Prevalence of intestinal parasites and associated risk factors among HIV/AIDS patients attending at anti-retroviral treatment (ART) clinic at Mizan-Tepi university teaching hospital, southwest Ethiopia

Prevalence of intestinal parasites and associated risk factors among HIV/AIDS patients attending at anti-retroviral treatment (ART) clinic at Mizan-Tepi university teaching hospital, southwest Ethiopia | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Prevalence of intestinal parasites and associated risk factors among HIV/AIDS patients attending at anti-retroviral treatment (ART) clinic at Mizan-Tepi university teaching hospital, southwest Ethiopia Mengistu Abayneh, Tadesse Duguma This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-1304850/v2 This work is licensed under a CC BY 4.0 License Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Abstract Background Intestinal parasitic infections are still very common, especially in areas where immune-compromised patients like HIV/AIDS patients are high prevalent. Therefore, the aim of this study was to assess the prevalence of intestinal parasite and risk factor among HIV/ AIDS patients attending ART clinic in Mizan-Tepi university teaching hospital, Southwest Ethiopia. Method A cross -sectional survey was conducted from July to September, 2021. A total of 191 study subjects were participated in this study. A structured questionnaire was used for collecting socio-demographic and risk factors data. Stool sample was collected and processed using direct wet mount, formol-ether concentration technique and modified Ziehl-Neelson staining techniques. Data was analyzed using statistical package for social sciences (SPSS) Version 25 software and logistic regressions were applied to assess any association between explanatory factors and outcome variables. Result From a total of 191 stool samples, 67 (35.1%) were positive for intestinal parasites. The prevalence of intestinal parasites among patients on-ART was 31.5% (45/143) and 45.8% (22/48) among ART naïve group. Entamoeba histolytica/dispar (7.7%) and (12.5%) and Giardia lamblia (7.0%) and (10.4%) was the most predominant parasites detected both in ART and ART naïve groups (p > 0.05). Drinking untreated water (AOR = 0.13; 95% CI: 0.016–1.012), consuming raw food (AOR = 0.23; 95% CI: 0.025–2.108), eating unwashed raw vegetables (AOR = 2.26; 95% CI: 1.052–4.843); CD 4 count < 200cells/ mm 3 (AOR = 0.22; 95% CI: 0.062–0.798), CD 4 count 200-500cells/mm 3 (AOR = 0.40; 95% CI: 0.195–0.811), WHO stage II (AOR = 0.30; 95% CI: 0.156–0.589), WHO stage III (AOR = 0.32; 95% CI: 0.108–0.917) and viral load ≥ 150 copies/ml (AOR = 0.44; 95% CI: 0.220–0.873) were showed significant association with prevalence of intestinal parasite. Conclusion In this study, higher rate of intestinal parasitosis were associated with hygienic practices like drinking untreated water, consuming raw food and eating unwashed raw vegetables and with some clinical findings such as lower CD4 counts, increased viral load and being WHO stage II & III. Therefore, public health measures and adherence to ART should be strengthened to improve the immune status and to reducing vulnerability of the patients for intestinal parasites. Prevalence Intestinal parasite HIV/ AIDS Southwest district Ethiopia Introduction Parasitic infections, particularly intestinal parasites are among the most widespread of human infections worldwide and are the main threat in developing countries, as it has been noticeably heightened with the coexistence of large burden of HIV/AIDS and malnutrition in the area. It is estimated that as much as 60% of the World’s population is infected with intestinal parasites which may play a significant role in morbidity due to intestinal infections [ 1 – 3 ]. Gastrointestinal problem resulting from opportunistic parasitic infection in HIV and AIDS infected subject has dramatically decreased in countries where antiretroviral agents are widely available. However, in most African countries, where patients have access to ART, intestinal pathogens still represent a frequent cause of diarrhea, wasting and weight loss. Evidence shows that HIV- infected patients are the most vulnerable risk group for acquiring parasitic infection, and about 85% of AIDS patients die as a result of AIDS related infections, rather than due to the HIV infection itself. These opportunistic infections most commonly occur in the later stages of HIV infection when numbering of CD4 T cells has declined mostly < 200mm 3 [ 4 – 7 ]. Despite ART improving the quality of life and reducing the occurrence of opportunistic infection due to immuno suppression, malnutrition, poor waste management, ignorance (illiteracy), unhygienic sources of drinking water and depleted CD4 counts among HIV/AIDS patients are the most common determinants of parasitic infection [ 6 , 7 ]. Intestinal parasitic worm infections are transmitted to humans through soil contaminated by human faeces, mostly in areas where sanitation is poor. Infection leads to anaemia, vitamin A deficiency, stunted growth, malnutrition, intestinal obstruction and impaired development. The most commonly reported intestinal parasites are Ascaris lumbricoides , hookworms, Trichuris trichiuria, Giardia lamblia, Entamoeba histolytica and Schistosoma species are the most common intestinal parasites. Among those opportunistic pathogens, Isospora belle, Cryptosporidium parvum, Cyclospora cayetanenis and Microsporodia specie increasingly reported as causes of enteritis and as opportunistic pathogen in immune compromised individuals [ 8 – 11 ]. As Ethiopia is one of the developing countries in the world it is categorized under a high prevalence of parasitic infections. According to the studies, the average prevalence of parasitic infections was 39.6% [ 12 – 15 ]. The estimated pooled prevalence of intestinal parasitosis in HIV/ AIDS patients was 39.2% [ 16 ].The severity and magnitude of IP in HIV/ AIDS patients require attention and study, especially in the countries like Ethiopia where there was high HIV/AIDS and parasite prevalence. Therefore, this study was aimed to determine the magnitude of intestinal parasite among HIV /AIDS patient who are coming to ART clinic at Mizan-Tepi university teaching hospital, South Western Ethiopia. The finding will help to sensitize local and national responsible bodies as prerequisite for updating strategies in the prevention and control of intestinal parasitic infection among HIV/AIDS patients. Methdology Study Area and period This study was conducted in Mizan-Tepi university teaching hospital from July to September 30, 2021. Mizan-Tepi university teaching hospital is found at 591Km, South west of Addis Ababa, capital city of Ethiopia. It is the second more than 139 bedded teaching hospitals in the Southwestern part of the country, providing services approximately for 5 million people from four zones such as BENCH SHEKO, KEFA, SHEKA and MAJANG as referral center. About 350 clients visit the hospital daily for different services and there were more than 750 HIV positive patients taking ART services. Study design and subjects A cross- sectional study design was conducted to determine the prevalence of intestinal parasites among HIV positive patients who are attending ART clinic in MTUTH south Western Ethiopia. Consecutive HIV/AIDS patients who come for ART services during study period were included. Those who are not willing to participate and those couldn’t provide stool samples were excluded. Sample size and sampling technique The required sample size was calculated using single population proportion formula by assuming that confidence interval of 95%, margin error of 5%, and the prevalence of intestinal parasites among people with HIV/AIDS (p) as 13.9% [ 17 ], which is reported in previous study in Ethiopia. By assuming 4% non-respondent rate, the final sample size for this study was 191 . Data Collection Social-demographic data During implementation of data collections, the study subject was asked for their willingness in participation of the study. A structured questionnaire was utilized to collect socio-demographical (age, sex, residence, marital status, educational status) and other risk factors data such as hand washing practice, habit of consuming raw food, own domestic animals, availability and usage of latrine, shoe wearing habits, source and treatment of water for drinking. Patients were also asked for complaints of diarrhea. Data on WHO stage of HIV, viral load and level of CD4 + T cell count and antiretroviral treatment (ART) status was obtained from patients’ medical records. Laboratory sample collection and processing A single fresh stool was collected with a labeled stool cup following standard procedures by laboratory technologist who worked at the ART clinic. The patients were provided with appropriate specimen container and applicator sticks to bring sufficient amount of stool specimen. Each sample were labeled with specific code number, and transported to the laboratory within 30 minutes of collection for parasitological analysis. Sample processing Then stool sample was examined both macroscopically and microscopically. Macroscopically its appearance was observed while microscopically it was examined using direct saline and iodine wet mount smear preparation, formol- ether concentration and modified Ziehl- Neelson technique [ 18 , 19 ]. During microscopic examination of intestinal parasite their diagnostic stage was identify based on their shape, color and motility. Data Analysis Data were entered into SPSS Version 25 software for analysis. Frequency distributions and descriptive statistics such as the number and percent of intestinal parasites in relation to different variables were determined. Bivariate and multivariate analyses were performed to assess the association or crude and adjusted odd ratio of parasitic infections with the independent variables. A statistical test result was declared as significant when its 𝑃 value was less than 0.05 and crude and adjusted odds ratios with 95% confidence intervals (CI) were reported. Result Socio-demography of the study subject A total of 191 subjects were participated in this study. Of these, 113 (59.2%) were females and 89 (46.6%) were age group of 35-50 years. Majority, 103 (53.9%) and 133 (69.6%) of study participants were urban residence and married, respectively. About 65 (34.0%) of the study participants were complete their primary school and 44 (23.0%) were working as house wives (Table-1). Intestinal parasites among HIV/AIDS patients with ART and ART naïve group In this study, a total of 191 stool samples were tested for the detection of intestinal parasites (IPs). Of these samples, 143 (75.0%) of them were taken from HIV/AIDS patients who were on-ART and the rest 48 (25.0%) were taken from ART naïve group. Accordingly, the overall prevalence of IPs was 67 (35.1%). The prevalence of IPs among HIV/AIDS patients who were on-ART was 45 (31.5%) and 22 (45.8%) among ART naïve group. The distribution of intestinal parasites was not statistically significant differences between ART and ART naïve group (X 2 = 3.256; P - value > 0.05). Entamoeba histolytica/dispar (7.7%) and (12.5%) and Giardia lamblia (7.0%) and (10.4%) was the most predominant parasites detected in HIV/AIDS patients who were on-ART and ART naïve group, respectively. The prevalence of opportunistic intestinal parasites among ART and ART naïve group were 1.4% and 4.2%, respectively for Cryptosporidium spps and 2.1% of Isospora belli were detected only in ART naïve group (Table-2). Prevalence of intestinal parasites in relation with Socio-demographic characteristics of study participants In this study, analysis with binary logistic regression showed that, place of residence and marital status of the study participants were identified as the major socio-demographic determinants of intestinal parasite among HIV/AIDS patients. Being rural residence were 61% (COR = 0.39; 95% CI: 0.205-0.755; p -value = 0.005) more likely to had intestinal parasite than those of urban residence and being single by marital status were almost 3.38 times (COR = 3.38; 95% CI: 1.202-9.488; p -value = 0.021) more likely to harbour intestinal parasite than married one. Other socio-demographic characteristics, such as sex, age and educational status were did not show association with intestinal parasitic infection (Table- 1). Intestinal parasites in relation with CD4 level, viral load, ART status and WHO stages In this study, after multivariate analysis, having CD4 counts < 200cell/mm 3 and 200-500cell/mm 3 , being WHO stage II and III and viral load ≥ 150 copies/ml were significantly associated with intestinal parasitic infection. As shown in Table-3, HIV/AIDS patients whose CD4 counts < 200cell/mm 3 and 200-500 cell/mm 3 are 78% (AOR = 0.22; 95% CI: 0.062-0.798; p -value = 0.021) and 60% (AOR = 0.40; 95% CI: 0.195-0.811; p -value = 0.011) more likely to be infected for intestinal parasite than those with CD4 counts > 500 cell/mm 3 . Concerning HIV/AIDS patients with viral load ≥150 copies/ml are 56% (AOR = 0.44; 95% CI: 0.220-0.873; p -value = 0.019) more likely to have parasite than those who having viral load <150 copies/ml. Regarding WHO stage being Stage II and WHO stage III are 70% (AOR = 0.30; 95% CI: 0.156-0.589; p -value = 0.001) and 68% (AOR = 0.32; 95% CI: 0.108-0.917; p -value = 0.034) more likely to have parasite than those patients with WHO stage I (Table-3). Prevalence of intestinal parasites in relation with environmental and hygienic practices of study participants In this study, among those studied variables related with environmental and hygienic practices of study participants, drinking untreated water, consuming raw food and eating unwashed raw vegetables were significantly associated with intestinal parasitic infection among HIV/AIDS patients in the multivariate logistic analysis. Those HIV/AIDS patients who was drinking untreated water are 87% (AOR = 0.13; 95% CI: 0.016-1.012; p -value = 0.035) more likely to be infected with intestinal parasite than those whose drinking treated water. Those HIV/AIDS patients consuming raw food are 77% (AOR = 0.23; 95% CI: 0.025-2.108; p -value = 0.017) more likely to have parasite than those who have not consuming raw food. In addition, those patients eating unwashed vegetables are 2.26 times (AOR = 2.26; 95% CI: 1.052-4.843; p -value = 0.021) more likely to have parasite than those consuming unwashed raw vegetables (Table-4). Table-1: Prevalence of intestinal parasites in relation with socio-demographic characteristics of HIV/AIDS infected patients (N=191) Characteristics Total N (%) Parasitic infections COR (95% CI) P -value Positive N (%) Negative N (%) Age groups 15- 34 67 (35.1) 24 (35.8) 43(34.7) 0.99 (0.333-2.524) 0.990 35-50 89 (46.6) 31(46.3) 58 (46.8) 1.16 (0.4398-3.356) 0.789 > 50 35 (18.3) 12 (17.9) 23 (18.5) Ref Gender Male 78 (40.8) 31(46.3) 47(37.9) Female 113 (59.2) 36 (53.7) 77 (62.1) 1.41 (0.773-2.575) 0.262 Residence Urban 103 (53.9) 35 (52.2) 68 (54.8) Ref Rural 88 (46.1) 32 (47.8) 56 (45.2) 0.39 (0.205-0.755)* 0.005 Marital status Married 133 (69.6) 41(61.2) 92 (74.2) Ref Single 58 (30.4) 26 (38.8) 32 (25.8) 3.38 (1.202-9.488)* 0.021 Educational Status Illiterate 14 (7.3) 4 (6.0) 10 (8.1) 2.11(0.141-31.587) 0.587 Read and write 41 (21.5) 15 (22.4) 26 (21.0) 2.19 (0.115-41.600) 0.603 Primary school 65 (34.0) 23 (34.3) 42 (33.9) 0.89 (0.130-6.059) 0.902 Secondary school 53 (27.7) 19 (28.4) 34 (27.4) 1.04 (0.140-7.689) 0.971 College and above 18 (9.4) 6 (9.0) 12 (9.7) Ref Occupation Gov’t employer 27 (14.1) 8 (11.90 19 (15.3) Ref Farmer 36 (18.8) 14 (20.9) 22 (17.7) 0.66 (0.228-1.917) 0.447 House wife 44 (23.0) 15 (22.4) 29 (23.4) 0.81 (0.289-2.291) 0.697 Merchants 34 (17.8) 12 (17.9) 22 (17.7) 0.77 (0.261-2.284) 0.640 Student 9 (4.7) 2 (3.0) 7 (5.6) 1.47 (0.250-8.698) 0.669 Daily laborers 41 (21.5) 16 (23.9) 25 (20.2) 0.66 (0.233-1.856) 0.429 Table- 2: Prevalence of intestinal parasites in relation with ART status Parasites detected ART status Chi-square ( X 2 ) P -value On-ART N (%) ART naïve group N (%) Entamoeba histolytica/dispar 11 (7.7) 6 (12.5) 1.999 0.157 Giardia lamblia 10 (7.0) 5 (10.4) 0.582 0.445 Ascaris lumbricoides 9 (6.3) 3 (6.25) 0.00 0.991 Cryptosporidium spps 2 (1.4) 2 (4.2) 1.343 0.247 Isospora belli 0 1 (2.1) 2.995 0.084 Trichuris trichiuria 4 (2.8) 2 (4.2) 0.603 0.437 Hymenolepis nana 2 (1.4) 0 0.678 0.410 Schistosoma mansoni 4 (2.8) 2 (4.2) 0.603 0.437 Strongyloides stercolaris 1 (0.7) 0 0.337 0.561 Hook worm 1 (0.7) 1 (2.1) 0 0.440 Taenia spps 1 (0.7) 0 0 1.000 Double infections 3 (2.1) 2 (4.2) - - Total 45 (31.5) 22 (45.8) 3.256 0.071 Table- 3: Prevalence of intestinal parasites in relation with CD4 level, viral load, ART status and WHO stages of HIV/AIDS patients Variables Total N (%) Intestinal parasites COR (95% CI) AOR (95% CI) P -value Positives N (%) Negatives N (%) CD4 levels 500cell/mm 3 89 (46.6) 23 (34.30 66 (53.2) Ref Ref ART status On ART 143 (74.9) 45 (67.2) 98 (79.0) Ref ART naïve 48 (25.1) 22 (32.8) 26 (21.0) 0.54 (0.278-1.059) ― 0.071 Viral load < 150 copies/ml 129 (67.5) 37 (55.2) 92 (74.2) Ref Ref ≥150 copies/ml 62 (32.5) 30 (44.8) 32 (25.8) 0.43(0.229-0.843)* 0.44(0.220-0.873)* 0.019 WHO stage Stage I 96 (50.3) 21 (31.3) 75 (60.5) Ref Ref Stage II 75 (39.3) 36 (53.7) 39 (31.5) 0.35(0.170-0.706)* 0.30(0.156-0.589)* 0.001 Stage III 17 (8.9) 8 (11.9) 9 (7.2) 0.28(0.088-0.853)* 0.32(0.108-0.917)* 0.034 Stage IV 3 (1.8) 2 (3.0) 1 (0.8) 0.22(0.016-3.166) 0.14 (0.012-1.620) 0.116 NB: *: statistical significance association; Ref: Reference categories Table- 4: Prevalence of intestinal parasites among HIV positive patients with regard to their environmental conditions and hygienic practices (N = 191) Variables Total N (%) Parasitic Infections COR (95% CI) AOR (95% CI) P -value Positive N (%) Negative N (%) Presence of toilet Yes 180 (94.2) 64 (95.5) 116 (93.6) Ref No 11 (5.8) 3(4.5) 8 (6.4) 1.47 (0.377-5.741) ― 0.259 Eating meal without hand washing Yes 9 (4.7) 2 (3.0) 7 (5.6) 1.94 (0.392-9.635) ― 0.180 No 182 (95.3) 65 (97.0) 117 (94.4) Ref Source of water Tape water 171 (89.5) 59 (88.1) 112 (90.3) Ref River/spring water 20 (10.5) 8 (11.9) 12 (9.7) 0.79(0.306-2.040) ― 0.626 Treatment of water before drinking Yes 16 (8.4) 1 (1.5) 15(12.1) Ref Ref No 175 (91.6) 66 (98.5) 109 (87.9) 0.11 (0.014-0.853)* 0.13(0.016-1.012)* 0.035 Contact with animal feaces Yes 55 (28.8) 16 (23.9) 39 (31.4) 0.68 (0.347-1.346) ― 0.160 No 136 (71.2) 51(76.1) 85 (68.6) Ref Consuming raw food Yes 181 (94.8) 66 (98.5) 115 (92.7) 0.63(0.563-0.704)* 0.23(0.025-2.108)* 0.017 No 10 (5.2) 1(1.5) 9 (7.3) Ref Ref Habit of eating unwashed vegetables Yes 38 (19.9) 20 (29.8) 18 (14.5) 2.51(1.215-5.166)* 2.26(1.052-4.843)* 0.021 No 153 (80.1) 47 (70.2) 106 (85.5) Ref Ref Contact with any water body Yes 48 (25.1) 14 (20.9) 34 (27.4) 0.70(0.344-1.421) ― 0.321 No 143 (74.9) 53 (79.1) 90 (72.6) Ref Habit of walking on bare foot Yes 17 (8.9) 7 (10.4) 10 (8.1) 1.33(0.482-3.671) ― 0.581 No 174 (91.1) 60 (89.6) 114 (91.9) Ref NB: *: statistical significance association; Ref: Reference categories Discussion This study was a hospital based cross- sectional study which was conducted to assess the prevalence of intestinal parasites among HIV/AIDS patients at southwest district of Ethiopia. Accordingly, the overall prevalence of intestinal parasites was 35.1% which was higher than study findings in different parts of Ethiopia in which the average prevalence of intestinal parasites among HIV/AIDS patients was 18.2% [ 20 – 23 ]. However, this finding is lower than a finding in Nekemte (73.3%) [ 24 ], Gondar (45.3%) [ 25 ], Ethiopia. As compared with other developing countries, this finding is higher than a study finding in Mozambique (26.4%) [ 26 ], India (27.6%) [ 27 ] and Colombia (29.2%) [ 28 ]; however, lowers than study findings in Nigeria (68.2%) [ 29 ], Gabon (42.6%) [ 30 ], Cameroon (57.5%) [ 31 ] and Kenya (50.9%) [ 32 ]. The observed variations may be explained by the difference in geographic location, the difference in sample size, awareness and hygienic practices of the population in the preventions of intestinal parasite infections and moreover the variation in immune status of the study participants. In addition, the observed variations may be influenced by study period in which nowadays there is a better awareness of the patients about intestinal parasite infection and their cause. In this study, the prevalence of intestinal parasite among ART and ART naïve group was (31.5%) and (45.8%) which was in line with study finding in Northern Ethiopia, Dessie and Gondar, in which the higher proportion of intestinal parasite were observed in ART naïve group [ 21 , 25 ]. This higher prevalence in ART naïve group might be explained by the immune status of the study participants. In fact, ART improving the quality of life and reducing the occurrence of opportunistic infection due to immuno suppression. In addition, ART patients might be followed through laboratory screening for intestinal parasites and may get deworming and better awareness in adopting prevention and treatment measures against intestinal parasites. Although there is no statistical significant difference in the overall detected parasitic species between ART and ART naïve group, Entamoeba histolytica/dispar and Giardia lamblia was the most predominant parasites detected both in ART and ART naïve groups