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Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria

Urogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status o...

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Autores principales: Abdulkareem, Babamale Olarewaju, Habeeb, Kolawole Olasunkanmi, Kazeem, Abdulganiyu, Adam, Abdulkareem Olaitan, Samuel, Ugbomoiko Uade
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954937/
https://www.ncbi.nlm.nih.gov/pubmed/29853921
http://dx.doi.org/10.1155/2018/6913918
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author Abdulkareem, Babamale Olarewaju
Habeeb, Kolawole Olasunkanmi
Kazeem, Abdulganiyu
Adam, Abdulkareem Olaitan
Samuel, Ugbomoiko Uade
author_facet Abdulkareem, Babamale Olarewaju
Habeeb, Kolawole Olasunkanmi
Kazeem, Abdulganiyu
Adam, Abdulkareem Olaitan
Samuel, Ugbomoiko Uade
author_sort Abdulkareem, Babamale Olarewaju
collection PubMed
description Urogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status of the disease. Of the 724 urine samples screened, using filtration method, 332 (45.6%) school-aged children were infected with average intensity and mean population eggs load of 127.9 eggs/10 ml of urine and 0.794, respectively. Prevalence and intensity of infection varied with communities: high in Ajase-Ipo (57.1%; X = 100.7 ± 23.01 eggs/10 ml) and low in Shonga (37.5%; X = 91.4 ± 78.0). Infection was significantly (P < 0.05) higher in males (50.8%) than the females (42.4%). Similarly, infection significantly (P < 0.05) increased with increasing age. Multivariate logistic analysis of risk factors revealed that lack of portable drinking water (adjusted odd ratio (aOR) = 4.76; 95% CI = 2.64–5.98), unemployment (aOR = 2.23; 1.87–2.294), lack of knowledge of infection (aOR = 2.16; 0.59–3.83), and frequent contact with contaminated water bodies (aOR = 2.01; 1.45–2.70) were important predictors of urinary schistosomiasis. Therefore, continuous evaluation of the intervention strategies that address risk factors must compliment Mass Drug Administration to curtail the transmission and debilitating health consequences of infection in endemic settings.
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spelling pubmed-59549372018-05-31 Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria Abdulkareem, Babamale Olarewaju Habeeb, Kolawole Olasunkanmi Kazeem, Abdulganiyu Adam, Abdulkareem Olaitan Samuel, Ugbomoiko Uade J Trop Med Research Article Urogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status of the disease. Of the 724 urine samples screened, using filtration method, 332 (45.6%) school-aged children were infected with average intensity and mean population eggs load of 127.9 eggs/10 ml of urine and 0.794, respectively. Prevalence and intensity of infection varied with communities: high in Ajase-Ipo (57.1%; X = 100.7 ± 23.01 eggs/10 ml) and low in Shonga (37.5%; X = 91.4 ± 78.0). Infection was significantly (P < 0.05) higher in males (50.8%) than the females (42.4%). Similarly, infection significantly (P < 0.05) increased with increasing age. Multivariate logistic analysis of risk factors revealed that lack of portable drinking water (adjusted odd ratio (aOR) = 4.76; 95% CI = 2.64–5.98), unemployment (aOR = 2.23; 1.87–2.294), lack of knowledge of infection (aOR = 2.16; 0.59–3.83), and frequent contact with contaminated water bodies (aOR = 2.01; 1.45–2.70) were important predictors of urinary schistosomiasis. Therefore, continuous evaluation of the intervention strategies that address risk factors must compliment Mass Drug Administration to curtail the transmission and debilitating health consequences of infection in endemic settings. Hindawi 2018-05-02 /pmc/articles/PMC5954937/ /pubmed/29853921 http://dx.doi.org/10.1155/2018/6913918 Text en Copyright © 2018 Babamale Olarewaju Abdulkareem et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Abdulkareem, Babamale Olarewaju
Habeeb, Kolawole Olasunkanmi
Kazeem, Abdulganiyu
Adam, Abdulkareem Olaitan
Samuel, Ugbomoiko Uade
Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_full Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_fullStr Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_full_unstemmed Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_short Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_sort urogenital schistosomiasis among schoolchildren and the associated risk factors in selected rural communities of kwara state, nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954937/
https://www.ncbi.nlm.nih.gov/pubmed/29853921
http://dx.doi.org/10.1155/2018/6913918
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