Singhal Rochit Rajesh, Talati Kandarp Narendra, Gandhi Bankim Pankajkumar, Shinde Mayur Kiran, Nair Pragya A, Phatak Ajay Gajanan
Department of Dermatology, Venereology and Leprosy, Pramukhswami Medical College, Charutar Arogya Mandal, Karamsad, Anand, Gujarat, India.
Department of Interdisciplinary Research, Foundation for Diffusion of Innovations, Vadodara, Gujarat, India.
Indian J Community Med. 2020 Apr-Jun;45(2):199-203. doi: 10.4103/ijcm.IJCM_76_19. Epub 2020 Jun 2.
The prevalence and pattern of skin diseases are influenced by the overall ecosystem of the region. There is a dearth of research about prevalence, health-care seeking, compliance, and treatment outcome in skin diseases among scheduled tribes.
The aim of this study is to understand the magnitude of skin diseases in tribal area of Dahod, Gujarat using a simple "Store and Forward" technique of teledermatology.
A cross-sectional study was conducted in 10 randomly selected villages of Dahod and Jhalod blocks of Dahod district of Gujarat during June-August 2017. Trained surveyors visited households randomly in different localities (called Faliya) of each village ensuring representativeness. Survey responses were captured on mobile-based MAGPI portal, and images of skin conditions were capture on smart phones, and de-identified images were transferred over WhatsApp.
A total of 781 households were approached in 10 villages and 2214 participants consented. Among them, 549 were identified with suspected skin diseases, but 520 consented for photograph. The skin diseases were more prevalent among males, children, and elderly. Of 520, 44 (8.5%) could not be assess due to poor quality photograph and 35 (6.7%) did not have any clinically significant condition. Thus, of 2214 participants, 441 (20%) had skin diseases, and infections and eczema were major conditions constituting two-third of the skin diseases in the study population. The treatment-seeking behavior and compliance to treatment was poor.
Considering the high prevalence of skin diseases in tribal villages of Dahod, Gujarat coupled with limited availability of trained dermatologist, new innovative avenues like teledermatology should be explored.
皮肤病的患病率和模式受该地区整体生态系统的影响。关于在册部落人群皮肤病的患病率、就医情况、依从性和治疗结果的研究匮乏。
本研究旨在使用一种简单的远程皮肤病学“存储与转发”技术，了解古吉拉特邦达霍德部落地区皮肤病的严重程度。
2017年6月至8月，在古吉拉特邦达霍德地区达霍德和贾洛德街区随机抽取的10个村庄进行了一项横断面研究。经过培训的调查员在每个村庄的不同地点（称为法利亚）随机走访家庭，以确保代表性。调查回复通过基于移动设备的MAGPI门户获取，皮肤状况图像通过智能手机拍摄，经过身份识别的图像通过WhatsApp传输。
在10个村庄共走访了781户家庭，2214名参与者表示同意。其中，549人被诊断为疑似皮肤病，但520人同意拍照。皮肤病在男性、儿童和老年人中更为普遍。在520人中，44人（8.5%）因照片质量差无法评估，35人（6.7%）没有任何具有临床意义的病症。因此，在2214名参与者中，441人（20%）患有皮肤病，感染和湿疹是主要病症，占研究人群中皮肤病的三分之二。寻求治疗的行为和对治疗的依从性较差。
考虑到古吉拉特邦达霍德部落村庄皮肤病的高患病率以及受过培训的皮肤科医生数量有限，应探索远程皮肤病学等新的创新途径。
