Association between socio economic status and schistosomiasis infection in Jinja District, Uganda
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Date
2009-04-20
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley Online Library
Abstract
Objective: To examine the role of socioeconomic situation in influencing the risk and intensity of infection with Schistosomiasis mansoni.
Methods: Cross-sectional study in Walukuba Division bordering Lake Victoria, Jinja District. We assessed a random sample of 463 individuals aged 10–20 years for Schistosoma mansoni infection, water contact behaviour and treatment status with praziquantel as of the last mass treatment. Socio-
economic conditions of the participants’ households were assessed by calculating a wealth index (based on type of housing and ownership of assets). Households were classified in four classes; multivariate
logistic regression analysis was used to identify independent predictors of being infected with schisto-somiasis. Intensities of infection with S. mansoni were compared across the classes of wealth index.
results Wealth index emerged a risk factor for infection with S. mansoni after controlling for water contact and treatment with praziquantel. The adjusted odds ratio of being infected for the lowest level of wealth index compared to the highest was 10.42 (95% CI 3.38–32.36 P < 0.001). The intensity of infection decreased with wealth index Linearity F-ratio 13.91, 1 df, P <0.001). The geometric egg count for those in the lowest wealth index was 230 (95% CI 199–279) compared to 114 (95% CI 80–162) for
the highest wealth index.
Conclusions: In addition to mass treatment with praziquantel, improving the socio-economic conditions of the population should be given priority.
Description
The study is to examine the role of socioeconomic situation in influencing the risk and intensity of infection with Schistosomiasis mansoni
Keywords
Schistosomiasis, Water contact, Mass treatment, Social economic situation, Uganda
Citation
Muhumuza, Simon, Kitimbo, George, Oryema-Lalobo, Michael and Nuwaha, Fred, 2009. Association between socio economic status and schistosomiasis infection in Jinja District, Uganda.