Gambo General Rural Hospital, Shashemane, Ethiopia.
Int J Equity Health. 2012 Oct 4;11:56. doi: 10.1186/1475-9276-11-56.
In previous studies, women are less aware of causation and symptoms of leprosy and have less access to health care coverage than men, thus contributing to their delay in seeking for treatment. We assess the gender differences in leprosy cases admitted to a rural referral hospital in Ethiopia for 7 and a half years.
Retrospective data of the leprosy patients admitted to referral hospital were collected using leprosy admission registry books from September 2002 to January 2010. Variables were entered in an Excel 97 database.
During the period of study, 839 patients with leprosy were admitted; 541 (64.5%) were male, and 298 (35.6%) female. Fifteen per cent of female patients, and 7.3% of male patients were paucibacillary leprosy cases while 84.8% of female patients and 92.7% of males were multibacillary leprosy cases (p<0.001). Female leprosy patients were younger than male ones (median: 36 versus 44 years) (p<0.001). In the multivariate analysis, age (odds ratio [OR]: 0.97; 95% confidence interval [CI]: 0.96-0.98; p<0.001), admission for cardiovascular diseases (OR: 7.6, 95% CI: 1.9-29.3; p=0.004), admission for gastroenteritis (OR: 14.0; 95% CI: 1.7-117; p=0.02), admission from out patients clinic (OR: 2.04; 95% CI: 1.1-4.01; p=0.02), and mortality as final outcome (OR: 3.1, 95% CI: 1.2-8.0; p=0.02) were independently associated with female gender.
Female patients with leprosy admitted to hospital were younger, had a different profile of admission and a higher mortality rate than male ones.
在之前的研究中，女性对麻风病的病因和症状的认识不如男性，获得医疗保健的机会也比男性少，因此她们在寻求治疗时会出现延误。我们评估了埃塞俄比亚一家农村转诊医院 7 年半期间收治的麻风病患者的性别差异。
使用 2002 年 9 月至 2010 年 1 月的麻风病入院登记册，收集转诊医院收治的麻风病患者的回顾性数据。将变量输入 Excel 97 数据库。
在研究期间，共有 839 例麻风病患者入院；541 例（64.5%）为男性，298 例（35.6%）为女性。15%的女性患者和 7.3%的男性患者为少菌型麻风病病例，而 84.8%的女性患者和 92.7%的男性患者为多菌型麻风病病例（p<0.001）。女性麻风病患者比男性患者年轻（中位数：36 岁与 44 岁）（p<0.001）。在多变量分析中，年龄（比值比[OR]：0.97；95%置信区间[CI]：0.96-0.98；p<0.001）、心血管疾病入院（OR：7.6，95%CI：1.9-29.3；p=0.004）、肠胃炎入院（OR：14.0；95%CI：1.7-117；p=0.02）、门诊患者入院（OR：2.04；95%CI：1.1-4.01；p=0.02）和最终结局为死亡（OR：3.1，95%CI：1.2-8.0；p=0.02）与女性性别独立相关。
与男性相比，住院的女性麻风病患者更年轻，入院时的病情不同，死亡率更高。
