The impact of podoconiosis on quality of life in Northern Ethiopia
Identifieur interne : 003068 ( Main/Exploration ); précédent : 003067; suivant : 003069The impact of podoconiosis on quality of life in Northern Ethiopia
Auteurs : Elizabeth Mousley [Royaume-Uni] ; Kebede Deribe [Royaume-Uni, Éthiopie] ; Abreham Tamiru [Éthiopie] ; Gail Davey [Royaume-Uni]Source :
- Health and Quality of Life Outcomes [ 1477-7525 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- MESH :
- geographic : Ethiopia.
- complications : Elephantiasis.
- psychology : Elephantiasis.
- Adolescent, Adult, Aged, Cost of Illness, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Young Adult.
Abstract
Podoconiosis is one of the most neglected tropical diseases, which untreated, causes considerable physical disability and stigma for affected individuals. Little is known about the quality of life (QoL) of patients with podoconiosis. This study aimed to assess the QoL of patients with podoconiosis in comparison with healthy controls in Ethiopia.
A comparative cross-sectional study was conducted in May 2012, among 346 clinically confirmed adult patients with podoconiosis, and 349 healthy adult neighbourhood controls in Dembecha woreda (district) in northern Ethiopia. QoL was assessed using the validated Amharic version of the World Health Organisation Quality of Life questionnaire (WHOQoL-BREF) scale; in addition, mental health and stigma were assessed by the Kessler-10 scale and podoconiosis stigma scale respectively. Logistic regression analysis was done to identify factors associated with QoL.
Patients with podoconiosis had significantly lower mean overall QoL than the controls (52.05 versus 64.39), and this was also true in all four sub domains (physical, psychological, social and environmental). Controls were 7 times more likely to have high (above median) QoL (Odds Ratio = 6.74, 95% Confidence Interval 4.62 to 9.84) than cases. Factors associated with lower QoL were: experiencing high levels of stigma, living in an urban area, being illiterate, having additional co-morbidities, and being unmarried. Mental illness was associated with lower scores in psychological and physical domains.
Programs targeting podoconiosis interventions should include QoL as an indicator for monitoring progress. Interventions targeting improvement of QoL among patients with podoconiosis should address depression, stigma and other co-morbidities.
Url:
DOI: 10.1186/1477-7525-11-122
PubMed: 23866905
PubMed Central: 3726315
Affiliations:
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Ethiopia</title><author><name sortKey="Mousley, Elizabeth" sort="Mousley, Elizabeth" uniqKey="Mousley E" first="Elizabeth" last="Mousley">Elizabeth Mousley</name><affiliation wicri:level="1"><nlm:aff id="I1">Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></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="I1">Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>School of Public Health, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name><affiliation wicri:level="1"><nlm:aff id="I3">International Orthodox Christian Charities, Debre Markos, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>International Orthodox Christian Charities, Debre Markos</wicri:regionArea><wicri:noRegion>Debre Markos</wicri:noRegion></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="I1">Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author></analytic><series><title level="j">Health and Quality of Life Outcomes</title><idno type="eISSN">1477-7525</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cost of Illness</term><term>Cross-Sectional Studies</term><term>Elephantiasis (complications)</term><term>Elephantiasis (psychology)</term><term>Ethiopia</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coût de la maladie</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Éléphantiasis ()</term><term>Éléphantiasis (psychologie)</term><term>Éthiopie</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cost of Illness</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coût de la maladie</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Éléphantiasis</term><term>Éthiopie</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Podoconiosis is one of the most neglected tropical diseases, which untreated, causes considerable physical disability and stigma for affected individuals. Little is known about the quality of life (QoL) of patients with podoconiosis. This study aimed to assess the QoL of patients with podoconiosis in comparison with healthy controls in Ethiopia.</p></sec><sec><title>Methods</title><p>A comparative cross-sectional study was conducted in May 2012, among 346 clinically confirmed adult patients with podoconiosis, and 349 healthy adult neighbourhood controls in Dembecha woreda (district) in northern Ethiopia. QoL was assessed using the validated Amharic version of the World Health Organisation Quality of Life questionnaire (WHOQoL-BREF) scale; in addition, mental health and stigma were assessed by the Kessler-10 scale and podoconiosis stigma scale respectively. Logistic regression analysis was done to identify factors associated with QoL.</p></sec><sec><title>Results</title><p>Patients with podoconiosis had significantly lower mean overall QoL than the controls (52.05 versus 64.39), and this was also true in all four sub domains (physical, psychological, social and environmental). Controls were 7 times more likely to have high (above median) QoL (Odds Ratio = 6.74, 95% Confidence Interval 4.62 to 9.84) than cases. Factors associated with lower QoL were: experiencing high levels of stigma, living in an urban area, being illiterate, having additional co-morbidities, and being unmarried. Mental illness was associated with lower scores in psychological and physical domains.</p></sec><sec><title>Conclusions</title><p>Programs targeting podoconiosis interventions should include QoL as an indicator for monitoring progress. Interventions targeting improvement of QoL among patients with podoconiosis should address depression, stigma and other co-morbidities.</p></sec></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="Birrie, H" uniqKey="Birrie H">H Birrie</name></author><author><name sortKey="Balcha, F" uniqKey="Balcha F">F Balcha</name></author><author><name sortKey="Jemaneh, L" uniqKey="Jemaneh L">L Jemaneh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Desta, K" uniqKey="Desta K">K Desta</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Onapa, Aw" uniqKey="Onapa A">AW Onapa</name></author><author><name 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Bonicatto</name></author><author><name sortKey="Dew, Ma" uniqKey="Dew M">MA Dew</name></author><author><name sortKey="Zaratiegui, R" uniqKey="Zaratiegui R">R Zaratiegui</name></author><author><name sortKey="Lorenzo, L" uniqKey="Lorenzo L">L Lorenzo</name></author><author><name sortKey="Pecina, P" uniqKey="Pecina P">P Pecina</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spitzer, Rl" uniqKey="Spitzer R">RL Spitzer</name></author><author><name sortKey="Kroenke, K" uniqKey="Kroenke K">K Kroenke</name></author><author><name sortKey="Linzer, M" uniqKey="Linzer M">M Linzer</name></author><author><name sortKey="Hahn, Sr" uniqKey="Hahn S">SR Hahn</name></author><author><name sortKey="Williams, Jb" uniqKey="Williams J">JB Williams</name></author><author><name sortKey="Brody, D" uniqKey="Brody D">D Brody</name></author><author><name sortKey="Davies, M" uniqKey="Davies M">M Davies</name></author><author><name sortKey="Degruy, Fv" uniqKey="Degruy F">FV DeGruy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sikorski, C" uniqKey="Sikorski C">C Sikorski</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Zeleke, Z" uniqKey="Zeleke Z">Z Zeleke</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Mousley, Elizabeth" sort="Mousley, Elizabeth" uniqKey="Mousley E" first="Elizabeth" last="Mousley">Elizabeth Mousley</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></country><country name="Éthiopie"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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