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      Strongyloides stercoralis in an urban slum community in Bangladesh: factors independently associated with infection.

      Transactions of the Royal Society of Tropical Medicine and Hygiene
      Adolescent, Adult, Age Factors, Animals, Bangladesh, epidemiology, Child, Child, Preschool, Female, Housing, Humans, Infant, Male, Parasite Egg Count, Poverty, Risk Factors, Strongyloides stercoralis, Strongyloidiasis, ethnology, parasitology, Toilet Facilities, Urban Health

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          Abstract

          Stool samples from 880 residents in an urban slum in Dhaka, Bangladesh, were collected on 3 occasions over one year, and examined for intestinal parasites. Information on many potential risk factors for infection was obtained by questionnaire from a respondent in each household studied. In a crude univariate analysis of the data, several of the factors were found to be significantly associated with Strongyloides stercoralis infection. Most of these factors were co-variate with one another, and with poverty generally. Using Mantel-Haenszel chi 2 tests to control for confounding effects of each variable individually, the following 4 factors remained independently associated with S. stercoralis infection: respondent's use of a community latrine rather than a private latrine, living in a house with an earth floor rather than a cement floor, being of Bihari ethnicity, and being 7-10 years of age. Implications of these results for the epidemiology and control of strongyloidiasis are briefly discussed.

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