Why Do People Not Attend for Treatment for Trachomatous Trichiasis in Ethiopia? A Study of Barriers to Surgery
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Mendeley | Further Information

{"title"=>"Why Do People Not Attend for Treatment for Trachomatous Trichiasis in Ethiopia? A Study of Barriers to Surgery", "type"=>"journal", "authors"=>[{"first_name"=>"Saul N.", "last_name"=>"Rajak", "scopus_author_id"=>"54879564900"}, {"first_name"=>"Esmael", "last_name"=>"Habtamu", "scopus_author_id"=>"39261595000"}, {"first_name"=>"Helen A.", "last_name"=>"Weiss", "scopus_author_id"=>"7403112967"}, {"first_name"=>"Amir", "last_name"=>"Bedri", "scopus_author_id"=>"52263292700"}, {"first_name"=>"Mulat", "last_name"=>"Zerihun", "scopus_author_id"=>"16067780800"}, {"first_name"=>"Teshome", "last_name"=>"Gebre", "scopus_author_id"=>"24472675600"}, {"first_name"=>"Clare E.", "last_name"=>"Gilbert", "scopus_author_id"=>"7201382726"}, {"first_name"=>"Paul M.", "last_name"=>"Emerson", "scopus_author_id"=>"7006957525"}, {"first_name"=>"Matthew J.", "last_name"=>"Burton", "scopus_author_id"=>"7202920109"}], "year"=>2012, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"pmid"=>"22953007", "issn"=>"19352727", "doi"=>"10.1371/journal.pntd.0001766", "pui"=>"365599522", "isbn"=>"1935-2735 (Electronic)\\n1935-2727 (Linking)", "scopus"=>"2-s2.0-84865963901", "sgr"=>"84865963901"}, "id"=>"c030681e-acda-326e-95a5-9e5db9005d17", "abstract"=>"Trachomatous trichiasis (TT) surgery is provided free or subsidised in most trachoma endemic settings. However, only 18-66% of TT patients attend for surgery. This study analyses barriers to attendance among TT patients in Ethiopia, the country with the highest prevalence of TT in the world.", "link"=>"http://www.mendeley.com/research/people-not-attend-treatment-trachomatous-trichiasis-ethiopia-study-barriers-surgery", "reader_count"=>36, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Researcher"=>8, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>8, "Other"=>2, "Student > Bachelor"=>3, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Researcher"=>8, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>8, "Other"=>2, "Student > Bachelor"=>3, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>20, "Agricultural and Biological Sciences"=>2, "Business, Management and Accounting"=>2, "Psychology"=>1, "Social Sciences"=>5, "Immunology and Microbiology"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>20}, "Social Sciences"=>{"Social Sciences"=>5}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Unspecified"=>{"Unspecified"=>1}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"Tanzania"=>1, "United Kingdom"=>3}, "group_count"=>9}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/308107", "https://ndownloader.figshare.com/files/308356", "https://ndownloader.figshare.com/files/308544", "https://ndownloader.figshare.com/files/308631"], "description"=>"<div><h3>Background</h3><p>Trachomatous trichiasis (TT) surgery is provided free or subsidised in most trachoma endemic settings. However, only 18–66% of TT patients attend for surgery. This study analyses barriers to attendance among TT patients in Ethiopia, the country with the highest prevalence of TT in the world.</p> <h3>Methodology/Principal Findings</h3><p>Participants with previously un-operated TT were recruited at 17 surgical outreach campaigns in Amhara Region, Ethiopia. An interview was conducted to ascertain why they had not attended for surgery previously. A trachoma eye examination was performed by an ophthalmologist. 2591 consecutive individuals were interviewed. The most frequently cited barriers to previous attendance for surgery were lack of time (45.3%), financial constraints (42.9%) and lack of an escort (35.5% in females, 19.6% in males). Women were more likely to report a fear of surgery (7.7% vs 3.2%, p<0.001) or be unaware of how to access services (4.5% vs 1.0% p<0.001); men were more frequently asymptomatic (19.6% vs 10.1%, p<0.001). Women were also less likely to have been previously offered TT surgery than men (OR = 0.70, 95%CI 0.53–0.94).</p> <h3>Conclusions/Significance</h3><p>The major barriers to accessing surgery from the patients' perspective are the direct and indirect costs of surgery. These can to a large extent be reduced or overcome through the provision of free or low cost surgery at the community level.</p> <h3>Trial Registration</h3><p>ClinicalTrials.gov <a href=\"http://www.clinicaltrials.gov/ct2/results?term=NCT00522860\">NCT00522860</a> and <a href=\"http://www.clinicaltrials.gov/ct2/results?term=NCT00522912\">NCT00522912</a></p> </div>", "links"=>[], "tags"=>["trachomatous", "trichiasis", "barriers"], "article_id"=>120792, "categories"=>["Medicine", "Cancer", "Biotechnology"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.s001", "https://dx.doi.org/10.1371/journal.pntd.0001766.s002", "https://dx.doi.org/10.1371/journal.pntd.0001766.s003", "https://dx.doi.org/10.1371/journal.pntd.0001766.s004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Why_Do_People_Not_Attend_for_Treatment_for_Trachomatous_Trichiasis_in_Ethiopia_A_Study_of_Barriers_to_Surgery/120792", "title"=>"Why Do People Not Attend for Treatment for Trachomatous Trichiasis in Ethiopia? A Study of Barriers to Surgery", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2012-08-28 00:13:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/584598"], "description"=>"<p>Absorbable versus silk sutures for surgical treatment of trachomatous trichiasis in ethiopia: a randomised controlled trial. PLoS Med 8: e1001137.</p>", "links"=>[], "tags"=>["Infectious diseases", "ophthalmology", "public health and epidemiology", "surgery"], "article_id"=>255083, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Consort_flow_chart_1_/255083", "title"=>"Consort flow chart 1.