in this study. However, the prevalence of Cryptosporidium spps in ART and ART naïve groups was 1.4% and 4.2%, respectively. This finding is in line with other study finding in Ethiopia [ 17 , 21 , 25 ] and Colombia [ 28 ], in which higher predominance of non-opportunistic intestinal parasites were reported. The higher proportion of non-opportunistic intestinal parasites indicates that, ART may also be contributed to the reduction of opportunistic intestinal parasites infections. In this study, intestinal parasitic infections occurrence was significantly higher in patients with CD 4 count < 200 cell/mm 3 , which is in line with other study findings [ 20 – 25 , 33 ]. Unlike others, in our study the occurrence of intestinal parasitic infections was also significantly higher in patients with CD 4 count 200–500 cell/mm 3 . However, other study in Ethiopia reported that CD 4 count < 500cell/µl was significantly associated with opportunistic intestinal parasitic infections [ 34 ]. In fact, immuno-deficient patients are more vulnerable in acquiring intestinal parasites and are unable to clear the infection once it is established [ 33 , 35 ]. In this study, being WHO stage II and III were also significantly associated with intestinal parasitic infection. The occurrence higher intestinal parasitic infection in patients with WHO stage III was in line with other study finding [ 21 , 36 ]. Similarly, in this study, viral load ≥ 150 copies/ml was also significantly associated with intestinal parasitic infection, which also is reported in other study [ 22 ]. The higher the viral load, may be related with low level of CD4 count and advanced WHO stage, which leads to the quicker a person’s immune system will be damaged, increasing their chances of catching infections that the body would normally fight off very easily. Some studies reported that, baseline CD4 count of 500cells/µl or more was significantly associated with viral load reductions or suppression [ 37 – 39 ]. In this study, environmental and hygienic practices of study participants like drinking untreated water, consuming raw food and eating unwashed raw vegetables were found to be significantly associated with intestinal parasitic infections. Significant association of consuming raw unwashed raw vegetables and drinking untreated water with intestinal parasitosis is also reported in other studies in Ethiopia [ 17 , 23 , 40 ]. Therefore, a combination of public health and clinical strategies is required in the prevention and control of intestinal parasites. The efforts should be focused not only on the treatment of infected individuals but also on the other contributing risk factors. In this study, only saline and iodine wet mount, formol-ether concentration and modified Ziehl-Neelsen staining method was used for the detection of intestinal parasites. Thus the added yield of intestinal parasites may be an underestimate as we have not used water-ether sedimentation method for Microsporidia and other methods like molecular techniques and immuno flouscent techniques which are sensitive for parasites. In addition, patients may be got deworming and/or diagnosed for parasites and treated as well before. Conclusion In this present study, high prevalence of intestinal parasites among HIV infected patient in was observed. Higher rate of intestinal parasitosis were associated with hygienic practices like drinking untreated water, consuming raw food and eating unwashed raw vegetables and with some clinical findings such as lower CD4 counts, increased viral load and being WHO stage II & III. Increasing accessibility of antiretroviral therapy for HIV infected patients may help to reduce or suppress the viral load to lower or an undetectable level and boost the immune status in reducing vulnerability of the patients for acquisition of intestinal parasites. In addition, utilization of water treating chemicals and stool examination in the follow-up of patients with HIV/AIDS attending ART clinic and raising awareness about the prevention and control of intestinal parasites and prompt treatment are necessary. Abbreviations AIDS: Acquired Immuno Deficiency Syndrome, ART : Anti-Retroviral Treatment, CD 4 : Cluster differentiation, HIV : Human immunodeficiency Virus, IP: -Intestinal parasite Declarations Ethical approval and consent to participate Ethical approval was obtained first from Mizan- Tepi University Ethical committee. Legal permission was obtained from hospital administrative (COE). Informed consent was obtained from the parents for the study participation. All methods were performed in accordance with the relevant guidelines and regulations. Consent for publications “Not applicable” Availability of data and materials “All the data supporting our findings were incorporated within the manuscript”. Competing Interests “The authors declare that they have no competing interest”. Authors’ contributions Both authors were participated in the study design and recruitment. MA* analyzed the data and drafted the manuscript. 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PMID: 29911204; PMCID: PMC5999047. Chhangte MZ, Koticha A, Ingole N, et al. Prevalence of intestinal parasites in HIV sero-positive patients attending an integrated counseling and testing centre. J. Evolution Med. Dent. Sci. 2020;9(12): 919–923, DOI: 10.14260/jemds/2020/198 Botero JH, Villegas-Arbeláez E, Giraldo S, UránVelásquez J, Arias-Agudelo L, Alzate JC, et al. Prevalence of intestinal parasites in a cohort of HIV-infected patients from Antioquia, Colombia. Biomédica. 2021; 41(Supl.2):153–64. https://doi.org/10.7705/biomedica.5992 O.A. Obateru, B.J. Bojuwoye, A.B. Olokoba, A. Fadeyi, A. Fowotade, L.B. Olokoba. Prevalence of intestinal parasites in newly diagnosed HIV/AIDS patients in Ilorin, Nigeria. Alexandria Journal of Medicine. Volume 53, Issue 2, 2017, Pages 111–116, ISSN 2090–5068, https://doi.org/10.1016/j.ajme.2016.04.001 . Lengongo JVK, Ngondza BP, Ditombi BM, M’Bondoukwé NP, Ndong Ngomo JM, Delis AM, et al. 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Opportunistic and other intestinal parasites infections among HIV-positive patients in the era of combination antiretroviral therapy and preventive treatment in Ouagadougou, Burkina Faso. J HIV Clin Sci Res. 2017; 4(1): 008–014. DOI: http://doi.org/10.17352/2455-3786.000122 . Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-1304850","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":97176327,"identity":"7950b3ae-5ab2-46a5-b402-247212809208","order_by":0,"name":"Mengistu Abayneh","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA5ElEQVRIiWNgGAWjYBCDBAYG5gNAWkKGFC1sCSAtPKRo4TEAMQhr0W3vPfziA4NdHv+MnM+vbtRY8DCwHz66AZ8WszPn0ixnMCQXS9zI3WadcwzoMJ60tBt4tdzIMTPmYWBObABqMc5hA2qR4DHDr+X+GzPjPwz1ifNv5DwzzvlHjJYbPMaPGRgOJ264kcP8OLeNGC1ncswYewyOFxueeWbGnNsnwcNG0C/Hzxh/+FFRnSd3PPnx55xvdXL87IeP4dUCBGwSDKAYEUgAMkBcAspBgPkDmOI/AGWMglEwCkbBKEADAA9VSadWtFjcAAAAAElFTkSuQmCC","orcid":"","institution":"Mizan Tepi University","correspondingAuthor":true,"prefix":"","firstName":"Mengistu","middleName":"","lastName":"Abayneh","suffix":""},{"id":97176328,"identity":"8a358ecd-ab9f-4e81-80e8-adeb877ad635","order_by":1,"name":"Tadesse Duguma","email":"","orcid":"","institution":"Mizan Tepi University","correspondingAuthor":false,"prefix":"","firstName":"Tadesse","middleName":"","lastName":"Duguma","suffix":""}],"badges":[],"createdAt":"2022-01-28 05:36:27","currentVersionCode":2,"declarations":"","doi":"10.21203/rs.3.rs-1304850/v2","doiUrl":"https://doi.org/10.21203/rs.3.rs-1304850/v2","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":38577635,"identity":"d8a8b3e9-6c30-472f-9768-5248d01081ac","added_by":"auto","created_at":"2023-06-15 05:59:45","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":638025,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-1304850/v2/744d6df6-8204-4b14-96c3-2d57df022ccc.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Prevalence of intestinal parasites and associated risk factors among HIV/AIDS patients attending at anti-retroviral treatment (ART) clinic at Mizan-Tepi university teaching hospital, southwest Ethiopia","fulltext":[{"header":"Introduction","content":"\u003cp\u003eParasitic infections, particularly intestinal parasites are among the most widespread of human infections worldwide and are the main threat in developing countries, as it has been noticeably heightened with the coexistence of large burden of HIV/AIDS and malnutrition in the area. It is estimated that as much as 60% of the World\u0026rsquo;s population is infected with intestinal parasites which may play a significant role in morbidity due to intestinal infections [\u003cspan additionalcitationids=\"CR2\" citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eGastrointestinal problem resulting from opportunistic parasitic infection in HIV and AIDS infected subject has dramatically decreased in countries where antiretroviral agents are widely available. However, in most African countries, where patients have access to ART, intestinal pathogens still represent a frequent cause of diarrhea, wasting and weight loss. Evidence shows that HIV- infected patients are the most vulnerable risk group for acquiring parasitic infection, and about 85% of AIDS patients die as a result of AIDS related infections, rather than due to the HIV infection itself. These opportunistic infections most commonly occur in the later stages of HIV infection when numbering of CD4 T cells has declined mostly\u0026thinsp;\u0026lt;\u0026thinsp;200mm\u003csup\u003e3\u003c/sup\u003e [\u003cspan additionalcitationids=\"CR5 CR6\" citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eDespite ART improving the quality of life and reducing the occurrence of opportunistic infection due to immuno suppression, malnutrition, poor waste management, ignorance (illiteracy), unhygienic sources of drinking water and depleted CD4 counts among HIV/AIDS patients are the most common determinants of parasitic infection [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e, \u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eIntestinal parasitic worm infections are transmitted to humans through soil contaminated by human faeces, mostly in areas where sanitation is poor. Infection leads to anaemia, vitamin A deficiency, stunted growth, malnutrition, intestinal obstruction and impaired development. The most commonly reported intestinal parasites are \u003cem\u003eAscaris lumbricoides\u003c/em\u003e, \u003cem\u003ehookworms, Trichuris trichiuria, Giardia lamblia, Entamoeba histolytica\u003c/em\u003e and \u003cem\u003eSchistosoma\u003c/em\u003e species are the most common intestinal parasites. Among those opportunistic pathogens, \u003cem\u003eIsospora belle, Cryptosporidium parvum, Cyclospora cayetanenis\u003c/em\u003e and \u003cem\u003eMicrosporodia\u003c/em\u003e specie increasingly reported as causes of enteritis and as opportunistic pathogen in immune compromised individuals [\u003cspan additionalcitationids=\"CR9 CR10\" citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eAs Ethiopia is one of the developing countries in the world it is categorized under a high prevalence of parasitic infections. According to the studies, the average prevalence of parasitic infections was 39.6% [\u003cspan additionalcitationids=\"CR13 CR14\" citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e]. The estimated pooled prevalence of intestinal\u003c/p\u003e \u003cp\u003eparasitosis in HIV/ AIDS patients was 39.2% [\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e].The severity and magnitude of IP in HIV/ AIDS patients require attention and study, especially in the countries like Ethiopia where there was high HIV/AIDS and parasite prevalence. Therefore, this study was aimed to determine the magnitude of intestinal parasite among HIV /AIDS patient who are coming to ART clinic at Mizan-Tepi university teaching hospital, South Western Ethiopia. The finding will help to sensitize local and national responsible bodies as prerequisite for updating strategies in the prevention and control of intestinal parasitic infection among HIV/AIDS patients.