Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria

Background: Soil-transmitted helminths (STH) have remained a major threat to humans, especially children in developing countries, including Nigeria. Interventions have always been geared towards school-aged children, neglecting preschool-aged children and occupational risk adults. The Soil-Transmitt...

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Autores principales:	Joy T. Anunobi, Ikem C. Okoye, Ifeanyi O. Aguzie, Yvonne E. Ndukwe, Onyekachi J. Okpasuo
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f02419898e8b4edb8fd31e34b7edb938
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spelling	oai:doaj.org-article:f02419898e8b4edb8fd31e34b7edb9382021-12-02T04:46:56ZRisk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria2214-999610.5334/aogh.2563https://doaj.org/article/f02419898e8b4edb8fd31e34b7edb9382019-09-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2563https://doaj.org/toc/2214-9996Background: Soil-transmitted helminths (STH) have remained a major threat to humans, especially children in developing countries, including Nigeria. Interventions have always been geared towards school-aged children, neglecting preschool-aged children and occupational risk adults. The Soil-Transmitted Helminthiasis Advisory Committee (STHAC) recently suggested incorporating other at-risk groups. Objective: This study assessed the associated risk of STH infection among agrarian communities of Kogi State, Nigeria. Methods: A total of 310 individuals of all ages participated in the cross-sectional survey. Stool samples were analyzed using standard Kato-Katz method. Results: A total of 106 (34.2%) individuals were infected with at least one STH. Hookworm was the most prevalent (18.1%); followed by 'Ascaris lumbricoides' (16.8%). Worm intensity was generally light. Prevalence of infection was similar between four age groups considered (preschool, school, ‘women of reproductive age’ and older at-risk group). Poor socio-economic status (SES) was a major risk for STH infection. Using a 20-asset based criteria, 68 (23.1%) and 73 (24.7%) of 295 questionnaire respondents were classified into first (poorest) and fifth (richest) wealth quintiles respectively. Risk of infection with STH was 60% significantly lower in the richest wealth quintile compared to the poorest (Prevalence Ratio [PR] = 0.4843, 95% CI = 0.2704–0.8678, p = 0.015). Open defecators were more likely to harbour STH than those who did not (PR = 1.7878, 95% CI = 1.236–2.5846, p = 0.00201). Pit latrine and water closet toilets each approximately reduced STH infection by 50% (p < 0.05). Conclusion: Preventive chemotherapy for all age groups, health education and provision of basic amenities especially toilets are needed in order to achieve the goal toward the 2020 target of STH control.Joy T. AnunobiIkem C. OkoyeIfeanyi O. AguzieYvonne E. NdukweOnyekachi J. OkpasuoUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Joy T. Anunobi Ikem C. Okoye Ifeanyi O. Aguzie Yvonne E. Ndukwe Onyekachi J. Okpasuo Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria
description	Background: Soil-transmitted helminths (STH) have remained a major threat to humans, especially children in developing countries, including Nigeria. Interventions have always been geared towards school-aged children, neglecting preschool-aged children and occupational risk adults. The Soil-Transmitted Helminthiasis Advisory Committee (STHAC) recently suggested incorporating other at-risk groups. Objective: This study assessed the associated risk of STH infection among agrarian communities of Kogi State, Nigeria. Methods: A total of 310 individuals of all ages participated in the cross-sectional survey. Stool samples were analyzed using standard Kato-Katz method. Results: A total of 106 (34.2%) individuals were infected with at least one STH. Hookworm was the most prevalent (18.1%); followed by 'Ascaris lumbricoides' (16.8%). Worm intensity was generally light. Prevalence of infection was similar between four age groups considered (preschool, school, ‘women of reproductive age’ and older at-risk group). Poor socio-economic status (SES) was a major risk for STH infection. Using a 20-asset based criteria, 68 (23.1%) and 73 (24.7%) of 295 questionnaire respondents were classified into first (poorest) and fifth (richest) wealth quintiles respectively. Risk of infection with STH was 60% significantly lower in the richest wealth quintile compared to the poorest (Prevalence Ratio [PR] = 0.4843, 95% CI = 0.2704–0.8678, p = 0.015). Open defecators were more likely to harbour STH than those who did not (PR = 1.7878, 95% CI = 1.236–2.5846, p = 0.00201). Pit latrine and water closet toilets each approximately reduced STH infection by 50% (p < 0.05). Conclusion: Preventive chemotherapy for all age groups, health education and provision of basic amenities especially toilets are needed in order to achieve the goal toward the 2020 target of STH control.
format	article
author	Joy T. Anunobi Ikem C. Okoye Ifeanyi O. Aguzie Yvonne E. Ndukwe Onyekachi J. Okpasuo
author_facet	Joy T. Anunobi Ikem C. Okoye Ifeanyi O. Aguzie Yvonne E. Ndukwe Onyekachi J. Okpasuo
author_sort	Joy T. Anunobi
title	Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria
title_short	Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria
title_full	Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria
title_fullStr	Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria
title_full_unstemmed	Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria
title_sort	risk of soil-transmitted helminthiasis among agrarian communities of kogi state, nigeria
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/f02419898e8b4edb8fd31e34b7edb938
work_keys_str_mv	AT joytanunobi riskofsoiltransmittedhelminthiasisamongagrariancommunitiesofkogistatenigeria AT ikemcokoye riskofsoiltransmittedhelminthiasisamongagrariancommunitiesofkogistatenigeria AT ifeanyioaguzie riskofsoiltransmittedhelminthiasisamongagrariancommunitiesofkogistatenigeria AT yvonneendukwe riskofsoiltransmittedhelminthiasisamongagrariancommunitiesofkogistatenigeria AT onyekachijokpasuo riskofsoiltransmittedhelminthiasisamongagrariancommunitiesofkogistatenigeria
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Risk of Soil-Transmitted Helminthiasis among Agrarian Communities of Kogi State, Nigeria

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