| A Population-based Study of Care-seeking Behavior in Rural Tanzanians With Glaucoma Blindness. | |
| | |
MedLine Citation:
|
PMID: 20717055 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: To describe the care-seeking behavior of a representative sample of rural Africans blind from glaucoma. PATIENTS AND METHODS: Patients blind from posterior segment diseases (including diseases affecting the retina or optic nerve) were identified though a population-based survey in Kilimanjaro Region, Tanzania in 2007. A year later they were traced to their homes to detail the diagnoses with more thorough examination. In-depth interviews were conducted to determine healthcare sought and received and symptoms which prompted this. Data were analyzed by framework analysis. RESULTS: Of 30 patients previously identified, 20 were found and interviewed, 4 had died, 2 had moved, 2 lived too far to trace, and 2 could not be located. The average age was 77 years. Few patients could give a clear temporal history of how their vision failed or a sequential description of visits made to healthcare facilities over the years. However, every patient had sought eye care and most made numerous visits. Understanding of the disease and treatment was uniformly limited. Most received topical medicines and the histories of nonglaucoma and glaucoma blind were similar except that 5 glaucoma patients had received surgery. Patients described obstacles to care including poverty and other lack of support. CONCLUSIONS: These findings contrast to previous which showed that most rural Africans blind from glaucoma have not sought or received treatment. It is likely that this is partly the result of widely accessible services offered in Kilimanjaro Region. However, the challenges in treating this chronic disease are highlighted. |
| | |
Authors:
|
Susan Lewallen; Hassan G Hassan; Ahmed H Al Attas; Paul Courtright |
Related Documents
:
|
16581615 - Glaucoma admissions and surgery in public sector tertiary care hospitals in pakistan: r... 21508565 - Newer insights in teledermatology practice. 8423615 - Arthrogryposis, ophthalmoplegia, and retinopathy: confirmation of a new type of arthrog... 9292685 - Bacterial keratitis after photoreactive keratectomy in a young, healthy man. 3066445 - Stress induced analgesia plays an adaptive role in the organization of behavioral respo... 19705315 - "riding the bumpy seas": or the impact of the knowledge skills framework component of t... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of glaucoma Volume: 20 ISSN: 1536-481X ISO Abbreviation: J. Glaucoma Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-08-03 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: United States |
Other Details:
|
Languages: eng Pagination: 361-5 Citation Subset: IM |
Affiliation:
|
*Kilimanjaro Centre for Community Ophthalmology, Good Samaritan Foundation †Department of Ophthalmology, Kilimanjaro Christian Medical Center Hospital, Kilimanjaro Christian Medical College, Tumaini University, Moshi, Tanzania. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Posterior Revision for Failed Blebs: Long-term Outcomes.
Next Document: Correlation of Frequency-doubling Perimetry With Retinal Nerve Fiber Layer Thickness and Optic Disc ...