Individual correlates of podoconiosis in areas of varying endemicity: a case-control study.
Identifieur interne : 001780 ( PubMed/Curation ); précédent : 001779; suivant : 001781Individual correlates of podoconiosis in areas of varying endemicity: a case-control study.
Auteurs : Yordanos B. Molla [Royaume-Uni] ; Jennifer S. Le Blond ; Nicola Wardrop ; Peter Baxter ; Peter M. Atkinson ; Melanie J. Newport ; Gail DaveySource :
- PLoS neglected tropical diseases [ 1935-2735 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ethiopia.
- epidemiology : Elephantiasis.
- Adolescent, Adult, Aged, Aged, 80 and over, Case-Control Studies, Child, Endemic Diseases, Female, Humans, Male, Middle Aged, Risk Factors, Risk-Taking, Shoes, Young Adult.
Abstract
Podoconiosis is a non-filarial form of elephantiasis resulting in lymphedema of the lower legs. Previous studies have suggested that podoconiosis arises from the interplay of individual and environmental factors. Here, our aim was to understand the individual-level correlates of podoconiosis by comparing 460 podoconiosis-affected individuals and 707 unaffected controls.
DOI: 10.1371/journal.pntd.0002554
PubMed: 24340109
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Le Blond</name></author><author><name sortKey="Wardrop, Nicola" sort="Wardrop, Nicola" uniqKey="Wardrop N" first="Nicola" last="Wardrop">Nicola Wardrop</name></author><author><name sortKey="Baxter, Peter" sort="Baxter, Peter" uniqKey="Baxter P" first="Peter" last="Baxter">Peter Baxter</name></author><author><name sortKey="Atkinson, Peter M" sort="Atkinson, Peter M" uniqKey="Atkinson P" first="Peter M" last="Atkinson">Peter M. Atkinson</name></author><author><name sortKey="Newport, Melanie J" sort="Newport, Melanie J" uniqKey="Newport M" first="Melanie J" last="Newport">Melanie J. 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Molla</name><affiliation wicri:level="1"><nlm:affiliation>Department of Earth Sciences, Addis Ababa University, Addis Ababa, Ethiopia ; Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Earth Sciences, Addis Ababa University, Addis Ababa, Ethiopia ; Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea></affiliation></author><author><name sortKey="Le Blond, Jennifer S" sort="Le Blond, Jennifer S" uniqKey="Le Blond J" first="Jennifer S" last="Le Blond">Jennifer S. Le Blond</name></author><author><name sortKey="Wardrop, Nicola" sort="Wardrop, Nicola" uniqKey="Wardrop N" first="Nicola" last="Wardrop">Nicola Wardrop</name></author><author><name sortKey="Baxter, Peter" sort="Baxter, Peter" uniqKey="Baxter P" first="Peter" last="Baxter">Peter Baxter</name></author><author><name sortKey="Atkinson, Peter M" sort="Atkinson, Peter M" uniqKey="Atkinson P" first="Peter M" last="Atkinson">Peter M. Atkinson</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">PLoS neglected tropical diseases</title><idno type="eISSN">1935-2735</idno><imprint><date when="2013" type="published">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>Aged, 80 and over</term><term>Case-Control Studies</term><term>Child</term><term>Elephantiasis (epidemiology)</term><term>Endemic Diseases</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Risk-Taking</term><term>Shoes</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>Chaussures</term><term>Enfant</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies endémiques</term><term>Mâle</term><term>Prise de risque</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Éléphantiasis (épidémiologie)</term><term>Éthiopie (épidémiologie)</term><term>Études cas-témoins</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>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Child</term><term>Endemic Diseases</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Risk-Taking</term><term>Shoes</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>Chaussures</term><term>Enfant</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies endémiques</term><term>Mâle</term><term>Prise de risque</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études cas-témoins</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Podoconiosis is a non-filarial form of elephantiasis resulting in lymphedema of the lower legs. Previous studies have suggested that podoconiosis arises from the interplay of individual and environmental factors. Here, our aim was to understand the individual-level correlates of podoconiosis by comparing 460 podoconiosis-affected individuals and 707 unaffected controls.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24340109</PMID><DateCreated><Year>2013</Year><Month>12</Month><Day>16</Day></DateCreated><DateCompleted><Year>2014</Year><Month>07</Month><Day>29</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>02</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1935-2735</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>12</Issue><PubDate><Year>2013</Year></PubDate></JournalIssue><Title>PLoS neglected tropical diseases</Title><ISOAbbreviation>PLoS Negl Trop Dis</ISOAbbreviation></Journal><ArticleTitle>Individual correlates of podoconiosis in areas of varying endemicity: a case-control study.