drugs, health supervision, and health education targeted with transmission and prevention of infections are recommended.https://doi.org/10.1177/1178630219896804
spellingShingle Zemichael Gizaw
Ayenew Addisu
Mulat Gebrehiwot
Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study
Environmental Health Insights
title Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study
title_full Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study
title_fullStr Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study
title_full_unstemmed Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study
title_short Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study
title_sort socioeconomic predictors of intestinal parasitic infections among under five children in rural dembiya northwest ethiopia a community based cross sectional study
url https://doi.org/10.1177/1178630219896804
work_keys_str_mv AT zemichaelgizaw socioeconomicpredictorsofintestinalparasiticinfectionsamongunderfivechildreninruraldembiyanorthwestethiopiaacommunitybasedcrosssectionalstudy
AT ayenewaddisu socioeconomicpredictorsofintestinalparasiticinfectionsamongunderfivechildreninruraldembiyanorthwestethiopiaacommunitybasedcrosssectionalstudy
AT mulatgebrehiwot socioeconomicpredictorsofintestinalparasiticinfectionsamongunderfivechildreninruraldembiyanorthwestethiopiaacommunitybasedcrosssectionalstudy