01680nas a2200157   4500000000100000008004100001260003900042653001200081653001100093653001100104245013000115856006900245300001000314050002400324520117400348       1997                            d  bWorld Health Organization aGeneva10aleprosy10aGender10aBrazil00aThe effects of leprosy on men and women: A gender study : Nursing School of Ribeirão Preto, University of São Paolo, Brazil  uhttp://www.who.int/tdr/publications/documents/leprosy-gender.pdf  a17 p.  aWHO/TDR/GTD/RP/97.23 aThis study investigates the impact of leprosy on men and women in a sample of 202 leprosy patients in Ribeirão Preto, Brazil. The study found that leprosy exacerbated existing gender inequalities. The diagnosis caused an intensely negative emotional reaction among sexes, but self-stigmatization was greater among women. Women also expressed greater concern than men about their physical appearance and more often refrained from social activities. The economic activities women of women were also more severely affected, both within and outside at home. Women hid the disease more from their families, but once they had reported for treatment, they were slightly more likely to complete treatment regimens than men. Although the majority of all patients were on multidrug therapy (MDT), a slightly higher proportion of men were on MDT. Women were more concerned about the side effects of MDT in relation to alteration in skin pigmentation. The study demonstrates how a gender approach can improve understanding of the constraints facing men and women in relation to leprosy and it makes useful recommendations for health providers and the families of leprosy patients.