Household social determinants of ascariasis and trichuriasis in North Central Venezuela

Karen Quintero, Carmen Durán, Deborah Duri, Flor Medina, Josmar Garcia, Glida Hidalgo, Syndy Nakal, Maria Echeverria-Ortega, Carlos Albano, Renzo Nino Incani, Jackeline Cortez, Sara Jiménez, Marietta Díaz, Cecilio Maldonado, Franklin Matute, Alfonso J. Rodriguez-Morales

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Ascariasis and trichuriasis are highly prevalent parasitoses in tropical countries caused by . Ascaris lumbricoides and . Trichuris trichiura, respectively. Their prevalence is associated with poor sanitation and hygiene, among other biological and social factors. In this study, the associations of household social determinants with these soil-transmitted helminthiases in North Central Venezuela was assessed in the context of a National Study on Human Growth and Development (SENACREDH). This was a probabilistic, stratified, cross-sectional survey with a sample of 3388 individuals that weighted represents 4. 675. 433 inhabitants from the region. The prevalence of ascariasis and trichuriasis was 3.73% and 1.13%, respectively. In the univariate and multivariate analyses, these prevalences were significantly higher in those living in vulnerable houses [adjusted OR (AOR). =. 1.479, 95% CI 1.428-1.532; and AOR. =. 10.519, 95% CI 9.971-11.097, respectively], houses located in rural areas (AOR. =. 2.067, 95% CI 2.035-2.101; and AOR. =. 1.918, 95% CI 1.868-1.970, respectively) and houses with a soil floor (AOR. =. 5.027, 95% CI 4.895-5.162; and AOR. =. 5.190, 95% CI 4.944-5.448, respectively), among other factors. People living in rural households with inappropriate building materials, insufficient basic public services such as water and waste disposal, and surrounding disease-prone environments are at higher risk of acquiring . A. lumbricoides and . T. trichiura infections.

Original languageEnglish
Pages (from-to)103-110
Number of pages8
JournalInternational Health
Volume4
Issue number2
DOIs
StatePublished - Jun 2012
Externally publishedYes

Keywords

  • Cross-sectional study
  • Epidemiology
  • Helminths
  • Parasitic intestinal diseases
  • Social determinants
  • Venezuela

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