Document Detail


The socioeconomic status of children with epilepsy in Zambia: implications for long-term health and well-being.
MedLine Citation:
PMID:  18602496     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Epilepsy is a highly stigmatized disorder in Zambia. Studies indicate that adults with epilepsy in many regions have significantly lower socioeconomic status (SES) than their peers. We conducted a case-control study of Zambian children with epilepsy (CWE) to assess their SES. Ninety-eight pairs of children were recruited (n=196); their mean age was 10.8 years, and 59.7% were male. The comparison group's medical conditions included asthma (54.0%), rheumatic heart disease (26.6%), type 1 diabetes (14.2%), and hypertension (5.2%). Compared with children with nonstigmatized chronic medical conditions, CWE have fewer educational opportunities, more environmental hazards, and poorer food quality and security (all P's<0.05). This deprivation may be related to lost maternal income for mothers who deferred employment so they could remain at home to care for their children. This early deprivation has long-term implications for health and well-being. Health care workers and child advocates need to be aware of the circumstances facing CWE in this region.
Authors:
Elwyn Chomba; Alan Haworth; Masharip Atadzhanov; Edward Mbewe; Gretchen L Birbeck
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2008-08-12
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  13     ISSN:  1525-5069     ISO Abbreviation:  Epilepsy Behav     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-28     Completed Date:  2009-04-08     Revised Date:  2010-09-21    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  620-3     Citation Subset:  IM    
Affiliation:
Department of Pediatrics & Child Health, University of Zambia School of Medicine, Lusaka, Zambia.
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MeSH Terms
Descriptor/Qualifier:
Child
Epilepsy / epidemiology*,  psychology*
Female
Health Status*
Health Surveys
Humans
Interview, Psychological
Male
Social Class*
Social Environment
Statistics, Nonparametric
Zambia / epidemiology
Grant Support
ID/Acronym/Agency:
1R01NS061693-01/NS/NINDS NIH HHS; NS48060/NS/NINDS NIH HHS; R01 NS061693-01/NS/NINDS NIH HHS; R21 NS048060-02/NS/NINDS NIH HHS; R21 NS048060-03/NS/NINDS NIH HHS
Comments/Corrections

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