An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala

Soil-transmitted helminth (STH) infections and diarrheal illness affect billions of people yearly. We conducted a cross-sectional survey in Nueva Santa Rosa, Guatemala to identify factors associated with STH infections and diarrhea using univariable and multivariable logistic regression models. On m...

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Autores principales:	Gouthami Rao, Anna J. Blackstock, Gordana Derado, Victoria M. Cuéllar, Patricia Juliao, Maricruz Alvarez, Beatriz López, Fredy Muñoz, Andrew Thornton, Jaymin C. Patel, Gerard Lopez, Jose G. Rivera, Lissette Reyes, Wences Arvelo, Kim A. Lindblade, Sharon L. Roy
Formato:	article
Lenguaje:	EN
Publicado:	IWA Publishing 2021
Materias:	diarrhea guatemala hygiene sanitation soil-transmitted helminths water Environmental technology. Sanitary engineering TD1-1066
Acceso en línea:	https://doaj.org/article/f99d7dcb47de4604994749db45c0f2f8
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spelling	oai:doaj.org-article:f99d7dcb47de4604994749db45c0f2f82021-11-05T19:31:49ZAn evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala2043-90832408-936210.2166/washdev.2021.160https://doaj.org/article/f99d7dcb47de4604994749db45c0f2f82021-05-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/3/362https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362Soil-transmitted helminth (STH) infections and diarrheal illness affect billions of people yearly. We conducted a cross-sectional survey in Nueva Santa Rosa, Guatemala to identify factors associated with STH infections and diarrhea using univariable and multivariable logistic regression models. On multivariable analyses, we found associations between STH infections and two factors: school-aged children (odds ratio (OR) vs. adults: 2.35, 95% CI 1.10–4.99) and household drinking water supply classified as ‘other improved’ (OR vs. ‘improved’: 7.00, CI 1.22–40.14). Finished floors in the household vs. natural floors were highly protective (OR 0.16, CI 0.05–0.50) for STH infection. In crowded households (>2.5 people/bedroom), observing water present at handwashing stations was also protective (OR 0.32, CI 0.11–0.98). When adjusted for drying hands, diarrhea was associated with preschool-age children (OR vs. adults: 3.33, CI 1.83–6.04), spending >10 min per round trip collecting water (OR 1.90, CI 1.02–3.56), and having a handwashing station ≤10 m near a sanitation facility (OR 3.69, CI 1.33–10.21). Our study indicates that familiar WASH interventions, such as increasing drinking water quantity and water at handwashing stations in crowded homes, coupled with a hygiene intervention like finished flooring may hold promise for STH and diarrhea control programs. HIGHLIGHTS School-aged children had over 2× the odds of STH infection than adults in our study.; ‘Other improved’ water as household drinking water was associated with 7× the odds of developing STH infection compared with ‘improved’ water.; Households with finished floors were protective for STH infection compared with natural floors.; Improved WASH interventions need consideration for STH and diarrheal disease control programs.;Gouthami RaoAnna J. BlackstockGordana DeradoVictoria M. CuéllarPatricia JuliaoMaricruz AlvarezBeatriz LópezFredy MuñozAndrew ThorntonJaymin C. PatelGerard LopezJose G. RiveraLissette ReyesWences ArveloKim A. LindbladeSharon L. RoyIWA Publishingarticlediarrheaguatemalahygienesanitationsoil-transmitted helminthswaterEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 3, Pp 362-373 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diarrhea guatemala hygiene sanitation soil-transmitted helminths water Environmental technology. Sanitary engineering TD1-1066
spellingShingle	diarrhea guatemala hygiene sanitation soil-transmitted helminths water Environmental technology. Sanitary engineering TD1-1066 Gouthami Rao Anna J. Blackstock Gordana Derado Victoria M. Cuéllar Patricia Juliao Maricruz Alvarez Beatriz López Fredy Muñoz Andrew Thornton Jaymin C. Patel Gerard Lopez Jose G. Rivera Lissette Reyes Wences Arvelo Kim A. Lindblade Sharon L. Roy An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala
description	Soil-transmitted helminth (STH) infections and diarrheal illness affect billions of people yearly. We conducted a cross-sectional survey in Nueva Santa Rosa, Guatemala to identify factors associated with STH infections and diarrhea using univariable and multivariable logistic regression models. On multivariable analyses, we found associations between STH infections and two factors: school-aged children (odds ratio (OR) vs. adults: 2.35, 95% CI 1.10–4.99) and household drinking water supply classified as ‘other improved’ (OR vs. ‘improved’: 7.00, CI 1.22–40.14). Finished floors in the household vs. natural floors were highly protective (OR 0.16, CI 0.05–0.50) for STH infection. In crowded households (>2.5 people/bedroom), observing water present at handwashing stations was also protective (OR 0.32, CI 0.11–0.98). When adjusted for drying hands, diarrhea was associated with preschool-age children (OR vs. adults: 3.33, CI 1.83–6.04), spending >10 min per round trip collecting water (OR 1.90, CI 1.02–3.56), and having a handwashing station ≤10 m near a sanitation facility (OR 3.69, CI 1.33–10.21). Our study indicates that familiar WASH interventions, such as increasing drinking water quantity and water at handwashing stations in crowded homes, coupled with a hygiene intervention like finished flooring may hold promise for STH and diarrhea control programs. HIGHLIGHTS School-aged children had over 2× the odds of STH infection than adults in our study.; ‘Other improved’ water as household drinking water was associated with 7× the odds of developing STH infection compared with ‘improved’ water.; Households with finished floors were protective for STH infection compared with natural floors.; Improved WASH interventions need consideration for STH and diarrheal disease control programs.;
format	article
author	Gouthami Rao Anna J. Blackstock Gordana Derado Victoria M. Cuéllar Patricia Juliao Maricruz Alvarez Beatriz López Fredy Muñoz Andrew Thornton Jaymin C. Patel Gerard Lopez Jose G. Rivera Lissette Reyes Wences Arvelo Kim A. Lindblade Sharon L. Roy
author_facet	Gouthami Rao Anna J. Blackstock Gordana Derado Victoria M. Cuéllar Patricia Juliao Maricruz Alvarez Beatriz López Fredy Muñoz Andrew Thornton Jaymin C. Patel Gerard Lopez Jose G. Rivera Lissette Reyes Wences Arvelo Kim A. Lindblade Sharon L. Roy
author_sort	Gouthami Rao
title	An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala
title_short	An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala
title_full	An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala
title_fullStr	An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala
title_full_unstemmed	An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala
title_sort	evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in nueva santa rosa, guatemala
publisher	IWA Publishing
publishDate	2021
url	https://doaj.org/article/f99d7dcb47de4604994749db45c0f2f8
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An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala

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