Prevalence, Age Profile, and Associated Risk Factors for Hymenolepis nana Infection in a Large Population-Based Study in Northern Peru

O'Neal, Seth E.; García Lescano, Héctor Hugo; Cysticercosis Working Group in Peru; Lescano Guevara, Andres Guillermo; Santivañez, Saul; Muro Ecca, Claudio Alberto; Vilchez Barreto, Percy Mcquen; Gamboa Morán, Ricardo; Moyano, Luz-Maria; Gonzálvez, Guillermo

dc.contributor.author	Vilchez Barreto, Percy Mcquen
dc.contributor.author	Gamboa Morán, Ricardo
dc.contributor.author	Santivañez, Saul
dc.contributor.author	O'Neal, Seth E.
dc.contributor.author	Muro Ecca, Claudio Alberto
dc.contributor.author	Lescano Guevara, Andres Guillermo
dc.contributor.author	Moyano, Luz-Maria
dc.contributor.author	Gonzálvez, Guillermo
dc.contributor.author	García Lescano, Héctor Hugo
dc.contributor.author	Cysticercosis Working Group in Peru
dc.date.accessioned	2019-01-25T16:03:17Z
dc.date.available	2019-01-25T16:03:17Z
dc.date.issued	2017
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4734
dc.description.abstract	Hymenolepis nana, the dwarf tapeworm, is a common intestinal infection of children worldwide. We evaluated infection and risk factor data that were previously collected from 14,761 children aged 2-15 years during a large-scale program in northern Peru. We found that 1,124 of 14,761 children (7.61%) had H. nana infection, a likely underestimate given that only a single stool sample was examined by microscopy for diagnosis. The strongest association with infection was lack of adequate water (adjusted prevalence ratio [aPR] 2.22, 95% confidence interval [CI] 1.82-2.48) and sanitation infrastructure in the house (aPR 1.94, 95% CI 1.64-2.29). One quarter of those tested did not have a bathroom or latrine at home, which doubled their likelihood of infection. Similarly, one quarter did not have piped public water to the house, which also increased the likelihood of infection. Continued efforts to improve access to basic water and sanitation services will likely reduce the burden of infection in children for this and other intestinal infections.	en_US
dc.language.iso	eng
dc.publisher	American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries	American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Adolescent	en_US
dc.subject	Age Factors	en_US
dc.subject	Animals	en_US
dc.subject	Child	en_US
dc.subject	Child, Preschool	en_US
dc.subject	Cross-Sectional Studies	en_US
dc.subject	Feces/parasitology	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Hymenolepiasis/epidemiology	en_US
dc.subject	Hymenolepis nana/isolation & purification	en_US
dc.subject	Infant	en_US
dc.subject	Intestinal Diseases, Parasitic/epidemiology	en_US
dc.subject	Male	en_US
dc.subject	Peru	en_US
dc.subject	Population Surveillance	en_US
dc.subject	Prevalence	en_US
dc.subject	Risk Factors	en_US
dc.subject	Sanitation	en_US
dc.subject	Toilet Facilities	en_US
dc.title	Prevalence, Age Profile, and Associated Risk Factors for Hymenolepis nana Infection in a Large Population-Based Study in Northern Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.16-0939
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645