Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Más filtros

Bases de datos
País/Región como asunto
Tipo del documento
País de afiliación
Intervalo de año de publicación
1.
Infect Dis Poverty ; 12(1): 44, 2023 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-37098581

RESUMEN

BACKGROUND: The goal to eliminate the parasitic disease of poverty schistosomiasis as a public health problem is aligned with the 2030 United Nations agenda for sustainable development goals, including universal health coverage (UHC). Current control strategies focus on school-aged children, systematically neglecting adults. We aimed at providing evidence for the need of shifting the paradigm of schistosomiasis control programs from targeted to generalized approaches as key element for both the elimination of schistosomiasis as a public health problem and the promotion of UHC. METHODS: In a cross-sectional study performed between March 2020 and January 2021 at three primary health care centers in Andina, Tsiroanomandidy and Ankazomborona in Madagascar, we determined prevalence and risk factors for schistosomiasis by a semi-quantitative PCR assay from specimens collected from 1482 adult participants. Univariable and multivariable logistic regression were performed to evaluate odd ratios. RESULTS: The highest prevalence of S. mansoni, S. haematobium and co-infection of both species was 59.5%, 61.3% and 3.3%, in Andina and Ankazomborona respectively. Higher prevalence was observed among males (52.4%) and main contributors to the family income (68.1%). Not working as a farmer and higher age were found to be protective factors for infection. CONCLUSIONS: Our findings provide evidence that adults are a high-risk group for schistosomiasis. Our data suggests that, for ensuring basic health as a human right, current public health strategies for schistosomiasis prevention and control need to be re-addressed towards more context specific, holistic and integrated approaches.


Asunto(s)
Esquistosomiasis Urinaria , Esquistosomiasis mansoni , Adulto , Animales , Humanos , Masculino , Estudios Transversales , Madagascar/epidemiología , Prevalencia , Schistosoma haematobium , Schistosoma mansoni , Esquistosomiasis Urinaria/complicaciones , Esquistosomiasis Urinaria/epidemiología , Esquistosomiasis Urinaria/prevención & control , Esquistosomiasis mansoni/complicaciones , Esquistosomiasis mansoni/epidemiología , Esquistosomiasis mansoni/prevención & control , Factores de Riesgo , Adulto Joven , Persona de Mediana Edad , Factores Sexuales , Agricultura/estadística & datos numéricos , Coinfección/epidemiología , Coinfección/parasitología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA