High levels of misconceptions and stigma in a community highly endemic for podoconiosis in southern Ethiopia
Identifieur interne : 006F95 ( Main/Exploration ); précédent : 006F94; suivant : 006F96High levels of misconceptions and stigma in a community highly endemic for podoconiosis in southern Ethiopia
Auteurs : Bereket Yakob [Éthiopie] ; Kebede Deribe [Éthiopie] ; Gail Davey [Éthiopie]Source :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2008.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Attitude, Chaussures, Femelle, Humains, Mâle, Prévalence, Santé en zone rurale (normes), Stéréotypage, Vêtements de protection (utilisation), Éléphantiasis (), Éléphantiasis (psychologie), Éléphantiasis (épidémiologie), Éthiopie (épidémiologie), Études transversales.
- MESH :
- normes : Santé en zone rurale.
- psychologie : Éléphantiasis.
- utilisation : Vêtements de protection.
- épidémiologie : Éléphantiasis, Éthiopie.
- Pascal (Inist)
- Adolescent, Adulte, Adulte d'âge moyen, Attitude, Chaussures, Femelle, Humains, Maladie chronique, Lymphoedème, Eléphantiasis, Homme, Communauté, Endémie, Ethiopie, Attitude, Connaissance, Mâle, Médecine tropicale, Maladie stigmatisante, Podoconiose, Prévalence, Stéréotypage, Éléphantiasis, Études transversales.
- Wicri :
- geographic : Éthiopie.
- topic : Maladie chronique, Homme.
English descriptors
- KwdEn :
- Adolescent, Adult, Attitude, Chronic disease, Community, Cross-Sectional Studies, Elephantiasis, Elephantiasis (epidemiology), Elephantiasis (prevention & control), Elephantiasis (psychology), Endemy, Ethiopia, Ethiopia (epidemiology), Female, Human, Humans, Knowledge, Lymphedema, Male, Middle Aged, Podoconiosis, Prevalence, Protective Clothing (utilization), Rural Health (standards), Shoes, Stereotyping, Tropical medicine.
- MESH :
- geographic , epidemiology : Ethiopia.
- epidemiology : Elephantiasis.
- prevention & control : Elephantiasis.
- psychology : Elephantiasis.
- standards : Rural Health.
- utilization : Protective Clothing.
- Adolescent, Adult, Attitude, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prevalence, Shoes, Stereotyping.
Abstract
The impact of public health interventions for tropical diseases is limited by lack of understanding of the sociocultural context into which these interventions are delivered. Podoconiosis (endemic non-filarial elephantiasis) is a considerable public health problem in Ethiopia, yet little is known about community understanding of it. This study aimed to assess the knowledge, attitudes and practices of community members towards podoconiosis in a highly endemic area in southern Ethiopia. A cross-sectional study was conducted in January 2007 among 438 study participants selected by multistage probability sampling. Most respondents (93.5%) had seen a patient with podoconiosis and 91.6% had heard of the local terms for podoconiosis. The proportion of respondents holding at least one misconception about causation was 93.4% (95% Cl 91.1-95.7%). More than one-half (55.8%) showed stigmatising attitudes towards social interactions with podoconiosis patients and 63.8% had unfavourable attitudes towards the condition. Just over one-half (55.2%) of respondents were wearing shoes during the interview, but shoe wearing was inconsistent and inadequate to prevent podoconiosis. In this highly endemic area, the community held significant misconceptions about causation, care, treatment and prevention of podoconiosis. Community interventions for podoconiosis must include education components aimed at dispelling misconceptions and stigma.
Affiliations:
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Le document en format XML
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Box 5035</s1><s2>Jimma</s2><s3>ETH</s3><sZ>2 aut.</sZ></inist:fA14><country>Éthiopie</country><wicri:noRegion>Jimma</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"><inist:fA14 i1="01"><s1>School of Public Health, Addis Ababa University</s1><s2>Addis Ababa</s2><s3>ETH</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Éthiopie</country><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title><idno type="ISSN">0035-9203</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title><idno type="ISSN">0035-9203</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Attitude</term><term>Chronic disease</term><term>Community</term><term>Cross-Sectional Studies</term><term>Elephantiasis</term><term>Elephantiasis (epidemiology)</term><term>Elephantiasis (prevention & control)</term><term>Elephantiasis (psychology)</term><term>Endemy</term><term>Ethiopia</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Human</term><term>Humans</term><term>Knowledge</term><term>Lymphedema</term><term>Male</term><term>Middle Aged</term><term>Podoconiosis</term><term>Prevalence</term><term>Protective Clothing (utilization)</term><term>Rural Health (standards)</term><term>Shoes</term><term>Stereotyping</term><term>Tropical medicine</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude</term><term>Chaussures</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Prévalence</term><term>Santé en zone rurale (normes)</term><term>Stéréotypage</term><term>Vêtements de protection (utilisation)</term><term>Éléphantiasis ()</term><term>Éléphantiasis (psychologie)</term><term>Éléphantiasis (épidémiologie)</term><term>Éthiopie (épidémiologie)</term><term>Études transversales</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="normes" xml:lang="fr"><term>Santé en zone rurale</term></keywords><keywords scheme="MESH" qualifier="prevention & control" 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" qualifier="standards" xml:lang="en"><term>Rural Health</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Vêtements de protection</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Protective Clothing</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éléphantiasis</term><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Attitude</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Shoes</term><term>Stereotyping</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude</term><term>Chaussures</term><term>Femelle</term><term>Humains</term><term>Maladie chronique</term><term>Lymphoedème</term><term>Eléphantiasis</term><term>Homme</term><term>Communauté</term><term>Endémie</term><term>Ethiopie</term><term>Attitude</term><term>Connaissance</term><term>Mâle</term><term>Médecine tropicale</term><term>Maladie stigmatisante</term><term>Podoconiose</term><term>Prévalence</term><term>Stéréotypage</term><term>Éléphantiasis</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie chronique</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The impact of public health interventions for tropical diseases is limited by lack of understanding of the sociocultural context into which these interventions are delivered. Podoconiosis (endemic non-filarial elephantiasis) is a considerable public health problem in Ethiopia, yet little is known about community understanding of it. This study aimed to assess the knowledge, attitudes and practices of community members towards podoconiosis in a highly endemic area in southern Ethiopia. A cross-sectional study was conducted in January 2007 among 438 study participants selected by multistage probability sampling. Most respondents (93.5%) had seen a patient with podoconiosis and 91.6% had heard of the local terms for podoconiosis. The proportion of respondents holding at least one misconception about causation was 93.4% (95% Cl 91.1-95.7%). More than one-half (55.8%) showed stigmatising attitudes towards social interactions with podoconiosis patients and 63.8% had unfavourable attitudes towards the condition. Just over one-half (55.2%) of respondents were wearing shoes during the interview, but shoe wearing was inconsistent and inadequate to prevent podoconiosis. In this highly endemic area, the community held significant misconceptions about causation, care, treatment and prevention of podoconiosis. Community interventions for podoconiosis must include education components aimed at dispelling misconceptions and stigma.</div></front></TEI><affiliations><list><country><li>Éthiopie</li></country></list><tree><country name="Éthiopie"><noRegion><name sortKey="Yakob, Bereket" sort="Yakob, Bereket" uniqKey="Yakob B" first="Bereket" last="Yakob">Bereket Yakob</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></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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