Worldwide prevalence of protozoans and helminths among disabled people: a systematic review and meta-analysis
Notice bibliographique
Résumé
Parasitic diseases represent a substantial public health concern on a global scale, particularly affecting communities characterized by low socioeconomic status and insufficient sanitation practices. Within these communities, individuals with disabilities are disproportionately impacted. According to the existing literature, it is posited that the prevalence of parasitic infections among disabled individuals is notably high, a factor often neglected when examining the intestinal parasites present in these individuals, alongside the diverse geographical and socioeconomic variations worldwide. This study posits that the prevalence of parasitic infections in individuals with disabilities is indeed elevated, and that there are significant socioeconomic and geographic disparities in species-specific prevalence. This study aimed to ascertain the global pooled prevalence of helminth and protozoan infections in individuals with disabilities, identify the prevalent parasite species, and compare the prevalence across various geographic regions worldwide. A systematic review and meta-analysis were conducted using the Reporting System for Systematic Reviews and Meta-Analyses. PubMed, Web of Science, Scopus, and the TR index were searched in August 2024 using the predetermined keywords. No time restrictions were imposed. The methodological quality of the studies was evaluated using the Joanna Briggs Institute’s Critical Appraisal Checklist for randomized controlled, experimental, and cross-sectional studies. A meta-analysis method was used to pooled the data. A total of 12608 samples from 50 articles were included in the analysis. The pooled helminth and protozoan parasite prevalence was 40%, with high heterogeneity (I2 = 98.48%, P < 0.001). Subgroup analysis revealed that the most common country for helminths and protozoans in disabled people was Canada, at a rate of 73% (I2 = 95.23%, P < 0.001). Subgroup analysis of parasite species revealed that Toxoplasma sp. (40%; prevalence with 95% CI: 40%, I2 = 98.83) was the most frequently detected parasite among disabled people, followed by Entamoeba histolytica/dispar and Toxocara spp. Entamoeba coli, Entamoeba hartmanni, Ascaris lumbricoides and Blastocystis spp. In the subgroup analysis performed with the data obtained in the classification according to the differences in diagnostic methods, 42% (I2 = 98.03, P < 0.001) in molecular techniques, 36% (I2 = 98.52, P < 0.001) in serological methods, 41% (I2 = 98.4, P < 0.001) in gaita microscopic examinations. The global prevalence of protozoa and helminths among individuals with disabilities is significantly high, with notable occurrences in Canada, Philippines, and Ethiopia. The primary determinants of this situation include socioeconomic conditions, educational level, and geographical factors. It is imperative to educate disabled individuals and their families about transmission pathways and preventive measures for protozoa and helminths. Furthermore, local governments and public authorities should endeavor to improve the living conditions of individuals with disabilities, particularly those facing self-care challenges.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,016 | 0,034 |
| Méta-épidémiologie (sens strict) | 0,003 | 0,002 |
| Méta-épidémiologie (sens large) | 0,020 | 0,050 |
| Bibliométrie | 0,013 | 0,013 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,004 | 0,002 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».