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Soil-Transmitted Helminth Infection in Elementary School Children: An Integrated Environment and Behavior Case Study in Bandungan Sub-District, Semarang District

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Background: Soil-transmitted helminth (STH) infection was commonly found in children. This study aimed to analyze the factors influence to the prevalence of STH infection in elementary school children. Methods: This was a cross-sectional study conducted in Bandungan Sub-District. Study subject consisted of 799 children. The subject was 3rd to 6th-grade children from 24 elementary schools, spread in 10 villages of Bandungan Sub-district. Only 637 out of 799 children returned feces samples. The dependent variable of the study was STH infection, which was examined by the flotation method. Independent variable consisted host characteristics and behavior, and environmental characteristics. Results: The prevalence of STH was 3.6%, consisted of ascariasis 1.5%, trichuriasis 1.2%, and hookworm 0.9%. The proportion of ascariasis and trichuriasis were higher in male than female, while hookworm was equally distributed in both sexes. Distribution of STH varied according to the village (p = 0.000), most cases were found in Candi Village where 5% of its soil was contaminated with TH eggs. Distribution of ascariasis, trichuriasis, and hookworm infection significantly differed by the school ((p = 0.039, 0.000, and 0.044 respectively). There was a significant difference of grade and STH infection (p = 0.043), playing on the ground and hookworm infection (p = 0.016), lack of water container and trichuriasis (p = 0.000), and type of water container and trichuriasis (p = 0.036). Conclusion: Our study concluded that environment and behavior factors must be addressed to support the accomplishment of STH control program.
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Keywords: Ascaris lumbricoides; Hookworm; Soil-Transmitted Helminths; Trichuris trichiura

Document Type: Research Article

Affiliations: 1: Master Program in Epidemiology, School of Postgraduate Studies, Diponegoro University, Semarang 50241, Indonesia 2: Department of Epidemiology, Faculty of Public Health, Diponegoro University, Jl. Professor Sudharto SH, Kampus UNDIP Tembalang, Semarang 50275, Indonesia

Publication date: April 1, 2017

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