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Saudi Journal of Nursing and Health Care (SJNHC)
Volume-8 | Issue-07 | 170-174
Original Research Article
Prevalence and Risk Factors of Trichuris trichiura Infection among Children in Mogadishu, Somalia: A Cross-Sectional Study
Dr Abdullah Dahir H. Aweis, Dr. Daud Moallim Ishaq, Mr Timthy Kiprotich Kimutai
Published : July 7, 2025
DOI : https://doi.org/10.36348/sjnhc.2025.v08i07.001
Abstract
Background: Trichuris trichiura (whipworm) is a common soil-transmitted helminth that contributes to significant morbidity among children in low-resource settings. This study aimed to determine the prevalence of T. trichiura infection and identify associated sociodemographic, behavioral, and environmental risk factors among children. Methods: A cross-sectional study was conducted involving 126 children aged 1–15 years. Data on demographics, hygiene practices, environmental exposures, and health history were collected through structured questionnaires. Stool samples were analyzed using the Kato-Katz technique. Chi-square tests and multivariate logistic regression were used to identify factors associated with infection. Results: The overall prevalence of T. trichiura infection was high. Bivariate analysis revealed significant associations between infection and abdominal pain (p < 0.0001), presence of worms in stool (p = 0.0031), proximity to animals (p = 0.0006), lack of family prevention education (p = 0.0404), and use of plain water for handwashing (p = 0.0068). In the adjusted model, abdominal pain remained a strong predictor (AOR = 12.64, p = 0.002), while proximity to animals showed a positive trend (AOR = 4.18, p = 0.078). Family exposure to preventive education was borderline protective (AOR = 0.28, p = 0.051). Conclusion: Abdominal pain is a key clinical indicator of T. trichiura infection. Environmental and behavioral factors, particularly living near animals and inadequate handwashing practices, contribute to infection risk. Community-specific health education and integrated sanitation strategies are essential for effective control.
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