Prevalence and Associated Risk Factors of Soil-Transmitted Helminthiasis among School-Aged Children in Jos North and Jos South, Plateau State, Nigeria
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Abstract
Background: Soil-transmitted helminth (STH) infections remain a public health concern among children in low-resource settings. We aimed to assess the prevalence and associated risk factors of STH infections among school-aged children in Jos North and Jos South Local Government Areas, Plateau State, Nigeria.
Methods: This cross-sectional study was conducted between August 2022 and November 2024 among 1,200 pupils selected following the WHO guidelines. Stool samples were examined using the formal-ether concentration technique, and structured questionnaires were used to assess potential risk factors. Data were analyzed using chi-square tests and logistic regression at a 95% confidence level.
Results: The overall prevalence of STH infection was 2.5%. Ascaris lumbricoides (1.7%) was the most prevalent species, followed by hookworm (0.8%). No statistically significant associations were observed between infection and sex or age (P > 0.05), although children aged 9–12 years had the highest prevalence (2.9%). Multivariate analysis identified access to well water as a significant protective factor against infection (OR = 0.11, 95% CI: 0.02–0.56, P = 0.01).
Conclusion: Despite the relatively low prevalence, ongoing transmission risks remain. Strengthening WASH interventions alongside targeted school-based health education is essential to sustain progress toward the WHO 2030 STH control targets.
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References
Djuardi Y, Lazarus G, Stefanie D, Fahmida U, Ariawan I, Supali T. Soil-transmitted helminth in-fection, anemia, and malnutrition among pre-school-age children in Nangapanda subdistrict, In-donesia. PLoS Negl Trop Dis. 2021;15(6):e0009560. doi:10.1371/journal.pntd.0009560.
Fetene Y, Hailu T, Yimer M, Alemu M. Determi-nants of helminthic infections and anemia among schoolchildren in Bahir Dar Zuria District, North-west Ethiopia. J Parasitol Res. 2021;2021:9913118. doi:10.1155/2021/9913118.
Dhaka R, Verma R, Kumar R, Chayal V, Bhalla K, Singh R. Pattern and determinants of soil-transmitted helminthiasis in a rural area of Haryana: A school-based study. J Family Med Prim Care. 2019;8(1):71–75.
Mugel SG, Clasen TF, Bauza V. Global practices, geographic variation, and determinants of child fe-ces disposal in 42 low- and middle-income coun-tries. Int J Hyg Environ Health. 2022;245:113014. doi:10.1016/j.ijheh.2022.113014.
Montresor A, Mwinzi P, Mupfasoni D, Garba A. Reduction in DALYs lost due to soil-transmitted helminthiases and schistosomiasis from 2000 to 2019. PLoS Negl Trop Dis. 2022;16:e0010575. doi:10.1371/journal.pntd.0010575
World Health Organization. Soil-transmitted hel-minth infections. Geneva: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/soil-transmitted-helminth-infections
Pullan RL, Brooker SJ. The global limits and popu-lation at risk of soil-transmitted helminth infections in 2010. Parasit Vectors. 2012;5:81. doi:10.1186/1756-3305-5-81
Weaver HJ, Hawdon JM, Hoberg EP. Soil-transmitted helminthiases: Implications of climate change and human behavior. Trends Parasitol. 2010;26:574–581.
Aribodor DN, Bassey SA, Yoonuan T, Sam-Wobo SO, Aribodor OB, Ugwuanyi IK. Analysis of schis-tosomiasis and soil-transmitted helminths mixed infections among pupils in Enugu State, Nigeria. Infect Dis Health. 2019;24(2):98–106. doi:10.1016/j.idh.2018.12.003.
Jia TW, Melville S, Utzinger J, King CH, Zhou XN. Soil-transmitted helminth reinfection after drug treatment: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2012;6:e1621. doi:10.1371/journal.pntd.0001621.
Mekonnen Z, Getachew M, Bogers J, Vercruysse J, Levecke B. Assessment of seasonality in soil-transmitted helminth infections across 14 schools in Jimma town, Ethiopia. Pan Afr Med J. 2019;32:Article.
Camacho-Alvarez I, Goyens P, Luizaga-López JM, Jacobs F. Geographic differences in the distribution of parasitic infections in children of Bolivia. Parasite Epidemiol Control. 2021;14:e00217.
Clements ACA, Addis Alene K. Global distribution of human hookworm species and differences in morbidity effects: A systematic review. Lancet Mi-crobe. 2022;3:e72–e79. doi:10.1016/S2666-5247(21)00181-6.
Sripa B, Leonardo L, Hong SJ, Ito A, Brattig NW. Status and perspective of Asian neglected tropical diseases. Acta Trop. 2022;225:106118.
