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Intestinal parasitic infections in children from marginalised Roma communities: prevalence and risk factors
Intestinal parasitic infections remain a significant global health issue, particularly affecting poor and marginalised populations. These infections significantly contribute to children's diseases, malnutrition, poor school performance, cognitive disorders, and future economic losses. This stud...
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| Published in: | BMC infectious diseases 2024-06, Vol.24 (1), p.596-10, Article 596 |
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| creator | Štrkolcová, Gabriela Fiľakovská Bobáková, Daniela Kaduková, Michaela Schreiberová, Andrea Klein, Daniel Halán, Miloš Urbančíková, Ingrid |
| description | Intestinal parasitic infections remain a significant global health issue, particularly affecting poor and marginalised populations. These infections significantly contribute to children's diseases, malnutrition, poor school performance, cognitive disorders, and future economic losses. This study aimed to explore and compare the occurrence of intestinal parasites in early childhood among the group of infants from the Slovak majority population and from marginalised Roma communities (MRCs). Furthermore, it aimed to explore the health complaints of children with and without intestinal parasitic infection in the past month and assess the effect of various risk factors on the occurrence of intestinal parasitic infection in infants from MRCs.
We obtained cross-sectional data from mothers and stool samples of their children aged 13-21 months using the first wave of the longitudinal RomaREACH study. A total of 181 stools from infants were analysed: 105 infants from the Slovak majority population and 76 from MRCs.
Infants from MRCs are significantly more often infected by Ascaris lumbricoides, Trichuris trichiura and Giardia duodenalis than their better-off peers from the majority population. Infection rates are 30% in infants from MRCs vs. 0% in the majority population (p |
| doi_str_mv | 10.1186/s12879-024-09500-z |
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We obtained cross-sectional data from mothers and stool samples of their children aged 13-21 months using the first wave of the longitudinal RomaREACH study. A total of 181 stools from infants were analysed: 105 infants from the Slovak majority population and 76 from MRCs.
Infants from MRCs are significantly more often infected by Ascaris lumbricoides, Trichuris trichiura and Giardia duodenalis than their better-off peers from the majority population. Infection rates are 30% in infants from MRCs vs. 0% in the majority population (p < 0.001). Single and mixed infections were observed in children from MRCs. Infants with intestinal parasitic infections suffer significantly more often from various health complaints, particularly cough, stomach ache, irritability, and diarrhoea. Within MRCs, the risk of parasitic infections in infants is significantly increased by risk factors such as the absence of flushing toilets in households (OR = 4.17, p < 0.05) and contact with un-dewormed animals (OR = 3.61, p < 0.05). Together with the absence of running water in the household, these three factors combined increase the risk more than ten times (p < 0.01).
Maintaining hygienic standards in conditions of socioeconomic deprivation in MRCs without running water and sewage in the presence of un-dewormed animals is problematic. These living conditions contribute to the higher prevalence of parasitic infections in children from MRCs, causing various health complaints and thus threatening their health and healthy development.</description><identifier>ISSN: 1471-2334</identifier><identifier>EISSN: 1471-2334</identifier><identifier>DOI: 10.1186/s12879-024-09500-z</identifier><identifier>PMID: 38890608</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Anemia ; Animal cognition ; Animals ; Children ; Children & youth ; Children of minorities ; Cognitive ability ; Cognitive development ; Colorectal diseases ; Cough ; Cross-Sectional Studies ; Demographic aspects ; Diarrhea ; Disease prevention ; Economic impact ; Eggs ; Epidemics ; Feces - parasitology ; Female ; Food ; Gastrointestinal diseases ; Global health ; Health aspects ; Health complaints ; Households ; Humans ; Hygiene ; Hygienic standards ; Infant ; Infants ; Infections ; Intestinal Diseases, Parasitic - epidemiology ; Intestinal parasites ; Intestine ; Living conditions ; Male ; Malnutrition ; Marginalised Roma communities ; Medical research ; Medicine, Experimental ; Mortality ; Parasites ; Parasitic diseases ; Parasitic infections ; Pediatric research ; Population ; Population studies ; Prevalence ; Public health ; Risk Factors ; Roma - statistics & numerical data ; Romanies ; Sewage ; Slovakia - epidemiology ; Small intestine ; Statistics ; Toilets ; Tropical diseases ; Un-dewormed animals ; World health ; Worms</subject><ispartof>BMC infectious diseases, 2024-06, Vol.24 (1), p.596-10, Article 596</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c583t-d685762f97be9c53c9345a13c414ca77d966115e3c5a4145201f405033c52ccc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11184866/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3079182458?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,25734,27905,27906,36993,36994,38497,43876,44571,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38890608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Štrkolcová, Gabriela</creatorcontrib><creatorcontrib>Fiľakovská Bobáková, Daniela</creatorcontrib><creatorcontrib>Kaduková, Michaela</creatorcontrib><creatorcontrib>Schreiberová, Andrea</creatorcontrib><creatorcontrib>Klein, Daniel</creatorcontrib><creatorcontrib>Halán, Miloš</creatorcontrib><creatorcontrib>Urbančíková, Ingrid</creatorcontrib><title>Intestinal parasitic infections in children from marginalised Roma communities: prevalence and risk factors</title><title>BMC infectious diseases</title><addtitle>BMC Infect Dis</addtitle><description>Intestinal parasitic infections remain a significant global health issue, particularly affecting poor and marginalised populations. These infections significantly contribute to children's diseases, malnutrition, poor school performance, cognitive disorders, and future economic losses. This study aimed to explore and compare the occurrence of intestinal parasites in early childhood among the group of infants from the Slovak majority population and from marginalised Roma communities (MRCs). Furthermore, it aimed to explore the health complaints of children with and without intestinal parasitic infection in the past month and assess the effect of various risk factors on the occurrence of intestinal parasitic infection in infants from MRCs.
