Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren
Soil-transmitted helminth (STH) infections are still prevalent among schoolchildren in the Philippines. We evaluated the risk factors associated with STH and the relationship between STH and nutritional indices among schoolchildren aged 9-10 years in Laguna province, the Philippines. We used the bas...
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Veröffentlicht in: | PLoS neglected tropical diseases 2021-12, Vol.15 (12), p.e0010008-e0010008 |
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creator | Mationg, Mary Lorraine S Williams, Gail M Tallo, Veronica L Olveda, Remigio M Aung, Eindra Alday, Portia Reñosa, Mark Donald Daga, Chona Mae Landicho, Jhoys Demonteverde, Maria Paz Santos, Eunice Diane Bravo, Thea Andrea Bieri, Franziska Angly Li, Yuesheng Clements, Archie C A Steinmann, Peter Halton, Kate Stewart, Donald E McManus, Donald P Gray, Darren J |
description | Soil-transmitted helminth (STH) infections are still prevalent among schoolchildren in the Philippines. We evaluated the risk factors associated with STH and the relationship between STH and nutritional indices among schoolchildren aged 9-10 years in Laguna province, the Philippines.
We used the baseline data from 40 schools enrolled in a randomised controlled trial of the Magic Glasses Philippines health education package. Data on demographic and socio-economic variables, and STH related knowledge, attitudes and practices, were obtained through a questionnaire. Stool samples were collected and assessed for STH egg presence using the Kato-Katz technique. Haemoglobin levels and height and weight of study participants were also determined. The generalized estimating equations approach was used to construct logistic regression models to assess STH-associated risk factors, and the association between any STH infection and anaemia, child stunting, wasting and being underweight. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).
Among 1,689 schoolchildren, the prevalence of any STH was 23%. The prevalence of anaemia, stunting, being underweight and wasting was 13%, 20.2%, 19% and 9.5%, respectively. Age, socio-economic status, rural/urban classification of schools and knowledge of STH were significant risk factors for acquiring a STH infection. Moreover, infections with any STH were significantly associated with stunting (P = |
doi_str_mv | 10.1371/journal.pntd.0010008 |
format | Article |
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We used the baseline data from 40 schools enrolled in a randomised controlled trial of the Magic Glasses Philippines health education package. Data on demographic and socio-economic variables, and STH related knowledge, attitudes and practices, were obtained through a questionnaire. Stool samples were collected and assessed for STH egg presence using the Kato-Katz technique. Haemoglobin levels and height and weight of study participants were also determined. The generalized estimating equations approach was used to construct logistic regression models to assess STH-associated risk factors, and the association between any STH infection and anaemia, child stunting, wasting and being underweight. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).
Among 1,689 schoolchildren, the prevalence of any STH was 23%. The prevalence of anaemia, stunting, being underweight and wasting was 13%, 20.2%, 19% and 9.5%, respectively. Age, socio-economic status, rural/urban classification of schools and knowledge of STH were significant risk factors for acquiring a STH infection. Moreover, infections with any STH were significantly associated with stunting (P = <0.001) and being underweight (P = <0.003), but not wasting (P = 0.375) or anaemia (P = 0.462) after controlling for confounding covariates.
The study findings emphasise the need for sustainable deworming in tandem with other measures such as the provision of health education, improvements in sanitation and hygiene, and nutritional programs in order to control STH infections and improve morbidity outcomes in schoolchildren.
Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0010008</identifier><identifier>PMID: 34936644</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Anaemia ; Anemia ; Animals ; Attitude to Health ; Baseline studies ; Biology and Life Sciences ; Child ; Clinical trials ; Cross-Sectional Studies ; Demographic variables ; Economics ; Education ; Elementary school students ; Equations ; Ethics ; Feces - parasitology ; Female ; Food and nutrition ; Health aspects ; Health education ; Helminthiasis ; Helminthiasis - economics ; Helminthiasis - epidemiology ; Helminthiasis - parasitology ; Helminthiasis - transmission ; Helminths - classification ; Helminths - genetics ; Helminths - isolation & purification ; Helminths - physiology ; Hemoglobin ; Households ; Humans ; Hygiene ; Infections ; Malnutrition ; Medicine and Health Sciences ; Morbidity ; Nutrition ; Nutrition Assessment ; Nutrition research ; Ova ; Pediatric research ; People and Places ; Philippines - epidemiology ; Prevalence ; Public health ; Questionnaires ; Regression analysis ; Regression models ; Requirements ; Risk analysis ; Risk factors ; Rural Population - statistics & numerical data ; Sample size ; Sanitation ; Schools ; Social Sciences ; Socioeconomic aspects ; Socioeconomic Factors ; Socioeconomics ; Soil ; Soil - parasitology ; Soils ; Statistics ; Stunting ; Tropical diseases ; Underweight</subject><ispartof>PLoS neglected tropical diseases, 2021-12, Vol.15 (12), p.e0010008-e0010008</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Mationg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Mationg et al 2021 Mationg et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-edd728352eded369ab79e8e0765c81ce988aabbe49f457dd81ae78120964d4443</citedby><cites>FETCH-LOGICAL-c624t-edd728352eded369ab79e8e0765c81ce988aabbe49f457dd81ae78120964d4443</cites><orcidid>0000-0001-8389-8722 ; 0000-0003-3747-3103 ; 0000-0001-7297-5593 ; 0000-0001-9785-1458 ; 0000-0003-4800-3019 ; 0000-0002-0161-419X ; 0000-0002-4822-5263 ; 0000-0001-7588-7273 ; 0000-0002-0152-2658 ; 0000-0001-5914-2597 ; 0000-0001-7198-8691 ; 0000-0001-6443-1449</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694453/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694453/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34936644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Taylan Ozkan, Aysegul</contributor><creatorcontrib>Mationg, Mary Lorraine S</creatorcontrib><creatorcontrib>Williams, Gail M</creatorcontrib><creatorcontrib>Tallo, Veronica L</creatorcontrib><creatorcontrib>Olveda, Remigio M</creatorcontrib><creatorcontrib>Aung, Eindra</creatorcontrib><creatorcontrib>Alday, Portia</creatorcontrib><creatorcontrib>Reñosa, Mark Donald</creatorcontrib><creatorcontrib>Daga, Chona Mae</creatorcontrib><creatorcontrib>Landicho, Jhoys</creatorcontrib><creatorcontrib>Demonteverde, Maria Paz</creatorcontrib><creatorcontrib>Santos, Eunice Diane</creatorcontrib><creatorcontrib>Bravo, Thea Andrea</creatorcontrib><creatorcontrib>Bieri, Franziska Angly</creatorcontrib><creatorcontrib>Li, Yuesheng</creatorcontrib><creatorcontrib>Clements, Archie C A</creatorcontrib><creatorcontrib>Steinmann, Peter</creatorcontrib><creatorcontrib>Halton, Kate</creatorcontrib><creatorcontrib>Stewart, Donald E</creatorcontrib><creatorcontrib>McManus, Donald P</creatorcontrib><creatorcontrib>Gray, Darren J</creatorcontrib><title>Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Soil-transmitted helminth (STH) infections are still prevalent among schoolchildren in the Philippines. We evaluated the risk factors associated with STH and the relationship between STH and nutritional indices among schoolchildren aged 9-10 years in Laguna province, the Philippines.
We used the baseline data from 40 schools enrolled in a randomised controlled trial of the Magic Glasses Philippines health education package. Data on demographic and socio-economic variables, and STH related knowledge, attitudes and practices, were obtained through a questionnaire. Stool samples were collected and assessed for STH egg presence using the Kato-Katz technique. Haemoglobin levels and height and weight of study participants were also determined. The generalized estimating equations approach was used to construct logistic regression models to assess STH-associated risk factors, and the association between any STH infection and anaemia, child stunting, wasting and being underweight. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).
Among 1,689 schoolchildren, the prevalence of any STH was 23%. The prevalence of anaemia, stunting, being underweight and wasting was 13%, 20.2%, 19% and 9.5%, respectively. Age, socio-economic status, rural/urban classification of schools and knowledge of STH were significant risk factors for acquiring a STH infection. Moreover, infections with any STH were significantly associated with stunting (P = <0.001) and being underweight (P = <0.003), but not wasting (P = 0.375) or anaemia (P = 0.462) after controlling for confounding covariates.
The study findings emphasise the need for sustainable deworming in tandem with other measures such as the provision of health education, improvements in sanitation and hygiene, and nutritional programs in order to control STH infections and improve morbidity outcomes in schoolchildren.
Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).</description><subject>Adolescent</subject><subject>Anaemia</subject><subject>Anemia</subject><subject>Animals</subject><subject>Attitude to Health</subject><subject>Baseline studies</subject><subject>Biology and Life Sciences</subject><subject>Child</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Demographic variables</subject><subject>Economics</subject><subject>Education</subject><subject>Elementary school students</subject><subject>Equations</subject><subject>Ethics</subject><subject>Feces - parasitology</subject><subject>Female</subject><subject>Food and nutrition</subject><subject>Health aspects</subject><subject>Health education</subject><subject>Helminthiasis</subject><subject>Helminthiasis - economics</subject><subject>Helminthiasis - epidemiology</subject><subject>Helminthiasis - parasitology</subject><subject>Helminthiasis - transmission</subject><subject>Helminths - classification</subject><subject>Helminths - genetics</subject><subject>Helminths - isolation & purification</subject><subject>Helminths - physiology</subject><subject>Hemoglobin</subject><subject>Households</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infections</subject><subject>Malnutrition</subject><subject>Medicine and Health Sciences</subject><subject>Morbidity</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutrition research</subject><subject>Ova</subject><subject>Pediatric research</subject><subject>People and Places</subject><subject>Philippines - epidemiology</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Requirements</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Rural Population - statistics & numerical data</subject><subject>Sample size</subject><subject>Sanitation</subject><subject>Schools</subject><subject>Social Sciences</subject><subject>Socioeconomic aspects</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomics</subject><subject>Soil</subject><subject>Soil - parasitology</subject><subject>Soils</subject><subject>Statistics</subject><subject>Stunting</subject><subject>Tropical diseases</subject><subject>Underweight</subject><issn>1935-2735</issn><issn>1935-2727</issn><issn>1935-2735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNptkl-L1DAUxYso7rr6DUQLgvgyY9L8fxGWxdWFBR_UF19CmtxOM6TJ2LSC397MTneZkSUPTW9-9yQ5OVX1GqM1JgJ_3KZ5jCasd3Fya4QwQkg-qc6xImzVCMKeHs3Pqhc5bxFiikn8vDojVBHOKT2vfn1PPqym0cQ8-GkCV_cQBh-nvvaxAzv5FHNtoqvjPI1-_2tCWXLeQqkPKW7qax_8zsdUZ9unFGzvgxshvqyedSZkeLV8L6qf159_XH1d3X77cnN1ebuyvKHTCpwTjSSsAQeOcGVaoUACEpxZiS0oKY1pW6Cqo0w4J7EBIXGDFKeOUkouqrcH3V1IWS-2ZN3wBmHcSMkKcXMgXDJbvRv9YMa_Ohmv7wpp3GgzTt4G0BKKkYJ3VIiGto5J3iHKeGudUAbhrmh9Wnab2wGchVjMCyeipyvR93qT_mjJFaWMFIEPi8CYfs-QJz34bCEEEyHN-3Nj0ihGFS_ou__Qx2-3UBtTLlBeLZV97V5UX3IpFSlDFGr9CFWGg8HbFKHzpX7S8P6ooQcTpj6nMN8l4hSkB9COKecRugczMNL7qN6fWu-jqpeolrY3x0Y-NN1nk_wD0qrmrQ</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Mationg, Mary Lorraine S</creator><creator>Williams, Gail M</creator><creator>Tallo, Veronica L</creator><creator>Olveda, Remigio M</creator><creator>Aung, Eindra</creator><creator>Alday, Portia</creator><creator>Reñosa, Mark Donald</creator><creator>Daga, Chona Mae</creator><creator>Landicho, Jhoys</creator><creator>Demonteverde, Maria Paz</creator><creator>Santos, Eunice Diane</creator><creator>Bravo, Thea Andrea</creator><creator>Bieri, Franziska Angly</creator><creator>Li, Yuesheng</creator><creator>Clements, Archie C A</creator><creator>Steinmann, Peter</creator><creator>Halton, Kate</creator><creator>Stewart, Donald E</creator><creator>McManus, Donald P</creator><creator>Gray, Darren J</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SS</scope><scope>7T2</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>L.G</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8389-8722</orcidid><orcidid>https://orcid.org/0000-0003-3747-3103</orcidid><orcidid>https://orcid.org/0000-0001-7297-5593</orcidid><orcidid>https://orcid.org/0000-0001-9785-1458</orcidid><orcidid>https://orcid.org/0000-0003-4800-3019</orcidid><orcidid>https://orcid.org/0000-0002-0161-419X</orcidid><orcidid>https://orcid.org/0000-0002-4822-5263</orcidid><orcidid>https://orcid.org/0000-0001-7588-7273</orcidid><orcidid>https://orcid.org/0000-0002-0152-2658</orcidid><orcidid>https://orcid.org/0000-0001-5914-2597</orcidid><orcidid>https://orcid.org/0000-0001-7198-8691</orcidid><orcidid>https://orcid.org/0000-0001-6443-1449</orcidid></search><sort><creationdate>20211201</creationdate><title>Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren</title><author>Mationg, Mary Lorraine S ; Williams, Gail M ; Tallo, Veronica L ; Olveda, Remigio M ; Aung, Eindra ; Alday, Portia ; Reñosa, Mark Donald ; Daga, Chona Mae ; Landicho, Jhoys ; Demonteverde, Maria Paz ; Santos, Eunice Diane ; Bravo, Thea Andrea ; Bieri, Franziska Angly ; Li, Yuesheng ; Clements, Archie C A ; Steinmann, Peter ; Halton, Kate ; Stewart, Donald E ; McManus, Donald P ; Gray, Darren J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c624t-edd728352eded369ab79e8e0765c81ce988aabbe49f457dd81ae78120964d4443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Anaemia</topic><topic>Anemia</topic><topic>Animals</topic><topic>Attitude to Health</topic><topic>Baseline studies</topic><topic>Biology and Life Sciences</topic><topic>Child</topic><topic>Clinical trials</topic><topic>Cross-Sectional Studies</topic><topic>Demographic variables</topic><topic>Economics</topic><topic>Education</topic><topic>Elementary school students</topic><topic>Equations</topic><topic>Ethics</topic><topic>Feces - parasitology</topic><topic>Female</topic><topic>Food and nutrition</topic><topic>Health aspects</topic><topic>Health education</topic><topic>Helminthiasis</topic><topic>Helminthiasis - economics</topic><topic>Helminthiasis - epidemiology</topic><topic>Helminthiasis - parasitology</topic><topic>Helminthiasis - transmission</topic><topic>Helminths - classification</topic><topic>Helminths - genetics</topic><topic>Helminths - isolation & purification</topic><topic>Helminths - physiology</topic><topic>Hemoglobin</topic><topic>Households</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Infections</topic><topic>Malnutrition</topic><topic>Medicine and Health Sciences</topic><topic>Morbidity</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutrition research</topic><topic>Ova</topic><topic>Pediatric research</topic><topic>People and Places</topic><topic>Philippines - epidemiology</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Requirements</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Rural Population - statistics & numerical data</topic><topic>Sample size</topic><topic>Sanitation</topic><topic>Schools</topic><topic>Social Sciences</topic><topic>Socioeconomic aspects</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomics</topic><topic>Soil</topic><topic>Soil - parasitology</topic><topic>Soils</topic><topic>Statistics</topic><topic>Stunting</topic><topic>Tropical diseases</topic><topic>Underweight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mationg, Mary Lorraine S</creatorcontrib><creatorcontrib>Williams, Gail M</creatorcontrib><creatorcontrib>Tallo, Veronica L</creatorcontrib><creatorcontrib>Olveda, Remigio M</creatorcontrib><creatorcontrib>Aung, Eindra</creatorcontrib><creatorcontrib>Alday, Portia</creatorcontrib><creatorcontrib>Reñosa, Mark Donald</creatorcontrib><creatorcontrib>Daga, Chona Mae</creatorcontrib><creatorcontrib>Landicho, Jhoys</creatorcontrib><creatorcontrib>Demonteverde, Maria Paz</creatorcontrib><creatorcontrib>Santos, Eunice Diane</creatorcontrib><creatorcontrib>Bravo, Thea Andrea</creatorcontrib><creatorcontrib>Bieri, Franziska Angly</creatorcontrib><creatorcontrib>Li, Yuesheng</creatorcontrib><creatorcontrib>Clements, Archie C A</creatorcontrib><creatorcontrib>Steinmann, Peter</creatorcontrib><creatorcontrib>Halton, Kate</creatorcontrib><creatorcontrib>Stewart, Donald E</creatorcontrib><creatorcontrib>McManus, Donald P</creatorcontrib><creatorcontrib>Gray, Darren J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS neglected tropical diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mationg, Mary Lorraine S</au><au>Williams, Gail M</au><au>Tallo, Veronica L</au><au>Olveda, Remigio M</au><au>Aung, Eindra</au><au>Alday, Portia</au><au>Reñosa, Mark Donald</au><au>Daga, Chona Mae</au><au>Landicho, Jhoys</au><au>Demonteverde, Maria Paz</au><au>Santos, Eunice Diane</au><au>Bravo, Thea Andrea</au><au>Bieri, Franziska Angly</au><au>Li, Yuesheng</au><au>Clements, Archie C A</au><au>Steinmann, Peter</au><au>Halton, Kate</au><au>Stewart, Donald E</au><au>McManus, Donald P</au><au>Gray, Darren J</au><au>Taylan Ozkan, Aysegul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren</atitle><jtitle>PLoS neglected tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>15</volume><issue>12</issue><spage>e0010008</spage><epage>e0010008</epage><pages>e0010008-e0010008</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>Soil-transmitted helminth (STH) infections are still prevalent among schoolchildren in the Philippines. We evaluated the risk factors associated with STH and the relationship between STH and nutritional indices among schoolchildren aged 9-10 years in Laguna province, the Philippines.
