Gender difference in socio-epidemiological factors for leprosy in the most hyper-endemic district of Nepal.

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dc.contributor.authorKumar, Rajendraen_US
dc.contributor.authorSinghasivanon, Pratapen_US
dc.contributor.authorSherchand, Jeevan Bahaduren_US
dc.contributor.authorMahaisavariya, Punkaeen_US
dc.contributor.authorKaewkungwal, Jaraniten_US
dc.contributor.authorPeerapakorn, Somchaien_US
dc.contributor.authorMahotarn, Krisadaen_US
dc.date.accessioned2009-05-28T04:25:58Z
dc.date.available2009-05-28T04:25:58Z
dc.date.issued2004-12-22en_US
dc.descriptionNepal Medical College Journal.en_US
dc.description.abstractLeprosy which has caused stigma and social ostracism for millennium is nearing elimination worldwide as a public health problem, but the leprosy burden in Nepal is still 4.4 times greater than WHO's target level of less than one case per 10,000 population. Although leprosy affects both the sexes, in most parts of the world males are affected more than females at a ratio of 2:1. The general objective of the study was to investigate the gender difference in socio-epidemiological factors for leprosy. The analytic cross-sectional study was carried out in one of the most hyper endemic district- Dhanusa district of Nepal. Stratified random sampling method was applied for the selection of the patients. Chi-square/Fisher's exact test was applied to assess statistically significant differences in values between males and females. There were 580 leprosy patients (385 male and 195 female) aged above 15 years registered for multi drug therapy between April 1, 2001 to March 31,2002 in the 16 main health centers of the district. Out of 580 patients, 273 patients (183 males and 90 females) were included in the study in order to collect the data on socio-demographics, patient's knowledge on leprosy, treatment seeking behaviour, and social problems faced by the patients. Data were collected using a structured interview schedule. The mean age of the male patients was 45.1 years (range 15-77 years) and female patients were 40.3 years (range 15-75 years). Among male patients 93.4% were married while among female patients 70.0% were married. Among male patients 51.9% were illiterate whereas 71.1% were illiterate among female patients. Most of the patients (69.6%) lived in joint family and the rest in nuclear family. Among male patients, 86.9% had good knowledge about the disease compared to 73.3% among females. This study showed that among the female patients 12.2% were facing high level of social problems, while among male patients only 4.4% were facing the same. About 15% patients had poor treatment seeking behaviors (8.2% among males and 27.8% among females). A significant gender differences among leprosy patients have been found in age distribution, educational status, marital status, caste types, family members, and overall knowledge on the general aspect of leprosy, social problems faced by the patients and treatment seeking behaviour.en_US
dc.description.affiliationHealth Research Section, Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal. bcrajendra2001@yahoo.comen_US
dc.identifier.citationKumar R, Singhasivanon P, Sherchand JB, Mahaisavariya P, Kaewkungwal J, Peerapakorn S, Mahotarn K. Gender difference in socio-epidemiological factors for leprosy in the most hyper-endemic district of Nepal. Nepal Medical College Journal. 2004 Dec; 6(2): 98-105en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/46940
dc.language.isoengen_US
dc.source.urihttps://www.nmcth.edu/list_journal_articles.phpen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshEndemic Diseasesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInterviews as Topicen_US
dc.subject.meshLeprosy --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNepal --epidemiologyen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshSocioeconomic Factorsen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleGender difference in socio-epidemiological factors for leprosy in the most hyper-endemic district of Nepal.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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