Cited by 62Parasites and Host InteractionsChild Nutrition and Water AccessParasitic Diseases Research and Treatment

Soil-Transmitted Helminth Infection and Nutritional Status Among Urban Slum Children in Kenya

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Suchdev, Parminder S., Davis, Stephanie M., Bartoces, Monina, Ruth, Laird J., Worrell, Caitlin M., Kanyi, Henry, Odero, Kennedy, Wiegand, Ryan E. +3 more·2014·The American Society of Tropical Medicine and Hygiene

Abstract

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.
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
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
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

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