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Functional illiteracy burden in soil-transmitted helminth (STH) endemic regions of the Philippines: An ecological study and geographical prediction for 2017.
Owada, Kei; Nielsen, Mark; Lau, Colleen L; Yakob, Laith; Clements, Archie C A; Leonardo, Lydia; Soares Magalhães, Ricardo J.
Afiliação
  • Owada K; School of Medicine, The University of Queensland, South Brisbane, Queensland, Australia.
  • Nielsen M; Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, South Brisbane, Queensland, Australia.
  • Lau CL; Spatial Epidemiology Laboratory, School of Veterinary Science, The University of Queensland, Gatton, Queensland, Australia.
  • Yakob L; School of Psychology, The University of Queensland, St Lucia, Queensland, Australia.
  • Clements ACA; Faculty of Humanities, University of Johannesburg, Auckland Park, South Africa.
  • Leonardo L; Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, South Brisbane, Queensland, Australia.
  • Soares Magalhães RJ; Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.
PLoS Negl Trop Dis ; 13(6): e0007494, 2019 06.
Article em En | MEDLINE | ID: mdl-31226111
BACKGROUND: Soil-transmitted helminth (STH) infections remain highly endemic across the Philippines, and are believed to be important contributors to delayed cognitive development of school-aged children. Identification of communities where children are at risk of functional illiteracy is important for the attainment of Sustainable Development Goals target for literacy. We aimed to quantify the associations between the spatial variation of STH infections and functional literacy indicators adjusting for other important contributors, and identify priority areas in the Philippines in need of interventions. METHODOLOGY/PRINCIPAL FINDINGS: We used data from 11,313 school-aged children on functional literacy indicators collected in 2008. Nested fixed-effects multinomial regression models were built to determine associations between STH endemicity and geographical distribution of functional literacy, adjusting for demographics, household level variables, and the prevalence of malaria. Bayesian multinomial geostatistical models were built to geographically predict the prevalence of each level of functional literacy. The number of school-aged children belonging to each of the functional literacy indicator classes was forecast for 2017. We estimated 4.20% of functional illiteracy burden among school-aged children in Mindanao might be averted by preventing T. trichiura infections. Areas predicted with the highest prevalence of functional illiteracy were observed in localised areas of the eastern region of the Visayas, and the south-eastern portion of Mindanao. CONCLUSIONS/SIGNIFICANCE: The study demonstrates significant geographical variation in burden of functional illiteracy in school-aged children associated with STH infections suggesting that targeted helminth control could potentially promote the development of cognitive function of school-aged children in the Philippines. The benefits of a spatially targeted strategy should be tested by future studies.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deficiências do Desenvolvimento / Doenças Endêmicas / Topografia Médica / Alfabetização / Helmintíase / Enteropatias Parasitárias Tipo de estudo: Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deficiências do Desenvolvimento / Doenças Endêmicas / Topografia Médica / Alfabetização / Helmintíase / Enteropatias Parasitárias Tipo de estudo: Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2019 Tipo de documento: Article