Soil-Transmitted Helminth Infection and Nutritional Status Among Urban Slum Children in Kenya
Open accessAbstract
To evaluate the nutritional impact of soil-transmitted helminth (STH) infection, we conducted a cross-sectional survey of 205 pre-school (PSC) and 487 school-aged children (SAC) randomly selected from the surveillance registry of the Centers for Disease Control and Prevention of the Kibera slum in Kenya. Hemoglobin, iron deficiency (ID), vitamin A deficiency (VAD), inflammation, malaria, anthropometry, and STH ova were measured. Poisson regression models evaluated associations between STH and malnutrition outcomes and controlled for confounders. Approximately 40% of PSC and SAC had STH infection, primarily Ascaris and Trichuris; 2.9% of PSC and 1.1% of SAC had high-intensity infection. Malnutrition prevalence among PSC and SAC was anemia (38.3% and 14.0%, respectively), ID (23.0% and 5.0%, respectively), VAD (16.9% and 4.5%, respectively), and stunting (29.7% and 16.9%, respectively). In multivariate analysis, STH in PSC was associated with VAD (prevalence ratio [PR] = 2.2, 95% confidence interval = 1.1–4.6) and ID (PR = 3.3, 95% confidence interval = 1.6–6.6) but not anemia or stunting. No associations were significant in SAC. Integrated deworming and micronutrient supplementation strategies should be evaluated in this population.
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- Authors
- Suchdev, P. S., Davis, S. M., Bartoces, M., Ruth, L. J., Worrell, C. M., Kanyi, H., Odero, K., Wiegand, R. E., Njenga, S. M., Montgomery, J. M., & Fox, L. M.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Suchdev, Parminder S.
- ORCID
- Venue
- The American Society of Tropical Medicine and Hygiene
- Published
- 2014-02-05
- Volume
- 90
- Issue
- 2
- Pages
- 299-305
- ISSN
- 0002-9637 (ISSN-L)
- 1476-1645
- PMC
- PMC3919237
- OpenAlex
- W2147634233
- Cited by
- 62
- References
- 30
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 7 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 8 · 2015: 3 · 2014: 3 · 2012: 1
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- United States Agency for International Development
- Centers for Disease Control and Prevention
- Topics
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Keywords
- soil-transmitted helminths, helminthiasis, child malnutrition, iron deficiency, vitamin A deficiency, anemia, stunting, Ascaris, Trichuris, urban slum children, Kibera, anthelmintic treatment, micronutrient supplementation
- MeSH terms
- Animals, Ascaris, Child, Child, Preschool, Cross-Sectional Studies, Female, Helminthiasis, Hemoglobins, Humans, Kenya, Malaria, Male, Nutritional Status, Poverty Areas, Schools, Soil, Trichuris, Urban Population, Vitamin D Deficiency, Prevalence, Anemia, Iron-Deficiency, Malnutrition
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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