巴厘岛KARANGASEM区NGIS村小学生土壤传播蠕虫感染的流行率、强度及危险因素

Sang Ayu Arta Suryantari
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引用次数: 16

摘要

土壤传播性蠕虫(STH)感染是印度尼西亚的健康问题之一,有其环境和社会基础。它被归类为被忽视的疾病。印尼政府已经制定了根除计划,但缺乏评估和监测计划的支持。本研究的目的是确定巴厘岛Karangasem县Ngis村小学中与STH感染相关的各危险因素的流行情况及其相互关系。本研究采用横断面研究方法进行分析描述。根据纳入和排除标准从人群中选择样本。采用问卷调查法收集可疑危险因素的初步资料。采用加藤-卡茨修正法进行诊断。数据采用卡方分析,置信区间为95%或p值≤0.05为显著性。本研究共纳入138名学生,年龄中位数为9(6-13)岁。总感染率为10.1%,其中单一感染为78.6%,混合感染为21.4%。男性感染STH的比例高于女性,但统计学上不显著。感染STH与便后不洗手、玩土后不洗手、赤脚、不剪指甲和常规服用抗虫药等危险因素有显著关系。在Ngis村,感染STH的最高风险因素是没有可用和适当的厕所。(OR = 33.9;95% ci = 5.749 - -199.769)。感染STH的流行率相当高,感染程度轻至中度,危险因素是卫生条件差和厕所有限。实施监测和评估可以努力控制风险因素和阻止STH传播链。
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PREVALENCE, INTENSITY AND RISK FACTORS OF SOIL TRANSMITTED HELMINTHS INFECTIONS AMONG ELEMENTARY SCHOOL STUDENTS IN NGIS VILLAGE, KARANGASEM DISTRICT, BALI
Soil Transmitted Helminths (STH) infections is one of health issues in Indonesia that has environment and social basis. It is classified as neglected disease. The Indonesian government already has eradication program, but it is not supported by evaluation and monitoring program. The purpose of this study is to determine the prevalence and relation of each risk factors related to STH infections in elementary school in Ngis village, Karangasem regency, Bali. The study was done by analytical description using cross sectional study. Samples were selected from population based on inclusion and exclusion criteria. Primary data about suspected risk factors were collected using questionnaire. Diagnosis was established using Kato-Katz modification method. Data was analyzed using chi-square with confidence interval 95% or p value ≤0.05 categorized as significant. 138 students enrolled in this study, the median age is 9 (6-13) years. The prevalence of STH infections is 10.1% with 78.6% is single infection of Trichuris trichiura and 21.4% mixed infections. The proportion of STH infections in males is higher than female but it is statistically insignificant. STH infections have significant relationship with some risk factors such as not washing hand after defecation, not washing hand after playing with soil, barefoot, not cutting nails and consuming anti-helminthic routinely. The highest risk factor of STH infections in Ngis village is not having available and proper latrine. (OR=33.9; 95%CI=5.749-199.769). The prevalence of STH infection is quite high with mild to moderate intensity and risk factors namely low hygiene and limited latrines. The implementation of monitoring and evaluation can be an effort to control risk factors and stop the STH transmission chain.
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