Gender differences in the surgical management of trachomatous trichiasis: an exploratory analysis of global trachoma survey data, 2015-2019.
Int Health
; 15(Supplement_2): ii58-ii67, 2023 Dec 04.
Article
em En
| MEDLINE
| ID: mdl-38048383
ABSTRACT
BACKGROUND:
Trachomatous trichiasis (TT) is a painful, potentially blinding eye condition that can be managed through epilation or surgery. Women are affected by TT approximately twice as often as men and are believed to face gendered barriers to receiving surgical care to prevent vision loss.METHODS:
We used data from 817 cross-sectional surveys conducted during 2015-2019 in 20 African countries to estimate the prevalence difference (PD) between female and male eyes for four outcomes potentially indicating gender-related differences in TT management (1) received surgery and developed postoperative TT (PTT), (2) never offered surgery, (3) offered surgery but declined it, and (4) offered epilation but never offered surgery.RESULTS:
The prevalence was modestly elevated among female eyes compared with male eyes for having PTT (PD1.8 [95% confidence limits (CL) 0.6, 3.0]) and having declined surgery for the eye (PD 6.2 [95% CL 1.8, 10.7]). The proportion offered epilation was similar by gender (PD0.5 [95% CL -0.4, 1.3]), while never having been offered surgery was somewhat more prevalent among male eyes (PD -2.1 [95% CL -3.5, -0.7]).CONCLUSIONS:
Our results suggest potential gender differences in TT management. More research is needed to determine the causes and implications of the observed differences.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tracoma
/
Triquíase
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Int Health
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos