There is no study on () infection in pupils of Ho Chi Minh city (HCMC), the most overcrowded city in Vietnam. Therefore, the aim of this study was to estimate the prevalence of and its geographical spread among school-aged children. A school-based cross-sectional study was conducted among 1854 pupils across 24 districts of HCMC in 2019. Multiple-stage sampling method was used to enroll pupils. We built a four-points index for geographical division based on population density and employees density to evaluate the link between and crowded level. Stool samples were analyzed by monoclonal enzyme-immunoassay stool antigen-test to assess the infection status. Logistic regression was performed to assess possible factors related to infection. The overall prevalence of was 87.7%. There was a linear increasing trend in the infection rate ( < 0.001) across the 4-points index of HCMC and this trend maintained within both age and gender subgroups ( = 0.02). Prevalence of was high and it increased with population density or employees density. Therefore, it is crucial to plan and implement the reduction of infection programs by targeting the highly concentrated population areas of HCMC.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9684168PMC
http://dx.doi.org/10.3389/ijph.2022.1605354DOI Listing

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