背景:镰刀菌是一种外寄生虫侵染,在人类密切接触期间以及在诸如监狱和公共卫生问题的拥挤地区容易传播。全球范围内,每年有多达3亿人感染sc疮。在埃塞俄比亚境内,它在监狱等机构中的负担没有得到很好的研究。因此,我们试图估计埃塞俄比亚南部监狱囚犯中的sc疮患病率,并确定与其相关的因素.
方法:采用基于机构的分析横断面研究设计。我们使用,一种简单的随机抽样技术来选择422名囚犯。使用预先测试的结构化问卷来收集必要的信息。EpiData版本4.2.0.0和社会科学版本25软件的统计软件包分别用于数据输入和分析。计算描述性和推断性统计数据。使用Hosmer-Lemeshow和综合测试检查了模型的适用性。自变量和结果变量之间的关联以表格的形式显示,显示了粗比值比和调整比值比(AOR)及其95%置信区间(CI)。P值≤0.05时宣布有统计学意义的水平。
结果:共采访了418名囚犯,产生99.1%的响应率。参与者的年龄从17岁到60岁不等。多达381名(91.1%)参与者为男性。sc疮的患病率为8.9%。过去两个月的性接触史,监禁前(AOR:9.92(95%CI3.07,32.02),P<0.001),在监狱中的停留时间少于两个月(AOR:4.54(95%CI1.51,13.54),P=0.007),通风不良(AOR:3.36(95%CI1.07,10.58),P=0.038),缺乏卫生肥皂(AOR:5.53(95%CI1.45,21.17),P=0.012),并相互分享衣服(AOR:3.81(95%CI(1.09,13.29),P=0.036)是与sc疮感染独立相关的因素。
结论:在这项研究中,我们发现Wolaita地区监狱的囚犯中sc疮的患病率很高。此外,sc疮感染与以前的性接触史有关,通风不良的房间,缺乏卫生肥皂洗涤,在囚犯之间分享衣服。应鼓励监狱管理部门在监禁期间改善囚犯的卫生、筛查和隔离。
BACKGROUND: Scabies is an ectoparasitic infestation that can easily spread during close human contact and in overcrowded areas such as prisons and public places where sanitation is a problem. Globally, as many as 300 million people are infested with
scabies each year. Within Ethiopia, its burden in institutions like prisons is not well-studied. As a consequence, we sought to estimate the prevalence of scabies and also identify factors associated with it among prison inmates in southern Ethiopia.
METHODS: An institution-based analytical cross-sectional
study design was employed. We used, a simple random sampling technique to select 422 prisoners. A pretested-structured questionnaire was used to collect the necessary information. EpiData version 4.2.0.0 and Statistical Packages for Social Science version 25 software were used for data entry and analysis respectively. Both descriptive and inferential statistics were computed. The model fitness was checked using the Hosmer-Lemeshow and omnibus tests. The association between the independent and outcome variables was presented in the form of a table showing the crude odds ratio and adjusted odds ratio (AOR) along with their 95% confidence interval (CI). The level of statistical significance was declared at P.value ≤ 0.05.
RESULTS: A total of 418 prisoners were interviewed, yielding a 99.1% response rate. The age of the participants ranged from 17 to 60 years. As many as 381 (91.1%) participants were male. The prevalence of
scabies was found to be 8.9%. A history of sexual contact in the past two months, before imprisonment (AOR: 9.92 (95% CI 3.07, 32.02), P <0.001), a period of stay less than two months duration in the prison (AOR: 4.54 (95% CI 1.51, 13.54), P = 0.007), poor ventilation (AOR: 3.36 (95% CI 1.07, 10.58), P = 0.038), lack of hygiene soap (AOR: 5.53 (95% CI 1.45, 21.17), P = 0.012), and sharing clothes among each other (AOR: 3.81 (95% CI (1.09, 13.29), P = 0.036) were factors independently associated with a scabies infestation.
CONCLUSIONS: In this
study, we found the prevalence of
scabies was high among prison inmates in Wolaita Zone prison. Furthermore, scabies infestations were associated with a previous history of sexual contact, poorly ventilated rooms, lack of hygiene soaps for washing, and sharing clothes amongst the inmates. Prison administrations should be encouraged to improve sanitary and screening and isolation of prisoners during imprisonment.