Citation
Sullivan, Kristin M.; Harding-Esch, Emma M.; Batcho, Wilfrid E.; Issifou, Amadou A. B.; Lopes, Maria de Fátima Costa; Szwarcwald, Celia Landmann; Vaz Ferreira Gomez, Daniela; Bougouma, Clarisse; Christophe, Nassa; & Kabore, Martin, et al. (2023). Gender Differences in the Surgical Management of Trachomatous Trichiasis: An Exploratory Analysis of Global Trachoma Survey Data, 2015-2019. International Health, 15(Supp. 2), ii58-67. PMCID: PMC10695456Abstract
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 (PD:1.8 [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 (PD:0.5 [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.
URL
http://dx.doi.org/10.1093/inthealth/ihad067Reference Type
Journal ArticleYear Published
2023Journal Title
International HealthAuthor(s)
Sullivan, Kristin M.Harding-Esch, Emma M.
Batcho, Wilfrid E.
Issifou, Amadou A. B.
Lopes, Maria de Fátima Costa
Szwarcwald, Celia Landmann
Vaz Ferreira Gomez, Daniela
Bougouma, Clarisse
Christophe, Nassa
Kabore, Martin
Bucumi, Victor
Bella, Assumpta L.
Epee, Emilienne
Yaya, Georges
Trujillo-Trujillo, Julian
Dejene, Michael
Gebretsadik, Fikre S.
Gebru, Genet
Kebede, Fikreab
Mathewos, Tsedeke
Cassama, Eunice Texiera de Silva
Sanha, Salimato
Barasa, Ernest
Sultani, Hadley M.
Watitu, Titus
Tekeraoi, Rabebe
Kalua, Khumbo M.
Masika, Michael P.
Traoré, Lamine
Minnih, Abdallahi O.
Abdala, Mariamo
Massangaie, Marília E.
Win, Ye
Apadinuwe, Sue-Chen
Mishra, Sailesh Kumar
Sharma, Shekhar
Amza, Abdou
Kadri, Boubacar
Nassirou, Beido
Mpyet, Caleb D.
Olobio, Nicholas
Hussain, Arif
Khan, Asad Aslam
Jambi, Garap
Ko, Robert
Kello, Amir B.
Badiane, Mouctar D.
Sarr, Boubacar
Dalmar, Abdi
Elshafie, Balgesa E.
Kabona, George E.
Kaitaba, Oscar
Mwingira, Upendo
Simon, Alistidia
Kanyi, Sarjo
Awoussi, Marcel S.
Togbey, Kwamy
Baayenda, Gilbert
Francis, Mugume
Tukahebwa, Edridah M.
Bakhtiari, Ana
Keil, Alexander P.
Maselko, Joanna
Westreich, Daniel
Garae, Mackline
Taleo, Fasiah
Al-Khateeb, Tawfik Q.
Mwale, Consity
Solomon, Anthony W.
Gower, Emily W.