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Self-Reported Prevalence and Socio-Demographic Determinants of Multiple Parasitic Infection among Schooling Adolescents in Nigeria

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Advances in Infectious Diseases 2014年第1期4卷 8-17页

作者： Jephtha C. nmor judith nmor Prosper Omah Nwaka H. Kehi Kensuke Goto Junko Toyosawa Daisuke Fujita Department of Animal and Environmental Biology Delta State University Abraka Nigeria Department of Eco-Epidemiology Institute of Tropical Medicine (NEKKEN) Nagasaki University Nagasaki Japan Department of Nutrition Sciences Siebold University Nagasaki Japan National Mental Support Center for School Crisis Osaka Kyoiku University Osaka Japan National Mental Support Center for School Crisis Osaka Kyoiku University Osaka Japan Department of Animal and Environmental Biology Delta State University Abraka Nigeria

Background: Despite the rising burden of parasitic infections among young schooling adolescents in sub-Saharan Africa, insufficient attention has been paid to school-health. This study examined the self-reported prevalence of major parasitic infections and its association with key socio-demographic factors among young schooling adolescents in Southern Nigeria. Methods: An interviewer-administered school-based survey of students attending schools in Southern Nigeria was conducted in 2013. The study sample involved 585 students (60.9% male, 39.2% female and overall mean age of 15 years). The outcome variable was the self-reported presence of parasitic infection suffered within the past twelve months. The exposure variables were socio-demographic characteristics: age, sex, geolocality, school ownership, parents’ level of education and occupation. Association between the number of parasitic infections and socio-demographic factors were examined, and multivariate logistic regression was used to determine socio-demographic factors predictive of the presence of parasitic infections. Results: The most prevalent parasitic diseases reported across the sample were malaria (46.9%) and helminthiasis (27.7%). Over a quarter (38.5%) had one infectious disease, while about half (40.3%) reported had more than two infectious diseases. In the study sample, the number of parasitic diseases differed significantly by sex (p = 0.0344), age (p = 0.0483), geolocality (p = 0.0001), school ownership (p = 0.0012) and parents’ occupation (p = 0.0199). Multivariate logistic regression analysis showed that attending private school was negatively associated with the presence of parasitic diseases (β = ?0.9129, p = 0.0022). Conclusion: The high prevalence of multiple parasitic infections among the study population is worrisome and should be considered as a school-health concern. Concerted efforts are highly needed to develop school-health intervention programs for addressing the high prevalence of

关键词： Parasitic Diseases Socio-Demographic Factors Students Nigeria Africa

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