Gender differences in the surgical management of trachomatous trichiasis: an exploratory analysis of global trachoma survey data, 2015-2019.

Autor: Sullivan KM; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Harding-Esch EM; Clinical Research Department, London School of Hygiene & Tropical Medicine, London, UK., Batcho WE; Programme National De Lutte Contre Les Maladies Transmissibles, Ministère De La Santé, Cotonou, Benin., Issifou AAB; Département D'ophthalmologie, Université De Parakou, Borgou, Benin., Lopes MFC; Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brazil., Szwarcwald CL; Institute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil., Vaz Ferreira Gomez D; Ministério da Saúde, Brazil., Bougouma C; Direction de la Protection de la Santé de la Population, Ministère de la Santé, Burkina Faso., Christophe N; Attaché de Santé en Épidémiologie, Programme National de Lutte Contre Les MTN, Burkina Faso., Kabore M; L'unité d'élimination du trachome, PNMTN, Ouagadougou, Burkina Faso., Bucumi V; Département En Charge des Maladies Tropicales, Négligées Ministère De La Santé Publique Et De La Lutte Contre Le Sida, Bujumbura, Burundi., Bella AL; Programme National de Lutte Contre La Cecite, Ministère de la Santé Publique, Yaoundé, Cameroun., Epee E; Department Of Ophthalmology, University of Yaoundé Yaounde Centre/Ministère de la Santé Publique, Yaoundé, Cameroun., Yaya G; Ministère de la Santé Publique, Bangui, Central African Republic., Trujillo-Trujillo J; Subdirectorate of Communicable Diseases, Ministry of Health and Social Protection, Bogotá, Colombia., Dejene M; Sightsavers, Addis Ababa, Ethiopia., Gebretsadik FS; Neglected Tropical Disease Prevention and Control Program, Ministry of Health, Addis Ababa, Ethiopia., Gebru G; Neglected Tropical Disease Prevention and Control Program, Ministry of Health, Addis Ababa, Ethiopia., Kebede F; Neglected Tropical Disease Prevention and Control Program, Ministry of Health, Addis Ababa, Ethiopia., Mathewos T; Neglected Tropical Disease Prevention and Control Program, Ministry of Health, Addis Ababa, Ethiopia., Cassama ETS; Region Sanitaria Bolama-Bijagós, Bubaque, Guinea Bissau., Sanha S; Programa Nacional De Sau´de De Visão, Minsap, Bissau, Guinea-Bissau., Barasa E; Ministry of Health, Nairobi, Kenya., Sultani HM; State Department for Public Health and Professional Standards, Ministry of Health, Nairobi, Kenya., Watitu T; Ministry of Health, Nairobi, Kenya., Tekeraoi R; Tungaru Central Hospital, MHMS Tarawa, Kiribati., Kalua KM; Blantyre Institute for Community Outreach, Blantyre, Malawi., Masika MP; Department of Clinical and Medical Rehabilitation Services, Ministry of Health, Lilongwe, Malawi., Traoré L; National Eye Health Program, Ministry of Health and Social Development, Mali., Minnih AO; Département Des Maladies Transmissibles, Ministère De La Santé Nouakchott, Nouakchott, Mauritania., Abdala M; Direção Nacional de Saúde Pública, Ministerio Da Saude, Maputo, Mozambique., Massangaie ME; Direção Nacional de Saúde Pública, Ministerio Da Saude, Maputo, Mozambique., Win Y; Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw, Myanmar., Apadinuwe SC; Department of Health, Denigomodu District Nauru, Nauru., Mishra SK; National Society for Comprehensive Eye Care, Nepal Netra Jyoti Sangh, Kathmandu, Nepal., Sharma S; Ministry of Health, Kathmandu, Nepal., Amza A; Programme National De Santé Oculaire, Ministère De La Santé Publique, Niamey, Niger., Kadri B; Programme National De Santé Oculaire, Ministère De La Santé Publique, Niamey, Niger., Nassirou B; Programme National De Santé Oculaire, Ministère De La Santé Publique, Niamey, Niger., Mpyet CD; Department of Ophthalmology, University of Jos, Jos, Plateau, Nigeria., Olobio N; Neglected Tropical Diseases Division, Department of Public Health, Federal Ministry of Health, Abuja, Nigeria., Hussain A; Community Ophthalmology, College of Ophthalmology & Allied Vision Sciences (COAVS), Mayo Hospital Lahore, Lahore, Pakistan., Khan AA; College of Ophthalmology and Allied Vision