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Epidemiology and individual, household and geographical risk factors of podoconiosis in Ethiopia: results from the first nationwide mapping.

Deribe K, Brooker SJ, Pullan RL, Sime H, Gebretsadik A, Assefa A, Kebede A, Hailu A, Rebollo MP, Shafi O, Bockarie MJ, Aseffa A, Reithinger R, Cano J, Enquselassie F, Newport MJ, Davey G - Am. J. Trop. Med. Hyg. (2014)

Bottom Line: In multivariable analysis, being female, older, unmarried, washing the feet less frequently than daily, and being semiskilled or unemployed were significantly associated with increased risk of podoconiosis.Attending formal education and living in a house with a covered floor were associated with decreased risk of podoconiosis.Podoconiosis exhibits marked geographical variation across Ethiopia, with variation in risk associated with variation in rainfall, enhanced vegetation index, and altitude.

View Article: PubMed Central - PubMed

Affiliation: Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom; School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom; Ethiopian Public Health Institute, Addis Ababa, Ethiopia; School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia; Center for Neglected Tropical Diseases, Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Federal Ministry of Health, Addis Ababa, Ethiopia; Armauer Hansen Research Institute/ALERT, Addis Ababa, Ethiopia; RTI International, Washington, DC kebededeka@yahoo.com.

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Podoconiosis diagnosis algorithm used in the national survey in Ethiopia 2013.
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Figure 2: Podoconiosis diagnosis algorithm used in the national survey in Ethiopia 2013.

Mentions: The survey was planned to be conducted in 692 (84.7%) of the 817 woreda of Ethiopia, and mapping was achieved in 659 (95.2%) of these. Thirty-three (4.8%) woreda were excluded or were inaccessible during the survey: 6 in Addis Ababa were excluded because of an exclusively urban population and almost universal shoe wearing practice, 23 in Somali were inaccessible as a result of conflict, and 1 in Oromia and 3 in Amhara had been merged or double counted. Individual-level data were available for 129,959 individuals from 1,315 villages in 659 woreda (Figure 2). The median age of the participants was 34 years (interquartile range [IQR], 25 to 46). The male/female ratio of the respondents was 1.0:1.0, reflecting the selection process. The mean number of individuals per kebele was 98.


Epidemiology and individual, household and geographical risk factors of podoconiosis in Ethiopia: results from the first nationwide mapping.

Deribe K, Brooker SJ, Pullan RL, Sime H, Gebretsadik A, Assefa A, Kebede A, Hailu A, Rebollo MP, Shafi O, Bockarie MJ, Aseffa A, Reithinger R, Cano J, Enquselassie F, Newport MJ, Davey G - Am. J. Trop. Med. Hyg. (2014)

Podoconiosis diagnosis algorithm used in the national survey in Ethiopia 2013.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4288951&req=5

Figure 2: Podoconiosis diagnosis algorithm used in the national survey in Ethiopia 2013.
Mentions: The survey was planned to be conducted in 692 (84.7%) of the 817 woreda of Ethiopia, and mapping was achieved in 659 (95.2%) of these. Thirty-three (4.8%) woreda were excluded or were inaccessible during the survey: 6 in Addis Ababa were excluded because of an exclusively urban population and almost universal shoe wearing practice, 23 in Somali were inaccessible as a result of conflict, and 1 in Oromia and 3 in Amhara had been merged or double counted. Individual-level data were available for 129,959 individuals from 1,315 villages in 659 woreda (Figure 2). The median age of the participants was 34 years (interquartile range [IQR], 25 to 46). The male/female ratio of the respondents was 1.0:1.0, reflecting the selection process. The mean number of individuals per kebele was 98.

Bottom Line: In multivariable analysis, being female, older, unmarried, washing the feet less frequently than daily, and being semiskilled or unemployed were significantly associated with increased risk of podoconiosis.Attending formal education and living in a house with a covered floor were associated with decreased risk of podoconiosis.Podoconiosis exhibits marked geographical variation across Ethiopia, with variation in risk associated with variation in rainfall, enhanced vegetation index, and altitude.

View Article: PubMed Central - PubMed

Affiliation: Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom; School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom; Ethiopian Public Health Institute, Addis Ababa, Ethiopia; School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia; Center for Neglected Tropical Diseases, Liverpool School of Tropical Medicine, Liverpool, United Kingdom; Federal Ministry of Health, Addis Ababa, Ethiopia; Armauer Hansen Research Institute/ALERT, Addis Ababa, Ethiopia; RTI International, Washington, DC kebededeka@yahoo.com.

Show MeSH
Related in: MedlinePlus