| 来源类型 | Publication |
| Effect of a Sanitation Intervention on Soil-Transmitted Helminth Prevalence and Concentration in Household Soil: A Cluster-Randomized Controlled Trial and Risk Factor Analysis | |
| Lauren Steinbaum; John Mboya; Ryan Mahoney; Sammy M. Njenga; Clair Null; and Amy J. Pickering | |
| 发表日期 | 2019-02-11 |
| 出版者 | PLOS Neglected Tropical Diseases (online ahead of print) |
| 出版年 | 2019 |
| 语种 | 英语 |
| 概述 | Improved sanitation has been associated with a reduced prevalence of soil-transmitted helminth (STH) infection and has been hypothesized to prevent fecal contamination from spreading throughout the household environment. ", |
| 摘要 | Improved sanitation has been associated with a reduced prevalence of soil-transmitted helminth (STH) infection and has been hypothesized to prevent fecal contamination from spreading throughout the household environment. We evaluated the effect of providing households with a pit latrine with a plastic slab and drophole cover, child feces management tools, and associated behavioral messaging on reducing STH eggs in household soil. We collected soil samples from 2107 households (898 control and 1209 improved sanitation intervention households) that were enrolled in the WASH Benefits cluster randomized controlled trial in rural Kenya and performed a post-intervention analysis after two years of intervention exposure. Following a pre-specified analysis plan, we combined all households that received the sanitation intervention into one group for comparison to control households. The prevalence of STH eggs in soil was 18.9% in control households and 17.0% in intervention households. The unadjusted prevalence ratio of total STH eggs in the intervention groups compared to the control group was 0.94 (95% CI: 0.78–1.13). The geometric mean concentration was 0.05 eggs/g dry soil in control households and intervention households. Unadjusted and adjusted models gave similar results. We found use of a shared latrine, presence of a roof over the sampling area, and the number of dogs owned at baseline was associated with an increased prevalence of STH eggs in soil; the presence of a latrine that was at least 2 years old and a latrine with a covered drophole was associated with a reduction in the prevalence of STH eggs in soil. Soil moisture content was also associated with an increased prevalence of STH eggs in soil. Our results indicate that an intervention designed to increase access to improved latrines and child feces management tools may not be enough to impact environmental occurrence of STH in endemic areas where latrine coverage is already high. |
| URL | https://www.mathematica.org/our-publications-and-findings/publications/effect-of-a-sanitation-intervention-on-soil-transmitted-helminth-prevalence-and-concentration |
| 来源智库 | Mathematica Policy Research (United States) |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/489493 |
| 推荐引用方式 GB/T 7714 | Lauren Steinbaum,John Mboya,Ryan Mahoney,et al. Effect of a Sanitation Intervention on Soil-Transmitted Helminth Prevalence and Concentration in Household Soil: A Cluster-Randomized Controlled Trial and Risk Factor Analysis. 2019. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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