\u003c/p\u003e"},{"header":"Methdology","content":"\u003cdiv class=\"Section2\" id=\"Sec3\"\u003e\n \u003ch2\u003eStudy Area and period\u003c/h2\u003e\n \u003cp\u003eThis study was conducted in Mizan-Tepi university teaching hospital from July to September 30, 2021. Mizan-Tepi university teaching hospital is found at 591Km, South west of Addis Ababa, capital city of Ethiopia. It is the second more than 139 bedded teaching hospitals in the Southwestern part of the country, providing services approximately for 5\u0026nbsp;million people from four zones such as BENCH SHEKO, KEFA, SHEKA and MAJANG as referral center. About 350 clients visit the hospital daily for different services and there were more than 750 HIV positive patients taking ART services.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv class=\"Section2\" id=\"Sec4\"\u003e\n \u003ch2\u003eStudy design and subjects\u003c/h2\u003e\n \u003cp\u003eA cross- sectional study design was conducted to determine the prevalence of intestinal parasites among HIV positive patients who are attending ART clinic in MTUTH south Western Ethiopia. Consecutive HIV/AIDS patients who come for ART services during study period were included. Those who are not willing to participate and those couldn\u0026rsquo;t provide stool samples were excluded.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv class=\"Section2\" id=\"Sec5\"\u003e\n \u003ch2\u003eSample size and sampling technique\u003c/h2\u003e\n \u003cp\u003eThe required sample size was calculated using single population proportion formula by assuming that confidence interval of 95%, margin error of 5%, and the prevalence of intestinal parasites among people with HIV/AIDS (p) as 13.9% [\u003cspan class=\"CitationRef\"\u003e17\u003c/span\u003e], which is reported in previous study in Ethiopia.\u003c/p\u003e\n \u003cp\u003e\u003cimg src=\"data:image/png;base64,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\"\u003e\u003c/p\u003e\n \u003cdiv class=\"Section3\" id=\"Sec6\"\u003e\n \u003cp\u003eBy assuming 4% non-respondent rate, the final sample size for this study was \u003cstrong\u003e191\u003c/strong\u003e.\u003c/p\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class=\"Section2\" id=\"Sec7\"\u003e\n \u003ch2\u003eData Collection\u003c/h2\u003e\n \u003cdiv class=\"Section3\" id=\"Sec8\"\u003e\n \u003ch2\u003eSocial-demographic data\u003c/h2\u003e\n \u003cp\u003eDuring implementation of data collections, the study subject was asked for their willingness in participation of the study. A structured questionnaire was utilized to collect socio-demographical (age, sex, residence, marital status, educational status) and other risk factors data such as hand washing practice, habit of consuming raw food, own domestic animals, availability and usage of latrine, shoe wearing habits, source and treatment of water for drinking. Patients were also asked for complaints of diarrhea. Data on WHO stage of HIV, viral load and level of CD4\u0026thinsp;+\u0026thinsp;T cell count and antiretroviral treatment (ART) status was obtained from patients\u0026rsquo; medical records.\u003c/p\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class=\"Section2\" id=\"Sec9\"\u003e\n \u003ch2\u003eLaboratory sample collection and processing\u003c/h2\u003e\n \u003cp\u003eA single fresh stool was collected with a labeled stool cup following standard procedures by laboratory technologist who worked at the ART clinic. The patients were provided with appropriate specimen container and applicator sticks to bring sufficient amount of stool specimen. Each sample were labeled with specific code number, and transported to the laboratory within 30 minutes of collection for parasitological analysis.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv class=\"Section2\" id=\"Sec10\"\u003e\n \u003ch2\u003eSample processing\u003c/h2\u003e\n \u003cp\u003eThen stool sample was examined both macroscopically and microscopically. Macroscopically its appearance was observed while microscopically it was examined using direct saline and iodine wet mount smear preparation, formol- ether concentration and modified Ziehl- Neelson technique [\u003cspan class=\"CitationRef\"\u003e18\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e19\u003c/span\u003e]. During microscopic examination of intestinal parasite their diagnostic stage was identify based on their shape, color and motility.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv class=\"Section2\" id=\"Sec11\"\u003e\n \u003ch2\u003eData Analysis\u003c/h2\u003e\n \u003cp\u003eData were entered into SPSS Version 25 software for analysis. Frequency distributions and descriptive statistics such as the number and percent of intestinal parasites in relation to different variables were determined. Bivariate and multivariate analyses were performed to assess the association or crude and adjusted odd ratio of parasitic infections with the independent variables. A statistical test result was declared as significant when its 𝑃 value was less than 0.05 and crude and adjusted odds ratios with 95% confidence intervals (CI) were reported.\u003c/p\u003e\n\u003c/div\u003e"},{"header":"Result","content":"\u003ch2\u003eSocio-demography of the study subject \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/h2\u003e\n\u003cp\u003eA total of 191 subjects were participated in this study. Of these, 113 (59.2%) were females and 89 (46.6%) were age group of 35-50 years. Majority, 103 (53.9%) and 133 (69.6%) of study participants were urban residence and married, respectively. About 65 (34.0%) of the study participants were complete their primary school and 44 (23.0%) were working as house wives (Table-1). \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u0026nbsp;\u003c/p\u003e\n\u003ch2\u003eIntestinal parasites among HIV/AIDS patients\u0026nbsp;with\u0026nbsp;ART\u0026nbsp;and\u0026nbsp;ART na\u0026iuml;ve group\u003c/h2\u003e\n\u003cp\u003eIn this study, a total of 191 stool samples were tested for the detection of intestinal parasites (IPs). Of these samples, 143 (75.0%) of them were taken from HIV/AIDS patients who were on-ART and the rest 48 (25.0%) were taken from ART na\u0026iuml;ve group. Accordingly, the overall prevalence of IPs was 67 (35.1%). \u0026nbsp;The prevalence of IPs among HIV/AIDS patients who were on-ART was 45 (31.5%) and 22 (45.8%) among ART na\u0026iuml;ve group. The distribution of intestinal parasites was not statistically significant differences between ART and ART na\u0026iuml;ve group (X\u003cstrong\u003e\u003csup\u003e2\u0026nbsp;\u003c/sup\u003e\u003c/strong\u003e\u003cem\u003e= 3.256; P\u003c/em\u003e- value \u0026gt; 0.05).\u003cem\u003e\u0026nbsp;Entamoeba histolytica/dispar\u0026nbsp;\u003c/em\u003e(7.7%) and (12.5%) and\u003cem\u003e\u0026nbsp;Giardia lamblia\u0026nbsp;\u003c/em\u003e(7.0%) and (10.4%) was the most predominant parasites detected in HIV/AIDS patients who were on-ART and ART na\u0026iuml;ve group, respectively. The prevalence of opportunistic intestinal parasites among ART and ART na\u0026iuml;ve group were 1.4% and 4.2%, respectively for \u003cem\u003eCryptosporidium\u003c/em\u003e spps and 2.1% of \u003cem\u003eIsospora belli\u003c/em\u003e were detected only in ART na\u0026iuml;ve group (Table-2).\u003c/p\u003e\n\u003ch2\u003ePrevalence of intestinal parasites in relation with\u0026nbsp;Socio-demographic\u0026nbsp;characteristics of study participants\u003c/h2\u003e\n\u003cp\u003eIn this study, analysis with binary logistic regression showed that, place of residence and marital status of the study participants were identified as the major socio-demographic determinants of intestinal parasite among HIV/AIDS patients. Being rural residence were 61% (COR = 0.39; 95% CI: 0.205-0.755; \u003cem\u003ep\u003c/em\u003e-value = 0.005) more likely to had intestinal parasite than those of urban residence and being single by marital status were almost 3.38 times (COR = 3.38; 95% CI: 1.202-9.488; \u003cem\u003ep\u003c/em\u003e-value = 0.021) more likely to harbour intestinal parasite than married one.\u0026nbsp;Other socio-demographic characteristics, such as sex, age and educational status were did not show association with intestinal parasitic infection (Table-\u0026nbsp;1).\u003c/p\u003e\n\u003ch2\u003eIntestinal parasites in relation with CD4 level, viral load, ART status and WHO stages\u003c/h2\u003e\n\u003cp\u003eIn this study,\u0026nbsp;after multivariate analysis, having CD4 counts \u0026lt; 200cell/mm\u003csup\u003e3\u003c/sup\u003e and 200-500cell/mm\u003csup\u003e3\u003c/sup\u003e, being WHO stage II\u0026nbsp;and III and viral load \u0026ge; 150 copies/ml were significantly associated with intestinal parasitic infection. As shown in Table-3, HIV/AIDS patients whose CD4 counts \u0026lt; 200cell/mm\u003csup\u003e3\u003c/sup\u003e and 200-500 cell/mm\u003csup\u003e3\u0026nbsp;\u003c/sup\u003eare 78% (AOR = 0.22; 95% CI: 0.062-0.798;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.021) and 60% (AOR = 0.40; 95% CI: 0.195-0.811;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.011) more likely to be infected for intestinal parasite than those with CD4 counts \u0026gt; 500 cell/mm\u003csup\u003e3\u003c/sup\u003e. Concerning HIV/AIDS patients with viral load \u0026ge;150 copies/ml are 56% (AOR = 0.44; 95% CI: 0.220-0.873;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.019) more likely to have parasite than those who having viral load \u0026lt;150 copies/ml. \u0026nbsp;Regarding WHO stage being Stage II and WHO stage III are 70% (AOR = 0.30; 95% CI: 0.156-0.589; \u003cem\u003ep\u003c/em\u003e-value = 0.001) and 68% (AOR = 0.32; 95% CI: 0.108-0.917;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.034) more likely to have parasite than those patients with WHO stage I (Table-3).