与疥疮病例共用布料在很大程度上解释了埃塞俄比亚社会经济水平较低的农村社区儿童中出现的人间疥疮。

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2023-09-15 DOI:10.1186/s41182-023-00544-6
Fekadie Melese, Asmamaw Malede, Tadesse Sisay, Abraham Geremew, Mesfin Gebrehiwot, Lebasie Woretaw, Getu Atanaw, Jember Azanaw, Mihret Melese, Hailemariam Feleke
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Hence, this study aimed to determine the prevalence and associated factors of scabies among children aged below 15 years in rural Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was carried out among 942 children in rural kebeles of Lay Gayent District from March through May 15, 2021. A two-stage sampling technique was applied. Data on sociodemographics, housing, water supply and sanitation, children's personal hygiene, and caregivers' knowledge about scabies were collected by a structured questionnaire. Data quality was maintained through pretesting, training of data collectors and supervisors, and supervision. An adjusted binary logistic regression was modelled to identify factors associated with scabies. The Hosmer-Lemeshow goodness-of-fit test was run to check the model fitness.</p><p><strong>Results: </strong>The prevalence of scabies was 21.5% (95% CI 19.0-24.3). Maternal illiteracy (adjusted odds ratio (AOR) = 1.61; 95% CI 1.07-2.43); low household wealth (AOR = 2.04; 95% CI 1.25-3.33); unimproved water source (AOR = 1.58; 95% CI 1.05-2.40); not cleaning a house daily (AOR = 2.43; 95% CI 1.63-3.62); not trimming nails (AOR = 2.21; 95% CI 1.50-3.25); cloth sharing with a scabies case (AOR = 11.77; 95% CI 6.94-19.97); and low caregiver knowledge about scabies (AOR = 2.44; 95% CI 1.64-3.63) were factors associated with scabies.</p><p><strong>Conclusions: </strong>Scabies remains a significant public health issue among children aged below 15 years in the district. Maternal illiteracy, low household wealth, unimproved water source, not cleaning a house daily, not trimming nails, cloth sharing with a scabies case, and low caregiver knowledge about scabies were factors associated with scabies. 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引用次数: 2

摘要

背景:2020年,疥疮被纳入世卫组织被忽视的热带病路线图,旨在结束对实现可持续发展目标的忽视。自2015年以来,埃塞俄比亚还将疥疮作为一种法定疾病引入了干旱易发地区。以前的许多研究采用的研究设计可能存在偏差。此外,在这一地区没有关于疥疮的科学证据。因此,本研究旨在确定埃塞俄比亚农村15岁以下儿童中疥疮的患病率及其相关因素。方法:于2021年3月至5月15日对莱加恩特县农村地区942名儿童进行社区横断面研究。采用两阶段抽样技术。通过结构化问卷收集了社会人口统计、住房、供水和卫生、儿童个人卫生和护理人员对疥疮的了解等数据。通过预测试、对数据收集者和主管人员的培训以及监督来保持数据质量。采用调整后的二元逻辑回归模型来确定与疥疮相关的因素。采用Hosmer-Lemeshow拟合优度检验检验模型的拟合性。结果:疥疮患病率为21.5% (95% CI 19.0 ~ 24.3)。产妇文盲(调整优势比= 1.61;95% ci 1.07-2.43);家庭财富低(AOR = 2.04;95% ci 1.25-3.33);未改善水源(AOR = 1.58;95% ci 1.05-2.40);没有每天打扫房屋(AOR = 2.43;95% ci 1.63-3.62);不修指甲(AOR = 2.21;95% ci 1.50-3.25);疥疮患者共用布1例(AOR = 11.77;95% ci 6.94-19.97);护理人员对疥疮知识知晓程度低(AOR = 2.44);95% CI 1.64-3.63)为疥疮相关因素。结论:疥疮在该地区15岁以下儿童中仍然是一个重大的公共卫生问题。产妇文盲、低家庭财富、未经改善的水源、不每天清洁房屋、不修剪指甲、与疥疮病例共用布以及护理人员对疥疮的了解程度低是与疥疮相关的因素。社区范围内的干预措施,主要侧重于改善孕产妇教育和护理人员对疥疮的了解,提高家庭财富,确保安全供水,提供健康住房,并确保适当的个人卫生。
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Cloth sharing with a scabies case considerably explains human scabies among children in a low socioeconomic rural community of Ethiopia.

Background: In 2020, scabies were integrated into the WHO roadmap for neglected tropical diseases, aimed at ending the negligence to realize the SDGs. Ethiopia has also introduced scabies as a notifiable disease in drought-prone localities since 2015. Many of the previous studies employed study designs that might be subject to bias. Moreover, there is no scientific evidence about scabies in this area. Hence, this study aimed to determine the prevalence and associated factors of scabies among children aged below 15 years in rural Ethiopia.

Methods: A community-based cross-sectional study was carried out among 942 children in rural kebeles of Lay Gayent District from March through May 15, 2021. A two-stage sampling technique was applied. Data on sociodemographics, housing, water supply and sanitation, children's personal hygiene, and caregivers' knowledge about scabies were collected by a structured questionnaire. Data quality was maintained through pretesting, training of data collectors and supervisors, and supervision. An adjusted binary logistic regression was modelled to identify factors associated with scabies. The Hosmer-Lemeshow goodness-of-fit test was run to check the model fitness.

Results: The prevalence of scabies was 21.5% (95% CI 19.0-24.3). Maternal illiteracy (adjusted odds ratio (AOR) = 1.61; 95% CI 1.07-2.43); low household wealth (AOR = 2.04; 95% CI 1.25-3.33); unimproved water source (AOR = 1.58; 95% CI 1.05-2.40); not cleaning a house daily (AOR = 2.43; 95% CI 1.63-3.62); not trimming nails (AOR = 2.21; 95% CI 1.50-3.25); cloth sharing with a scabies case (AOR = 11.77; 95% CI 6.94-19.97); and low caregiver knowledge about scabies (AOR = 2.44; 95% CI 1.64-3.63) were factors associated with scabies.

Conclusions: Scabies remains a significant public health issue among children aged below 15 years in the district. Maternal illiteracy, low household wealth, unimproved water source, not cleaning a house daily, not trimming nails, cloth sharing with a scabies case, and low caregiver knowledge about scabies were factors associated with scabies. Community-wide interventions with prime emphasis on improving maternal education and caregivers' knowledge about scabies, upgrading household wealth, ensuring a safe water supply, providing healthy housing, and ensuring adequate personal hygiene are warranted.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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