We used the baseline data from 40 schools enrolled in a randomised controlled trial of the Magic Glasses Philippines health education package. Data on demographic and socio-economic variables, and STH related knowledge, attitudes and practices, were obtained through a questionnaire. Stool samples were collected and assessed for STH egg presence using the Kato-Katz technique. Haemoglobin levels and height and weight of study participants were also determined. The generalized estimating equations approach was used to construct logistic regression models to assess STH-associated risk factors, and the association between any STH infection and anaemia, child stunting, wasting and being underweight. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).
Among 1,689 schoolchildren, the prevalence of any STH was 23%. The prevalence of anaemia, stunting, being underweight and wasting was 13%, 20.2%, 19% and 9.5%, respectively. Age, socio-economic status, rural/urban classification of schools and knowledge of STH were significant risk factors for acquiring a STH infection. Moreover, infections with any STH were significantly associated with stunting (P = <0.001) and being underweight (P = <0.003), but not wasting (P = 0.375) or anaemia (P = 0.462) after controlling for confounding covariates.
The study findings emphasise the need for sustainable deworming in tandem with other measures such as the provision of health education, improvements in sanitation and hygiene, and nutritional programs in order to control STH infections and improve morbidity outcomes in schoolchildren.
Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34936644</pmid><doi>10.1371/journal.pntd.0010008</doi><orcidid>https://orcid.org/0000-0001-8389-8722</orcidid><orcidid>https://orcid.org/0000-0003-3747-3103</orcidid><orcidid>https://orcid.org/0000-0001-7297-5593</orcidid><orcidid>https://orcid.org/0000-0001-9785-1458</orcidid><orcidid>https://orcid.org/0000-0003-4800-3019</orcidid><orcidid>https://orcid.org/0000-0002-0161-419X</orcidid><orcidid>https://orcid.org/0000-0002-4822-5263</orcidid><orcidid>https://orcid.org/0000-0001-7588-7273</orcidid><orcidid>https://orcid.org/0000-0002-0152-2658</orcidid><orcidid>https://orcid.org/0000-0001-5914-2597</orcidid><orcidid>https://orcid.org/0000-0001-7198-8691</orcidid><orcidid>https://orcid.org/0000-0001-6443-1449</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1935-2735 |
ispartof | PLoS neglected tropical diseases, 2021-12, Vol.15 (12), p.e0010008-e0010008 |
issn | 1935-2735 1935-2727 1935-2735 |
language | eng |
recordid | cdi_plos_journals_2620112885 |
source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Adolescent Anaemia Anemia Animals Attitude to Health Baseline studies Biology and Life Sciences Child Clinical trials Cross-Sectional Studies Demographic variables Economics Education Elementary school students Equations Ethics Feces - parasitology Female Food and nutrition Health aspects Health education Helminthiasis Helminthiasis - economics Helminthiasis - epidemiology Helminthiasis - parasitology Helminthiasis - transmission Helminths - classification Helminths - genetics Helminths - isolation & purification Helminths - physiology Hemoglobin Households Humans Hygiene Infections Malnutrition Medicine and Health Sciences Morbidity Nutrition Nutrition Assessment Nutrition research Ova Pediatric research People and Places Philippines - epidemiology Prevalence Public health Questionnaires Regression analysis Regression models Requirements Risk analysis Risk factors Rural Population - statistics & numerical data Sample size Sanitation Schools Social Sciences Socioeconomic aspects Socioeconomic Factors Socioeconomics Soil Soil - parasitology Soils Statistics Stunting Tropical diseases Underweight |
title | Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren |
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