02165nas a2200169 4500000000100000008004100001100002000042700001500062700001500077700001500092700001300107245008100120856005400201490000600255520172100261022001301982 2016 d1 aAzad-uz-zaman Q1 aHossain QZ1 aAl Hadi MA1 aBoiragee J1 aParvin M00aPsychosocial consequences of leprosy and the related deformity in Bangladesh uhttp://oaji.net/articles/2016/3556-1481161632.pdf0 v73 a

Objective: To explore the psychosocial condition and consequences of the people affected by leprosy and the related deformity in some selected areas of Bangladesh.

Methods: A cross-sectional study was conducted from July to December 2015 among 92 leprosy-affected people. A pretested semi-structure questionnaire was used for collecting data by face to face interview from both the low prevalent areas of Khulna and the high prevalent area of Rangpur Division in Bangladesh.

Results: Nearly two-fifth of respondents were observed having deformity. Among them, around four-fifth was from Khulna region, about half were above 50 years of age and more than half had monthly family income lower than 5 000 BDT. The development of deformity is found having highly significant association with region (P < 0.001), residence (P < 0.004), and family income (P < 0.004). Differences in consequences between ‘with deformity’ and ‘without deformity’ were found very high. About 65% of the respondents with deformity ‘think less’ of himself, and nearly 60% felt ashamed or embarrassed, 53% had to change job, and 47% was used to think having less respect in the society where the percentage was much lower in all cases to ‘without deformity’ group.

Conclusions: Early diagnosis and start multidrug therapy at the earliest stages have chanced to reduce the leprosy-resulted deformity, disfigurement and disability. For those who already have had some nerve damages, health education is highly important to prevent further injury and hence psychosocial consequences.

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