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-08-28 01:24:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/584728"], "description"=>"<p>Surgery versus epilation for the treatment of minor trichiasis in ethiopia: a randomised controlled noninferiority trial. PLoS Med 8: e1001136.</p>", "links"=>[], "tags"=>["Infectious diseases", "ophthalmology", "public health and epidemiology", "surgery"], "article_id"=>255211, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Consort_flow_chart_2_/255211", "title"=>"Consort flow chart 2.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-08-28 01:26:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/584862"], "description"=>"<p>The overall frequency of each reported barrier and the frequency it was reported as either the primary or secondary barrier.</p>*<p>Alternative treatments used with expectation of curing TT:</p><p>Expected Azithromycin provided in mass drug administration campaign to treat trichiasis: 8 people.</p><p>Church/prayer: 4 people.</p><p>Unidentified medicine: 2 people.</p><p>Epilation: 3 people.</p>†<p>>1 barrier cited by some study participants.</p>‡<p>1311 participants did not cite a secondary barrier.</p>", "links"=>[], "tags"=>["having", "tt"], "article_id"=>255349, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Reasons_for_not_previously_having_TT_surgery_/255349", "title"=>"Reasons for not previously having TT surgery.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-28 01:29:09"}
  • {"files"=>["https://ndownloader.figshare.com/files/584909"], "description"=>"<p>Part a) All barriers cited by participants divided by gender. Part b) Analysis of association between being female and specific barriers.</p>*<p>Denominator is number of men/women; numerator is number of men/women citing each barrier. For example 19.6% of men and 10.1% of women cited no symptoms as a barrier and.</p>", "links"=>[], "tags"=>["attending", "divided"], "article_id"=>255397, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Barriers_to_attending_for_surgery_divided_by_gender_/255397", "title"=>"Barriers to attending for surgery divided by gender.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-28 01:29:57"}
  • {"files"=>["https://ndownloader.figshare.com/files/584949"], "description"=>"*<p>See <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0001766#pntd.0001766.s001\" target=\"_blank\">protocol S1</a> for description of corneal scar and entropion grades.</p>†<p>These eyes without TT were the second eye of patient's with unilateral disease.</p><p>Abbreviations:</p><p>CF: count fingers.</p><p>HM: hand movements.</p><p>PL: perception of light.</p><p>NPL: no perception of light.</p><p>VA: visual acuity.</p>", "links"=>[], "tags"=>["characteristics", "phenotype"], "article_id"=>255436, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographic_characteristics_of_participants_and_the_clinical_phenotype_of_all_eyes_/255436", "title"=>"Demographic characteristics of participants and the clinical phenotype of all eyes.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-28 01:30:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/584982"], "description"=>"<p>Part a) All barriers cited by participants divided by age less or greater than 50 years. Part b) Analysis of association between being ≥50years and specific barriers.</p>*<p>Denominator is number of men/women; numerator is number of men/women citing each barrier. For example 16.1% of participants age<50 years and 9.9% of participants age≥50 years cited no symptoms as a barrier.</p>", "links"=>[], "tags"=>["attending", "divided", "greater", "50"], "article_id"=>255469, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Barriers_to_attending_for_surgery_divided_by_age_less_or_greater_than_50_years_/255469", "title"=>"Barriers to attending for surgery divided by age (less or greater than 50 years).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-28 01:31:09"}
  • {"files"=>["https://ndownloader.figshare.com/files/585029"], "description"=>"*<p>Entropion grade 3 or worse.</p>†<p>Visual acuity worse than logMAR 0.7.</p>", "links"=>[], "tags"=>["multivariable", "associations", "having", "been", "offered", "tt"], "article_id"=>255510, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Saul N. Rajak", "Esmael Habtamu", "Helen A. Weiss", "Amir Bedri", "Mulat Zerihun", "Teshome Gebre", "Clare E. Gilbert", "Paul M. Emerson", "Matthew J. Burton"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001766.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Univariate_and_multivariable_associations_for_having_been_previously_offered_TT_surgery_/255510", "title"=>"Univariate and multivariable associations for having been previously offered TT surgery.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-28 01:31:50"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"3", "full-text"=>"2", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"5"}
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  • {"unique-ip"=>"2", "full-text"=>"1", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"10"}
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  • {"unique-ip"=>"17", "full-text"=>"12", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
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  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"4"}
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  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
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  • {"unique-ip"=>"4", "full-text"=>"3", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"16", "full-text"=>"23", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"12", "full-text"=>"8", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"5", "full-text"=>"4", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"8", "full-text"=>"7", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"9", "full-text"=>"9", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
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Relative Metric

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