Trachoma and Relative Poverty: A Case-Control Study.
BACKGROUND:Trachoma is widely considered a disease of poverty. Although there are many epidemiological studies linking trachoma to factors normally associated with poverty, formal quantitative data linking trachoma to household economic poverty within endemic communities is very limited. METHODOLOGY...
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ftdoajarticles:oai:doaj.org/article:338d6d6eaa8549808a4692c4f3863976 2023-05-15T15:13:06+02:00 Trachoma and Relative Poverty: A Case-Control Study. Esmael Habtamu Tariku Wondie Sintayehu Aweke Zerihun Tadesse Mulat Zerihun Zebideru Zewdie Kelly Callahan Paul M Emerson Hannah Kuper Robin L Bailey David C W Mabey Saul N Rajak Sarah Polack Helen A Weiss Matthew J Burton 2015-11-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0004228 https://doaj.org/article/338d6d6eaa8549808a4692c4f3863976 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4657919?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0004228 https://doaj.org/article/338d6d6eaa8549808a4692c4f3863976 PLoS Neglected Tropical Diseases, Vol 9, Iss 11, p e0004228 (2015) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles https://doi.org/10.1371/journal.pntd.0004228 2022-12-31T12:31:34Z BACKGROUND:Trachoma is widely considered a disease of poverty. Although there are many epidemiological studies linking trachoma to factors normally associated with poverty, formal quantitative data linking trachoma to household economic poverty within endemic communities is very limited. METHODOLOGY/PRINCIPAL FINDINGS:Two hundred people with trachomatous trichiasis were recruited through community-based screening in Amhara Region, Ethiopia. These were individually matched by age and gender to 200 controls without trichiasis, selected randomly from the same sub-village as the case. Household economic poverty was measured through (a) A broad set of asset-based wealth indicators and relative household economic poverty determined by principal component analysis (PCA, (b) Self-rated wealth, and (c) Peer-rated wealth. Activity participation data were collected using a modified 'Stylised Activity List' developed for the World Bank's Living Standards Measurement Survey. Trichiasis cases were more likely to belong to poorer households by all measures: asset-based analysis (OR = 2.79; 95%CI: 2.06-3.78; p<0.0001), self-rated wealth (OR, 4.41, 95%CI, 2.75-7.07; p<0.0001) and peer-rated wealth (OR, 8.22, 95% CI, 4.59-14.72; p<0.0001). Cases had less access to latrines (57% v 76.5%, p = <0.0001) and higher person-to-room density (4.0 v 3.31; P = 0.0204) than the controls. Compared to controls, cases were significantly less likely to participate in economically productive activities regardless of visual impairment and other health problems, more likely to report difficulty in performing activities and more likely to receive assistance in performing productive activities. CONCLUSIONS/SIGNIFICANCE:This study demonstrated a strong association between trachomatous trichiasis and relative poverty, suggesting a bidirectional causative relationship possibly may exist between poverty and trachoma. Implementation of the full SAFE strategy in the context of general improvements might lead to a virtuous cycle of improving ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 9 11 e0004228 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Esmael Habtamu Tariku Wondie Sintayehu Aweke Zerihun Tadesse Mulat Zerihun Zebideru Zewdie Kelly Callahan Paul M Emerson Hannah Kuper Robin L Bailey David C W Mabey Saul N Rajak Sarah Polack Helen A Weiss Matthew J Burton Trachoma and Relative Poverty: A Case-Control Study. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:Trachoma is widely considered a disease of poverty. Although there are many epidemiological studies linking trachoma to factors normally associated with poverty, formal quantitative data linking trachoma to household economic poverty within endemic communities is very limited. METHODOLOGY/PRINCIPAL FINDINGS:Two hundred people with trachomatous trichiasis were recruited through community-based screening in Amhara Region, Ethiopia. These were individually matched by age and gender to 200 controls without trichiasis, selected randomly from the same sub-village as the case. Household economic poverty was measured through (a) A broad set of asset-based wealth indicators and relative household economic poverty determined by principal component analysis (PCA, (b) Self-rated wealth, and (c) Peer-rated wealth. Activity participation data were collected using a modified 'Stylised Activity List' developed for the World Bank's Living Standards Measurement Survey. Trichiasis cases were more likely to belong to poorer households by all measures: asset-based analysis (OR = 2.79; 95%CI: 2.06-3.78; p<0.0001), self-rated wealth (OR, 4.41, 95%CI, 2.75-7.07; p<0.0001) and peer-rated wealth (OR, 8.22, 95% CI, 4.59-14.72; p<0.0001). Cases had less access to latrines (57% v 76.5%, p = <0.0001) and higher person-to-room density (4.0 v 3.31; P = 0.0204) than the controls. Compared to controls, cases were significantly less likely to participate in economically productive activities regardless of visual impairment and other health problems, more likely to report difficulty in performing activities and more likely to receive assistance in performing productive activities. CONCLUSIONS/SIGNIFICANCE:This study demonstrated a strong association between trachomatous trichiasis and relative poverty, suggesting a bidirectional causative relationship possibly may exist between poverty and trachoma. Implementation of the full SAFE strategy in the context of general improvements might lead to a virtuous cycle of improving ... |
format |
Article in Journal/Newspaper |
author |
Esmael Habtamu Tariku Wondie Sintayehu Aweke Zerihun Tadesse Mulat Zerihun Zebideru Zewdie Kelly Callahan Paul M Emerson Hannah Kuper Robin L Bailey David C W Mabey Saul N Rajak Sarah Polack Helen A Weiss Matthew J Burton |
author_facet |
Esmael Habtamu Tariku Wondie Sintayehu Aweke Zerihun Tadesse Mulat Zerihun Zebideru Zewdie Kelly Callahan Paul M Emerson Hannah Kuper Robin L Bailey David C W Mabey Saul N Rajak Sarah Polack Helen A Weiss Matthew J Burton |
author_sort |
Esmael Habtamu |
title |
Trachoma and Relative Poverty: A Case-Control Study. |
title_short |
Trachoma and Relative Poverty: A Case-Control Study. |
title_full |
Trachoma and Relative Poverty: A Case-Control Study. |
title_fullStr |
Trachoma and Relative Poverty: A Case-Control Study. |
title_full_unstemmed |
Trachoma and Relative Poverty: A Case-Control Study. |
title_sort |
trachoma and relative poverty: a case-control study. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2015 |
url |
https://doi.org/10.1371/journal.pntd.0004228 https://doaj.org/article/338d6d6eaa8549808a4692c4f3863976 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 9, Iss 11, p e0004228 (2015) |
op_relation |
http://europepmc.org/articles/PMC4657919?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0004228 https://doaj.org/article/338d6d6eaa8549808a4692c4f3863976 |
op_doi |
https://doi.org/10.1371/journal.pntd.0004228 |
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PLOS Neglected Tropical Diseases |
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9 |
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11 |
container_start_page |
e0004228 |
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1766343695225847808 |