Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria

Abstract Background Soil-transmitted helminth (STH) infections are a significant public health concern in developing countries, particularly affecting children (5–9 years) and adolescents (10–12 years). This study investigated the prevalence of STH infections, examined associated risk factors, and a...

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Main Authors: Anok Ukam Usang, Edema Enogiomwan Imalele, Emmanuel Offiong Effanga, Ukoha Kalu Ukoha, Ituna Emini Eleng
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21210-4
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author Anok Ukam Usang
Edema Enogiomwan Imalele
Emmanuel Offiong Effanga
Ukoha Kalu Ukoha
Ituna Emini Eleng
author_facet Anok Ukam Usang
Edema Enogiomwan Imalele
Emmanuel Offiong Effanga
Ukoha Kalu Ukoha
Ituna Emini Eleng
author_sort Anok Ukam Usang
collection DOAJ
description Abstract Background Soil-transmitted helminth (STH) infections are a significant public health concern in developing countries, particularly affecting children (5–9 years) and adolescents (10–12 years). This study investigated the prevalence of STH infections, examined associated risk factors, and assessed their impact on the nutritional status of children and adolescents. Methods An analytical cross-sectional study was conducted within schools and took place from April to June 2023 and involved 382 participants in Calabar, Nigeria. All participants in the study completed a questionnaire designed to gather information on their demographics and knowledge, attitudes, and practices (KAP) regarding STH infections. Anthropometric measurements were taken according to World Health Organisation (WHO) standards. Fresh faecal samples were collected from each study participant and examined via the Kato-Katz technique. The data were analysed using STATA software, version 14. A binomial logistic regression model was used to identify predictors of STH infections and to examine the associations between STH infection status and stunting, underweight, and wasting. Results The overall prevalence of STHs was 28.8%, with Ascaris lumbricoides (19.6%) being the most prevalent. The prevalence of STHs was greater among males (30.2%) than females (27.7%) and was relatively greater among participants aged 10 years and above (34.8%). All study participants recorded light infection intensities. The prevalence rates of stunting, underweight, and wasting were 10.5%, 8.4%, and 6.3%, respectively. Respondents with no history of deworming were significantly less likely to contract an STH infection (Odds Ratio: 0.2; 95% Confidence Interval: 0.1–0.4; P < 0.001). The use of pit latrines was associated with a greater likelihood of STH infection (OR: 2.1; 95% CI: 1.3–3.4; P = 0.002). Additionally, respondents with poor attitude scores were significantly less likely to contract an STH infection (Adjusted Odds Ratio: 0.6; 95% CI: 0.4–0.8; P = 0.003), and those over 10 years old (OR: 0.1; 95% CI: 0.04–0.82; P = 0.027) were significantly less likely to be underweight than those aged 5–7 years. There was no association between stunting, underweight, wasting, and STH infection. Conclusion These findings highlight the necessity for an integrated approach to STH management and nutrition initiatives in Nigeria.
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spelling doaj-art-e15394d97ce04debbc3dbecfb2d0a0832025-01-05T12:48:49ZengBMCBMC Public Health1471-24582025-01-0125111510.1186/s12889-024-21210-4Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, NigeriaAnok Ukam Usang0Edema Enogiomwan Imalele1Emmanuel Offiong Effanga2Ukoha Kalu Ukoha3Ituna Emini Eleng4Department of Zoology and Environmental Biology, Faculty of Biological Sciences, University of CalabarDepartment of Zoology and Environmental Biology, Faculty of Biological Sciences, University of CalabarDepartment of Zoology and Environmental Biology, Faculty of Biological Sciences, University of CalabarDepartment of Zoology and Environmental Biology, Faculty of Biological Sciences, University of CalabarDepartment of Zoology and Environmental Biology, Faculty of Biological Sciences, University of CalabarAbstract Background Soil-transmitted helminth (STH) infections are a significant public health concern in developing countries, particularly affecting children (5–9 years) and adolescents (10–12 years). This study investigated the prevalence of STH infections, examined associated risk factors, and assessed their impact on the nutritional status of children and adolescents. Methods An analytical cross-sectional study was conducted within schools and took place from April to June 2023 and involved 382 participants in Calabar, Nigeria. All participants in the study completed a questionnaire designed to gather information on their demographics and knowledge, attitudes, and practices (KAP) regarding STH infections. Anthropometric measurements were taken according to World Health Organisation (WHO) standards. Fresh faecal samples were collected from each study participant and examined via the Kato-Katz technique. The data were analysed using STATA software, version 14. A binomial logistic regression model was used to identify predictors of STH infections and to examine the associations between STH infection status and stunting, underweight, and wasting. Results The overall prevalence of STHs was 28.8%, with Ascaris lumbricoides (19.6%) being the most prevalent. The prevalence of STHs was greater among males (30.2%) than females (27.7%) and was relatively greater among participants aged 10 years and above (34.8%). All study participants recorded light infection intensities. The prevalence rates of stunting, underweight, and wasting were 10.5%, 8.4%, and 6.3%, respectively. Respondents with no history of deworming were significantly less likely to contract an STH infection (Odds Ratio: 0.2; 95% Confidence Interval: 0.1–0.4; P < 0.001). The use of pit latrines was associated with a greater likelihood of STH infection (OR: 2.1; 95% CI: 1.3–3.4; P = 0.002). Additionally, respondents with poor attitude scores were significantly less likely to contract an STH infection (Adjusted Odds Ratio: 0.6; 95% CI: 0.4–0.8; P = 0.003), and those over 10 years old (OR: 0.1; 95% CI: 0.04–0.82; P = 0.027) were significantly less likely to be underweight than those aged 5–7 years. There was no association between stunting, underweight, wasting, and STH infection. Conclusion These findings highlight the necessity for an integrated approach to STH management and nutrition initiatives in Nigeria.https://doi.org/10.1186/s12889-024-21210-4STHStuntingMalnutritionKAPRisk factorsSchool children
spellingShingle Anok Ukam Usang
Edema Enogiomwan Imalele
Emmanuel Offiong Effanga
Ukoha Kalu Ukoha
Ituna Emini Eleng
Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria
BMC Public Health
STH
Stunting
Malnutrition
KAP
Risk factors
School children
title Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria
title_full Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria
title_fullStr Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria
title_full_unstemmed Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria
title_short Soil-transmitted helminth infections and nutritional indices among children (5–9 years) and adolescents (10–12 years) in Calabar, Nigeria
title_sort soil transmitted helminth infections and nutritional indices among children 5 9 years and adolescents 10 12 years in calabar nigeria
topic STH
Stunting
Malnutrition
KAP
Risk factors
School children
url https://doi.org/10.1186/s12889-024-21210-4
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