Sociodemographics and the impact of a colostomy to indigent families and children with colorectal disorders in Honduras.
J Pediatr Surg
; 53(4): 841-846, 2018 Apr.
Article
in En
| MEDLINE
| ID: mdl-28528713
ABSTRACT
INTRODUCTION:
To describe the social impact of a colostomy on indigent families and affected children with anorectal malformations (ARM) or Hirschsprung's disease (HD) in San Pedro Sula, Honduras, we specifically targeted very low-income households that attended an international medical brigade for ARM and HD in 2016.METHODS:
The impact of a colostomy on the families and children's daily life was analyzed by personal interviews with a questionnaire.RESULTS:
Twenty families with children were included in the study. Children's age ranged from 5 months to 27years (median 2.31). Annual income was reported to be less than $500 USD in 42.8%. Impairment of daily family life by the colostomy was reported in 85%. Parents of preschool children younger than 7 years are more affected than parents of older children, whereas children older than 7 years reported on more social problems. Moreover, 50% of the school-aged children did not attend school owing to issues directly related to their colostomy.DISCUSSION:
Colostomies for children in the low middle-income country Honduras have significant social and economic implications for low-income families. In ARM and HD, medical brigades can offer help for definitive surgical repair to overcome and shorten the period of a colostomy presence to improve physical and psychosocial impairment, especially when performed before the children reach the school age. TYPE OF STUDY Cost Effectiveness Study. LEVEL OF EVIDENCE II.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Poverty
/
Colostomy
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Anorectal Malformations
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Hirschsprung Disease
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Adult
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Child
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Child, preschool
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Female
/
Humans
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Infant
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Male
Country/Region as subject:
America central
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Honduras
Language:
En
Year:
2018
Type:
Article