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Prevalence and risk factors of intestinal parasites in Cuban children
Authors:Wördemann Meike  Polman Katja  Menocal Heredia Lenina T  Diaz Raquel Junco  Madurga Ana-Maria Collado  Núñez Fernández Fidel A  Cordovi Prado Raúl A  Espinosa Aniran Ruiz  Duran Liliana Pelayo  Gorbea Mariano Bonet  Rivero Lázara Rojas  Gryseels Bruno
Affiliation:Prince Leopold Institute of Tropical Medicine, Antwerp, Belgium. mwoerdemann@itg.be
Abstract:
OBJECTIVES: To determine the prevalence of intestinal parasite infections and their risk factors in children in urban and rural settings in two Cuban municipalities. METHODS: A total of 1320 Cuban schoolchildren aged 4-14 were tested by stool examination for intestinal parasite infections and evaluated by parental questionnaire for a number of common environmental, sanitary, socioeconomic and behavioural risk factors. Multivariate regression was applied to examine the relationship between the respective parasite infections and the risk factors. RESULTS: Prevalences of intestinal parasite infections were 58% in Fomento and 45% in San Juan y Martínez; for helminth infections, these were 18% and 24% and for protozoa infections, 50% and 29%, respectively. Helminth infections were associated with high parental education (maternal: OR 0.68, CI 0.50-0.93; paternal: OR 0.71, CI 0.52-0.96), absence of toilet (OR 1.57, CI 1.12-2.19), consumption of water from a well or river (OR 0.56, CI 0.41-0.77) and eating unpeeled/unwashed fruit (OR 1.37, CI 1.01-1.87); protozoa infections were only associated with high maternal education (OR 0.72, CI 0.57-0.91). CONCLUSIONS: Paediatric intestinal parasite infections are still prevalent in certain areas in Cuba and associated with a number of common environmental, socioeconomic and sanitary risk factors.
Keywords:paediatric helminths    protozoa    prevalence    risk factors    Cuba
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