Resumo:
En
|
Texto:
En
|
PDF:
En
ABSTRACT This study aimed to assess the prevalence of anemia in children of two Guarani communities in Misiones, Argentina, and to analyze its association with socioenvironmental and parasitic factors. This cross-sectional study took place in two villages, Koen Ju and Kaa Poty, and included Mbya Guarani children aged 6 months to 14 years. A multivariable analysis was performed to evaluate the association of anemia with the presence of intestinal parasites. Altogether, 162 children were included in the study: 53.1% were boys, 32.7% had low weight-for-age, and 22.2% low height-for-age. Nearly half (46.9%, n=76) had anemia, which was mainly mild (92.1%), with a few moderate cases (7.9%). Of the 109 children who underwent testing for intestinal parasites, 89 (81.7%) had at least one, and 53 (59.5%) had more than one. The main parasite was Blastocystis hominis (49.5%), followed by Entamoeba coli (47.7%), hookworms (36.7%), and Ascaris lumbricoides (31.5%). In the multivariable analysis, anemia was associated with intestinal parasitosis (adjusted odds ratio [OR] 4.24, 95% confidence interval [CI] 1.08–16.5; p=0.038) and male sex (adjusted OR 2.66; 95% CI 1.08–6.47; p= 0.01). Overall, we found that both anemia and intestinal parasites are common in the pediatric population of the Guarani ethnic group. Intestinal parasites and male sex were associated with the presence of anemia. Misiones Argentina factors crosssectional cross sectional villages Poty 1 years Altogether 16 531 53.1 boys 327 32 7 32.7 weightforage, weightforage weight age, age weight-for-age 222 22 2 22.2 heightforage. heightforage height age. height-for-age 46.9%, 469 46 9 (46.9% n=76 n76 n 76 92.1%, 921 92.1% , 92 (92.1%) 7.9%. 79 7.9% . (7.9%) 10 8 81.7% 817 81 (81.7% one 5 59.5% 595 59 (59.5% 49.5%, 495 49.5% 49 (49.5%) 47.7%, 477 47.7% 47 (47.7%) 36.7%, 367 36.7% 36 (36.7%) 31.5%. 315 31.5% 31 (31.5%) adjusted [OR 424 4 24 4.24 95 [CI 1.08–16.5 108165 08 p=0.038 p0038 p 0 038 2.66 266 66 1.08–6.47 108647 0.01. 001 0.01 01 0.01) Overall group 53. 3 32. 22. 46.9% (46.9 n=7 n7 92.1 (92.1% 7.9 (7.9% 81.7 (81.7 59.5 (59.5 49.5 (49.5% 47.7 (47.7% 36.7 (36.7% 31.5 (31.5% 42 4.2 1.08–16. 10816 p=0.03 p003 03 2.6 26 1.08–6.4 10864 00 0.0 46.9 (46. n= 92. (92.1 7. (7.9 81. (81. 59. (59. 49. (49.5 47. (47.7 36. (36.7 31. (31.5 4. 1.08–16 1081 p=0.0 p00 2. 1.08–6. 1086 0. 46. (46 (92. (7. (81 (59 (49. (47. (36. (31. 1.08–1 108 p=0. p0 1.08–6 (4 (92 (7 (8 (5 (49 (47 (36 (31 1.08– p=0 ( (9 (3 1.08 1.0 1.