Barriers to acceptance of intervention among patients with trachomatous trichiasis or entropion presenting to a teaching hospital

Ophthalmic Epidemiology
Gaurav NagpalManjeet Singh Bhatia

Abstract

To determine the barriers to therapeutic intervention in patients with trachomatous trichiasis or entropion. Prospective study over one year in 60 patients with trachomatous trichiasis or entropion presenting to a teaching hospital. The outcome measure was reported barriers to uptake of intervention using a questionnaire. The data were analysed using chi-square and Fisher's exact tests. Patient characteristics were correlated with barriers using univariate and multivariate analysis. The major barriers (operative in > 60% of patients) were illiteracy (66.7%), ignorance regarding treatment (65.0%), and fear of surgery (63.3%). Duration of symptoms in 43 females and 17 males ranged from 0.5 to 240 months (mean 30.2 +/- 45.82). Females reported significantly more barriers (average 5.8 +/- 1.88) than males (average 4.6 +/- 1.97; p = 0.03). Shorter duration was significantly related to perceived expense (p = 0.008). Patients aged =55 years more often cited young children as a barrier (p = 0.02). Encouraging patients who have undergone intervention to share their experiences with community members, providing intervention in patients' villages, community involvement with patients who live alone and making gender-sensitive medical progr...Continue Reading

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Citations

Jun 30, 2012·PLoS Neglected Tropical Diseases·Emily W GowerShannath L Merbs
Jun 10, 2008·Lancet·Heathcote R WrightHugh R Taylor
Oct 26, 2007·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Heathcote R WrightHugh R Taylor
Jul 11, 2012·Ophthalmic Epidemiology·Sumeet KhandujaRasik B Vajpayee
Dec 15, 2015·PLoS Neglected Tropical Diseases·Gregory S GreeneShannath L Merbs
Jan 5, 2017·PLoS Neglected Tropical Diseases·Ryan J BickleySheila West
Mar 2, 2011·World Journal of Surgery·Caris E GrimesChristopher B D Lavy
Jun 6, 2009·Drugs·Anu A MathewHugh R Taylor

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