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Prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia: A comparative cross-sectional study
Acute respiratory infections are rising in developing countries including Ethiopia. Lack of evidence for the prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia is a challenge for the implementation of appr...
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Published in: | PloS one 2021-05, Vol.16 (5), p.e0251621 |
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creator | Eneyew, Betelhiem Sisay, Tadesse Gizeyatu, Adinew Lingerew, Mistir Keleb, Awoke Malede, Asmamaw Ademas, Ayechew Dagne, Mengesha Gebrehiwot, Mesfin Damtie, Yitayish Tegegne, Tesfaye Birhane Addisu, Elsabeth Fentaw, Zinabu Wagaye, Birhanu Feleke, Alelgne Hassen, Seada Berihun, Gete Abebe, Masresha Berhanu, Leykun Natnael, Tarikuwa Yenuss, Mohammed Ketema, Gebremariam Bogale, Kassahun Yayeh, Tilaye Matebe Selamsew, Maru Baye, Alemwork Adane, Metadel |
description | Acute respiratory infections are rising in developing countries including Ethiopia. Lack of evidence for the prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia is a challenge for the implementation of appropriate measures to control acute respiratory infection. Thus, this study was designed to address the gaps.
A comparative cross-sectional study was conducted among 84 door-to-door waste collectors and 84 street sweepers from March to May 2018. A simple random sampling technique was used to select study participants. Data were collected by trained data collectors using a pretested structured questionnaire and on-the-spot direct observation checklist. Data were analyzed using three different binary logistic regression models at 95% confidence interval (CI): the first model (Model I) was used to identify factors associated with acute respiratory infection among street sweepers, whereas the second model (Model II) was used to identify factors associated with acute respiratory infection among door-to-door waste collectors, and the third model (Model III) was used for pooled analysis to identify factors associated with acute respiratory infection among both street sweepers and door-to-door waste collectors. From each model multivariable logistic regression, variables with a p-value |
doi_str_mv | 10.1371/journal.pone.0251621 |
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A comparative cross-sectional study was conducted among 84 door-to-door waste collectors and 84 street sweepers from March to May 2018. A simple random sampling technique was used to select study participants. Data were collected by trained data collectors using a pretested structured questionnaire and on-the-spot direct observation checklist. Data were analyzed using three different binary logistic regression models at 95% confidence interval (CI): the first model (Model I) was used to identify factors associated with acute respiratory infection among street sweepers, whereas the second model (Model II) was used to identify factors associated with acute respiratory infection among door-to-door waste collectors, and the third model (Model III) was used for pooled analysis to identify factors associated with acute respiratory infection among both street sweepers and door-to-door waste collectors. From each model multivariable logistic regression, variables with a p-value <0.05 were taken as factors significantly associated with acute respiratory infection.
The overall prevalence of acute respiratory infection among studied population was 42.85% with 95% CI (35.1, 50.0%). The prevalence of acute respiratory infection among street sweepers was 48.80% (95% CI: 37.3, 64.8%) and among door-to-door waste collectors was 36.90% (95% CI: 27.4, 46.4%). There was no statistically significant difference between the prevalence of acute respiratory infection among the two groups due to the overlapping of the 95% CI. Among the street sweepers, we found that factors significantly associated with acute respiratory infection were not cleaning personal protective equipment after use (adjusted odds ratio [AOR]: 2.40; 95% CI: 1.15, 5.51) and use of coal/wood for cooking (AOR: 3.95; 95% CI: 1.52, 7.89), whereas among door-to-door waste collectors, were not using a nose/mouth mask while on duty (AOR: 5.57; 95% CI: 1.39, 9.32) and not receiving health and safety training (AOR: 3.82; 95% CI: 1.14-7.03) were factors significantly associated with acute respiratory infection among door-to-door-waste collectors. From the pooled analysis, we found that not using a nose/mouth mask while on duty (AOR: 2.19; 95% CI: 1.16, 4.53) and using coal/wood for cooking (AOR: 2.74; 95% CI: 1.18, 6.95) were factors significantly associated with acute respiratory infection for both street sweepers and door-to-door waste collectors.