\u003c/p\u003e\n\u003ch2\u003ePrevalence of intestinal parasites in relation with environmental and hygienic practices of study participants\u003c/h2\u003e\n\u003cp\u003eIn this study, among those studied variables related with\u0026nbsp;environmental and hygienic practices of study participants, drinking untreated water, consuming raw food and eating unwashed raw vegetables\u0026nbsp;were significantly associated with intestinal parasitic infection among HIV/AIDS patients in the multivariate logistic analysis. Those HIV/AIDS patients\u0026nbsp;who was drinking untreated water are 87% (AOR = 0.13; 95% CI: 0.016-1.012;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.035) more likely to be infected with intestinal parasite than those whose drinking treated water. Those HIV/AIDS patients consuming raw food are 77% (AOR = 0.23; 95% CI: 0.025-2.108;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.017) more likely to have parasite than those who have not consuming raw food. In addition, those patients eating unwashed vegetables are 2.26 times (AOR = 2.26; 95% CI: 1.052-4.843;\u003cem\u003e\u0026nbsp;p\u003c/em\u003e-value = 0.021) more likely to have parasite than those consuming unwashed raw vegetables (Table-4).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable-1:\u0026nbsp;\u003c/strong\u003ePrevalence of intestinal parasites in relation with socio-demographic characteristics of HIV/AIDS infected patients (N=191)\u003c/p\u003e\n\u003ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"20.408163265306122%\"\u003e\n \u003cp\u003e\u003cstrong\u003eCharacteristics\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"13.26530612244898%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" width=\"34.69387755102041%\"\u003e\n \u003cp\u003e\u003cstrong\u003eParasitic infections\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"21.428571428571427%\"\u003e\n \u003cp\u003e\u003cstrong\u003eCOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eP\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"48.484848484848484%\"\u003e\n \u003cp\u003e\u003cstrong\u003ePositive N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"51.515151515151516%\"\u003e\n \u003cp\u003e\u003cstrong\u003eNegative N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge groups\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e15- 34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e67 (35.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e24 (35.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e43(34.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.99 (0.333-2.524)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.990\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e35-50\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e89 (46.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e31(46.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e58 (46.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e1.16 (0.4398-3.356)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.789\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u0026gt; 50\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e35 (18.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e12 (17.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e23 (18.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eGender\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e78 (40.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e31(46.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e47(37.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e113 (59.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e36 (53.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e77 (62.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e1.41 (0.773-2.575)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.262\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eResidence\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eUrban\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e103 (53.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e35 (52.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e68 (54.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eRural\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e88 (46.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e32 (47.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e56 (45.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.39 (0.205-0.755)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.005\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eMarital status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eMarried\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e133 (69.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e41(61.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e92 (74.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eSingle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e58 (30.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e26 (38.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e32 (25.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e3.38 (1.202-9.488)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.021\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational Status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eIlliterate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e14 (7.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e4 (6.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e10 (8.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e2.11(0.141-31.587)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.587\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eRead and write\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e41 (21.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e15 (22.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e26 (21.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e2.19 (0.115-41.600)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.603\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003ePrimary school\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e65 (34.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e23 (34.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e42 (33.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.89 (0.130-6.059)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.902\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eSecondary school\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e53 (27.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e19 (28.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e34 (27.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e1.04 (0.140-7.689)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.971\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eCollege and above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e18 (9.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e6 (9.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e12 (9.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eOccupation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eGov\u0026rsquo;t employer\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e27 (14.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e8 (11.90\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e19 (15.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eFarmer\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e36 (18.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e14 (20.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e22 (17.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.66 (0.228-1.917)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.447\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eHouse wife\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e44 (23.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e15 (22.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e29 (23.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.81 (0.289-2.291)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.697\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eMerchants\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e34 (17.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e12 (17.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e22 (17.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.77 (0.261-2.284)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.640\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eStudent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e9 (4.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e2 (3.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e7 (5.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e1.47 (0.250-8.698)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.669\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003eDaily laborers\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"13.402061855670103%\"\u003e\n \u003cp\u003e41 (21.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"16.49484536082474%\"\u003e\n \u003cp\u003e16 (23.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e25 (20.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp\u003e0.66 (0.233-1.856)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e0.429\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003eTable- 2:\u003c/strong\u003e Prevalence of intestinal parasites in relation with ART status\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cstrong\u003eParasites detected\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" width=\"42.857142857142854%\"\u003e\n \u003cp\u003e\u003cstrong\u003eART status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e\u003cstrong\u003eChi-square ( X\u003csup\u003e2\u003c/sup\u003e)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eP\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"40.476190476190474%\"\u003e\n \u003cp\u003e\u003cstrong\u003eOn-ART N (%)\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"59.523809523809526%\"\u003e\n \u003cp\u003e\u003cstrong\u003eART na\u0026iuml;ve group N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eEntamoeba histolytica/dispar\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e11 (7.