Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria

Urogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status o...

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Main Authors: Babamale Olarewaju Abdulkareem, Kolawole Olasunkanmi Habeeb, Abdulganiyu Kazeem, Abdulkareem Olaitan Adam, Ugbomoiko Uade Samuel
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2018/6913918
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author Babamale Olarewaju Abdulkareem
Kolawole Olasunkanmi Habeeb
Abdulganiyu Kazeem
Abdulkareem Olaitan Adam
Ugbomoiko Uade Samuel
author_facet Babamale Olarewaju Abdulkareem
Kolawole Olasunkanmi Habeeb
Abdulganiyu Kazeem
Abdulkareem Olaitan Adam
Ugbomoiko Uade Samuel
author_sort Babamale Olarewaju Abdulkareem
collection DOAJ
description Urogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status of the disease. Of the 724 urine samples screened, using filtration method, 332 (45.6%) school-aged children were infected with average intensity and mean population eggs load of 127.9 eggs/10 ml of urine and 0.794, respectively. Prevalence and intensity of infection varied with communities: high in Ajase-Ipo (57.1%; X = 100.7 ± 23.01 eggs/10 ml) and low in Shonga (37.5%; X = 91.4 ± 78.0). Infection was significantly (P<0.05) higher in males (50.8%) than the females (42.4%). Similarly, infection significantly (P<0.05) increased with increasing age. Multivariate logistic analysis of risk factors revealed that lack of portable drinking water (adjusted odd ratio (aOR) = 4.76; 95% CI = 2.64–5.98), unemployment (aOR = 2.23; 1.87–2.294), lack of knowledge of infection (aOR = 2.16; 0.59–3.83), and frequent contact with contaminated water bodies (aOR = 2.01; 1.45–2.70) were important predictors of urinary schistosomiasis. Therefore, continuous evaluation of the intervention strategies that address risk factors must compliment Mass Drug Administration to curtail the transmission and debilitating health consequences of infection in endemic settings.
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spelling doaj-art-1066fa78f33b4fd383ad8887aa9869e92025-08-20T02:01:53ZengWileyJournal of Tropical Medicine1687-96861687-96942018-01-01201810.1155/2018/69139186913918Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, NigeriaBabamale Olarewaju Abdulkareem0Kolawole Olasunkanmi Habeeb1Abdulganiyu Kazeem2Abdulkareem Olaitan Adam3Ugbomoiko Uade Samuel4Department of Zoology, University of Ilorin, Ilorin, NigeriaDepartment of Zoology, University of Ilorin, Ilorin, NigeriaDepartment of Zoology, University of Ilorin, Ilorin, NigeriaDepartment of Zoology, University of Ilorin, Ilorin, NigeriaDepartment of Zoology, University of Ilorin, Ilorin, NigeriaUrogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status of the disease. Of the 724 urine samples screened, using filtration method, 332 (45.6%) school-aged children were infected with average intensity and mean population eggs load of 127.9 eggs/10 ml of urine and 0.794, respectively. Prevalence and intensity of infection varied with communities: high in Ajase-Ipo (57.1%; X = 100.7 ± 23.01 eggs/10 ml) and low in Shonga (37.5%; X = 91.4 ± 78.0). Infection was significantly (P<0.05) higher in males (50.8%) than the females (42.4%). Similarly, infection significantly (P<0.05) increased with increasing age. Multivariate logistic analysis of risk factors revealed that lack of portable drinking water (adjusted odd ratio (aOR) = 4.76; 95% CI = 2.64–5.98), unemployment (aOR = 2.23; 1.87–2.294), lack of knowledge of infection (aOR = 2.16; 0.59–3.83), and frequent contact with contaminated water bodies (aOR = 2.01; 1.45–2.70) were important predictors of urinary schistosomiasis. Therefore, continuous evaluation of the intervention strategies that address risk factors must compliment Mass Drug Administration to curtail the transmission and debilitating health consequences of infection in endemic settings.http://dx.doi.org/10.1155/2018/6913918
spellingShingle Babamale Olarewaju Abdulkareem
Kolawole Olasunkanmi Habeeb
Abdulganiyu Kazeem
Abdulkareem Olaitan Adam
Ugbomoiko Uade Samuel
Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
Journal of Tropical Medicine
title Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_full Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_fullStr Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_full_unstemmed Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_short Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria
title_sort urogenital schistosomiasis among schoolchildren and the associated risk factors in selected rural communities of kwara state nigeria
url http://dx.doi.org/10.1155/2018/6913918
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