Healthcare seeking behaviour for Buruli ulcer in Benin
| Autor: | Jules Gbovi, Roelien P. Boerma, Claude Zinsou, Yves Thierry Barogui, R. Christian Johnson, Tjip S. van der Werf, Annelies A. Mulder, Ymkje Stienstra |
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| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Buruli ulcer
Male Social stigma medicine.medical_treatment Health Behavior Disease Health Services Accessibility Surveys and Questionnaires INFECTION therapeutics Medicine Benin Child health care seeking behaviour biology General Medicine Middle Aged Infectious Diseases GHANA Mycobacterium ulcerans DELAY Female Leprosy Prejudice Adult SOUTHERN BENIN AFRICA medicine.medical_specialty Adolescent LEPROSY MEDLINE Humans KNOWLEDGE DISEASE-CONTROL Aged business.industry Public Health Environmental and Occupational Health Patient Acceptance of Health Care medicine.disease biology.organism_classification Help-seeking TUBERCULOSIS PATIENTS Surgery Amputation Family medicine Parasitology GENDER business patient delay |
| Zdroj: | Transactions of the Royal Society of Tropical Medicine and Hygiene, 102(9), 912-920. Oxford University Press |
| ISSN: | 0035-9203 |
| Popis: | Buruli ulcer is a devastating condition emerging in West Africa. We investigated why patients often report late to the hospital. Health seeking behaviour determinants and stigma were studied by in-depth interviews in patients treated in hospital (n = 107), patients treated traditionally (n = 46) of whom 22 had active disease, and healthy community control subjects (n = 107). We developed a model capturing internal and external factors affecting decision making. With increasing severity, extent and duration of Buruli ulcer, a shift of influencing factors on health seeking behaviour appears to occur. Factors causing delay in presenting to hospital were the use of traditional medicine before presenting at the treatment centre; costs and duration of admission; disease considered not serious enough; witchcraft perceived as the cause of disease; and fear of treatment, which patients expected to be amputation. This study confirms the importance of self-treatment and traditional heating in this area. Our study was performed before antimicrobial treatment was introduced in Benin; we suggest that this model and the results from this analysis should be used as a baseline from which to measure the influence of the introduction of antimicrobial treatment on health seeking behaviour for Buruli ulcer in Benin. (C) 2008 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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