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
Hauptverfasser: 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
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container_end_page e0010008
container_issue 12
container_start_page e0010008
container_title PLoS neglected tropical diseases
container_volume 15
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
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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 = &lt;0.001) and being underweight (P = &lt;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. 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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 = &lt;0.001) and being underweight (P = &lt;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 &amp; 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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 &amp; 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 &amp; 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Fisheries Abstracts (ASFA) 1: Biological Sciences &amp; Living Resources</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 3: Aquatic Pollution &amp; Environmental Quality</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Health &amp; 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 = &lt;0.001) and being underweight (P = &lt;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>
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identifier ISSN: 1935-2735
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issn 1935-2735
1935-2727
1935-2735
language eng
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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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