Adafrie Yeshialem, Redae Getachew, Zenebe Dawit, Adhena Girmay
Department of Epidemiology, Ofla District Health Office, Tigray, Ethiopia.
Department of Epidemiology, College of Health Science, Mekele University, Mekele, Ethiopia.
Clin Ophthalmol. 2021 May 10;15:1939-1948. doi: 10.2147/OPTH.S302646. eCollection 2021.
Trachoma is the most common infectious cause of blindness in the globe. Trichiasis surgery is the best treatment option for this disease. Despite efforts done to eliminate blinding trachoma, there is limited evidence on the surgical uptake of trachoma trichiasis in Ethiopia. This study was aimed to assess the uptake of trachoma trichiasis surgery in Southern Tigray, Ethiopia.
Mixed cross-sectional study was employed among 409 participants. Study participants were selected using a consecutive sampling technique. Pretested and interviewer-administered data were collected using a structured questionnaire. Binary and multivariable logistic regression was done to identify associated factors. Adjusted odds ratios 95% CI was estimated to show the strength and direction. Variables with p-values <0.05 were considered statistically significant. For qualitative data, 4 focus group discussions were conducted with 40 participants and described by thematic analysis then triangulated with quantitative findings.
About 234 (57.9%, 95% CI: (53.2, 62.9)) participants utilized trachoma trichiasis surgery (TT). History of trachoma trichiasis (TT) for >2 years [AOR: 0.4, 95% CI: (0.22, 0.72)], informed about surgery program by health workers [AOR: 0.3, 95% CI: (0.13, 0.71)], history of TT surgery [AOR: 0.18, 95% CI: (0.05, 0.6)], absence of someone to care the family [AOR: 14, 95% CI: (6.9, 28.6)], companion [AOR: 8.9, 95% CI: (4.3, 18.3)], nearby health facility [AOR: 2.4, 95% CI: (1.1, 5.4)], work load [AOR: 8.8, 95% CI: (4.6, 17)], fear [AOR: 4.3, 95% CI: (1.8, 10)], and believing eye drop can treat TT [AOR: 3.9, 95% CI: (1.4, 11)] were significantly associated factors.
More than half of the participants accepted the TT surgical uptake. Strengthening community awareness on proper eye care, and effective treatment options, and addressing the negative attitude towards surgical treatment in the community are important measures to achieve the elimination target of trachoma.
沙眼是全球最常见的感染性致盲原因。倒睫手术是治疗该疾病的最佳选择。尽管为消除致盲性沙眼做出了努力，但关于埃塞俄比亚沙眼倒睫手术接受情况的证据有限。本研究旨在评估埃塞俄比亚提格雷南部地区沙眼倒睫手术的接受情况。
对409名参与者采用混合横断面研究。研究参与者采用连续抽样技术选取。使用结构化问卷收集经过预测试且由访谈员管理的数据。进行二元和多变量逻辑回归以确定相关因素。估计调整后的比值比及95%置信区间以显示强度和方向。p值<0.05的变量被认为具有统计学意义。对于定性数据，与40名参与者进行了4次焦点小组讨论，并通过主题分析进行描述，然后与定量结果进行三角验证。
约234名（57.9%，95%置信区间：(53.2, 62.9)）参与者接受了沙眼倒睫手术（TT）。沙眼倒睫病史超过2年[AOR：0.4，95%置信区间：(0.22, 0.72)]、卫生工作者告知手术项目[AOR：0.3，95%置信区间：(0.13, 0.71)]、有沙眼倒睫手术史[AOR：0.18，95%置信区间：(0.05, 0.6)]、无人照顾家庭[AOR：14，95%置信区间：(6.9, 28.6)]、有同伴[AOR：8.9，95%置信区间：(4.3, 18.3)]、附近有卫生设施[AOR：2.4，95%置信区间：(1.1, 5.4)]、工作量[AOR：8.8，95%置信区间：(4.6, 17)]、恐惧[AOR：4.3，95%置信区间：(1.8, 10)]以及认为眼药水可治疗沙眼倒睫[AOR：3.9，95%置信区间：(1.4, 11)]是显著相关因素。
超过一半的参与者接受了沙眼倒睫手术。加强社区对正确眼部护理和有效治疗选择的认识，以及消除社区对手术治疗的消极态度是实现沙眼消除目标的重要措施。
