tailieunhanh - báo cáo khoa học: "Psychosocial impact of sickle cell disorder: perspectives from a Nigerian setting"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Psychosocial impact of sickle cell disorder: perspectives from a Nigerian setting | Anie et al. Globalization and Health 2010 6 2 http content 6 1 2 H2 GLOBALIZATION . 7 AND HEALTH RESEARCH Open Access Psychosocial impact of sickle cell disorder perspectives from a Nigerian setting Kofi A Anie1 Feyijimi E Egunjobi2 Olu O Akinyanju2 Abstract Sickle Cell Disorder is a global health problem with psychosocial implications. Nigeria has the largest population of people with sickle cell disorder with about 150 000 births annually. This study explored the psychosocial impact of sickle cell disorder in 408 adolescents and adults attending three hospitals in Lagos Nigeria. A questionnaire was designed for the study with some of commonly described areas of psychosocial impact including general public perceptions and attitudes education employment and healthcare issues and emotional responses. The majority of participants thought that society in general had a negative image of SCD and reported negative perceptions and attitudes. Some issues in education employment and healthcare were expressed however these were in the minority of cases. The results also showed that depressive feelings were experienced in almost half the study population even though feelings of anxiety or self-hate were uncommon. Clinical implications of these findings are considered. Introduction and Prevalence Sickle Cell Disease SCD and Thalassaemia are classified as the two main Haemoglobin Disorders and in recent years have been acknowledged to have a global impact by the World Health Organisation WHO . SCD comprises a group of inherited red blood cell conditions that result from the synthesis of variant or mutant haemoglobins. Over 300 000 babies are born worldwide with SCD mostly in low and middle income countries with the majority of these births in Africa 1 . SCD originates in tropical regions as a result of its advantage against malaria. It is predominant among people from African Asian Arabian and Mediterranean countries nonetheless it is a global .