Socioeconomic impact of ankylosing spondylitis in Morocco
| Autor: | Fadoua Allali, Redouane Abouqal, Aziza Bentalha, N. Lazrak, Hanan Rkain, Najia Hajjaj-Hassouni |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Disability Evaluation Indirect costs Age Distribution Rheumatology Prevalence medicine Humans Spondylitis Ankylosing Sex Distribution Child Socioeconomic status Aged Retrospective Studies Aged 80 and over Ankylosing spondylitis Work disability business.industry Social impact General Medicine Middle Aged medicine.disease Social security Morocco Socioeconomic Factors Housekeeping Disease Progression Physical therapy Female BASFI business Demography |
| Zdroj: | Clinical Rheumatology. 26:2081-2088 |
| ISSN: | 1434-9949 0770-3198 |
| DOI: | 10.1007/s10067-007-0622-1 |
| Popis: | The goal of this study was to determine the impact of ankylosing spondylitis (AS) on the socioeconomic well-being of Moroccan patients. One hundred (100) consecutive AS patients (71 men, 29 women) were included. The socioeconomic consequences were studied by measuring direct costs, indirect costs (consequences on work capacity), and intangible costs (social impact) of AS. The mean age at AS onset was 26.85 years +/- 11.71 (7-64). The mean disease duration of AS was 12.05 years +/- 8.32 (0.5-39). Financial difficulties due to AS were observed in 82% of the patients. In 28% of them, these conditions explained a bad observance to treatments. In 14% of the cases, they led children to leave school to support their handicapped parents. Work disability occurred in 22.9% of initially employed patients. Withdrawal from work was correlated to bad social conditions at work, higher scores of Bath ankylosing spondylitis functional index (BASFI), and absence of adherence to a social security system. Sexual problems were present in 64.2% of the patients and were correlated to higher scores of BASFI. There were also disturbances in housekeeping (65.8%) and in leisure time activities (72.2%). Patients received a financial and a psychological familial support in, respectively, 66 and 87% of the cases. Despite the great familial support, Moroccan AS patients suffer from important socioeconomic consequences because of the illness, the bad socioeconomic conditions, the insufficiency of state help, and the social security problems. |
| Databáze: | OpenAIRE |
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