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e6 (12.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e1.999\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.157\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eGiardia lamblia\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e10 (7.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e5 (10.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0.582\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.445\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eAscaris lumbricoides\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e9 (6.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e3 (6.25)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.991\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eCryptosporidium spps\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e2 (1.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e2 (4.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e1.343\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.247\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eIsospora belli\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e0\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e1 (2.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e2.995\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.084\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eTrichuris\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003cem\u003etrichiuria\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e4 (2.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e2 (4.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0.603\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.437\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eHymenolepis nana\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e2 (1.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0.678\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.410\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eSchistosoma\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003cem\u003emansoni\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e4 (2.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e2 (4.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0.603\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.437\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eStrongyloides\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003cem\u003estercolaris\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e1 (0.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0.337\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.561\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eHook worm\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e1 (0.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e1 (2.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.440\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003e\u003cem\u003eTaenia spps\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e1 (0.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003eDouble infections\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e3 (2.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e2 (4.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"32.6530612244898%\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.346938775510203%\"\u003e\n \u003cp\u003e45 (31.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"25.510204081632654%\"\u003e\n \u003cp\u003e22 (45.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"14.285714285714286%\"\u003e\n \u003cp\u003e3.256\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.204081632653061%\"\u003e\n \u003cp\u003e0.071\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003eTable- 3:\u003c/strong\u003e Prevalence of intestinal parasites in relation with CD4 level, viral load, ART status and WHO stages of HIV/AIDS patients\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"11.34020618556701%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" width=\"24.742268041237114%\"\u003e\n \u003cp\u003e\u003cstrong\u003eIntestinal \u0026nbsp; \u0026nbsp; parasites\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"19.587628865979383%\"\u003e\n \u003cp\u003e\u003cstrong\u003eCOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"19.587628865979383%\"\u003e\n \u003cp\u003e\u003cstrong\u003eAOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"7.216494845360825%\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eP\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"47.82608695652174%\"\u003e\n \u003cp\u003e\u003cstrong\u003ePositives N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"52.17391304347826%\"\u003e\n \u003cp\u003e\u003cstrong\u003eNegatives N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u003cstrong\u003eCD4 levels\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026lt;200cell/mm\u003csup\u003e3\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e15 (7.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e8 (11.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e7 (5.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.31(0.100-0.934)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.22(0.062-0.798)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.021\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e200-500cell/mm\u003csup\u003e3\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e87 (45.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e36 (53.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e51 (41.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.49(0.261-0.935)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.40(0.195-0.811)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.011\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026gt;500cell/mm\u003csup\u003e3\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e89 (46.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e23 (34.30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e66 (53.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u003cstrong\u003eART status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eOn ART\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e143 (74.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e45 (67.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e98 (79.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eART na\u0026iuml;ve\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e48 (25.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e22 (32.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e26 (21.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.54 (0.278-1.059)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.071\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u003cstrong\u003eViral load\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026lt; 150 copies/ml\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e129 (67.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e37 (55.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e92 (74.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026ge;150 copies/ml\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e62 (32.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e30 (44.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e32 (25.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.43(0.229-0.843)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.44(0.220-0.873)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.019\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u003cstrong\u003eWHO stage\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eStage I\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e96 (50.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e21 (31.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e75 (60.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eStage II\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e75 (39.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e36 (53.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e39 (31.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.35(0.170-0.706)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.30(0.156-0.589)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eStage III\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e17 (8.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e8 (11.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e9 (7.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.28(0.088-0.853)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.32(0.108-0.917)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.034\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eStage IV\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e3 (1.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"11.458333333333334%\"\u003e\n \u003cp\u003e2 (3.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"12.5%\"\u003e\n \u003cp\u003e1 (0.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.22(0.016-3.166)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"19.791666666666668%\"\u003e\n \u003cp\u003e0.14 (0.012-1.620)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.116\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003eNB: *:\u0026nbsp;\u003c/strong\u003estatistical significance association; \u003cstrong\u003eRef:\u003c/strong\u003e Reference categories\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable- 4:\u003c/strong\u003e Prevalence of intestinal parasites among HIV positive patients with regard to their environmental conditions and hygienic practices (N = 191)\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"10.309278350515465%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" width=\"20.61855670103093%\"\u003e\n \u003cp\u003e\u003cstrong\u003eParasitic Infections\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"18.556701030927837%\"\u003e\n \u003cp\u003e\u003cstrong\u003eCOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"17.52577319587629%\"\u003e\n \u003cp\u003e\u003cstrong\u003eAOR (95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" width=\"7.216494845360825%\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eP\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"47.36842105263158%\"\u003e\n \u003cp\u003e\u003cstrong\u003ePositive N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"52.63157894736842%\"\u003e\n \u003cp\u003e\u003cstrong\u003eNegative N (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003ePresence of toilet\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e180 (94.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e64 (95.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e116 (93.