Soil-Transmitted Helminths: Determinants of Infection in Children Aged 5 and Under in Odisha, India Open Access

Bryant, Bobbi (Spring 2018)

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Helminth infection is a pervasive and persistent disease that has a long reach across the

globe that has long term consequences for young children. The data was taken from a

larger study evaluating the effectiveness of the Gram Vikas MANTRA intervention in the

Ganjam and Gajapati districts of Odisha, India. The data used for this analysis are only

from one round, which makes this analysis cross-sectional and restricted on households

with children aged 5 and under in both a mixed effects model logistic regression and a

conditional model logistic regression. In households with a child aged 5 and under, the

proportion of household members using an improved toilet had a significant negative

association with having an STH infection (OR: 0.43, 95% CI: 0.19, 0.96) in the MELR

model, adjusting for age, education, caste, wealth, intervention or control village status.

As the proportion of household members using an improved toilet increases, the odds a

child with an STH infection reduces. After Bonferroni correction, this determinant is not

statistically significant. However, an emphasis on adherence of using the improved toilet

within households may be the key to a meaningful reduction in STH infection in children

aged 5 and under.

Table of Contents

1. Background/Literature Review 1 – 9

2. Methods 10 – 13

3. Results 14 – 15

4. Discussion 16 – 19

5. References 20 – 21

6. Tables 22 – 25

7. Figures 26 – 27

8. Appendices 28 – 29

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