Adamu R, Nor AB, Muskhazli M, Shamarina S. Risk factors associated with soil-transmitted hel-minth infections among primary school children in Kano, Nigeria. J Biochem Microbiol Biotechnol. 2024;12(1):27–33. doi:10.54987/jobimb.v12i1.958.
Opara KN, Eteye UW, Yaro CA, Alkazmi L, Udoidung NI, Chikezie FM, et al. Prevalence, risk factors, and coinfection of urogenital schistosomia-sis and soil-transmitted helminthiasis. J Parasitol Res. 2021;2021:6618394. doi:10.1155/2021/6618394.
Dahal AS, Francis EO, Francis JE, Wamtas FI. Soil-transmitted helminths and associated risk factors among pupils in Dadin Kowa, Jos. Niger Med J. 2019;60:181–185. doi:10.4103/nmj.NMJ_62_19.
Obeta MU, Ejinaka OR, Jwanse RI, Lote-Nwaru IE, Ibrahim AS. Prevalence and distribution of soil-transmitted helminths among children in Jos. Lond J Med Health Res. 2019;19(1).
MacLeod WN, Berridge NG. The geology of the Jos Plateau. Geological Survey of Nigeria Bulletin No. 32. Kaduna: Geological Survey of Nigeria; 1971.
World Health Organization. Basic laboratory meth-ods in medical parasitology. Geneva: WHO; 1991.
Swinscow TDV, Campbell MJ. Statistics at square. 10th ed. London: BMJ Books; 2002.
Cheesbrough M. District laboratory practice in trop-ical countries. 2nd ed. Cambridge: Cambridge Uni-versity Press; 2010.
World Health Organization. Guideline: Preventive chemotherapy to control soil-transmitted helminth infections. Geneva: WHO; 2017. https://www.who.int/publications/i/item/9789241550116
Nzeukwu CI, Ihejie PO, Irikannu KC, Umeanaeto PU, Nzeukwu AC, Elosiuba NV, et al. Prevalence and risk factors for soil-transmitted helminth infec-tions in Awka South LGA. Bioscientist. 2022;10(2):156–166.
Ojurongbe O, Oyesiji KF, Ojo JA, Odewale G, Ade-fioye OA, Olowe AO, et al. Soil-transmitted hel-minth infections among school children in Ile-Ife. Int Res J Med Med Sci. 2014;2(1):6–10.
Idowu ET, Fagbohun IK, Sanyaolu OL, Oguntuyi KO, Otubanjo OA. Soil-transmitted helminth in-fections among children in Lagos State. Anim Res Int. 2019;16(3):3508–3518.
Ukibe SN, Ukibe NR, Obi-Okaro AC, Iwueze MO. Prevalence and pattern of soil-transmitted hel-minths in Nnewi. Annu Res Rev Biol. 2018;28(1):1–6.
Nwalozie R, Egbukele M, Ezenwaka CO. Preva-lence of soil-transmitted helminths among pupils in Rivers State. Int J Biol Pharm Sci Arch. 2024;7(1):115–121.
Akinsanya B, Adubi T, Macauley A, Okonofua C. Epidemiology and risk factors of soil-transmitted helminths in Ogun State. Sci Afr. 2021;12:e00757. doi:10.1016/j.sciaf.2021.e00757.
Alemu A, Tegegne Y, Damte D, Melku M. Schis-tosoma mansoni and soil-transmitted helminths among preschool children in Ethiopia. BMC Public Health. 2016;16:422. doi:10.1186/s12889-016-2864-9.
Pasaribu AP, Alam A, Sembiring K, Pasaribu S, Setiabudi D. Prevalence and risk factors of soil-transmitted helminthiasis in Indonesia. BMC Pub-lic Health. 2019;19:1066. doi:10.1186/s12889-019-7397-6.
Mogaji HO, Dedeke GA, Bada BS, Bankole S, Ad-eniji A, Fagbenro MT, et al. Distribution of ascaria-sis, trichuriasis and hookworm infections in Ogun State. PLoS One. 2020;15(6):e0233423. doi:10.1371/journal.pone.0233423.
Mohammed JS. Soil-transmitted helminths among farmers in Iraq. Int J Med Sci Dent Health. 2024;10(6). doi:10.55640/ijmsdh-10-06-01.
Naila AA, Nurfachanti F, Rasfayanah, Andi HE, Darussalam, Windy NA. Personal hygiene and soil-transmitted helminth infection among school chil-dren. J Kesehat Tadulako. 2025;11(4). doi:10.22487/htj.v11i4.1800.
World Health Organization. Mass drug administra-tion for STH control: Guidelines and recommenda-tions. Geneva: WHO; 2021. https://www.who.int/news-room/articles-detail/public-notice-and-comment-process-on-who-guideline-on-mass-drug-administration-combinations-for-neglected-tropical-diseases-grc-23-10-1093