The prevalence of acute respiratory infection among street sweepers and door-to-door waste collectors has no statistically significant difference. For both groups, not using a nose/mouth mask while on duty and using coal/wood for cooking fuel factors associated with acute respiratory infection. The municipality should motivate and monitor workers use of personal protective equipment including masks and gloves. Workers should use a nose/mouth mask while on duty and should choose a clean energy source for cooking at home.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0251621</identifier><identifier>PMID: 33989364</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accumulators ; Adenoviruses, Human ; Coal ; Collectors ; Computer programs ; Confidence intervals ; Cooking ; Cross-sectional studies ; Data analysis ; Developing countries ; Drafting software ; Earth Sciences ; Engineering and Technology ; Environmental health ; Epidemiology ; Evaluation ; Funding ; Health sciences ; Infection control ; Infections ; LDCs ; Medical schools ; Medicine ; Medicine and Health Sciences ; Methodology ; Methods ; Neonates ; Nutrition ; Personal protective equipment ; Pharmacy ; Physical Sciences ; Prevalence studies (Epidemiology) ; Protective equipment ; Public health ; Research and Analysis Methods ; Respiration ; Respiratory tract infection ; Risk factors ; Social Sciences ; Software ; Statistical analysis ; Visualization</subject><ispartof>PloS one, 2021-05, Vol.16 (5), p.e0251621</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Eneyew et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Eneyew et al 2021 Eneyew et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-523c4ea53184d4337d18c8dc7b1eb496495058a7839ee60e862662db371575383</citedby><cites>FETCH-LOGICAL-c692t-523c4ea53184d4337d18c8dc7b1eb496495058a7839ee60e862662db371575383</cites><orcidid>0000-0003-3923-507X ; 0000-0002-8124-5151 ; 0000-0002-7039-4768 ; 0000-0002-4577-868X ; 0000-0003-3491-3839 ; 0000-0002-5511-2072</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2527533077/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2527533077?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33989364$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Fernández, Miguel A.</contributor><creatorcontrib>Eneyew, Betelhiem</creatorcontrib><creatorcontrib>Sisay, Tadesse</creatorcontrib><creatorcontrib>Gizeyatu, Adinew</creatorcontrib><creatorcontrib>Lingerew, Mistir</creatorcontrib><creatorcontrib>Keleb, Awoke</creatorcontrib><creatorcontrib>Malede, Asmamaw</creatorcontrib><creatorcontrib>Ademas, Ayechew</creatorcontrib><creatorcontrib>Dagne, Mengesha</creatorcontrib><creatorcontrib>Gebrehiwot, Mesfin</creatorcontrib><creatorcontrib>Damtie, Yitayish</creatorcontrib><creatorcontrib>Tegegne, Tesfaye Birhane</creatorcontrib><creatorcontrib>Addisu, Elsabeth</creatorcontrib><creatorcontrib>Fentaw, Zinabu</creatorcontrib><creatorcontrib>Wagaye, Birhanu</creatorcontrib><creatorcontrib>Feleke, Alelgne</creatorcontrib><creatorcontrib>Hassen, Seada</creatorcontrib><creatorcontrib>Berihun, Gete</creatorcontrib><creatorcontrib>Abebe, Masresha</creatorcontrib><creatorcontrib>Berhanu, Leykun</creatorcontrib><creatorcontrib>Natnael, Tarikuwa</creatorcontrib><creatorcontrib>Yenuss, Mohammed</creatorcontrib><creatorcontrib>Ketema, Gebremariam</creatorcontrib><creatorcontrib>Bogale, Kassahun</creatorcontrib><creatorcontrib>Yayeh, Tilaye Matebe</creatorcontrib><creatorcontrib>Selamsew, Maru</creatorcontrib><creatorcontrib>Baye, Alemwork</creatorcontrib><creatorcontrib>Adane, Metadel</creatorcontrib><title>Prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia: A comparative cross-sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Acute respiratory infections are rising in developing countries including Ethiopia. Lack of evidence for the prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia is a challenge for the implementation of appropriate measures to control acute respiratory infection. Thus, this study was designed to address the gaps.
A comparative cross-sectional study was conducted among 84 door-to-door waste collectors and 84 street sweepers from March to May 2018. A simple random sampling technique was used to select study participants. Data were collected by trained data collectors using a pretested structured questionnaire and on-the-spot direct observation checklist. Data were analyzed using three different binary logistic regression models at 95% confidence interval (CI): the first model (Model I) was used to identify factors associated with acute respiratory infection among street sweepers, whereas the second model (Model II) was used to identify factors associated with acute respiratory infection among door-to-door waste collectors, and the third model (Model III) was used for pooled analysis to identify factors associated with acute respiratory infection among both street sweepers and door-to-door waste collectors. From each model multivariable logistic regression, variables with a p-value <0.05 were taken as factors significantly associated with acute respiratory infection.