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e11 (5.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e3(4.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e8 (6.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e1.47 (0.377-5.741)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.259\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eEating meal without hand washing\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e9 (4.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e2 (3.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e7 (5.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e1.94 (0.392-9.635)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.180\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e182 (95.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e65 (97.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e117 (94.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eSource of water\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eTape water\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e171 (89.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e59 (88.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e112 (90.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eRiver/spring water\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e20 (10.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e8 (11.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e12 (9.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e0.79(0.306-2.040)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.626\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTreatment of water before drinking\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e16 (8.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e1 (1.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e15(12.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e175 (91.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e66 (98.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e109 (87.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e0.11 (0.014-0.853)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e0.13(0.016-1.012)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.035\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eContact with animal feaces\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e55 (28.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e16 (23.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e39 (31.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e0.68 (0.347-1.346)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.160\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e136 (71.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e51(76.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e85 (68.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eConsuming raw food\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e181 (94.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e66 (98.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e115 (92.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e0.63(0.563-0.704)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e0.23(0.025-2.108)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.017\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e10 (5.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e1(1.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e9 (7.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eHabit of eating unwashed vegetables\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e38 (19.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e20 (29.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e18 (14.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e2.51(1.215-5.166)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e2.26(1.052-4.843)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.021\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e153 (80.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e47 (70.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e106 (85.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eContact with any water body\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e48 (25.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e14 (20.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e34 (27.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e0.70(0.344-1.421)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.321\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e143 (74.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e53 (79.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e90 (72.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003e\u003cstrong\u003eHabit of walking on bare foot\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e17 (8.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e7 (10.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e10 (8.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003e1.33(0.482-3.671)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e―\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e0.581\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" width=\"26.041666666666668%\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e174 (91.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"9.375%\"\u003e\n \u003cp\u003e60 (89.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"10.416666666666666%\"\u003e\n \u003cp\u003e114 (91.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"18.75%\"\u003e\n \u003cp\u003eRef\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"17.708333333333332%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" width=\"7.291666666666667%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003eNB: *:\u0026nbsp;\u003c/strong\u003estatistical significance association; \u003cstrong\u003eRef:\u003c/strong\u003e Reference categories\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study was a hospital based cross- sectional study which was conducted to assess the prevalence of intestinal parasites among HIV/AIDS patients at southwest district of Ethiopia. Accordingly, the overall prevalence of intestinal parasites was 35.1% which was higher than study findings in different parts of Ethiopia in which the average prevalence of intestinal parasites among HIV/AIDS patients was 18.2% [\u003cspan additionalcitationids=\"CR21 CR22\" citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e]. However, this finding is lower than a finding in Nekemte (73.3%) [\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e], Gondar (45.3%) [\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e], Ethiopia. As compared with other developing countries, this finding is higher than a study finding in Mozambique (26.4%) [\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e], India (27.6%) [\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e] and Colombia (29.2%) [\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e]; however, lowers than study findings in Nigeria (68.2%) [\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e], Gabon (42.6%) [\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e], Cameroon (57.5%) [\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e] and Kenya (50.9%) [\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e]. The observed variations may be explained by the difference in geographic location, the difference in sample size, awareness and hygienic practices of the population in the preventions of intestinal parasite infections and moreover the variation in immune status of the study participants. In addition, the observed variations may be influenced by study period in which nowadays there is a better awareness of the patients about intestinal parasite infection and their cause.\u003c/p\u003e \u003cp\u003eIn this study, the prevalence of intestinal parasite among ART and ART na\u0026iuml;ve group was (31.5%) and (45.8%) which was in line with study finding in Northern Ethiopia, Dessie and Gondar, in which the higher proportion of intestinal parasite were observed in ART na\u0026iuml;ve group [\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e, \u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e]. This higher prevalence in ART na\u0026iuml;ve group might be explained by the immune status of the study participants. In fact, ART improving the quality of life and reducing the occurrence of opportunistic infection due to immuno suppression. In addition, ART patients might be followed through laboratory screening for intestinal parasites and may get deworming and better awareness in adopting prevention and treatment measures against intestinal parasites.\u003c/p\u003e \u003cp\u003eAlthough there is no statistical significant difference in the overall detected parasitic species between ART and ART na\u0026iuml;ve group, \u003cem\u003eEntamoeba histolytica/dispar\u003c/em\u003e and \u003cem\u003eGiardia lamblia\u003c/em\u003e was the most predominant parasites detected both in ART and ART na\u0026iuml;ve groups in this study. However, the prevalence of \u003cem\u003eCryptosporidium\u003c/em\u003e spps in ART and ART na\u0026iuml;ve groups was 1.4% and 4.2%, respectively. This finding is in line with other study finding in Ethiopia [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e, \u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e] and Colombia [\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e], in which higher predominance of non-opportunistic intestinal parasites were reported. The higher proportion of non-opportunistic intestinal parasites indicates that, ART may also be contributed to the reduction of opportunistic intestinal parasites infections.