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Intestinal Parasitic Infections, Treatment and Associated Factors among Pregnant Women in Sao Tome and Principe

2022-11-18Artigo científico Acesso aberto
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dc.contributor.authorVasconcelos, Alexandra
dc.contributor.authorSousa, Swasilanne
dc.contributor.authorBandeira, Nelson
dc.contributor.authorAlves, Marta
dc.contributor.authorPapoila, Ana Luísa
dc.contributor.authorPereira, Filomena
dc.contributor.authorMachado, Maria Do Céu
dc.contributor.institutionIndividual Health Care (IHC)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionUniversidade NOVA de Lisboa
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.pblWiley
dc.date.accessioned2023-02-10T22:22:15Z
dc.date.available2023-02-10T22:22:15Z
dc.date.issued2022-11-18
dc.descriptionPublisher Copyright: © 2022 Alexandra Vasconcelos et al.
dc.description.abstractBackground. Intestinal parasitic infections (IPIs) are a public health problem in developing countries such as Sao Tome and Principe (STP) although the pregnancy burden of IPIs is unknown in this endemic country. Thus, the aim of this study was to determine the prevalence of IPIs, prescribed anthelmintics, and associated factors among pregnant women admitted to Hospital Dr. Ayres de Menezes (HAM). Methods. A hospital-based cross-sectional study was conducted among pregnant women admitted to the HAM who had undergone antenatal copro-parasitological screening. Data were abstracted from antenatal care (ANC) cards regarding parasitological results and anthelmintic prescriptions. A structured questionnaire face-to-face interview was also applied. Pregnant women with an IPI (210) were compared to noninfected women (151). Data analysis was performed using SPSS version 25.0. Odds ratios (ORs) with 95% confidence intervals (CIs) for factors associated with IPIs were estimated using multiple logistic regression models. A p value <0.05 was considered statistically significant. Results. A total of 361 participants (210 IPI and 151 no-IPI) with a mean age of 26.96 (SD: 7.00) were included. The overall prevalence of IPI was 58.2% (95% CI 52.9 to 63.3), mainly due to helminthiasis, with a 55.9% (95% CI 50.7-61.2%) rate. Ascaris lumbricoides (90.9%) was the most predominant parasite species identified followed by Trichuris trichiura (13.8%). Polyparasitism was observed in 25 cases (11.9%). Anthelmintics were prescribed to 23% of pregnant women. S intercalatum (11) and E histolytica (7) infections were not adequately treated. IPI was significantly associated with primary education (AOR 1.73 (95% CI: 1.10-2.71)), unemployment (AOR 1.94 (95% CI: 1.20-3.13)), and parity of five or above (AOR 3.82 (95% CI: 1.32-11.08)). Conclusion. This study highlights the IPI burden, associated factors, and missing treatment opportunities among pregnant women with STP. This study is a useful tool for policymakers in STP to enhance the health of women and their unborn babies.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent366792
dc.identifier.doi10.1155/2022/7492020
dc.identifier.issn1687-9686
dc.identifier.otherPURE: 49716827
dc.identifier.otherPURE UUID: f6beba1b-cdbf-45d9-bac0-4ed0b5546c8d
dc.identifier.otherScopus: 85143077659
dc.identifier.otherPubMedCentral: PMC9699776
dc.identifier.otherPubMed: 36438179
dc.identifier.urihttp://hdl.handle.net/10362/149031
dc.identifier.urlhttps://www.scopus.com/pages/publications/85143077659
dc.language.isoeng
dc.peerreviewedyes
dc.subjectIntestinal parasitic infections
dc.subjectPublic Health
dc.subjectSao Tome and Principe
dc.subjectPregnancy Complications, Parasitic/prevention & control
dc.subjectrisk factors
dc.subjectHQ The family. Marriage. Woman
dc.subjectRG Gynecology and obstetrics
dc.subjectR Medicine
dc.subjectL Education
dc.subjectParasitology
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 4 - Quality Education
dc.subjectSDG 10 - Reduced Inequalities
dc.titleIntestinal Parasitic Infections, Treatment and Associated Factors among Pregnant Women in Sao Tome and Principeen
dc.title.subtitleA Cross-Sectional Studyen
dc.typejournal article
degois.publication.titleJournal Of Tropical Medicine
degois.publication.volume2022
dspace.entity.typePublication
rcaap.rightsopenAccess

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