Sciences, Mayo Hospital, Lahore, Pakistan., Jambi G; Prevention of Blindness Committee, PNG Eye Care, Boroko, Papua New Guinea., Ko R; National Department of Health, Waigani, Papua New Guinea., Kello AB; AF/UCU UHC/Communicable and Noncommunicable Diseases Unit, ESPEN, World Health Organization, Brazzaville, Republic of Congo., Badiane MD; Programme National de Promotion de La Santé Oculaire, Ministère de la Santé et de L'Action Sociale, Dakar, Senegal., Sarr B; Ministère de la Santé et de l'Action Sociale, Senegal., Dalmar A; Ministry of Health, Mogadishu, Somalia., Elshafie BE; National Program for Prevention of Blindness, Federal Ministry of Health, Khartoum, Sudan., Kabona GE; Neglected Tropical Diseases Control Program, Ministry of Health, Dodoma, Tanzania., Kaitaba O; Neglected Tropical Diseases Control Program, Ministry of Health, Dodoma, Tanzania., Mwingira U; Neglected Tropical Diseases Control Program, Ministry of Health, Dodoma, Tanzania., Simon A; Neglected Tropical Diseases Control Program, Ministry of Health, Dodoma, Tanzania., Kanyi S; National Eye Health Programme, Ministry of Health and Social Welfare, Banjul, The Gambia., Awoussi MS; Ministère de la Santé et de L'Hygiène Publique, Lomé, Togo., Togbey K; Programme National des Maladies Tropicales Negligées, Ministry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo., Baayenda G; Neglected Tropical Diseases Control, Ministry of Health, Kampala, Uganda., Francis M; Neglected Tropical Diseases Control, Ministry of Health, Kampala, Uganda., Tukahebwa EM; Vector-Borne and Neglected Tropical Diseases, Ministry of Health, Kampala, Uganda., Bakhtiari A; International Trachoma Initiative, Task Force for Global Health, Decatur, Georgia, USA., Keil AP; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Maselko J; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Westreich D; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Garae M; Department of Neglected Tropical Diseases, Vanuatu Ministry of Health, Port Vila, Vanuatu., Taleo F; Department of Neglected Tropical Diseases, Vanuatu Ministry of Health, Port Vila, Vanuatu., Al-Khateeb TQ; Department Of Ophthalmology, Sana'a University, Sana'a, Yemen., Mwale C; Kitwe Teaching Eye Hospital, Ministry of Health, Kitwe, Zambia., Solomon AW; Global Neglected Tropical Diseases Programme, World Health Organization, Geneva, Switzerland., Gower EW; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jazyk: angličtina
Zdroj: International health [Int Health] 2023 Dec 04; Vol. 15 (Supplement_2), pp. ii58-ii67.
DOI: 10.1093/inthealth/ihad067
Abstrakt: Background: Trachomatous trichiasis (TT) is a painful, potentially blinding eye condition that can be managed through epilation or surgery. Women are affected by TT approximately twice as often as men and are believed to face gendered barriers to receiving surgical care to prevent vision loss.
Methods: We used data from 817 cross-sectional surveys conducted during 2015-2019 in 20 African countries to estimate the prevalence difference (PD) between female and male eyes for four outcomes potentially indicating gender-related differences in TT management: (1) received surgery and developed postoperative TT (PTT), (2) never offered surgery, (3) offered surgery but declined it, and (4) offered epilation but never offered surgery.
Results: The prevalence was modestly elevated among female eyes compared with male eyes for having PTT (PD:1.8 [95% confidence limits (CL): 0.6, 3.0]) and having declined surgery for the eye (PD: 6.2 [95% CL: 1.8, 10.7]). The proportion offered epilation was similar by gender (PD:0.5 [95% CL: -0.4, 1.3]), while never having been offered surgery was somewhat more prevalent among male eyes (PD: -2.1 [95% CL: -3.5, -0.7]).
Conclusions: Our results suggest potential gender differences in TT management. More research is needed to determine the causes and implications of the observed differences.
(© The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
Databáze: MEDLINE
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