ArticleThe Lancet. Global health2021
Household finished flooring and soil-transmitted helminth and Giardia infections among children in rural Bangladesh and Kenya: a prospective cohort study.
Article in The Lancet. Global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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29 citing papers in PubMed, 42 citations in OpenAlex.
- Better floors, better health: a theory of change for an improved household flooring intervention in rural communities in Kwale and Bungoma counties, Kenya.BMC public health · 2025Trial
- Trial
- Social, environmental and policy contexts affecting the feasibility and acceptability of improving household flooring for better health in rural Kenya.PLoS neglected tropical diseases · 2026Article
- Spatial clustering of Giardia duodenalis assemblages and sub-assemblages with environmental and anthropozoonotic factors in Busia, Western Kenya.Journal of health, population, and nutrition · 2025Article
- Dirt Floors and Domestic Animals Are Associated with Soilborne Exposure to Antimicrobial-ResistantEnvironmental science & technology · 2025Article
- Investigating cement-based surfaces as a sustainable flooring solution to improve Ascaris Suum egg removal and inactivation in low-resource settings.PLoS neglected tropical diseases · 2025Article
- Zoonotic and Environmental Sources of Infant Enteric Pathogen Infections Identified with Longitudinal Sampling.Environmental science & technology · 2025Article
- Article
- Associations between floor material andbioRxiv : the preprint server for biology · 2025Article
- Evaluating the survival and removal ofApplied and environmental microbiology · 2025Article
- Effects of household concrete floors on maternal and child health: the CRADLE trial - a randomised controlled trial protocol.BMJ open · 2025Article
- Healthy homes: Stakeholder perspectives on housing interventions to reduce environmentally mediated infections.PLOS global public health · 2025Article
- Effects of household concrete floors on maternal and child health - the CRADLE trial: a randomised controlled trial protocol.medRxiv : the preprint server for health sciences · 2024Article
- Health educational intervention by school nurses to prevent children's helminthic infection in Bangladesh: A cluster non-randomized controlled trial.Journal of education and health promotion · 2024Article
- Spatial variation in housing construction material in low- and middle-income countries: A Bayesian spatial prediction model of a key infectious diseases risk factor and social determinant of health.PLOS global public health · 2024Article
- Assemblages and Subassemblages ofJournal of parasitology research · 2024Article
- Multiscalar Evaluation of the Water Distribution System and Diarrheal Disease Risk in Addis Ababa, Ethiopia.Environmental science & technology · 2023Article
- Article
- Producing ratio measures of effect with quantitative microbial risk assessment.Risk analysis : an official publication of the Society for Risk Analysis · 2023Article
- Giardia Detection and Codetection With Other Enteric Pathogens in Young Children in the Vaccine Impact on Diarrhea in Africa (VIDA) Case-Control Study: 2015-2018.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
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Authors and funding
17 authors at 9 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSoil-transmitted helminths and Giardia duodenalis are responsible for a large burden of disease globally. In low-resource settings, household finished floors (eg, concrete floors) might reduce transmission of soil-transmitted helminths and G duodenalis.
methodsIn a prospective cohort of children nested within two randomised trials in rural Bangladesh and Kenya, we estimated associations between household finished flooring and soil-transmitted helminths and G duodenalis prevalence. In 2015-16, we collected stool samples from children aged 2-16 years in rural Bangladesh and Kenya. We detected soil-transmitted helminth infection using quantitative PCR (qPCR; Bangladesh n=2800; Kenya n=3094), and G duodenalis using qPCR in Bangladesh (n=6894) and ELISA in Kenya (n=8899). We estimated adjusted prevalence ratios (aPRs) using log-linear models adjusted for potential confounders.
findings7187 (92·2%) of 7795 children in Bangladesh and 9077 (93·7%) of 9686 children in Kenya provided stool specimens that were analysed by qPCR. At enrolment, 691 (10%) households in Bangladesh and 471 (5%) households in Kenya had finished floors. In both countries, household finished flooring was associated with lower Ascaris lumbricoides prevalence (Bangladesh aPR 0·33, 95% CI 0·14-0·78; Kenya 0·62, 0·39-0·98) and any soil-transmitted helminths (Bangladesh 0·73, 0·52-1·01; Kenya 0·57, 0·37-0·88). Household finished floors were also associated with lower Necator americanus prevalence in Bangladesh (0·52, 0·29-0·94) and G duodenalis prevalence in both countries (Bangladesh 0·78, 0·64-0·95; Kenya 0·82, 0·70-0·97).
interpretationIn low-resource settings, living in households with finished floors over a 2-year period was associated with lower prevalence of G duodenalis and some soil-transmitted helminths in children.
fundingBill & Melinda Gates Foundation and Task Force for Global Health.
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