Intestinal parasitic infection and nutritional status among school children in Angolela, Ethiopia.
BACKGROUND
Gastrointestinal parasitic infections are most prevalent in populations with low household income, poor handling of personal and environmental sanitation, overcrowding, and limited access to clean water. We conducted this study to estimate the prevalence of parasitic infection and nutritional status, and to evaluate the extent to which the two are associated among schoolchildren in rural Ethiopia.


METHODS
This is a cross sectional study of 664 students aged from 6 to 19 years old from Angolela, Ethiopia. Socio-demographic information was collected using a structured questionnaire. Anthropometric measurements were taken at the time of interview. Examinations of fecal samples for helminthic and protozoan parasitic infections were performed. Logistic regression procedures were employed to evaluate the association between stunting, underweightedness, and wasting with parasitic infections. RESULTS. One-third of the participants were found to have a protozoan infection, while 7.1% were found to have a helminthic infection. Approximately 11% of the students were stunted, 19.6% were wasted, and 20.8% were underweight. Severely underweight boys were 3.88-times as likely as boys of adequate weight (odds ratio OR = 3.88, 95% confidence interval CI: 1.12-13.52) to be diagnosed with protozoan infections. Among girls, those who were severely stunted were approximately 12 times (OR = 11.84, 95%CI: 1.72-81.62) as likely to be infected with a helminthic parasite, than those who were not. Overall, there was a deficit in normal growth patterns as indicated by lower than average anthropometric measures. DISCUSSION AND CONCLUSIONS. There is a high prevalence of intestinal parasitic infections. Stunting, wasting, and underweightedness were also prevalent, and showed patterns of associations with intestinal parasitic infections. Efforts should be made to strengthen and expand school and community-based programs that promote inexpensive, though effective, practices to prevent the spread of parasitic diseases. Initiatives aimed at improving the nutritional status of school children are also needed.
Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health, Seattle, Washington, USA.
N L
NL
Nguyen
B
B
Gelaye
N
N
Aboset
A
A
Kumie
M A
MA
Williams
Y
Y
Berhane
D000293:Adolescent; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002669:Child Welfare / Q000706:statistics & numerical data*; D015897:Comorbidity; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005002:Ethiopia; D005260:Female; D005873:Giardiasis / Q000175:diagnosis / Q000453:epidemiology; D006373:Helminthiasis / Q000175:diagnosis / Q000453:epidemiology; D006801:Humans; D006920:Hygiene; D006925:Hymenolepiasis / Q000175:diagnosis / Q000453:epidemiology; D007411:Intestinal Diseases, Parasitic / Q000175:diagnosis* / Q000453:epidemiology* / Q000517:prevention & control; D008297:Male; D044342:Malnutrition / Q000453:epidemiology* / Q000517:prevention & control; D016017:Odds Ratio; D010270:Parasite Egg Count; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D055815:Young Adult