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肛门生殖器疣给叙利亚患者带来的心理社会负担:生活质量研究

The psychosocial burden of anogenital warts on Syrian patients: study of quality of life.

作者信息

Haddad Joud, Hasan Fouz, Roumeih Abdel Halim, Omar Abdullah

机构信息

Department of Dermatology, Tishreen University, Latakia, Syria.

Department of Dermatology, Damascus, Syria.

出版信息

Heliyon. 2022 Jun 30;8(7):e09816. doi: 10.1016/j.heliyon.2022.e09816. eCollection 2022 Jul.

DOI:10.1016/j.heliyon.2022.e09816
PMID:35815151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9260334/
Abstract

PURPOSE

The prevalence of anogenital warts caused by HPV has been on the rise in the war-torn country of Syria recently. Although physically mildly symptomatic, this disease has a considerable negative psychological effect on patients. This study showed up to reveal information on the quality of life (QoL) of these patients and its connection to age, gender, disease severity, educational level and marital status.

METHODS

The study sample consisted of 57 males and 45 females aged between 18 and 64 years old. The patients were recruited from the main university hospital in Latakia, Syria. The assessment was done using two questionnaires: EQ-5D and CECA10.

RESULTS

The data from the EQ-5D revealed no problems in Mobility, Self-care or Usual Activities. Whereas, our study showed extreme levels of anxiety and depression in roughly 50% of the sample. A noticeable impact was seen in 31% of participants describing moderate pain and discomfort. The CECA10 questionnaire revealed an average of disease-specific QoL of 2.48 which indicates a moderate to severe impact. We noticed a statistically significant relationship between the QoL and the patient's age. The age group of 20-29 has suffered the most. Without statistical significance, the psychological burden was at its worst in single patients with severe disease and a high level of education. Females suffered a slightly worse emotional impact compared to males.

CONCLUSION

This study proved a negative effect of genital warts on patients mainly young educated individuals, females and severe cases.

摘要

目的

近期,在饱受战争蹂躏的叙利亚,由人乳头瘤病毒(HPV)引起的肛门生殖器疣患病率呈上升趋势。尽管这种疾病在身体上症状较轻,但对患者有相当大的负面心理影响。本研究旨在揭示这些患者的生活质量(QoL)信息及其与年龄、性别、疾病严重程度、教育水平和婚姻状况的关系。

方法

研究样本包括57名男性和45名女性,年龄在18至64岁之间。患者从叙利亚拉塔基亚的主要大学医院招募。使用两份问卷进行评估:EQ - 5D和CECA10。

结果

EQ - 5D的数据显示在行动能力、自我护理或日常活动方面没有问题。然而,我们的研究表明,大约50%的样本存在极度焦虑和抑郁。31%的参与者表示有中度疼痛和不适,这产生了明显影响。CECA10问卷显示特定疾病的生活质量平均为2.48,表明有中度至重度影响。我们注意到生活质量与患者年龄之间存在统计学上的显著关系。20 - 29岁年龄组受影响最大。在单患重病且教育水平高的患者中,心理负担最严重,但无统计学意义。与男性相比,女性的情绪影响略差。

结论

本研究证明生殖器疣对患者有负面影响,主要是年轻的受过教育的个体、女性和重症患者。

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本文引用的文献

1
Does Social and Religious Background Matter? A Study of the Psychosocial Impact of Human Papillomavirus on Lebanese Women.社会和宗教背景重要吗?一项关于人乳头瘤病毒对黎巴嫩女性的心理社会影响的研究。
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Human papillomavirus (HPV) vaccine status and knowledge of students at a university in rural Thailand.泰国农村一所大学学生的人乳头瘤病毒(HPV)疫苗接种状况及相关知识
Heliyon. 2020 Aug 5;6(8):e04625. doi: 10.1016/j.heliyon.2020.e04625. eCollection 2020 Aug.
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Psycho-social impact of positive human papillomavirus testing in Jujuy, Argentina results from the Psycho-Estampa study.阿根廷胡胡伊省人乳头瘤病毒检测呈阳性的心理社会影响:来自Psycho-Estampa研究的结果
Prev Med Rep. 2020 Mar 5;18:101070. doi: 10.1016/j.pmedr.2020.101070. eCollection 2020 Jun.
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Estimating the burden of illness related to genital warts in the Philippines: a nationally representative cross-sectional study.菲律宾生殖器疣相关疾病负担的估计:一项全国代表性横断面研究。
Infect Agent Cancer. 2019 Oct 7;14:26. doi: 10.1186/s13027-019-0240-y. eCollection 2019.
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Cross-sectional study estimating the psychosocial impact of genital warts and other anogenital diseases in South Korea.一项横断面研究,评估韩国尖锐湿疣及其他肛门生殖器疾病的心理社会影响。
BMJ Open. 2019 Mar 20;9(3):e025035. doi: 10.1136/bmjopen-2018-025035.
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Prevalence and Burden Related to Genital Warts in India.印度生殖器疣的患病率及相关负担
Viral Immunol. 2018 Jun;31(5):346-351. doi: 10.1089/vim.2017.0157. Epub 2018 May 2.
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Disease burden of human papillomavirus infection in the Netherlands, 1989-2014: the gap between females and males is diminishing.1989 - 2014年荷兰人乳头瘤病毒感染的疾病负担:女性与男性之间的差距正在缩小。
Cancer Causes Control. 2017 Mar;28(3):203-214. doi: 10.1007/s10552-017-0870-6. Epub 2017 Feb 17.
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Human papillomavirus-related psychosocial impact of patients with genital warts in China: a hospital-based cross-sectional study.中国生殖器疣患者人乳头瘤病毒相关的心理社会影响:一项基于医院的横断面研究。
BMC Public Health. 2014 Jul 21;14:739. doi: 10.1186/1471-2458-14-739.
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