Impact of the neglected Cysticercus cellulose infection on mental health among school-aged children in Tibetan agricultural areas.
10.11817/j.issn.1672-7347.2018.10.015
- Author:
Ruixue YE
1
;
Yuju WU
1
;
Qingzhi WANG
1
;
Min CAO
1
;
Tiaoying LI
2
;
Xingwang CHEN
2
;
Huan ZHOU
1
Author Information
1. Department of Health and Social Behavior Science, West China School of Public Health, Sichuan University, Chengdu 610041, China.
2. Institute of Parasitic Diseases, Sichuan Center for Disease Control and Prevention, Chengdu 610041, China.
- Publication Type:Journal Article
- MeSH:
Animals;
Child;
Cysticercosis;
complications;
diagnosis;
epidemiology;
Cysticercus;
Humans;
Mental Health;
Neurodevelopmental Disorders;
epidemiology;
etiology;
Seroepidemiologic Studies;
Tibet;
epidemiology
- From:
Journal of Central South University(Medical Sciences)
2018;43(10):1137-1144
- CountryChina
- Language:Chinese
-
Abstract:
To determine the impact of Cysticercus cellulose (C. cellulose) infection on mental health among school-aged children in Tibetan agricultural areas of Sichuan Province.
Methods: In October 2015, all primary schools located in Tibetan agricultural areas in Yajiang, Ruoergai, and Muli county of Sichuan Province were selected as the research sites. All school-aged children at five- and six-grade were enrolled for the study by a multistage stratified cluster sampling method. Antibodies against C. cellulose were detected. Mental Health Test and questionnaire survey were conducted for school-aged children to collect data. The impact of C. cellulose infection on mental health among school-aged children was analyzed with the multilevel linear regression.
Results: A total of 2 453 school-aged children were investigated. The C. cellulose seropositive rate was 6.03% (148/2 453). There were 0.16% (4/2 453) patients with seropositive accompanied by seizure, 2.28% (56/2 453) with seropositive accompanied by headache, 2.08% (51/2 453) with seropositive accompanied by frequent weak, and 0.41% (10/2 453) were seropositive accompanied by frequent nausea. The rate of C. cellulose infection was 4.53% (111/2 453). The mean score of the mental health test was 6.59±2.61. There were significant difference in score of mental health test in children whose demographic characteristics were different. The mental health scores of school-aged children were clustered at the school level. After controlling the factors of demographic characteristics, the result of multilevel model demonstrated that the factor of school-aged children with C. cellulose seropositive accompanied by headache was statistically significant (β=1.14, P=0.017).
Conclusion: The status of C. cellulose infection among school-aged children in Tibetan agricultural areas is not optimistic. C. cellulose infection has impacted on mental health of local school-aged children. It is necessary to strengthen the prevention and control of C. cellulose infection in epidemic area.