Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal

Abstract Despite years of a national deworming campaign, the incidence of intestinal parasitic infections (IPIs) remains relatively high among certain ethnic groups, with lifestyle factors distinct from those of the general population. Despite existing studies on the prevalence of IPIs, there is lim...

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Main Authors: Jitendra Gautam, Rajendra Prasad Parajuli, Kishor Pandey
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Journal of Health, Population and Nutrition
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Online Access:https://doi.org/10.1186/s41043-024-00694-1
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author Jitendra Gautam
Rajendra Prasad Parajuli
Kishor Pandey
author_facet Jitendra Gautam
Rajendra Prasad Parajuli
Kishor Pandey
author_sort Jitendra Gautam
collection DOAJ
description Abstract Despite years of a national deworming campaign, the incidence of intestinal parasitic infections (IPIs) remains relatively high among certain ethnic groups, with lifestyle factors distinct from those of the general population. Despite existing studies on the prevalence of IPIs, there is limited research exploring the contextual associated factors within the Badi Indigenous community. Our objective in this study was to assess the prevalence of IPIs in the indigenous Badi community of Gurbhakot Municipality, Surkhet, Nepal, considering socioeconomic, lifestyle, and behavioral factors. A total of 205 stool samples were obtained from individuals aged 18–70 years through purposive sampling and preserved in a 2.5% potassium dichromate solution. A structured questionnaire was administered to the selected participants. Three diagnostic methods were used: direct wet mount, saturated salt flotation, and formal ether sedimentation. The study revealed an overall parasite prevalence of 27% (n = 55) in the indigenous Badi communities. Protozoan infections were found in 19% (n = 39) of the studied community, whereas helminthic infections were present in only 7.8% (n = 16). The highest prevalence was observed for Giardia lamblia at 16.1% (n = 33), followed by Ascaris lumbricoides at 5.9% (n = 12), Entamoeba histolytica at 2.9% (n = 6), and both Enterobius vermicularis and Hymenolepis nana at 1% (n = 2). The female population had a higher exposure to E. histolytica (5.8%, n = 6) than did the male population (0%, n = 0). The multivariate logistic regression analysis revealed increased odds of IPIs among participants involved in agriculture [aOR: 5.37, 95% CI: (2.31 to 12.47)], those who kept free-ranging pigs and poultry [aOR: 5.22, 95% CI: (1.87 to 14.53)], those who did not use soap before eating [aOR: 9.96, 95% CI: (2.11 to 46.99)], and those who consumed raw or undercooked meat [aOR: 2.76, 95% CI: (1.08 to 7.05)] compared with others. Therefore, health education, particularly regarding hygiene practices and lifestyle changes, is crucial for reducing the burden of intestinal parasitic infections (IPIs) in indigenous Badi communities.
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spelling doaj-art-dbbdabb2b1b34d79a95ec4387ae0cfc02025-02-09T12:43:01ZengBMCJournal of Health, Population and Nutrition2072-13152024-12-0143111110.1186/s41043-024-00694-1Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western NepalJitendra Gautam0Rajendra Prasad Parajuli1Kishor Pandey2Central Department of Zoology, Institute of Science and Technology, Tribhuvan University Central CampusCentral Department of Zoology, Institute of Science and Technology, Tribhuvan University Central CampusCentral Department of Zoology, Institute of Science and Technology, Tribhuvan University Central CampusAbstract Despite years of a national deworming campaign, the incidence of intestinal parasitic infections (IPIs) remains relatively high among certain ethnic groups, with lifestyle factors distinct from those of the general population. Despite existing studies on the prevalence of IPIs, there is limited research exploring the contextual associated factors within the Badi Indigenous community. Our objective in this study was to assess the prevalence of IPIs in the indigenous Badi community of Gurbhakot Municipality, Surkhet, Nepal, considering socioeconomic, lifestyle, and behavioral factors. A total of 205 stool samples were obtained from individuals aged 18–70 years through purposive sampling and preserved in a 2.5% potassium dichromate solution. A structured questionnaire was administered to the selected participants. Three diagnostic methods were used: direct wet mount, saturated salt flotation, and formal ether sedimentation. The study revealed an overall parasite prevalence of 27% (n = 55) in the indigenous Badi communities. Protozoan infections were found in 19% (n = 39) of the studied community, whereas helminthic infections were present in only 7.8% (n = 16). The highest prevalence was observed for Giardia lamblia at 16.1% (n = 33), followed by Ascaris lumbricoides at 5.9% (n = 12), Entamoeba histolytica at 2.9% (n = 6), and both Enterobius vermicularis and Hymenolepis nana at 1% (n = 2). The female population had a higher exposure to E. histolytica (5.8%, n = 6) than did the male population (0%, n = 0). The multivariate logistic regression analysis revealed increased odds of IPIs among participants involved in agriculture [aOR: 5.37, 95% CI: (2.31 to 12.47)], those who kept free-ranging pigs and poultry [aOR: 5.22, 95% CI: (1.87 to 14.53)], those who did not use soap before eating [aOR: 9.96, 95% CI: (2.11 to 46.99)], and those who consumed raw or undercooked meat [aOR: 2.76, 95% CI: (1.08 to 7.05)] compared with others. Therefore, health education, particularly regarding hygiene practices and lifestyle changes, is crucial for reducing the burden of intestinal parasitic infections (IPIs) in indigenous Badi communities.https://doi.org/10.1186/s41043-024-00694-1Intestinal parasitesIndigenous Badi communityPrevalenceRisk factorsAwareness
spellingShingle Jitendra Gautam
Rajendra Prasad Parajuli
Kishor Pandey
Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal
Journal of Health, Population and Nutrition
Intestinal parasites
Indigenous Badi community
Prevalence
Risk factors
Awareness
title Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal
title_full Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal
title_fullStr Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal
title_full_unstemmed Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal
title_short Prevalence and associated factors of intestinal parasitic infections in the Badi indigenous communities of Western Nepal
title_sort prevalence and associated factors of intestinal parasitic infections in the badi indigenous communities of western nepal
topic Intestinal parasites
Indigenous Badi community
Prevalence
Risk factors
Awareness
url https://doi.org/10.1186/s41043-024-00694-1
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