Debele Gebiso Roba, Shifera Eyasu, Dessie Yohannes Lulu, Jaleta Debela Dereje, Borena Megersso Urgessa, Kanfe Shuma Gosha, Nigussie Kabtamu, Ayana Galana Mamo, Raru Temam Beshir
Department of Public Health, College of Health Sciences, Mattu University, Mattu, Ethiopia.
Department of Nursing, College of Health Sciences, Mattu University, Mattu, Ethiopia.
Res Rep Trop Med. 2023 Jul 12;14:49-60. doi: 10.2147/RRTM.S412624. eCollection 2023.
Even though podoconiosis can cause physical, financial, and social impairments, it is commonly overlooked by organizations, and one-fourth of the predicted worldwide burden will fall on Ethiopia. In spite of this, there are only a few attempts for prevention and control in certain areas in Ethiopia. Updated statistics on prevalence and contributing factors could make local efforts at prevention, control, and rehabilitation more effective. Thus, this study was aimed to assess the prevalence of podoconiosis and its associated factors among Ilu Aba Bor zone residents, South West Ethiopia.
A community-based cross-sectional study was conducted on 491 participants from March 25 to April 25, 2022. Data were entered into Epi-Data version 4.6.0, then exported to SPSS version 25 for final analysis. In the bi-variable regression, variables with P-values less than 0.25 were included in the multivariable model. Finally, multivariable logistic regression was performed to identify factors associated with podoconiosis at a 5% level of significance.
In this study area, podoconiosis prevalence was found to be 5.7% [3.6-7.2]. In multivariable regression model, lower tertile wealth status [AOR=2.09; (95% CI (1.384, 5.343)], no formal education [AOR=2.23; (95% CI; 1.179-3.820)] and average distance to reach water source to home [AOR=2.061; (95% CI: 1.78-7.35)] were significantly associated podoconiosis.
According to this study, one in every seventeen individuals had podoconiosis, which is a significant prevalence when compared to earlier studies. Podoconiosis was observed to be associated with factors like wealth status, educational attainment, and distance from water source. To address this public health issue, strong preventive and therapeutic treatments should be used.
尽管足分支菌病会导致身体、经济和社会方面的损害，但它通常被各组织忽视，预计全球负担的四分之一将落在埃塞俄比亚。尽管如此，埃塞俄比亚某些地区在预防和控制方面的尝试却很少。关于患病率和影响因素的最新统计数据可以使当地的预防、控制和康复工作更有效。因此，本研究旨在评估埃塞俄比亚西南部伊卢阿巴博尔地区居民中足分支菌病的患病率及其相关因素。
于2022年3月25日至4月25日对491名参与者进行了一项基于社区的横断面研究。数据录入Epi-Data 4.6.0版本，然后导出到SPSS 25版本进行最终分析。在双变量回归中，P值小于0.25的变量被纳入多变量模型。最后，进行多变量逻辑回归以确定在5%显著性水平下与足分支菌病相关的因素。
在本研究区域，发现足分支菌病患病率为5.7%[3.6 - 7.2]。在多变量回归模型中，较低的财富状况三分位数[AOR = 2.09；(95% CI(1.384, 5.343))]、未接受正规教育[AOR = 2.23；(95% CI；1.179 - 3.820)]以及从家到水源的平均距离[AOR = 2.061；(95% CI：1.78 - 7.35)]与足分支菌病显著相关。
根据本研究，每十七个人中就有一人患有足分支菌病，与早期研究相比，这一患病率相当高。观察到足分支菌病与财富状况、教育程度和距水源距离等因素有关。为解决这一公共卫生问题，应采用强有力的预防和治疗措施。
