Evidence map›Paper›PMID 37371318›Full record

ArticleChildren (Basel, Switzerland)2023

Individual and Community-Level Risk Factors for Giardiasis in Children under Five Years of Age in Pakistan: A Prospective Multi-Regional Study.

Irfan Khattak, Wen-Lan Yen, Tahir Usman, Nasreen Nasreen, Adil Khan, Saghir Ahmad, Gauhar Rehman, Khurshaid Khan, Mourad Ben Said, Chien-Chin Chen

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Red Fox (Pathogens (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. The Influence of the ProtozoanInternational journal of molecular sciences · 2024
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Irfan KhattakCollege of Veterinary and Animal Husbandry, Abdul Wali Khan University, Mardan 23200, Pakistan.
Wen-Lan YenDepartment of Pediatrics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi 60002, Taiwan.
Tahir UsmanCollege of Veterinary and Animal Husbandry, Abdul Wali Khan University, Mardan 23200, Pakistan.
Nasreen NasreenDepartment of Zoology, Abdul Wali Khan University, Mardan 23200, Pakistan.
Adil KhanDepartment of Zoology, Bacha Khan University, Charsadda 24540, Pakistan.
Saghir AhmadDepartment of Microbiology, Abdul Wali Khan University, Mardan 23200, Pakistan.
Gauhar RehmanDepartment of Zoology, Abdul Wali Khan University, Mardan 23200, Pakistan.ORCID 0000-0001-8059-9591
Khurshaid KhanDepartment of Zoology, Abdul Wali Khan University, Mardan 23200, Pakistan.
Mourad Ben SaidLaboratory of Microbiology, National School of Veterinary Medicine of Sidi Thabet, University of Manouba, Manouba 2010, Tunisia.ORCID 0000-0001-5567-4721
Chien-Chin ChenDepartment of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi 60002, Taiwan.ORCID 0000-0001-9599-0884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to estimate the prevalence of

methodsA community-based cross-sectional study was conducted from March to December 2022. Using stratified sampling, 1026 households were recruited from nine agroecological zones. Stool samples were collected from 1026 children up to the age of five years and processed for detection of Giardia using a commercial ELISA kit. Data on potential risk factors were collected using a pre-structured questionnaire. A multivariable logistic regression model was used to identify risk factors associated with giardiasis.

resultsThe study found that the prevalence of giardiasis in the study area was 3.31%. Children aged 13-24 months were found to be at higher risk for giardiasis. Illiterate mothers and fathers attending daycare institutions/kindergartens, mothers not practicing hand washing during critical times, households with companion animals, and homes where stray dogs/cats enter were identified as predictors of giardiasis at the individual level. Children living in sub-mountain valleys use un-piped water, inadequate domestic water storage vessels, drink un-boiled or unfiltered water, live near rubbish heaps or un-paved streets/pathways, and have unimproved latrine facilities were identified as risk factors of giardiasis at the community level.

conclusionsThe study highlights the need for integrated intervention approaches at both individual and community levels to reduce the incidence of giardiasis in Khyber Pakhtunkhwa, Pakistan. Interventions aimed at promoting behavioral change and providing safe and adequate water sources, combined with individual-level interventions such as hand washing and awareness of giardiasis prevention methods, would be critical to addressing this health concern. Inter-sectoral collaboration between the health sector and other sectors would also be necessary to achieve meaningful progress in reducing the incidence of giardiasis in resource-limited areas.

Indexed as

childrenGiardia lambliagiardiasisimmunologyinfectionpediatricpublic healthrisk factorsseroprevalence

Identifiers

PMID37371318
PMCPMC10297578

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.