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Mental distress and podoconiosis in Northern Ethiopia: a comparative cross-sectional study

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dc.contributor.author Mousley, E.
dc.contributor.author Deribe, K.
dc.contributor.author Tamiru, A.
dc.contributor.author Tomczyk, S.
dc.contributor.author Hanlon, C.
dc.contributor.author Davey, G.
dc.date.accessioned 2015-08-13T08:44:48Z
dc.date.available 2015-08-13T08:44:48Z
dc.date.issued 2015
dc.identifier.issn 1876-3405
dc.identifier.doi http://dx.doi.org/10.1093/inthealth/ihu043
dc.identifier.other ITG-I4B
dc.identifier.other INTER
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other FTA
dc.identifier.other Abstract
dc.identifier.other UPD58
dc.identifier.uri http://hdl.handle.net/10390/8384
dc.description.abstract BACKGROUND: The stigma, deformity and disability related to most neglected tropical diseases may lead to poor mental health. We aimed to assess the comorbidity of podoconiosis and mental distress. METHODS: A comparative cross-sectional study was conducted in 2012, including 346 people with podoconiosis and 349 healthy neighbourhood controls. Symptoms of mental distress were assessed using the validated Amharic translation of the Kessler-10 scale (K10). A linear regression analysis was conducted to identify factors associated with mental distress. RESULTS: The mean K10 score was 15.92 (95% CI: 15.27 to 16.57) in people with podoconiosis and 14.49 (95% CI: 13.85 to 15.12) in controls (average K10 scores 1.43 points higher [95% CI: 0.52 to 2.34]). In multivariate linear regression of K10 scores, the difference remained significant when adjusted for gender, income, alcohol use, age, place of residence and family history of mental illness. In the adjusted model, people with podoconiosis had K10 scores 1.37 points higher than controls (95% CI: 0.64 to 2.18). Other variables were also associated with high K10 scores: women had K10 scores 1.41 points higher than men (95% CI: 0.63 to 2.18). Those with family history of mental illness had K10 scores 3.56 points higher than those without (95% CI: 0.55 to 6.56). CONCLUSIONS: This study documented a high burden of mental distress among people with podoconiosis compared with healthy controls. Taking this finding in the context of the high stigma and reduced quality of life, we recommend integration of psychosocial care into the current morbidity management of podoconiosis. en_US
dc.language English en_US
dc.subject Noncommunicable diseases en_US
dc.subject Podoconiosis en_US
dc.subject Elephantiasis en_US
dc.subject Disease burden en_US
dc.subject Morbidity en_US
dc.subject Mental health en_US
dc.subject Mental stress en_US
dc.subject Stigma en_US
dc.subject Psychosocial aspects en_US
dc.subject Ethiopia en_US
dc.subject Africa, East en_US
dc.title Mental distress and podoconiosis in Northern Ethiopia: a comparative cross-sectional study en_US
dc.type Article en_US
dc.citation.issue 1 en_US
dc.citation.jtitle International Health en_US
dc.citation.volume 7 en_US
dc.citation.pages 16-25 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/25062906
dc.citation.jabbreviation Int Health en_US


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