We obtained cross-sectional data from mothers and stool samples of their children aged 13-21 months using the first wave of the longitudinal RomaREACH study. A total of 181 stools from infants were analysed: 105 infants from the Slovak majority population and 76 from MRCs.
Infants from MRCs are significantly more often infected by Ascaris lumbricoides, Trichuris trichiura and Giardia duodenalis than their better-off peers from the majority population. Infection rates are 30% in infants from MRCs vs. 0% in the majority population (p < 0.001). Single and mixed infections were observed in children from MRCs. Infants with intestinal parasitic infections suffer significantly more often from various health complaints, particularly cough, stomach ache, irritability, and diarrhoea. Within MRCs, the risk of parasitic infections in infants is significantly increased by risk factors such as the absence of flushing toilets in households (OR = 4.17, p < 0.05) and contact with un-dewormed animals (OR = 3.61, p < 0.05). Together with the absence of running water in the household, these three factors combined increase the risk more than ten times (p < 0.01).
Maintaining hygienic standards in conditions of socioeconomic deprivation in MRCs without running water and sewage in the presence of un-dewormed animals is problematic. These living conditions contribute to the higher prevalence of parasitic infections in children from MRCs, causing various health complaints and thus threatening their health and healthy development.</description><subject>Anemia</subject><subject>Animal cognition</subject><subject>Animals</subject><subject>Children</subject><subject>Children & youth</subject><subject>Children of minorities</subject><subject>Cognitive ability</subject><subject>Cognitive development</subject><subject>Colorectal diseases</subject><subject>Cough</subject><subject>Cross-Sectional Studies</subject><subject>Demographic aspects</subject><subject>Diarrhea</subject><subject>Disease prevention</subject><subject>Economic impact</subject><subject>Eggs</subject><subject>Epidemics</subject><subject>Feces - parasitology</subject><subject>Female</subject><subject>Food</subject><subject>Gastrointestinal diseases</subject><subject>Global health</subject><subject>Health aspects</subject><subject>Health complaints</subject><subject>Households</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Hygienic standards</subject><subject>Infant</subject><subject>Infants</subject><subject>Infections</subject><subject>Intestinal Diseases, Parasitic - epidemiology</subject><subject>Intestinal parasites</subject><subject>Intestine</subject><subject>Living conditions</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Marginalised Roma communities</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Mortality</subject><subject>Parasites</subject><subject>Parasitic diseases</subject><subject>Parasitic infections</subject><subject>Pediatric research</subject><subject>Population</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Risk Factors</subject><subject>Roma - statistics & numerical data</subject><subject>Romanies</subject><subject>Sewage</subject><subject>Slovakia - epidemiology</subject><subject>Small intestine</subject><subject>Statistics</subject><subject>Toilets</subject><subject>Tropical diseases</subject><subject>Un-dewormed animals</subject><subject>World health</subject><subject>Worms</subject><issn>1471-2334</issn><issn>1471-2334</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkktv1DAUhSMEoqXwB1ggS2zoIsWvxDYbVFUFRqpUqTy2lse5nnqa2FM7qaC_Hs9MGXUQC5RFrOvvnMTHp6peE3xCiGzfZ0KlUDWmvMaqwbi-f1IdEi5ITRnjTx-tD6oXOS8xJkJS9bw6YFIq3GJ5WN3Mwgh59MH0aGWSyX70FvngwI4-hlyWyF77vksQkEtxQINJizXuM3ToKg4G2TgMUyhCyB_QKsGd6SFYQCZ0KPl8g5yxY0z5ZfXMmT7Dq4f3UfX90_m3sy_1xeXn2dnpRW0byca6a2UjWuqUmIOyDbOK8cYQZjnh1gjRqbYlpAFmG1NGDcXEcdxgVgbUWsuOqtnWt4tmqVfJl1_-paPxejOIaaFNKsfsQbeKgnBEuta0HINQjGE7Z8Dn844CuOL1ceu1muYDdBbCmEy_Z7q_E_y1XsQ7TcoVcdm2xeHdg0OKt1PJWg8-W-h7EyBOWTMssFBCNLygb_9Cl3FKJesNpYikvCS0oxYlZ12uKpYP27WpPhVKUqYwW3ud_IMqTweDtzGA82W-JzjeExRmhJ_jwkw569nXq_9nL3_ss3TL2hRzTuB24RGs1z3W2x7r0mO96bG-L6I3j2PfSf4Ul_0GyWjsaw</recordid><startdate>20240618</startdate><enddate>20240618</enddate><creator>Štrkolcová, Gabriela</creator><creator>Fiľakovská Bobáková, Daniela</creator><creator>Kaduková, Michaela</creator><creator>Schreiberová, Andrea</creator><creator>Klein, Daniel</creator><creator>Halán, Miloš</creator><creator>Urbančíková, Ingrid</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240618</creationdate><title>Intestinal parasitic infections in children from marginalised Roma communities: prevalence and risk factors</title><author>Štrkolcová, Gabriela ; Fiľakovská Bobáková, Daniela ; Kaduková, Michaela ; Schreiberová, Andrea ; Klein, Daniel ; Halán, Miloš ; Urbančíková, Ingrid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-d685762f97be9c53c9345a13c414ca77d966115e3c5a4145201f405033c52ccc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anemia</topic><topic>Animal