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Neurocognitive and mental health outcomes in children with tungiasis:a cross-sectional study in rural Kenya and Uganda

引用

Infectious Diseases of Poverty 2023年第6期12卷 98-98页

作者： Berrick Otieno Lynne Elson Abneel K.Matharu Naomi Riithi esther chongwo Khamis Katana Carophine Nasambu Francis Mutebi Herman Feldmeier Jürgen Krücken Ulrike Fillinger Amina Abubakar Kenya Medical Research Institute (KEMRI)-Wellcome Trust Programme Hospital Road Kilifi Kenya Centre for Tropical Medicine and Global Health Nuffield Department of Medicine University of Oxford Oxford UK International Centre of Insect Physiology and Ecology (ICIE) Human Health Theme Nairobi Kenya Institute for Parasitology and Tropical Veterinary Medicine Freie Universität Berlin Berlin Germany Institute for Human Development Aga Khan University Nairobi Kenya School of Veterinary Medicine and Animal Resources College of Veterinary Medicine Animal Resources and Biosecurity Makerere University Kampala Uganda Charité University Medicine Berlin Germany

Background Tungiasis,a neglected tropical parasitosis,disproportionately afects *** empirical studies have reported neurocognitive and mental health outcomes of children with ectoparasitic skin diseases like *** of tungiasis suggests it could detrimentally afect cognition and *** study pioneered the investigation of neurocognitive and mental health outcomes in children with *** This was a multi-site cross-sectional study including 454 quasi-randomly sampled school-children aged 8-14 from 48 randomly selected schools in two counties in Kenya and a district in *** participants were stratifed into infected and uninfected based on the presence of *** infected were further classifed into mild and severe infection groups based on the intensity of the ***,validated,and standardized measures of cognition and mental health such as Raven Matrices and Child Behaviour Checklist were used to collect *** tests including a multilevel,generalized mixed-efects linear models with family link set to identity were used to compare the scores of uninfected and infected children and to identify other potential risk factors for neurocognitive and behavioural *** When adjusted for covariates,mild infection was associated with lower scores in literacy[adjustedβ(aβ)=−8.9;95%confdence interval(CI)−17.2,−0.6],language(aβ=−1.7;95%CI−3.2,−0.3),cognitive fexibility(aβ=−6.1;95%CI−10.4,−1.7)and working memory(aβ=−0.3;95%CI−0.6,−0.1).Severe infection was associated with lower scores in literacy(aβ=−11.0;95%CI−19.3,−2.8),response inhibition,(aβ=−2.2;95%CI−4.2,−0.2),fne motor control(aβ=−0.7;95%CI−1.1,−0.4)and numeracy(aβ=−3;95%CI−5.5,−0.4).Conclusions This study provides frst evidence that tungiasis is associated with poor neurocognitive functioning in *** tungiasis is a chronic disease with frequent reinfections,such negative efects may potentially impair their development and l

关键词： Tungiasis Tunga penetrans Neglected tropical disease Neurocognition Mental health School-aged children Africa

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