\u003c/p\u003e \u003cp\u003eIn this study, intestinal parasitic infections occurrence was significantly higher in patients with CD\u003csub\u003e4\u003c/sub\u003e count\u0026thinsp;\u0026lt;\u0026thinsp;200 cell/mm\u003csup\u003e3\u003c/sup\u003e, which is in line with other study findings [\u003cspan additionalcitationids=\"CR21 CR22 CR23 CR24\" citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e, \u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e]. Unlike others, in our study the occurrence of intestinal parasitic infections was also significantly higher in patients with CD\u003csub\u003e4\u003c/sub\u003e count 200\u0026ndash;500 cell/mm\u003csup\u003e3\u003c/sup\u003e. However, other study in Ethiopia reported that CD\u003csub\u003e4\u003c/sub\u003e count\u0026thinsp;\u0026lt;\u0026thinsp;500cell/\u0026micro;l was significantly associated with opportunistic intestinal parasitic infections [\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e]. In fact, immuno-deficient patients are more vulnerable in acquiring intestinal parasites and are unable to clear the infection once it is established [\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e, \u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eIn this study, being WHO stage II and III were also significantly associated with intestinal parasitic infection. The occurrence higher intestinal parasitic infection in patients with WHO stage III was in line with other study finding [\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e, \u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e]. Similarly, in this study, viral load\u0026thinsp;\u0026ge;\u0026thinsp;150 copies/ml was also significantly associated with intestinal parasitic infection, which also is reported in other study [\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e]. The higher the viral load, may be related with low level of CD4 count and advanced WHO stage, which leads to the quicker a person\u0026rsquo;s immune system will be damaged, increasing their chances of catching infections that the body would normally fight off very easily. Some studies reported that, baseline CD4 count of 500cells/\u0026micro;l or more was significantly associated with viral load reductions or suppression [\u003cspan additionalcitationids=\"CR38\" citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eIn this study, environmental and hygienic practices of study participants like drinking untreated water, consuming raw food and eating unwashed raw vegetables were found to be significantly associated with intestinal parasitic infections. Significant association of consuming raw unwashed raw vegetables and drinking untreated water with intestinal parasitosis is also reported in other studies in Ethiopia [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e, \u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e]. Therefore, a combination of public health and clinical strategies is required in the prevention and control of intestinal parasites. The efforts should be focused not only on the treatment of infected individuals but also on the other contributing risk factors.\u003c/p\u003e \u003cp\u003eIn this study, only saline and iodine wet mount, formol-ether concentration and modified Ziehl-Neelsen staining method was used for the detection of intestinal parasites. Thus the added yield of intestinal parasites may be an underestimate as we have not used water-ether sedimentation method for \u003cem\u003eMicrosporidia\u003c/em\u003e and other methods like molecular techniques and immuno flouscent techniques which are sensitive for parasites. In addition, patients may be got deworming and/or diagnosed for parasites and treated as well before.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eIn this present study, high prevalence of intestinal parasites among HIV infected patient in was observed. Higher rate of intestinal parasitosis were associated with hygienic practices like drinking untreated water, consuming raw food and eating unwashed raw vegetables and with some clinical findings such as lower CD4 counts, increased viral load and being WHO stage II \u0026amp; III. Increasing accessibility of antiretroviral therapy for HIV infected patients may help to reduce or suppress the viral load to lower or an undetectable level and boost the immune status in reducing vulnerability of the patients for acquisition of intestinal parasites. In addition, utilization of water treating chemicals and stool examination in the follow-up of patients with HIV/AIDS attending ART clinic and raising awareness about the prevention and control of intestinal parasites and prompt treatment are necessary.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003e\u003cstrong\u003eAIDS:\u0026nbsp;\u003c/strong\u003eAcquired Immuno Deficiency Syndrome, \u003cstrong\u003eART\u003c/strong\u003e: Anti-Retroviral Treatment, \u003cstrong\u003eCD\u003csub\u003e4\u003c/sub\u003e\u003c/strong\u003e\u003csub\u003e:\u0026nbsp;\u003c/sub\u003eCluster differentiation, \u003cstrong\u003eHIV\u003c/strong\u003e: Human immunodeficiency Virus, \u003cstrong\u003eIP:\u003c/strong\u003e-Intestinal parasite\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch2\u003eEthical approval and consent to participate\u003c/h2\u003e\n\u003cp\u003eEthical approval was obtained first from Mizan- Tepi University Ethical committee. Legal permission was obtained from hospital administrative (COE). Informed consent was obtained from the parents for the study participation. \u0026nbsp;\u003cstrong\u003eAll methods were performed in accordance with the relevant guidelines and regulations.\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003ch2\u003eConsent for publications\u003c/h2\u003e\n\u003cp\u003e\u0026ldquo;Not applicable\u0026rdquo;\u003c/p\u003e\n\u003ch2\u003eAvailability of data and materials\u003c/h2\u003e\n\u003cp\u003e\u0026ldquo;All the data supporting our findings were incorporated within the manuscript\u0026rdquo;.\u0026nbsp;\u003c/p\u003e\n\u003ch2\u003eCompeting Interests\u003c/h2\u003e\n\u003cp\u003e\u0026ldquo;The authors declare that they have no competing interest\u0026rdquo;.\u003c/p\u003e\n\u003ch2\u003eAuthors\u0026rsquo; contributions\u003c/h2\u003e\n\u003cp\u003eBoth authors were participated in the study design and recruitment. MA* analyzed the data and drafted the manuscript. All the authors have contributed to the manuscript and approved the final version.\u0026nbsp;\u003c/p\u003e\n\u003ch2\u003eFunding\u003c/h2\u003e\n\u003cp\u003e\u0026ldquo;No funding was allocated for this study\u0026rdquo;\u0026nbsp;\u003c/p\u003e\n\u003ch2\u003eAcknowledgement\u003c/h2\u003e\n\u003cp\u003eFirst, we would like to thanks Mizan-Tepi University, Institute of Research and Community Support Coordinating Office. Thanks to all data collectors for their willingness during data collection.\u0026nbsp;\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n \u003cli\u003e\u003cspan\u003eFaria CP, Zanini GM, Dias GS, da Silva S, de Freitas MB, Almendra R, et al. Geospatial distribution of intestinal parasitic infections in Rio de Janeiro (Brazil) and its association with social determinants. 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DOI: \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttp://doi.org/10.17352/2455-3786.000122\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Prevalence, Intestinal parasite, HIV/ AIDS, Southwest district, Ethiopia","lastPublishedDoi":"10.21203/rs.3.rs-1304850/v2","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-1304850/v2","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eIntestinal parasitic infections are still very common, especially in areas where immune-compromised patients like HIV/AIDS patients are high prevalent. Therefore, the aim of this study was to assess the prevalence of intestinal parasite and risk factor among HIV/ AIDS patients attending ART clinic in Mizan-Tepi university teaching hospital, Southwest Ethiopia.\u003c/p\u003e\u003ch2\u003eMethod\u003c/h2\u003e \u003cp\u003eA cross -sectional survey was conducted from July to September, 2021. A total of 191 study subjects were participated in this study. A structured questionnaire was used for collecting socio-demographic and risk factors data. Stool sample was collected and processed using direct wet mount, formol-ether concentration technique and modified Ziehl-Neelson staining techniques. Data was analyzed using statistical package for social sciences (SPSS) Version 25 software and logistic regressions were applied to assess any association between explanatory factors and outcome variables.\u003c/p\u003e\u003ch2\u003eResult\u003c/h2\u003e \u003cp\u003eFrom a total of 191 stool samples, 67 (35.1%) were positive for intestinal parasites. The prevalence of intestinal parasites among patients on-ART was 31.5% (45/143) and 45.8% (22/48) among ART na\u0026iuml;ve group. \u003cem\u003eEntamoeba histolytica/dispar\u003c/em\u003e (7.7%) and (12.5%) and \u003cem\u003eGiardia lamblia\u003c/em\u003e (7.0%) and (10.4%) was the most predominant parasites detected both in ART and ART na\u0026iuml;ve groups (p\u0026thinsp;\u0026gt;\u0026thinsp;0.05). Drinking untreated water (AOR\u0026thinsp;=\u0026thinsp;0.13; 95% CI: 0.016\u0026ndash;1.012), consuming raw food (AOR\u0026thinsp;=\u0026thinsp;0.23; 95% CI: 0.025\u0026ndash;2.108), eating unwashed raw vegetables (AOR\u0026thinsp;=\u0026thinsp;2.26; 95% CI: 1.052\u0026ndash;4.843); CD\u003csub\u003e4\u003c/sub\u003e count\u0026thinsp;\u0026lt;\u0026thinsp;200cells/ mm\u003csup\u003e3\u003c/sup\u003e (AOR\u0026thinsp;=\u0026thinsp;0.22; 95% CI: 0.062\u0026ndash;0.798), CD\u003csub\u003e4\u003c/sub\u003e count 200-500cells/mm\u003csup\u003e3\u003c/sup\u003e (AOR\u0026thinsp;=\u0026thinsp;0.40; 95% CI: 0.195\u0026ndash;0.811), WHO stage II (AOR\u0026thinsp;=\u0026thinsp;0.30; 95% CI: 0.156\u0026ndash;0.589), WHO stage III (AOR\u0026thinsp;=\u0026thinsp;0.32; 95% CI: 0.108\u0026ndash;0.917) and viral load\u0026thinsp;\u0026ge;\u0026thinsp;150 copies/ml (AOR\u0026thinsp;=\u0026thinsp;0.44; 95% CI: 0.220\u0026ndash;0.873) were showed significant association with prevalence of intestinal parasite.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eIn this study, higher rate of intestinal parasitosis were associated with hygienic practices like drinking untreated water, consuming raw food and eating unwashed raw vegetables and with some clinical findings such as lower CD4 counts, increased viral load and being WHO stage II \u0026amp; III. Therefore, public health measures and adherence to ART should be strengthened to improve the immune status and to reducing vulnerability of the patients for intestinal parasites.\u003c/p\u003e","manuscriptTitle":"Prevalence of intestinal parasites and associated risk factors among HIV/AIDS patients attending at anti-retroviral treatment (ART) clinic at Mizan-Tepi university teaching hospital, southwest Ethiopia","msid":"","msnumber":"","nonDraftVersions":[{"code":2,"date":"2022-04-11 13:17:33","doi":"10.21203/rs.3.rs-1304850/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2022-02-21 15:02:57","doi":"10.21203/rs.3.rs-1304850/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"85b2948f-fdbd-411c-8436-a7b1d3de6508","owner":[],"postedDate":"April 11th, 2022","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2023-06-15T05:59:38+00:00","versionOfRecord":[],"versionCreatedAt":"2022-04-11 13:17:33","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v2","identity":"rs-1304850","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-1304850","identity":"rs-1304850","version":["v2"]},"buildId":"_2-kVJe1T_tPrBINL-cwx","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}