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Persisting social participation restrictions among former buruli ulcer patients in Ghana and Benin.

de Zeeuw J, Omansen TF, Douwstra M, Barogui YT, Agossadou C, Sopoh GE, Phillips RO, Johnson C, Abass KM, Saunderson P, Dijkstra PU, van der Werf TS, Stienstra Y, Stientstra Y - PLoS Negl Trop Dis (2014)

Bottom Line: Most restrictions encountered related to employment.Persisting participation restrictions were experienced by former BU patients in Ghana and Benin.Most important predictors of participation restrictions were being female, perceived stigma, functional limitations and larger lesions.

View Article: PubMed Central - PubMed

Affiliation: University of Groningen, University Medical Center Groningen, Department of Internal Medicine/Infectious Diseases, Groningen, The Netherlands.

ABSTRACT

Background: Buruli ulcer may induce severe disabilities impacting on a person's well-being and quality of life. Information about long-term disabilities and participation restrictions is scanty. The objective of this study was to gain insight into participation restrictions among former Buruli ulcer patients in Ghana and Benin.

Methods: In this cross-sectional study, former Buruli ulcer patients were interviewed using the Participation Scale, the Buruli Ulcer Functional Limitation Score to measure functional limitations, and the Explanatory Model Interview Catalogue to measure perceived stigma. Healthy community controls were also interviewed using the Participation Scale. Trained native interviewers conducted the interviews. Former Buruli ulcer patients were eligible for inclusion if they had been treated between 2005 and 2011, had ended treatment at least 3 months before the interview, and were at least 15 years of age.

Results: In total, 143 former Buruli ulcer patients and 106 community controls from Ghana and Benin were included in the study. Participation restrictions were experienced by 67 former patients (median score, 30, IQR; 23;43) while 76 participated in social life without problems (median score 5, IQR; 2;9). Most restrictions encountered related to employment. Linear regression showed being female, perceived stigma, functional limitations, and larger lesions (category II) as predictors of more participation restrictions.

Conclusion: Persisting participation restrictions were experienced by former BU patients in Ghana and Benin. Most important predictors of participation restrictions were being female, perceived stigma, functional limitations and larger lesions.

No MeSH data available.


Related in: MedlinePlus

Profile of participation restrictions of patients and controls in Benin.Red bar: patients. Blue bar: healthy community controls.
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pntd-0003303-g002: Profile of participation restrictions of patients and controls in Benin.Red bar: patients. Blue bar: healthy community controls.

Mentions: Using a cut-off value of 16, in total, 67 (47%) former patients with BU experienced participation restrictions (median 30, IQR; 23; 43) while 76 indicated no participation problems (median 5, IQR; 2;9). Median P-scale sum scores of the former BU patients were similar in Ghana and Benin (Ghana: median 13, IQR; 5;29, Benin: median 13, IQR; 4;30). Across both countries, the most frequently reported problems among former BU patients were related to employment. In addition, in Ghana former BU patients experienced mainly problems with meeting new people, giving their opinion in family discussions, long-term relationships, being socially active, respect, and recreational and social activities. In Benin, former BU patients experienced mainly problems with being socially active, giving their opinion in family discussions, going for visits outside the village, recreational/social activities, helping others, and attending major festivals and rituals. Patients in Ghana had higher scores on each item compared to the healthy community controls, except for doing household work and confidence to learn new things. In addition healthy community controls in Ghana had higher levels of participation restrictions compared to healthy controls in Benin (Figure 1 and 2).


Persisting social participation restrictions among former buruli ulcer patients in Ghana and Benin.

de Zeeuw J, Omansen TF, Douwstra M, Barogui YT, Agossadou C, Sopoh GE, Phillips RO, Johnson C, Abass KM, Saunderson P, Dijkstra PU, van der Werf TS, Stienstra Y, Stientstra Y - PLoS Negl Trop Dis (2014)

Profile of participation restrictions of patients and controls in Benin.Red bar: patients. Blue bar: healthy community controls.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230927&req=5

pntd-0003303-g002: Profile of participation restrictions of patients and controls in Benin.Red bar: patients. Blue bar: healthy community controls.
Mentions: Using a cut-off value of 16, in total, 67 (47%) former patients with BU experienced participation restrictions (median 30, IQR; 23; 43) while 76 indicated no participation problems (median 5, IQR; 2;9). Median P-scale sum scores of the former BU patients were similar in Ghana and Benin (Ghana: median 13, IQR; 5;29, Benin: median 13, IQR; 4;30). Across both countries, the most frequently reported problems among former BU patients were related to employment. In addition, in Ghana former BU patients experienced mainly problems with meeting new people, giving their opinion in family discussions, long-term relationships, being socially active, respect, and recreational and social activities. In Benin, former BU patients experienced mainly problems with being socially active, giving their opinion in family discussions, going for visits outside the village, recreational/social activities, helping others, and attending major festivals and rituals. Patients in Ghana had higher scores on each item compared to the healthy community controls, except for doing household work and confidence to learn new things. In addition healthy community controls in Ghana had higher levels of participation restrictions compared to healthy controls in Benin (Figure 1 and 2).

Bottom Line: Most restrictions encountered related to employment.Persisting participation restrictions were experienced by former BU patients in Ghana and Benin.Most important predictors of participation restrictions were being female, perceived stigma, functional limitations and larger lesions.

View Article: PubMed Central - PubMed

Affiliation: University of Groningen, University Medical Center Groningen, Department of Internal Medicine/Infectious Diseases, Groningen, The Netherlands.

ABSTRACT

Background: Buruli ulcer may induce severe disabilities impacting on a person's well-being and quality of life. Information about long-term disabilities and participation restrictions is scanty. The objective of this study was to gain insight into participation restrictions among former Buruli ulcer patients in Ghana and Benin.

Methods: In this cross-sectional study, former Buruli ulcer patients were interviewed using the Participation Scale, the Buruli Ulcer Functional Limitation Score to measure functional limitations, and the Explanatory Model Interview Catalogue to measure perceived stigma. Healthy community controls were also interviewed using the Participation Scale. Trained native interviewers conducted the interviews. Former Buruli ulcer patients were eligible for inclusion if they had been treated between 2005 and 2011, had ended treatment at least 3 months before the interview, and were at least 15 years of age.

Results: In total, 143 former Buruli ulcer patients and 106 community controls from Ghana and Benin were included in the study. Participation restrictions were experienced by 67 former patients (median score, 30, IQR; 23;43) while 76 participated in social life without problems (median score 5, IQR; 2;9). Most restrictions encountered related to employment. Linear regression showed being female, perceived stigma, functional limitations, and larger lesions (category II) as predictors of more participation restrictions.

Conclusion: Persisting participation restrictions were experienced by former BU patients in Ghana and Benin. Most important predictors of participation restrictions were being female, perceived stigma, functional limitations and larger lesions.

No MeSH data available.


Related in: MedlinePlus