02648nas a2200361 4500000000100000008004100001260001300042653001000055653002100065653001500086653002400101653001100125653001900136653001200155653002100167653001400188653001900202100000900221700000900230700000900239700001000248700001100258700001100269700001100280700001200291245010100303856005100404300001000455490000700465050003200472520176800504022001402272 2008 d c2008 Mar10aChina10aDisabled Persons10aFoot Ulcer10aHealth Care Surveys10aHumans10aLeper Colonies10aleprosy10aRural Population10aSelf care10aSocial Support1 aLi J1 aMu H1 aKe W1 aBao X1 aWang Y1 aWang Z1 aZeng B1 aCross H00aThe sustainability of self-care in two counties of Guizhou Province, Peoples' Republic of China. uhttps://leprosyreview.org/article/79/1/11-0117 a110-70 v79 aInfolep Library - available3 a

This paper presents the findings of a follow-up survey conducted in two rural counties of Guizhou Province, PRC where a programme to prevent disabilities amongst leprosy affected people had been conducted. An initial 3-year programme had been conducted. One year after the final evaluation of the programme, a team was deployed to conduct a survey in the area. The objective of the survey was to establish the level of adherence to self-care. It was found that 87% of the sample of people living in leprosy villages that were surveyed (n = 31) and 50% of the sample of people living in general communities (n = 50) had continued to apply self-care. Interviews with family members suggested that 18 of the 27 self-care practising subjects living in the leprosy villages received encouragement or active support from family members (9 were single people). Twenty three of the 25 self-care practising subjects living in the communities also received family support (2 were single people). Family support was a highly significant factor influencing adherence in the community (OR = 15.8, CI = 3.0 to 83) but it may not have been the primary motivating factor in the leprosy villages where single people were just as likely to have adhered to self-care than people who were living in families (OR 0.5, CI = 0.06 to 4.2). The prevalence of foot ulceration among that population was recorded but a hypothetical association between the prevalence of foot ulceration and self-care adherence could not be investigated due to insufficient data to address the potential effects of confounding variables. Thirty-eight percent of subjects who did not practice self-care presented with ulceration or foot cracks (n = 29) compared with only 25% of people who did (n = 52).

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