Burden assessment of podoconiosis in Wayu Tuka woreda, east Wollega zone, western Ethiopia: a community-based cross-sectional study
Identifieur interne : 001333 ( Main/Exploration ); précédent : 001332; suivant : 001334Burden assessment of podoconiosis in Wayu Tuka woreda, east Wollega zone, western Ethiopia: a community-based cross-sectional study
Auteurs : Kenate Bekele [Éthiopie] ; Kebede Deribe [Royaume-Uni, Éthiopie] ; Tsige Amberbir [Éthiopie] ; Geleta Tadele [Éthiopie] ; Gail Davey [Royaume-Uni] ; Abdi Samuel [Éthiopie]Source :
- BMJ Open [ 2044-6055 ] ; 2016.
Abstract
Podoconiosis is a neglected tropical disease characterised by a slowly progressive swelling of the foot and lower leg. It is prevalent among subsistence barefoot farmers who live and work in highland areas of the tropics. This study was conducted in Wayu Tuka ‘woreda’ (district), western Ethiopia to determine the prevalence of podoconiosis and assess factors associated with acute adenolymphangitis (ALA) episodes.
A two phase, community-based cross-sectional study was conducted between January and March 2015. First, all households in the district were surveyed to determine the prevalence of podoconiosis. This was followed by a second phase in which 366 people with podoconiosis from four randomly selected ‘kebeles’ (subdistricts) were assessed for clinical features of the disease, shoe-wearing habits, personal hygiene, social stigma and functional impairment. Data entered into Epi DATA were then exported to SPSS. Logistic regression analysis was conducted to identify factors associated with ALA.
Prevalence of podoconiosis in the population was 3.05% (1197/39 256) (95% CI 2.9% to 3.2%). The prevalence was significantly higher among women than men (3.67% vs 2.4%). Most (92.2%) people with podoconiosis were in the economically active age group (15–64 years) in the first phase survey. Of participants in the second phase of the study, 43% had stage 2 disease and 38.1% had ‘moss’-like skin changes. On average, people with podoconiosis had 23.3 episodes of ALA/year and each person with podoconiosis lost 149.5 days of activity/year. Never walking barefoot and daily foot washing were both associated with decreased odds of ALA (AOR=0.23; 95% CI 0.06 to 0.80 and 0.09; 95% CI 0.01 to 0.75, respectively).
A relatively high prevalence of podoconiosis, frequent ALA episodes and considerable decreases in daily activities were identified in this district. Footwear use and daily foot hygiene were associated with decreased odds of ALA. We recommend prevention and morbidity management interventions to address this developmental challenge.
Url:
DOI: 10.1136/bmjopen-2016-012308
PubMed: 27670520
PubMed Central: 5051403
Affiliations:
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wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Microbiology</addr-line>,<institution>Wollega University, College of Medical and Health Sciences</institution>,<addr-line>Nekemte</addr-line>,<country>Ethiopia</country></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Wellcome Trust Brighton & Sussex Centre for Global Health Research, Brighton & Sussex Medical School</institution>,<addr-line>Falmer, Brighton</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af3"><institution>Addis Ababa University, School of Public Health</institution>,<addr-line>Addis Ababa</addr-line>,<country>Ethiopia</country></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Amberbir, Tsige" sort="Amberbir, Tsige" uniqKey="Amberbir T" first="Tsige" last="Amberbir">Tsige Amberbir</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>International Orthodox Christian Charities (IOCC)</institution>,<addr-line>Addis Ababa</addr-line>,<country>Ethiopia</country></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tadele, Geleta" sort="Tadele, Geleta" uniqKey="Tadele G" first="Geleta" last="Tadele">Geleta Tadele</name><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Department of Parasitological</addr-line>,<institution>Wollega University, College of Medical and Health Sciences</institution>,<addr-line>Nekemte</addr-line>,<country>Ethiopia</country></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Wellcome Trust Brighton & Sussex Centre for Global Health Research, Brighton & Sussex Medical School</institution>,<addr-line>Falmer, Brighton</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Samuel, Abdi" sort="Samuel, Abdi" uniqKey="Samuel A" first="Abdi" last="Samuel">Abdi Samuel</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Microbiology</addr-line>,<institution>Wollega University, College of Medical and Health Sciences</institution>,<addr-line>Nekemte</addr-line>,<country>Ethiopia</country></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>Podoconiosis is a neglected tropical disease characterised by a slowly progressive swelling of the foot and lower leg. It is prevalent among subsistence barefoot farmers who live and work in highland areas of the tropics. This study was conducted in Wayu Tuka ‘woreda’ (district), western Ethiopia to determine the prevalence of podoconiosis and assess factors associated with acute adenolymphangitis (ALA) episodes.