Malezya Kuantan, Pahang Bölgesi Taşra ve Merkez Okul Çocukları Ebeveynlerinin Bağırsak Helmintleri ve Protozoon Enfeksiyonlarında Bilgi, Tutum ve Uygulamaları

Öz

Bağırsak helmintleri ve bağırsak protozoon enfeksiyonları, bugün dünyadaki gençler ve yetişkinler arasındaki hastalıkların önde gelen nedenlerinden biridir. Ascaris lumbricoides (A. lumbricoides) ve Trichuris trichiura (T. trichiura), özellikle çocuklar arasında enfekte olan en yaygın bağırsak helmintleridir. Entamoeba histolytica, Giardia lamblia, Cryptosporidium parvum ve Blastocystis hominis gibi insanlar üzerinde etkili olan çeşitli bağırsak protozoonları enfekte kişinin dışkılarından bulaşmaktadır. Bu kesitsel araştırma Kuantan, Pahang, Malezya'da yapılmıştır. Bu anket Kuantan, Pahang, Malezya'da kentsel ve kırsal bölgelerdeki okul çocuklarının ebeveyinlerinden toplanmıştır. Çalışmaya katılan okul çağı çocukları ebeveyni olan 136 kişi kentsel ve çevresel ilköğretim okullarından rastgele seçilmiştir. Kentsel ilkokul (UPS)’yi "Sekolah Kebangsaan U" ya da "Sekolah Kebangsaan U" dan 68 kişi, kentsel alanlardaki okul çocuklarının ebeveynlerini temsil etmektedir; kırsal ilkokul (PPS)’yi "Sekolah Kebangsaan P" ya da "Sekolah Kebangsaan P" dan gelen 68 kişi, okul çocuklarının ebeveynlerini temsil etmektedir. Bağırsak helmintleri ve protozoa enfeksiyonlarında her iki ebeveyn grubu arasında bilgi, tutum ve uygulamaları üzerinde anlamlı bir fark gözlenmemiştir. Düşük gelirli ve yüksek gelirli ebeveynler arasında bilgi, tutum ve uygulama açısından anlamlı fark bulunmamıştır. bağırsak helmintleri ve protozoa enfeksiyonları hakkında halkın Bağırsak parazitleri ve hijyen davranışlarıyla ilgili bilinçlendirilmesi gereklidir.

Anahtar Kelimeler

• bağırsak helmintleri
• bağırsak protozoonları
• bilgi
• tutumlar
• uygulamalar
• kırsal okul
• kentsel okul

Knowledge, Attitude and Practices of Intestinal Helminths and Protozoa Infection Among Parents of School Children In Peripheral School and Urban School Area in Kuantan, Pahang, Malaysia

Öz

Intestinal helminths and intestinal protozoa infections are one of the leading causes of diseases among young people and adults in the world today. Ascaris lumbricoides (A. lumbricoides) and Trichuris trichiura (T. trichiura) are the most common intestinal helminths infected people especially among children. Various types of intestinal protozoa are affecting people, such as Entamoeba histolytica, Giardia lamblia, Cryptosporidium parvum and Blastocystis hominis which then pass out through faeces of the infected person. A cross-sectional study was conducted in Kuantan, Pahang, Malaysia. The survey was collected from parents of school children in urban and peripheral area in Kuantan, Pahang, Malaysia. A total of 136 parents of school children were selected randomly from the primary schools at urban and peripheral for the study. Sixty-eight respondents from the urban primary school or UPS or “Sekolah Kebangsaan U” represent the parents of school children in urban area and sixty-eight respondents from the primary school or PPS or “Sekolah Kebangsaan P” represent the parents of school children in peripheral area. No significant difference was observed on knowledge, attitudes and practices of intestinal helminths and protozoa infection among parents from both areas. There was no significant difference in terms knowledge, attitudes and practices between parents from low income and high income. Awareness to the public regarding the intestinal parasites and good hygiene behavior were needed to expose the public about the intestinal helminth and protozoa infections.

Anahtar Kelimeler

• intestinal helminths
• intestinal protozoa
• knowledge
• attitudes
• practices
• rural school
• urban school

Kaynakça

1. 1. Ahmed A, Al-mekhlafi HM, Surin J. Epidemiology of soil-transmitted helminthiases in Malaysia. Southeast Asian Journal of Tropical Medicine and Public Health. 2006a; 42(3): 527-538.
2. 2. Azian MY, San YM, Gan C C, et al. Prevalence of intestinal protozoa in an aborigine community in Pahang, Malaysia. Tropical Biomedicine. 2007; 24(1): 55-62.
3. 3. Fletcher SM, Stark D, Harkness J, Ellis J. Enteric Protozoa in the Developed World: a Public Health Perspective. Clinical Microbiology Reviews. 2012; 25(3): 420-449.
4. 4. Ikeh E I, Obadofin MO, Brindeiro B, et al. Intestinal parasitism in rural and urban areas of North Central Nigeria: An Update. The Internet Journal of Microbiology. 2006; 2(1): 1-8.
5. 5. Mazigo HD, Waihenya R, Mkoji GM, et al. Intestinal Schistosomiasis: Prevalence, Knowledge, Attitude And Practices Among School Children In An Endemic Area Of North Western Tanzania Journal of Rural and Tropical Public Health. 2010; 9: 53-60.
6. 6. Nasr NA, Al-Mekhlafi HM, Ahmed A, et al. Towards an effective control programme of soil-transmitted helminth infections among Orang Asli in rural Malaysia. Part 2: Knowledge, attitude, and practices. Parasites & Vectors. 2013b; 6(1): 28.
7. 7. Norhayati M, Fatmah MS, Tech DM, et al. Intestinal parasitic infections in man : a review. Medical Journal of Malaysia. 2003;58(2): 296-306.
8. 8. Ngui R, Ishak S, Chuen CS, et al. Prevalence and risk factors of intestinal parasitism in rural and remote West Malaysia. Plos Neglected Tropical Diseases. 2011;5(3): 974.

9. 9. Tripura A, Reang T, Tripura K, Roy A. A study of knowledge and practice on intestinal helminthiasis among rural tribal mothers of under five children in Mohanpur Block, West District of Tripura: A North Eastern State of India. Journal of Evolution of Medical and Dental Sciences. 2013;2(47): 9081-9087.
10. 10. Vivas A, Gelaye B, Aboset N, et al. Knowledge, attitudes, and practices (KAP) of hygiene among school children in Angolela, Ethiopia. Journal of Preventive Medicine and Hygience. 2010;51(2): 73-79.
11. 11. WHO. Deworming to combat the health and nutritional impact of soil-transmitted helminths. 2013;http://www.who.int/elena/titles/ deworming/en/ (accessed on 20th February 2014).