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1.
Epilepsy Behav ; 18(3): 247-53, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20627815

RESUMO

BACKGROUND: The main goal of this study was to obtain baseline data on awareness and attitudes and practices with respect to epilepsy among secondary school students. METHODS: We interviewed a total of 659 students from three randomly selected secondary schools in the Kumbo West Health District, using a 12-item questionnaire in English. RESULTS: About 94.7% had heard about epilepsy, 25.8% had read on the subject, 55.2% knew someone with epilepsy and 77.7% had witnessed a seizure. While 37.9% of students would object to association with people with epilepsy (PWE), 47.8% would object to marriage with PWE. About 77.2% would offer equal employment to PWE although 72.7% believed there were jobs not suitable for PWE. Up to 58% of our sample thought epilepsy is contagious and about 62.2% of them declared that epilepsy is curable. Respectively 65%, 9%, and 30% would recommend a medical doctor, a traditional healer and God's help for treatment of epilepsy. Independent determinants of attitudes were found to be: the belief that epilepsy is a form of insanity or is contagious, having witnessed a seizure, being female, being a Christian and having a higher level of education. CONCLUSION: There was a high level of awareness on epilepsy and the negative attitudes observed among these students were better than those reported in the same community. The determinants of negative attitudes were found to be diversified, confirming our hypothesis of variation, and our data further suggest that the interplay between these factors may be more complex than generally thought. This requires further qualitative study.


Assuntos
Conscientização , Epilepsia/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Estudantes/psicologia , Adolescente , Fatores Etários , Camarões/epidemiologia , Camarões/etnologia , Distribuição de Qui-Quadrado , Criança , Compreensão/fisiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Distribuição Aleatória , Reconhecimento Psicológico/fisiologia , Características de Residência , Instituições Acadêmicas/estatística & dados numéricos , Adulto Jovem
2.
Epilepsy Behav ; 17(3): 381-8, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20153701

RESUMO

OBJECTIVE: This study was designed as part of a series of studies mandated by the Cameroon Ministry of Public Health (National Epilepsy Control Program) to obtain new data for improvement of the epilepsy teaching program in schools training health personnel in the South West Region of Cameroon. METHOD: A 12-item semistructured questionnaire was self-administered to 340 student nurses and laboratory assistants in five training schools for health personnel in the South West Region of Cameroon. RESULTS: All of them had heard about epilepsy, 86.5% knew someone with epilepsy, 88.5% had witnessed a seizure, but only 48.8% had read about epilepsy. About 33% and 52% would, respectively, object to their children associating with and marrying people with epilepsy (PWE). About 15.3% believed that epilepsy is a form of insanity, 10% thought epilepsy is contagious, 67.4% (P<0.001) would recommend medical treatment for epilepsy, 22% would offer prayers only, and 6% would recommend traditional medicine. Independent predictors of attitudes were: acquaintance with someone with epilepsy, knowledge of the cause of epilepsy, the belief that epilepsy is contagious or is a form of insanity, being male, and being in the first year of studies. CONCLUSION: The knowledge level in this student sample is high, but the relatively low proportion of respondents who have read about epilepsy suggests that the observed high level of awareness of epilepsy may be from knowledge gained in the community; thus, there exist knowledge gaps. Therefore, a teaching course on epilepsy needs to be introduced into the curriculum of these training schools as early as the first year of studies. The course content must take into account the belief and value systems of the community and address misconceptions about epilepsy.


Assuntos
Epilepsia/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Laboratório Médico/psicologia , Estudantes de Enfermagem/psicologia , Adulto , Camarões/epidemiologia , Distribuição de Qui-Quadrado , Epilepsia/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Valor Preditivo dos Testes , Reconhecimento Psicológico , Autoimagem , Inquéritos e Questionários , Adulto Jovem
3.
Epilepsy Behav ; 17(1): 95-102, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19932640

RESUMO

OBJECTIVE: The purpose of this study was to gain an understanding of the approach of traditional healers to epilepsy care, in order to develop a community-based epilepsy care program in Batibo Health District. METHODS: With an 18-item questionnaire, interviews were carried out with 102 traditional healers randomly selected from two associations of traditional healers in the Batibo Health District. RESULTS: Most traditional healers had heard about epilepsy (98.0%), knew someone with epilepsy (97.8%), or had witnessed a seizure (92.2%). About 40% would object to their children associating with people with epilepsy (PWE), 46.1% would object to their children marrying PWE, and 51% linked the disease to insanity. Though 61.8% of the traditional healers could not offer any treatment for epilepsy, most of them thought it was treatable (74.5%) and would readily refer a patient to the hospital (95.1%). The independent predictors of attitudes were: middle age (30-49 years), P=0.00003; female gender, P=0.007; correct knowledge of the cause(s) of epilepsy, P=0.001; and the misconceptions that epilepsy is contagious and that epilepsy is a form of insanity, P=0.003 and 0.019, respectively. CONCLUSION: Traditional healers constituted the focus group studied so far in Cameroon that is most familiar with epilepsy. Although they still have some negative practices, the attitudes of traditional healers toward PWE in Batibo Health District are satisfactory, compared with those of the general public and students in the same community. These findings provide evidence for the first time in Cameroon suggesting that collaboration between the modern and traditional health systems with the view of bridging the epilepsy treatment gap is possible. There is a need to train traditional healers in epilepsy care in our context.


Assuntos
Epilepsia , Conhecimentos, Atitudes e Prática em Saúde , Medicinas Tradicionais Africanas/métodos , Medicinas Tradicionais Africanas/psicologia , Adulto , Camarões/epidemiologia , Coleta de Dados , Epilepsia/epidemiologia , Epilepsia/psicologia , Epilepsia/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , População Urbana
4.
Epilepsy Behav ; 15(2): 179-85, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19303456

RESUMO

BACKGROUND: This study was part of a series mandated by the Ministry of Public Health's National Epilepsy Control Program to obtain baseline data for a community-adapted epilepsy education program. METHODS: We conducted 387 face-to-face interviews with subjects without epilepsy aged 15 years and above in 12 villages of the Akwaya Health District, Cameroon. RESULTS: Most respondents (97.9%) had heard or read about epilepsy, 90.2% knew someone with epilepsy, and 90.4% had witnessed a seizure. About 51.4% would object to association with people with epilepsy (PWE), 68.7% would object to marriage to PWE, while 41.6% would offer them equal employment. For treatment, 30.2% would suggest going to a traditional healer or witch doctor, while 3.9% would not recommend any treatment at all. Predictors of attitudes were male gender, low or no level of education, having children, knowledge of the cause of epilepsy, and beliefs that epilepsy is contagious or is a form of insanity. CONCLUSION: The high level of public awareness on epilepsy in the Akwaya Health District may suggest a high prevalence. This contrasts with prevailing negative attitudes. Our data provide new evidence for our hypothesis of regional variation in the determinants of epilepsy stigma in Cameroon.


Assuntos
Conscientização , Epilepsia/epidemiologia , Epilepsia/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Opinião Pública , Adulto , Camarões/epidemiologia , Camarões/etnologia , Epilepsia/etnologia , Família , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Características de Residência , Fatores Sexuais , Percepção Social , Adulto Jovem
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