</p></sec><sec><title>Methods and analysis</title><p>A two phase, community-based cross-sectional study was conducted between January and March 2015. First, all households in the district were surveyed to determine the prevalence of podoconiosis. This was followed by a second phase in which 366 people with podoconiosis from four randomly selected ‘kebeles’ (subdistricts) were assessed for clinical features of the disease, shoe-wearing habits, personal hygiene, social stigma and functional impairment. Data entered into Epi DATA were then exported to SPSS. Logistic regression analysis was conducted to identify factors associated with ALA.</p></sec><sec><title>Results</title><p>Prevalence of podoconiosis in the population was 3.05% (1197/39 256) (95% CI 2.9% to 3.2%). The prevalence was significantly higher among women than men (3.67% vs 2.4%). Most (92.2%) people with podoconiosis were in the economically active age group (15–64 years) in the first phase survey. Of participants in the second phase of the study, 43% had stage 2 disease and 38.1% had ‘moss’-like skin changes. On average, people with podoconiosis had 23.3 episodes of ALA/year and each person with podoconiosis lost 149.5 days of activity/year. Never walking barefoot and daily foot washing were both associated with decreased odds of ALA (AOR=0.23; 95% CI 0.06 to 0.80 and 0.09; 95% CI 0.01 to 0.75, respectively).</p></sec><sec><title>Conclusions</title><p>A relatively high prevalence of podoconiosis, frequent ALA episodes and considerable decreases in daily activities were identified in this district. Footwear use and daily foot hygiene were associated with decreased odds of ALA. We recommend prevention and morbidity management interventions to address this developmental challenge.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Newport, M" uniqKey="Newport M">M Newport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author><author><name sortKey="Henderson, Wj" uniqKey="Henderson W">WJ Henderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author><author><name sortKey="Mchardy, Wj" uniqKey="Mchardy W">WJ McHardy</name></author><author><name sortKey="Pooley, Fd" uniqKey="Pooley F">FD Pooley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G 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Ayele</name></author><author><name sortKey="Mariam, Dh" uniqKey="Mariam D">DH Mariam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Geshere Oli, G" uniqKey="Geshere Oli G">G Geshere Oli</name></author><author><name sortKey="Tekola Ayele, F" uniqKey="Tekola Ayele F">F Tekola Ayele</name></author><author><name sortKey="Petros, B" uniqKey="Petros B">B Petros</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mengistu, G" uniqKey="Mengistu G">G Mengistu</name></author><author><name sortKey="Humber, D" uniqKey="Humber D">D Humber</name></author><author><name sortKey="Ersumo, M" uniqKey="Ersumo M">M Ersumo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oomen, Ap" uniqKey="Oomen A">AP Oomen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molla, Yb" uniqKey="Molla Y">YB Molla</name></author><author><name sortKey="Wardrop, Na" uniqKey="Wardrop N">NA Wardrop</name></author><author><name sortKey="Le Blond, Js" uniqKey="Le Blond J">JS Le Blond</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Brooker, Sj" uniqKey="Brooker S">SJ Brooker</name></author><author><name sortKey="Pullan, Rl" uniqKey="Pullan R">RL Pullan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ayode, D" uniqKey="Ayode D">D Ayode</name></author><author><name sortKey="Mcbride, Cm" uniqKey="Mcbride C">CM McBride</name></author><author><name sortKey="De Heer, H" uniqKey="De Heer H">H de Heer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yakob, B" uniqKey="Yakob B">B Yakob</name></author><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Éthiopie"><noRegion><name sortKey="Bekele, Kenate" sort="Bekele, Kenate" uniqKey="Bekele K" first="Kenate" last="Bekele">Kenate Bekele</name></noRegion><name sortKey="Amberbir, Tsige" sort="Amberbir, Tsige" uniqKey="Amberbir T" first="Tsige" last="Amberbir">Tsige Amberbir</name><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name><name sortKey="Samuel, Abdi" sort="Samuel, Abdi" uniqKey="Samuel A" first="Abdi" last="Samuel">Abdi Samuel</name><name sortKey="Tadele, Geleta" sort="Tadele, Geleta" uniqKey="Tadele G" first="Geleta" last="Tadele">Geleta Tadele</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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