The overall prevalence of acute respiratory infection among studied population was 42.85% with 95% CI (35.1, 50.0%). The prevalence of acute respiratory infection among street sweepers was 48.80% (95% CI: 37.3, 64.8%) and among door-to-door waste collectors was 36.90% (95% CI: 27.4, 46.4%). There was no statistically significant difference between the prevalence of acute respiratory infection among the two groups due to the overlapping of the 95% CI. Among the street sweepers, we found that factors significantly associated with acute respiratory infection were not cleaning personal protective equipment after use (adjusted odds ratio [AOR]: 2.40; 95% CI: 1.15, 5.51) and use of coal/wood for cooking (AOR: 3.95; 95% CI: 1.52, 7.89), whereas among door-to-door waste collectors, were not using a nose/mouth mask while on duty (AOR: 5.57; 95% CI: 1.39, 9.32) and not receiving health and safety training (AOR: 3.82; 95% CI: 1.14-7.03) were factors significantly associated with acute respiratory infection among door-to-door-waste collectors. From the pooled analysis, we found that not using a nose/mouth mask while on duty (AOR: 2.19; 95% CI: 1.16, 4.53) and using coal/wood for cooking (AOR: 2.74; 95% CI: 1.18, 6.95) were factors significantly associated with acute respiratory infection for both street sweepers and door-to-door waste collectors.
The prevalence of acute respiratory infection among street sweepers and door-to-door waste collectors has no statistically significant difference. For both groups, not using a nose/mouth mask while on duty and using coal/wood for cooking fuel factors associated with acute respiratory infection. The municipality should motivate and monitor workers use of personal protective equipment including masks and gloves. Workers should use a nose/mouth mask while on duty and should choose a clean energy source for cooking at home.</description><subject>Accumulators</subject><subject>Adenoviruses, Human</subject><subject>Coal</subject><subject>Collectors</subject><subject>Computer programs</subject><subject>Confidence intervals</subject><subject>Cooking</subject><subject>Cross-sectional studies</subject><subject>Data analysis</subject><subject>Developing countries</subject><subject>Drafting software</subject><subject>Earth Sciences</subject><subject>Engineering and Technology</subject><subject>Environmental health</subject><subject>Epidemiology</subject><subject>Evaluation</subject><subject>Funding</subject><subject>Health sciences</subject><subject>Infection control</subject><subject>Infections</subject><subject>LDCs</subject><subject>Medical schools</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Methodology</subject><subject>Methods</subject><subject>Neonates</subject><subject>Nutrition</subject><subject>Personal protective equipment</subject><subject>Pharmacy</subject><subject>Physical Sciences</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Protective equipment</subject><subject>Public health</subject><subject>Research and Analysis Methods</subject><subject>Respiration</subject><subject>Respiratory tract infection</subject><subject>Risk factors</subject><subject>Social Sciences</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Visualization</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9-K1DAUxoso7jr6BqIBQRDs2CRN2nohDOOqAwsr_rsNaXI6k6FtapLOOi_m85nZmV1mQEF6kXLy-74TvuQkyVOcTTEt8Ju1HV0v2-lge5hmhGFO8L3kHFeUpJxk9P7R_1nyyPt1ljFacv4wOaO0KivK8_Pk92cHG9lCrwDJXiPpvVVGBtCokSpY55FtkFRjAOTAD8bJWNwi0zeggrE9kp3tl8gHBxCQvwYYIIp2Xtpalwab7lZ0LX20ULZtYW9revQevDeA5iZsX6OLsDJ2MPItmkWsG2TsZDZR4qz3qd93k23sNOrt4-RBI1sPTw7rJPn-4eLb_FN6efVxMZ9dpopXJKSMUJWDZBSXuc4pLTQuValVUWOo84rnFctYKYuSVgA8g5ITzomuY76siGHRSfJ87zu01otD5F4QRuI2zYoiEos9oa1ci8GZTrqtsNKIm4J1SyFdMKoFUXLJCatZQxTOqWYVZSxalKrOCs3wzuvdodtYd6AV9MHJ9sT0dKc3K7G0G1FigmmOo8GLg4GzP0fw4R9HPlDLePEi3qSNZqozXokZ57gkjMfgJsn0L1T8NHRGxUfXmFg_Ebw6EUQmwK-wlKP3YvH1y_-zVz9O2ZdH7ApkG1betuPuPfhTMN-DN0_GQXOXHM7EbmZu0xC7mRGHmYmyZ8ep34luh4T-AYOYFBI</recordid><startdate>20210514</startdate><enddate>20210514</enddate><creator>Eneyew, 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and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia: A comparative cross-sectional study</title><author>Eneyew, Betelhiem ; Sisay, Tadesse ; Gizeyatu, Adinew ; Lingerew, Mistir ; Keleb, Awoke ; Malede, Asmamaw ; Ademas, Ayechew ; Dagne, Mengesha ; Gebrehiwot, Mesfin ; Damtie, Yitayish ; Tegegne, Tesfaye Birhane ; Addisu, Elsabeth ; Fentaw, Zinabu ; Wagaye, Birhanu ; Feleke, Alelgne ; Hassen, Seada ; Berihun, Gete ; Abebe, Masresha ; Berhanu, Leykun ; Natnael, Tarikuwa ; Yenuss, Mohammed ; Ketema, Gebremariam ; Bogale, Kassahun ; Yayeh, Tilaye Matebe ; Selamsew, Maru ; Baye, Alemwork ; Adane, Metadel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-523c4ea53184d4337d18c8dc7b1eb496495058a7839ee60e862662db371575383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accumulators</topic><topic>Adenoviruses, Human</topic><topic>Coal</topic><topic>Collectors</topic><topic>Computer programs</topic><topic>Confidence intervals</topic><topic>Cooking</topic><topic>Cross-sectional studies</topic><topic>Data analysis</topic><topic>Developing countries</topic><topic>Drafting software</topic><topic>Earth Sciences</topic><topic>Engineering and Technology</topic><topic>Environmental health</topic><topic>Epidemiology</topic><topic>Evaluation</topic><topic>Funding</topic><topic>Health sciences</topic><topic>Infection control</topic><topic>Infections</topic><topic>LDCs</topic><topic>Medical schools</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Methodology</topic><topic>Methods</topic><topic>Neonates</topic><topic>Nutrition</topic><topic>Personal protective equipment</topic><topic>Pharmacy</topic><topic>Physical Sciences</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Protective equipment</topic><topic>Public health</topic><topic>Research and Analysis Methods</topic><topic>Respiration</topic><topic>Respiratory tract infection</topic><topic>Risk factors</topic><topic>Social Sciences</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Visualization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eneyew, Betelhiem</creatorcontrib><creatorcontrib>Sisay, Tadesse</creatorcontrib><creatorcontrib>Gizeyatu, Adinew</creatorcontrib><creatorcontrib>Lingerew, Mistir</creatorcontrib><creatorcontrib>Keleb, Awoke</creatorcontrib><creatorcontrib>Malede, Asmamaw</creatorcontrib><creatorcontrib>Ademas, Ayechew</creatorcontrib><creatorcontrib>Dagne, Mengesha</creatorcontrib><creatorcontrib>Gebrehiwot, Mesfin</creatorcontrib><creatorcontrib>Damtie, Yitayish</creatorcontrib><creatorcontrib>Tegegne, Tesfaye Birhane</creatorcontrib><creatorcontrib>Addisu, Elsabeth</creatorcontrib><creatorcontrib>Fentaw, Zinabu</creatorcontrib><creatorcontrib>Wagaye, Birhanu</creatorcontrib><creatorcontrib>Feleke, Alelgne</creatorcontrib><creatorcontrib>Hassen, Seada</creatorcontrib><creatorcontrib>Berihun, Gete</creatorcontrib><creatorcontrib>Abebe, Masresha</creatorcontrib><creatorcontrib>Berhanu, Leykun</creatorcontrib><creatorcontrib>Natnael, Tarikuwa</creatorcontrib><creatorcontrib>Yenuss, Mohammed</creatorcontrib><creatorcontrib>Ketema, Gebremariam</creatorcontrib><creatorcontrib>Bogale, Kassahun</creatorcontrib><creatorcontrib>Yayeh, Tilaye Matebe</creatorcontrib><creatorcontrib>Selamsew, Maru</creatorcontrib><creatorcontrib>Baye, Alemwork</creatorcontrib><creatorcontrib>Adane, Metadel</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest 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Collection</collection><collection>Biological Sciences</collection><collection>Agriculture Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials science collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eneyew, Betelhiem</au><au>Sisay, Tadesse</au><au>Gizeyatu, Adinew</au><au>Lingerew, Mistir</au><au>Keleb, Awoke</au><au>Malede, Asmamaw</au><au>Ademas, Ayechew</au><au>Dagne, Mengesha</au><au>Gebrehiwot, Mesfin</au><au>Damtie, Yitayish</au><au>Tegegne, Tesfaye Birhane</au><au>Addisu, Elsabeth</au><au>Fentaw, Zinabu</au><au>Wagaye, Birhanu</au><au>Feleke, Alelgne</au><au>Hassen, Seada</au><au>Berihun, Gete</au><au>Abebe, Masresha</au><au>Berhanu, Leykun</au><au>Natnael, Tarikuwa</au><au>Yenuss, Mohammed</au><au>Ketema, Gebremariam</au><au>Bogale, Kassahun</au><au>Yayeh, Tilaye Matebe</au><au>Selamsew, Maru</au><au>Baye, Alemwork</au><au>Adane, Metadel</au><au>Fernández, Miguel A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia: A comparative cross-sectional study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-05-14</date><risdate>2021</risdate><volume>16</volume><issue>5</issue><spage>e0251621</spage><pages>e0251621-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Acute respiratory infections are rising in developing countries including Ethiopia. Lack of evidence for the prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia is a challenge for the implementation of appropriate measures to control acute respiratory infection. Thus, this study was designed to address the gaps.
