ArticleBMC public health2019
Factors associated with tungiasis among primary school children: a cross-sectional study in a rural district in Rwanda.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Parasitic Infections and Associated Cognitive Outcome Among School-Aged Children in Africa: A Systematic Review.Brain and behavior · 2026Pooled it
- Prevalence and risk factors for tungiasis in Africa: a systematic review and meta-analysis.BMC infectious diseases · 2025Pooled it
- Pooled it
- Epidemiology of tungiasis in sub-saharan Africa: a systematic review and meta-analysis.Pathogens and global health · 2020Pooled it
- Visual cues attract adult Tunga penetrans (Siphonaptera: Tungidae).Journal of medical entomology · 2026Article
- Prevalence, spatial and temporal distribution of tungiasis in the Kilifi Health and Demographic Surveillance System (KHDSS) in Kenya.BMJ global health · 2026Article
- Individual and household factors associated with tungiasis in a marginalized population in Karamoja, northeastern Uganda.Tropical medicine and health · 2026Article
- Beyond poverty, tungiasis is associated with family characteristics and parenting behavior: a case control study in Kenya.BMC public health · 2026Article
- Magnitude and Associated Factors of Podoconiosis and its Comorbidity With Tungiasis Among Residents in Southwest Ethiopia: A Community-Based Cross-Sectional Study.Journal of tropical medicine · 2026Article
- Assessing the impact of tungiasis on children's quality of life in Kenya.PLoS neglected tropical diseases · 2025Article
- The Burden of Neglected Tropical Diseases in Rwanda: A Scoping Review.Health science reports · 2025Review
- Dynamics of Tunga penetrans infections and severity of associated morbidity among pigs during the dry season in rural Uganda.Parasites & vectors · 2025Article
- Treatment-seeking behaviours of patients with tungiasis in endemic areas of Homa Bay County, Kenya: a mixed-methods study.Tropical medicine and health · 2024Article
- Tungiasis among children in Kenya is associated with poor nutrition status, absenteeism, poor school performance and high impact on quality of life.PLoS neglected tropical diseases · 2024Article
- National prevalence and risk factors for tungiasis in Kenya.Infectious diseases of poverty · 2023Article
- Tungiasis in the Sanumás Amerindians in the Amazon Rainforest, Brazil: Prevalence, Intensity and Morbidity.Tropical medicine and infectious disease · 2023Article
- Prevalence and Infection Intensity of Human and Animal Tungiasis in Napak District, Karamoja, Northeastern Uganda.Tropical medicine and infectious disease · 2023Article
- Factors associated with tungiasis among school-age children in Kwale County, rural Kenya.International health · 2023Article
- Investigation of human tungiasis cases, Sheema District, Uganda, November 2021-February 2022.The Pan African medical journal · 2023Article
- Environmental and Household-Based Spatial Risks for Tungiasis in an Endemic Area of Coastal Kenya.Tropical medicine and infectious disease · 2021Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTungiasis is a relatively frequent ectoparasitosis in low-income settings, yet its morbidity and social impact are still not well understood due to the scarcity of information. In Rwanda, data on the magnitude and conditions leading to the tungiasis is rare. This study sought to determine the prevalence and factors associated with tungiasis among primary school children in Rwandan setting.
methodA descriptive cross-sectional study utilising systematic random sampling method was adopted to select 384 children from three primary schools. From July to October 2018, data were collected on socio-demographic characteristics of children, parents, and households. Logistic regression was applied to analyse socio-demographic factors associated with tungiasis with a level of significance set at P-value< 0.05.
resultsPrevalence of tungiasis among three primary schools was 23%. Factors associated with tungiasis included walking barefoot (AOR: 78.41; 95% CI: 17.91-343.10), irregular wearing of shoes (AOR: 24.73; 95% CI: 6.27-97.41), having dirty feet (AOR: 12.69; 95% CI: 4.93-32.64), wearing dirty clothes (AOR: 12.69; 95% CI: 4.18-38.50), and living in a house with earthen plastered floor (AOR: 28.79; 95% CI: 7.11-116.57). Children infected with tungiasis attended class less frequently (AOR: 19.16, 95%CI: 7.20-50.97) and scored lower (AOR: 110.85, 95%CI: 43.08-285.20) than those non-infected. The low school attendance and poor performance could be partly explained by difficulty of walking, lack of concentration during school activities, and isolation or discrimination from classmates.
conclusionTungiasis was a public health challenge among school going children in a rural Rwandan setting. This study revealed that children affected with tungiasis had poor hygiene, inadequate housing environments and consequently poor school attendance and performance. Improving socio-economic conditions of households with special emphasis on hygiene of family members and housing conditions, would contribute to preventing tungiasis.
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