</ArticleTitle><Pagination><MedlinePgn>e2554</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pntd.0002554</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Podoconiosis is a non-filarial form of elephantiasis resulting in lymphedema of the lower legs. Previous studies have suggested that podoconiosis arises from the interplay of individual and environmental factors. Here, our aim was to understand the individual-level correlates of podoconiosis by comparing 460 podoconiosis-affected individuals and 707 unaffected controls.</AbstractText><AbstractText Label="METHODS/PRINCIPAL FINDINGS" NlmCategory="RESULTS">This was a case-control study carried out in six kebeles (the lowest governmental administrative unit) in northern Ethiopia. Each kebele was classified into one of three endemicity levels: 'low' (prevalence <1%), 'medium' (1-5%) and 'high' (>5%). A total of 142 (30.7%) households had two or more cases of podoconiosis. Compared to controls, the majority of the cases, especially women, were less educated (OR = 1.7, 95% CI = 1.3 to 2.2), were unmarried (OR = 3.4, 95% CI = 2.6-4.6) and had lower income (t = -4.4, p<0.0001). On average, cases started wearing shoes ten years later than controls. Among cases, age of first wearing shoes was positively correlated with age of onset of podoconiosis (r = 0.6, t = 12.5, p<0.0001). Among all study participants average duration of shoe wearing was less than 30 years. Between both cases and controls, people in 'high' and 'medium' endemicity kebeles were less likely than people in 'low' endemicity areas to 'ever' have owned shoes (OR = 0.5, 95% CI = 0.4-0.7).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Late use of shoes, usually after the onset of podoconiosis, and inequalities in education, income and marriage were found among cases, particularly among females. There were clustering of cases within households, thus interventions against podoconiosis will benefit from household-targeted case tracing. Most importantly, we identified a secular increase in shoe-wearing over recent years, which may give opportunities to promote shoe-wearing without increasing stigma among those at high risk of podoconiosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Molla</LastName><ForeName>Yordanos B</ForeName><Initials>YB</Initials><AffiliationInfo><Affiliation>Department of Earth Sciences, Addis Ababa University, Addis Ababa, Ethiopia ; Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Le Blond</LastName><ForeName>Jennifer S</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>Wardrop</LastName><ForeName>Nicola</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Baxter</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Atkinson</LastName><ForeName>Peter M</ForeName><Initials>PM</Initials></Author><Author ValidYN="Y"><LastName>Newport</LastName><ForeName>Melanie J</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>Davey</LastName><ForeName>Gail</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>MRC_MR/J012343/1</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>WT100715</GrantID><Agency>Wellcome Trust</Agency><Country>United Kingdom</Country></Grant><Grant><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><Agency>Wellcome Trust</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS Negl Trop Dis</MedlineTA><NlmUniqueID>101291488</NlmUniqueID><ISSNLinking>1935-2727</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Trop Doct. 1984 Jul;14(3):115-9</RefSource><PMID Version="1">6464174</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2009 May 2;373(9674):1570-5</RefSource><PMID Version="1">19410718</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Health Res Policy Syst. 2009 Dec 13;7:29</RefSource><PMID Version="1">20003381</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS Negl Trop Dis. 2009;3(5):e424</RefSource><PMID Version="1">19479039</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int 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Version="1">1641880</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004604" MajorTopicYN="N">Elephantiasis</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019353" MajorTopicYN="Y">Endemic Diseases</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005002" MajorTopicYN="N" Type="Geographic">Ethiopia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012309" MajorTopicYN="N">Risk-Taking</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012775" MajorTopicYN="N">Shoes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young 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