cognition</topic><topic>Animals</topic><topic>Children</topic><topic>Children & youth</topic><topic>Children of minorities</topic><topic>Cognitive ability</topic><topic>Cognitive development</topic><topic>Colorectal diseases</topic><topic>Cough</topic><topic>Cross-Sectional Studies</topic><topic>Demographic aspects</topic><topic>Diarrhea</topic><topic>Disease prevention</topic><topic>Economic impact</topic><topic>Eggs</topic><topic>Epidemics</topic><topic>Feces - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Štrkolcová, Gabriela</au><au>Fiľakovská Bobáková, Daniela</au><au>Kaduková, Michaela</au><au>Schreiberová, Andrea</au><au>Klein, Daniel</au><au>Halán, Miloš</au><au>Urbančíková, Ingrid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal parasitic infections in children from marginalised Roma communities: prevalence and risk factors</atitle><jtitle>BMC infectious diseases</jtitle><addtitle>BMC Infect Dis</addtitle><date>2024-06-18</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>596</spage><epage>10</epage><pages>596-10</pages><artnum>596</artnum><issn>1471-2334</issn><eissn>1471-2334</eissn><abstract>Intestinal parasitic infections remain a significant global health issue, particularly affecting poor and marginalised populations. These infections significantly contribute to children's diseases, malnutrition, poor school performance, cognitive disorders, and future economic losses. This study aimed to explore and compare the occurrence of intestinal parasites in early childhood among the group of infants from the Slovak majority population and from marginalised Roma communities (MRCs). Furthermore, it aimed to explore the health complaints of children with and without intestinal parasitic infection in the past month and assess the effect of various risk factors on the occurrence of intestinal parasitic infection in infants from MRCs.
We obtained cross-sectional data from mothers and stool samples of their children aged 13-21 months using the first wave of the longitudinal RomaREACH study. A total of 181 stools from infants were analysed: 105 infants from the Slovak majority population and 76 from MRCs.
Infants from MRCs are significantly more often infected by Ascaris lumbricoides, Trichuris trichiura and Giardia duodenalis than their better-off peers from the majority population. Infection rates are 30% in infants from MRCs vs. 0% in the majority population (p < 0.001). Single and mixed infections were observed in children from MRCs. Infants with intestinal parasitic infections suffer significantly more often from various health complaints, particularly cough, stomach ache, irritability, and diarrhoea. Within MRCs, the risk of parasitic infections in infants is significantly increased by risk factors such as the absence of flushing toilets in households (OR = 4.17, p < 0.05) and contact with un-dewormed animals (OR = 3.61, p < 0.05). Together with the absence of running water in the household, these three factors combined increase the risk more than ten times (p < 0.01).
Maintaining hygienic standards in conditions of socioeconomic deprivation in MRCs without running water and sewage in the presence of un-dewormed animals is problematic. These living conditions contribute to the higher prevalence of parasitic infections in children from MRCs, causing various health complaints and thus threatening their health and healthy development.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38890608</pmid><doi>10.1186/s12879-024-09500-z</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC infectious diseases, 2024-06, Vol.24 (1), p.596-10, Article 596 |
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| subjects | Anemia Animal cognition Animals Children Children & youth Children of minorities Cognitive ability Cognitive development Colorectal diseases Cough Cross-Sectional Studies Demographic aspects Diarrhea Disease prevention Economic impact Eggs Epidemics Feces - parasitology Female Food Gastrointestinal diseases Global health Health aspects Health complaints Households Humans Hygiene Hygienic standards Infant Infants Infections Intestinal Diseases, Parasitic - epidemiology Intestinal parasites Intestine Living conditions Male Malnutrition Marginalised Roma communities Medical research Medicine, Experimental Mortality Parasites Parasitic diseases Parasitic infections Pediatric research Population Population studies Prevalence Public health Risk Factors Roma - statistics & numerical data Romanies Sewage Slovakia - epidemiology Small intestine Statistics Toilets Tropical diseases Un-dewormed animals World health Worms |
| title | Intestinal parasitic infections in children from marginalised Roma communities: prevalence and risk factors |
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