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Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment

In low- and middle-income countries, undernutrition often co-exists with intestinal parasites, especially Soil Transmitted Helminth (STH) infections in children. The collective impact of both conditions result in undernutrition and can exacerbate the general poor health status of children. A cross-s...

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Autores principales: Asa, Bertha Fru, Shintouo, Cabirou Mounchili, Shey, Robert Adamu, Afoumbom, Mildred Tita, Siekeh, Nadia, Yoah, Adolf, Kah, Emmanuel, Ickowitz, Amy, Tata, Caleb Yengo, Asongalem, Emmanuel, Ghogomu, Stephen Mbigha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731441/
https://www.ncbi.nlm.nih.gov/pubmed/36480502
http://dx.doi.org/10.1371/journal.pone.0278333
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author Asa, Bertha Fru
Shintouo, Cabirou Mounchili
Shey, Robert Adamu
Afoumbom, Mildred Tita
Siekeh, Nadia
Yoah, Adolf
Kah, Emmanuel
Ickowitz, Amy
Tata, Caleb Yengo
Asongalem, Emmanuel
Ghogomu, Stephen Mbigha
author_facet Asa, Bertha Fru
Shintouo, Cabirou Mounchili
Shey, Robert Adamu
Afoumbom, Mildred Tita
Siekeh, Nadia
Yoah, Adolf
Kah, Emmanuel
Ickowitz, Amy
Tata, Caleb Yengo
Asongalem, Emmanuel
Ghogomu, Stephen Mbigha
author_sort Asa, Bertha Fru
collection PubMed
description In low- and middle-income countries, undernutrition often co-exists with intestinal parasites, especially Soil Transmitted Helminth (STH) infections in children. The collective impact of both conditions result in undernutrition and can exacerbate the general poor health status of children. A cross-sectional survey of 422 mother-child (12–59 months old) pairs from 14 villages in the District of Ndelele, East Region of Cameroon, was carried out to assess the magnitude and correlates of undernutrition and intestinal parasites. Socio-demographic data were collected from mothers and anthropometric data were collected from children. Parasitological assessment was performed using a combination of direct microscopy flotation, sedimentation and centrifugation techniques. Correlates of undernutrition and intestinal parasites were identified using multinomial logistic regression at individual and household levels. 83.77% of the children assessed for undernutrition were undernourished and 66.82% were positive for one or more intestinal parasites. It was not uncommon for the study participants to be concurrently infected with two or more intestinal parasites. The most common intestinal parasitic infections detected in the study were A. lumbricoides, E. histolytica/dispar and Hookworm infection. Multinomial logistic regression using Nutritional status as outcome showed that, children who were not exclusively breastfed were 106% (RR = 2.06; C.I = 1.12–3.80) more likely to be underweight compared to those who were exclusively breastfed. The household size of 4 to 6 persons also significantly impacted wasting (p-value = 0.007) at 7% (RR = 1.07, C.I = 0.49–2.32). Analysis by a logistic regression model with STH infection as outcome revealed that, Fingernail cleanness (p-value = 0.044; AOR = 1.75; CI = 1.09–2.78) and household size (p-value = 0.038; AOR = 0.55; CI = 0.32–0.92) were positively associated with intestinal parasite infection at the 5% significant level. This study reveals that intestinal helminthic parasitic infections (STH) and undernutrition are serious health problems in children below five in the study area. To address this dire situation, concerted efforts are needed to improve sanitation, hygiene education access, community deworming programs, and improve diets.
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spelling pubmed-97314412022-12-09 Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment Asa, Bertha Fru Shintouo, Cabirou Mounchili Shey, Robert Adamu Afoumbom, Mildred Tita Siekeh, Nadia Yoah, Adolf Kah, Emmanuel Ickowitz, Amy Tata, Caleb Yengo Asongalem, Emmanuel Ghogomu, Stephen Mbigha PLoS One Research Article In low- and middle-income countries, undernutrition often co-exists with intestinal parasites, especially Soil Transmitted Helminth (STH) infections in children. The collective impact of both conditions result in undernutrition and can exacerbate the general poor health status of children. A cross-sectional survey of 422 mother-child (12–59 months old) pairs from 14 villages in the District of Ndelele, East Region of Cameroon, was carried out to assess the magnitude and correlates of undernutrition and intestinal parasites. Socio-demographic data were collected from mothers and anthropometric data were collected from children. Parasitological assessment was performed using a combination of direct microscopy flotation, sedimentation and centrifugation techniques. Correlates of undernutrition and intestinal parasites were identified using multinomial logistic regression at individual and household levels. 83.77% of the children assessed for undernutrition were undernourished and 66.82% were positive for one or more intestinal parasites. It was not uncommon for the study participants to be concurrently infected with two or more intestinal parasites. The most common intestinal parasitic infections detected in the study were A. lumbricoides, E. histolytica/dispar and Hookworm infection. Multinomial logistic regression using Nutritional status as outcome showed that, children who were not exclusively breastfed were 106% (RR = 2.06; C.I = 1.12–3.80) more likely to be underweight compared to those who were exclusively breastfed. The household size of 4 to 6 persons also significantly impacted wasting (p-value = 0.007) at 7% (RR = 1.07, C.I = 0.49–2.32). Analysis by a logistic regression model with STH infection as outcome revealed that, Fingernail cleanness (p-value = 0.044; AOR = 1.75; CI = 1.09–2.78) and household size (p-value = 0.038; AOR = 0.55; CI = 0.32–0.92) were positively associated with intestinal parasite infection at the 5% significant level. This study reveals that intestinal helminthic parasitic infections (STH) and undernutrition are serious health problems in children below five in the study area. To address this dire situation, concerted efforts are needed to improve sanitation, hygiene education access, community deworming programs, and improve diets. Public Library of Science 2022-12-08 /pmc/articles/PMC9731441/ /pubmed/36480502 http://dx.doi.org/10.1371/journal.pone.0278333 Text en © 2022 Asa et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Asa, Bertha Fru
Shintouo, Cabirou Mounchili
Shey, Robert Adamu
Afoumbom, Mildred Tita
Siekeh, Nadia
Yoah, Adolf
Kah, Emmanuel
Ickowitz, Amy
Tata, Caleb Yengo
Asongalem, Emmanuel
Ghogomu, Stephen Mbigha
Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment
title Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment
title_full Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment
title_fullStr Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment
title_full_unstemmed Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment
title_short Prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of Ndelele, East Region of Cameroon: A cross-sectional assessment
title_sort prevalence, correlates of undernutrition and intestinal parasitic infection among children below 5 years living in the forest community of ndelele, east region of cameroon: a cross-sectional assessment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731441/
https://www.ncbi.nlm.nih.gov/pubmed/36480502
http://dx.doi.org/10.1371/journal.pone.0278333
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