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

被引：0

作者：

Sullivan, Kristin M. ^{[1
]}

Harding-Esch, Emma M. ^{[2
]}

Batcho, Wilfrid E. ^{[3
]}

Issifou, Amadou A. Bio ^{[4
]}

Lopes, Maria De Fatima Costa ^{[5
]}

Szwarcwald, Celia Landmann ^{[6
]}

Gomez, Daniela Vaz Ferreira ^{[7
]}

Bougouma, Clarisse ^{[8
]}

Christophe, Nassa ^{[9
]}

Kabore, Martin ^{[10
]}

Bucumi, Victor ^{[11
]}

Bella, Assumpta L. ^{[12
]}

Epee, Emilienne ^{[13
]}

Yaya, Georges ^{[14
]}

Trujillo-Trujillo, Julian ^{[15
]}

Dejene, Michael ^{[16
]}

Gebretsadik, Fikre Seife ^{[17
]}

Gebru, Genet ^{[17
]}

Kebede, Fikreab ^{[17
]}

Mathewos, Tsedeke ^{[17
]}

Cassama, Eunice Texiera De Silva ^{[18
]}

Sanha, Salimato ^{[19
]}

Barasa, Ernest ^{[20
]}

Sultani, Hadley Matendechero ^{[21
]}

Watitu, Titus

Tekeraoi, Rabebe ^{[22
]}

Kalua, Khumbo M. ^{[23
]}

Masika, Michael P. ^{[24
]}

Traore, Lamine ^{[25
]}

Minnih, Abdallahi O. ^{[26
]}

Abdala, Mariamo ^{[27
]}

Massangaie, Marilia E. ^{[27
]}

Win, Ye ^{[28
]}

Apadinuwe, Sue-Chen ^{[29
]}

Mishra, Sailesh Kumar ^{[30
]}

Sharma, Shekhar ^{[31
]}

Amza, Abdou ^{[32
]}

Kadri, Boubacar ^{[32
]}

Nassirou, Beido ^{[32
]}

Mpyet, Caleb D. ^{[33
]}

Olobio, Nicholas ^{[34
]}

Hussain, Arif ^{[35
]}

Khan, Asad Aslam ^{[36
]}

Jambi, Garap ^{[37
]}

Ko, Robert ^{[38
]}

Kello, Amir B. ^{[39
]}

Badiane, Mouctar D. ^{[40
]}

Sarr, Boubacar ^{[41
]}

Dalmar, Abdi ^{[42
]}

Elshafie, Balgesa E. ^{[43
]}

机构：

[1] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA

[2] London Sch Hyg Trop Med, Dept Clin Res, London, England

[3] Minist Sante, Programme Natl Lutte Malad Transmissibles, Cotonou, Benin

[4] Univ Parakou, Dept Dophthalmol, Borgou, Benin

[5] Minist Saude, Secretaria Vigilancia Saude Ambiente, Rio De Janeiro, Brazil

[6] Fundacao Oswaldo Cruz, Inst Sci & Technol Commun & Informat Hlth, Rio De Janeiro, Brazil

[7] Minist Saude, Rio De Janeiro, Brazil

[8] Ministere Sante, Direct Protect Santede Populat, Koulouba, Burkina Faso

[9] Programme Natl Lutte MTN, Attachede Santeen Epidemiol, Ouagadougou, Burkina Faso

[10] PNMTN, Lunitedeliminat Trachome, Ouagadougou, Burkina Faso

[11] Negligees Ministere SantePubl & Lutte Sida, Dept Charge Malad Trop, Bujumbura, Burundi

[12] Ministere SantePubl, Programme Natl Lutte Cecite, Yaounde, Cameroon

[13] Univ Yaounde, Dept Ophthalmol, Yaounde Ctr, Ministere Sante Publ, Yaounde, Cameroon

[14] Ministere Sante Publ, Bangui, Cent Afr Republ

[15] Minist Hlth & Social Protect, Subdirectorate Commun Dis, Bogota, Colombia

[16] Sightsavers, Addis Ababa, Ethiopia

[17] Minist Hlth, Neglected Trop Dis Prevent & Control Program, Addis Ababa, Ethiopia

[18] Reg Sanitaria Bolama Bijagos, Bubaque, Guinea Bissau

[19] Minsap, Programa Nacl Saude Visao, Bissau, Guinea Bissau

[20] Minist Hlth, Nairobi, Kenya

[21] Minist Hlth, State Dept Publ Hlth & Profess Stand, Nairobi, Kenya

[22] MHMS Tarawa, Tungaru Cent Hosp, Tarawa, Kiribati

[23] Blantyre Inst Community Outreach, Blantyre, Malawi

[24] Minist Hlth, Dept Clin & Med Rehabil Serv, Lilongwe, Malawi

[25] Minist Hlth & Social Dev, Natl Eye Hlth Program, Bamako, Mali

[26] Minist Sante Nouakchott, Dept Malad Transmissibles, Nouakchott, Mauritania

[27] Minist Saude, Direcao Nacl Saude Publ, Maputo, Mozambique

[28] Minist Hlth & Sports, Dept Publ Hlth, Nay Pyi Taw, Myanmar

[29] Dept Hlth, Nibok, Nauru

[30] Nepal Netra Jyoti Sangh, Natl Soc Comprehens Eye Care, Kathmandu, Nepal

[31] Minist Hlth, Kathmandu, Nepal

[32] Ministere Sante Publ, Programme Natl Sante Oculaire, Niamey, Niger

[33] Univ Jos, Dept Ophthalmol, Jos, Nigeria

[34] Fed Minist Hlth, Neglected Trop Dis Div, Dept Publ Hlth, Abuja, Nigeria

[35] Mayo Hosp Lahore, Coll Ophthalmol Allied Vision Sci COAVS, Community Ophthalmol, Lahore, Pakistan

[36] Mayo Hosp, Coll Ophthalmol & Allied Vision Sci, Lahore, Pakistan

[37] PNG Eye Care, Prevent Blindness Comm, Boroko, Papua N Guinea

[38] Natl Dept Hlth, Waigani, Papua N Guinea

[39] World Hlth Org, ESPEN, UHCCommunicable & Noncommun Dis Unit, AF UCU, Brazzaville, Rep Congo

[40] Ministere Santeet LAct Sociale, Programme Natl Promot SanteOculaire, Dakar, Senegal

[41] Minist Santeet IAct Sociale, Dakar, Senegal

[42] Minist Hlth, Mogadishu, Somalia

[43] Fed Minist Hlth, Natl Program Prevent Blindness, Khartoum, Sudan

[44] Minist Hlth, Neglected Trop Dis Control Program, Dodoma, Tanzania

[45] Minist Hlth & Social Welf, Natl Eye Hlth Programme, Banjul, Gambia

[46] Minist Santeet LHygiene Publ, Lome, Togo

[47] Publ Hyg & Univ Access Care, Programme Natl Malad Trop Negligees, Minist Hlth, Lome, Togo

[48] Minist Hlth, Neglected Trop Dis Control, Kampala, Uganda

[49] Minist Hlth, Vector Borne & Neglected Trop Dis, Kampala, Uganda

[50] Task Force Global Hlth, Int Trachoma Initiat, Decatur, GA USA

来源：

INTERNATIONAL HEALTH | 2023年 / 15卷

关键词：

Chlamydia trachomatis; elimination; gender; surgery; trachoma; trichiasis; RISK-FACTORS; SURGERY; TRIAL; PREVALENCE; ETHIOPIA; EGYPT;

D O I：

10.1093/inthealth/ihad067

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：ii58 / ii67

页数：10

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