Journal article
Gender-based differences in water, sanitation and hygiene-related diarrheal disease and helminthic infections: a systematic review and meta-analysis
Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol.110(11), pp.637-648
11/01/2016
DOI: 10.1093/trstmh/trw080
PMID: 28115686
Abstract
Qualitative evidence suggests that inadequate water, sanitation and hygiene (WASH) may affect diarrheal and helminthic infection in women disproportionately. We systematically searched PubMed in June 2014 (updated 2016) and the WHO website, for relevant articles.
Articles dealing with the public health relevance of helminthic and diarrheal diseases, and highlighting the role of gender in WASH were included. Where possible, we carried out a meta-analysis.
In studies of individuals 5 years or older, cholera showed lower prevalence in males (OR 0.56; 95% CI 0.34-0.94), while Schistosoma mansoni (1.38; 95% CI 1.14-1.67), Schistosoma japonicum (1.52; 95% CI 1.13-2.05), hookworm (1.43; 95% CI 1.07-1.89) and all forms of infectious diarrhea (1.21; 95% CI 1.06-1.38) showed a higher prevalence in males. When studies included all participants, S. mansoni and S. japonicum showed higher prevalence with males (OR 1.40; 95% CI 1.27-1.55 and 1.84; 95% CI 1.27-2.67, respectively). Prevalence of Trichiuris and hookworm infection showed effect modification with continent.
Evidence of gender differences in infection may reflect differences in gender norms, suggesting that policy changes at the regional level may help ameliorate gender related disparities in helminthic and diarrheal disease prevalence.
Details
- Title: Subtitle
- Gender-based differences in water, sanitation and hygiene-related diarrheal disease and helminthic infections: a systematic review and meta-analysis
- Creators
- Varadan Sevilimedu - Georgia Southern UniversityKeisha D Pressley - Georgia Southern UniversityKassandra R Snook - Georgia Southern UniversityJamesa V Hogges - Georgia Southern UniversityMaria D Politis - Georgia Southern UniversityJessica K Sexton - Georgia Southern UniversityCarmen H Duke - Georgia Southern UniversityBlake A Smith - University of IowaLena C Swander - University of IowaKelly K Baker - University of IowaManoj Gambhir - Monash UniversityIsaac Chun-Hai Fung - Georgia Southern University
- Resource Type
- Journal article
- Publication Details
- Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol.110(11), pp.637-648
- DOI
- 10.1093/trstmh/trw080
- PMID
- 28115686
- NLM abbreviation
- Trans R Soc Trop Med Hyg
- ISSN
- 0035-9203
- eISSN
- 1878-3503
- Language
- English
- Date published
- 11/01/2016
- Academic Unit
- Occupational and Environmental Health; Epidemiology
- Record Identifier
- 9984226824702771
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