Epidemiology and Individual, Household and Geographical Risk Factors of Podoconiosis in Ethiopia: Results from the First Nationwide Mapping
Identifieur interne : 001E29 ( Main/Exploration ); précédent : 001E28; suivant : 001E30Epidemiology and Individual, Household and Geographical Risk Factors of Podoconiosis in Ethiopia: Results from the First Nationwide Mapping
Auteurs : Kebede Deribe ; Simon J. Brooker ; Rachel L. Pullan ; Heven Sime ; Abeba Gebretsadik ; Ashenafi Assefa ; Amha Kebede ; Asrat Hailu ; Maria P. Rebollo ; Oumer Shafi ; Moses J. Bockarie ; Abraham Aseffa ; Richard Reithinger ; Jorge Cano ; Fikre Enquselassie ; Melanie J. Newport ; Gail DaveySource :
- The American Journal of Tropical Medicine and Hygiene [ 0002-9637 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- épidémiologie : Éléphantiasis, Éthiopie.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Géographie, Humains, Jeune adulte, Mâle, Sujet âgé.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ethiopia.
- epidemiology : Elephantiasis.
- Adult, Aged, Female, Geography, Humans, Male, Middle Aged, Risk Factors, Young Adult.
Abstract
Although podoconiosis is one of the major causes of tropical lymphoedema and is endemic in Ethiopia its epidemiology and risk factors are poorly understood. Individual-level data for 129,959 individuals from 1,315 communities in 659
Url:
DOI: 10.4269/ajtmh.14-0446
PubMed: 25404069
PubMed Central: 4288951
Affiliations:
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Brooker</name></author><author><name sortKey="Pullan, Rachel L" sort="Pullan, Rachel L" uniqKey="Pullan R" first="Rachel L." last="Pullan">Rachel L. Pullan</name></author><author><name sortKey="Sime, Heven" sort="Sime, Heven" uniqKey="Sime H" first="Heven" last="Sime">Heven Sime</name></author><author><name sortKey="Gebretsadik, Abeba" sort="Gebretsadik, Abeba" uniqKey="Gebretsadik A" first="Abeba" last="Gebretsadik">Abeba Gebretsadik</name></author><author><name sortKey="Assefa, Ashenafi" sort="Assefa, Ashenafi" uniqKey="Assefa A" first="Ashenafi" last="Assefa">Ashenafi Assefa</name></author><author><name sortKey="Kebede, Amha" sort="Kebede, Amha" uniqKey="Kebede A" first="Amha" last="Kebede">Amha Kebede</name></author><author><name sortKey="Hailu, Asrat" sort="Hailu, Asrat" uniqKey="Hailu A" first="Asrat" last="Hailu">Asrat Hailu</name></author><author><name sortKey="Rebollo, Maria P" sort="Rebollo, Maria P" uniqKey="Rebollo M" first="Maria P." last="Rebollo">Maria P. Rebollo</name></author><author><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name></author><author><name sortKey="Bockarie, Moses J" sort="Bockarie, Moses J" uniqKey="Bockarie M" first="Moses J." last="Bockarie">Moses J. Bockarie</name></author><author><name sortKey="Aseffa, Abraham" sort="Aseffa, Abraham" uniqKey="Aseffa A" first="Abraham" last="Aseffa">Abraham Aseffa</name></author><author><name sortKey="Reithinger, Richard" sort="Reithinger, Richard" uniqKey="Reithinger R" first="Richard" last="Reithinger">Richard Reithinger</name></author><author><name sortKey="Cano, Jorge" sort="Cano, Jorge" uniqKey="Cano J" first="Jorge" last="Cano">Jorge Cano</name></author><author><name sortKey="Enquselassie, Fikre" sort="Enquselassie, Fikre" uniqKey="Enquselassie F" first="Fikre" last="Enquselassie">Fikre Enquselassie</name></author><author><name sortKey="Newport, Melanie J" sort="Newport, Melanie J" uniqKey="Newport M" first="Melanie J." last="Newport">Melanie J. Newport</name></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></author></analytic><series><title level="j">The American Journal of Tropical Medicine and Hygiene</title><idno type="ISSN">0002-9637</idno><idno type="eISSN">1476-1645</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Elephantiasis (epidemiology)</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Geography</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Géographie</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Éléphantiasis (épidémiologie)</term><term>Éthiopie (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éléphantiasis</term><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Geography</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Géographie</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Although podoconiosis is one of the major causes of tropical lymphoedema and is endemic in Ethiopia its epidemiology and risk factors are poorly understood. Individual-level data for 129,959 individuals from 1,315 communities in 659 <italic>woreda</italic> (districts) were collected for a nationwide integrated survey of lymphatic filariasis and podoconiosis. Blood samples were tested for circulating <italic>Wuchereria bancrofti</italic> antigen using immunochromatographic card tests. A clinical algorithm was used to reach a diagnosis of podoconiosis by excluding other potential causes of lymphoedema of the lower limb. Bayesian multilevel models were used to identify individual and environmental risk factors. Overall, 8,110 of 129,959 (6.2%, 95% confidence interval [CI] 6.1–6.4%) surveyed individuals were identified with lymphoedema of the lower limb, of whom 5,253 (4.0%, 95% CI 3.9–4.1%) were confirmed to be podoconiosis cases. In multivariable analysis, being female, older, unmarried, washing the feet less frequently than daily, and being semiskilled or unemployed were significantly associated with increased risk of podoconiosis. Attending formal education and living in a house with a covered floor were associated with decreased risk of podoconiosis. Podoconiosis exhibits marked geographical variation across Ethiopia, with variation in risk associated with variation in rainfall, enhanced vegetation index, and altitude.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Price, E" uniqKey="Price E">E Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Gebrehanna, E" uniqKey="Gebrehanna E">E GebreHanna</name></author><author><name sortKey="Adeyemo, A" uniqKey="Adeyemo A">A Adeyemo</name></author><author><name sortKey="Rotimi, C" uniqKey="Rotimi C">C Rotimi</name></author><author><name sortKey="Newport, M" uniqKey="Newport M">M Newport</name></author><author><name sortKey="Desta, K" uniqKey="Desta K">K Desta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G 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Newport</name><name sortKey="Pullan, Rachel L" sort="Pullan, Rachel L" uniqKey="Pullan R" first="Rachel L." last="Pullan">Rachel L. Pullan</name><name sortKey="Rebollo, Maria P" sort="Rebollo, Maria P" uniqKey="Rebollo M" first="Maria P." last="Rebollo">Maria P. Rebollo</name><name sortKey="Reithinger, Richard" sort="Reithinger, Richard" uniqKey="Reithinger R" first="Richard" last="Reithinger">Richard Reithinger</name><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name><name sortKey="Sime, Heven" sort="Sime, Heven" uniqKey="Sime H" first="Heven" last="Sime">Heven Sime</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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