September 14, 2025 Journal article Open Access

Melaku Bimerew; Teshome Gebremeskel; Biruk Beletew; Manay Ayalneh; Wondye Ayaliew; Mulugeta Wodaje

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    <subfield code="a">Neurolathyrism, Prevalence, Dawunt, Ethiopia</subfield>
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    <subfield code="u">Department of Human Anatomy, College of Health Science, Woldia  University, Woldia, Ethiopia</subfield>
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    <subfield code="u">Department of Pediatric and Child Health Nursing, College of Medicine  and Health Science, Injibara University, Injibara, Ethiopia</subfield>
    <subfield code="a">Manay Ayalneh</subfield>
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    <subfield code="u">Department of Plant Biotechnology, Woldia University, Woldia, Ethiopia</subfield>
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    <subfield code="u">Department of Midwifery, College of Health Science, Woldia University,  Woldia, Ethiopia</subfield>
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    <subfield code="u">Department of Pediatric and Child Health Nursing, College of Medicine  and Health Science, Injibara University, Injibara, Ethiopia</subfield>
    <subfield code="a">Melaku Bimerew</subfield>
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    <subfield code="a">Prevalence of Neurolathyrism and its  associated factors in Grass pea cultivation  areas of Dawunt District, North-eastern  Ethiopia; 2022: a community based multilevel  analysis</subfield>
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    <subfield code="a">&lt;p&gt;Abstract Introduction : Neurolathyrism is an upper motor neuron disorder characterized by spastic paraparesis, which is caused by the prolonged over-consumption of grass pea. It is a devastating disease with great impacts on physical, social, mental, and economical health. Objective To determine the prevalence of neurolathyrism and its associated factors in grass pea cultivation areas of Dawunt wereda. Methods Community based cross-sectional study design was conducted from February 01- March 30, 2021 on 631 Households with a total of 3,350 individuals. Two-stage random sampling technique was used to select participants. Multilevel binary logistic regression was used to identify factors associated with neurolathyrism. Statistical significance was declared at p &amp;lt; 0.05; and AOR with 95% CI was used to interpret the results. Results The household and population level prevalence of neurolathyrism in Dawunt district were 9.2% (7.2 11.7%) and 2.4% (2.0-2.3.0%) respectively. Age (AOR = 7.4 ( 2.6&amp;ndash;20.6)), male sex (AOR = 7.8 (3.9, 15.4)), and marital status (AOR = 4.0 (1.3&amp;ndash;12.8)) were the individual level variables; family size (AOR = 12.6 (3.0-52.8)), annual grass pea production (AOR = 5.0 (2.3&amp;ndash;11.0)), ever feeding only grass pea (AOR = 8.8(3.5&amp;ndash;22.2)), ever feeding immature seeds of grass pea (AOR = 6.28 (2.80, 14.08)), high grass pea to other cereals mixing ratio (&amp;gt; 3:1) (AOR = 6.1 (1.1, 33.5)) were the household level variables found to have significant association with neurolathyrism. Conclusion The prevalence of neurolathyrism was found to be high. Ever feeding only grass pea, Grass pea to other cereals mixing ratio (using ratio of 1:1 or more), and Ever feeding immature grass pea seeds were the modifiable risk factors for neurolathyrism.&lt;/p&gt;</subfield>
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