Fanta Tolesa, Azale Telake, Assefa Dawit, Getachew Mekbit
Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.
Department of Psychiatry, Faculty of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Psychiatry J. 2015;2015:627345. doi: 10.1155/2015/627345. Epub 2015 Sep 6.
Background. Epilepsy stigma is considered to be one of the most important factors that have a negative influence on people with epilepsy. Among all types of stigma perceived stigma further exerts stress and restricts normal participation in society. Methods. Hospital based cross-sectional study was conducted from May 1, 2013, to May 30, 2013. All patients with epilepsy in Ethiopia were source population. The sample size was determined using single population proportion formula and 347 subjects were selected by using systematic random sampling method. Data was analyzed by using SPSS version 20. Results. A total of 346 participants with mean age of 29.3 ± 8.5 SD participated with a response rate of 99.7%. The prevalence of perceived stigma was 31.2%. Age range between 18 and 24 [AOR = 2.84, 95%CI: 1.02, 7.92], difficulty to attend follow-up because of stigma [AOR = 3.15, 95%CI: 1.19, 8.34], seizure related injury [AOR = 1.88, 95%CI: 1.12, 3.15], and contagion belief [AOR = 1.88, 95%CI: 1.10, 5.08] were significantly associated with perceived stigma. Conclusions. Perceived stigma was found to be a common problem among patients suffering from epilepsy. The results reinforce the need for creating awareness among patients with epilepsy and addressing misconceptions attached to epilepsy.
背景。癫痫污名被认为是对癫痫患者产生负面影响的最重要因素之一。在所有类型的污名中，感知到的污名会进一步造成压力并限制正常的社会参与。方法。于2013年5月1日至2013年5月30日进行了一项基于医院的横断面研究。埃塞俄比亚所有癫痫患者为源人群。使用单总体比例公式确定样本量，并采用系统随机抽样方法选取347名受试者。使用SPSS 20版进行数据分析。结果。共有346名平均年龄为29.3±8.5标准差的参与者参与，应答率为99.7%。感知到的污名患病率为31.2%。年龄在18至24岁之间[AOR = 2.84，95%CI：1.02，7.92]、因污名难以参加随访[AOR = 3.15，95%CI：1.19，8.34]、癫痫发作相关损伤[AOR = 1.88，95%CI：1.12，3.15]以及传染性信念[AOR = 1.88，95%CI：1.10，5.08]与感知到的污名显著相关。结论。发现感知到的污名在癫痫患者中是一个常见问题。这些结果强化了在癫痫患者中提高认识并消除与癫痫相关误解的必要性。