A comparative cross-sectional study was conducted among 84 door-to-door waste collectors and 84 street sweepers from March to May 2018. A simple random sampling technique was used to select study participants. Data were collected by trained data collectors using a pretested structured questionnaire and on-the-spot direct observation checklist. Data were analyzed using three different binary logistic regression models at 95% confidence interval (CI): the first model (Model I) was used to identify factors associated with acute respiratory infection among street sweepers, whereas the second model (Model II) was used to identify factors associated with acute respiratory infection among door-to-door waste collectors, and the third model (Model III) was used for pooled analysis to identify factors associated with acute respiratory infection among both street sweepers and door-to-door waste collectors. From each model multivariable logistic regression, variables with a p-value <0.05 were taken as factors significantly associated with acute respiratory infection.
The overall prevalence of acute respiratory infection among studied population was 42.85% with 95% CI (35.1, 50.0%). The prevalence of acute respiratory infection among street sweepers was 48.80% (95% CI: 37.3, 64.8%) and among door-to-door waste collectors was 36.90% (95% CI: 27.4, 46.4%). There was no statistically significant difference between the prevalence of acute respiratory infection among the two groups due to the overlapping of the 95% CI. Among the street sweepers, we found that factors significantly associated with acute respiratory infection were not cleaning personal protective equipment after use (adjusted odds ratio [AOR]: 2.40; 95% CI: 1.15, 5.51) and use of coal/wood for cooking (AOR: 3.95; 95% CI: 1.52, 7.89), whereas among door-to-door waste collectors, were not using a nose/mouth mask while on duty (AOR: 5.57; 95% CI: 1.39, 9.32) and not receiving health and safety training (AOR: 3.82; 95% CI: 1.14-7.03) were factors significantly associated with acute respiratory infection among door-to-door-waste collectors. From the pooled analysis, we found that not using a nose/mouth mask while on duty (AOR: 2.19; 95% CI: 1.16, 4.53) and using coal/wood for cooking (AOR: 2.74; 95% CI: 1.18, 6.95) were factors significantly associated with acute respiratory infection for both street sweepers and door-to-door waste collectors.
The prevalence of acute respiratory infection among street sweepers and door-to-door waste collectors has no statistically significant difference. For both groups, not using a nose/mouth mask while on duty and using coal/wood for cooking fuel factors associated with acute respiratory infection. The municipality should motivate and monitor workers use of personal protective equipment including masks and gloves. Workers should use a nose/mouth mask while on duty and should choose a clean energy source for cooking at home.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33989364</pmid><doi>10.1371/journal.pone.0251621</doi><tpages>e0251621</tpages><orcidid>https://orcid.org/0000-0003-3923-507X</orcidid><orcidid>https://orcid.org/0000-0002-8124-5151</orcidid><orcidid>https://orcid.org/0000-0002-7039-4768</orcidid><orcidid>https://orcid.org/0000-0002-4577-868X</orcidid><orcidid>https://orcid.org/0000-0003-3491-3839</orcidid><orcidid>https://orcid.org/0000-0002-5511-2072</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2021-05, Vol.16 (5), p.e0251621 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_2527533077 |
source | Publicly Available Content Database; PubMed Central |
subjects | Accumulators Adenoviruses, Human Coal Collectors Computer programs Confidence intervals Cooking Cross-sectional studies Data analysis Developing countries Drafting software Earth Sciences Engineering and Technology Environmental health Epidemiology Evaluation Funding Health sciences Infection control Infections LDCs Medical schools Medicine Medicine and Health Sciences Methodology Methods Neonates Nutrition Personal protective equipment Pharmacy Physical Sciences Prevalence studies (Epidemiology) Protective equipment Public health Research and Analysis Methods Respiration Respiratory tract infection Risk factors Social Sciences Software Statistical analysis Visualization |
title | Prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia: A comparative cross-sectional study |
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