Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/63087
Type
ArticleCopyright
Open access
Sustainable Development Goals
05 Igualdade de gêneroCollections
Metadata
Show full item record
GENDER DIFFERENCES IN THE SURGICAL MANAGEMENT OF TRACHOMATOUS TRICHIASIS: AN EXPLORATORY ANALYSIS OF GLOBAL TRACHOMA SURVEY DATA, 2015–2019
Author
Sullivan, Kristin M.
Harding-Esch, Emma M.
Batcho, Wilfrid E.
Issifou, Amadou A. Bio
Lopes, Maria de Fátima Costa
Szwarcwald, Celia Landmann
Gomez, Daniela Vaz Ferreira
Bougouma, Clarisse
Christophe, Nassa
Kabore, Martin
Bucumi, Victor
Bella, Assumpta L.
Epee, Emilienne
Yaya, Georges
Trujillo-Trujillo, Julian
Dejene, Michael
Gebretsadik, Fikre Seife
Gebru, Genet
Kebede, Fikreab
Mathewos, Tsedeke
Cassama, Eunice Texiera de Silva
Sanha, Salimato
Barasa, Ernest
Sultani, Hadley Matendechero
Watitu, Titus
Tekeraoi, Rabebe
Kalua, Khumbo M.
Masika, Michael P.
Traoré, Lamine
Minnih, Abdallahi O.
Abdala, Mariamo
Massangaie, Marília E.
Win, Ye
Apadinuwe, Sue-Chen
Mishra, Sailesh Kumar
Sharma, Shekhar
Amza, Abdou
Kadri, Boubacar
Nassirou, Beido
Mpyet, Caleb D.
Olobio, Nicholas
Hussain, Arif
Khan, Asad Aslam
Jambi, Garap
Ko, Robert
Kello, Amir B.
Badiane, Mouctar D.
Sarr, Boubacar
Dalmar, Abdi
Elshafie, Balgesa E.
Kabona, George E.
Kaitaba, Oscar
Mwingira, Upendo
Simon, Alistidia
Kanyi, Sarjo
Awoussi, Marcel S.
Togbey, Kwamy
Baayenda, Gilbert
Francis, Mugume
Tukahebwa, Edridah M.
Bakhtiari, Ana
Keil, Alexander P.
Maselko, Joanna
Westreich, Daniel
Garae, Mackline
Taleo, Fasiah
Al-Khateeb, Tawfik Q.
Mwale, Consity
Solomon, Anthony W.
Gower, Emily W.
Harding-Esch, Emma M.
Batcho, Wilfrid E.
Issifou, Amadou A. Bio
Lopes, Maria de Fátima Costa
Szwarcwald, Celia Landmann
Gomez, Daniela Vaz Ferreira
Bougouma, Clarisse
Christophe, Nassa
Kabore, Martin
Bucumi, Victor
Bella, Assumpta L.
Epee, Emilienne
Yaya, Georges
Trujillo-Trujillo, Julian
Dejene, Michael
Gebretsadik, Fikre Seife
Gebru, Genet
Kebede, Fikreab
Mathewos, Tsedeke
Cassama, Eunice Texiera de Silva
Sanha, Salimato
Barasa, Ernest
Sultani, Hadley Matendechero
Watitu, Titus
Tekeraoi, Rabebe
Kalua, Khumbo M.
Masika, Michael P.
Traoré, Lamine
Minnih, Abdallahi O.
Abdala, Mariamo
Massangaie, Marília E.
Win, Ye
Apadinuwe, Sue-Chen
Mishra, Sailesh Kumar
Sharma, Shekhar
Amza, Abdou
Kadri, Boubacar
Nassirou, Beido
Mpyet, Caleb D.
Olobio, Nicholas
Hussain, Arif
Khan, Asad Aslam
Jambi, Garap
Ko, Robert
Kello, Amir B.
Badiane, Mouctar D.
Sarr, Boubacar
Dalmar, Abdi
Elshafie, Balgesa E.
Kabona, George E.
Kaitaba, Oscar
Mwingira, Upendo
Simon, Alistidia
Kanyi, Sarjo
Awoussi, Marcel S.
Togbey, Kwamy
Baayenda, Gilbert
Francis, Mugume
Tukahebwa, Edridah M.
Bakhtiari, Ana
Keil, Alexander P.
Maselko, Joanna
Westreich, Daniel
Garae, Mackline
Taleo, Fasiah
Al-Khateeb, Tawfik Q.
Mwale, Consity
Solomon, Anthony W.
Gower, Emily W.
Affilliation
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
London School of Hygiene & Tropical Medicine. Clinical Research Department. London, UK.
Ministère De La Santé. Programme National De Lutte Contre Les Maladies Transmissibles. Cotonou, Benin.
Université De Parakou. Département D'ophthalmologie. Borgou, Benin.
Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Brasília, DF, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Ministério da Saúde. Brasília, DF, Brasil.
Ministère de la Santé. Direction de la Protection de la Santé de la Population. Burkina Faso.
Programme National de Lutte Contre Les MTN. Attaché de Santé en Épidémiologie. Burkina Faso.
PNMTN. L'unité d'élimination du trachome. Ouagadougou, Burkina Faso.
Négligées Ministère De La Santé Publique Et De La Lutte Contre Le Sida. Département En Charge des Maladies Tropicales. Bujumbura, Burundi.
Ministère de la Santé Publique. Programme National de Lutte Contre La Cecite. Yaoundé, Cameroun.
University of Yaoundé Yaounde Centre/Ministère de la Santé Publique. Department Of Ophthalmology. Yaoundé, Cameroun.
Ministère de la Santé Publique. Bangui, Central African Republic.
Ministry of Health and Social Protection. Subdirectorate of Communicable Diseases. Bogotá, Colombia.
Sightsavers. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Region Sanitaria Bolama-Bijagós. Bubaque, Guinea Bissau.
Programa Nacional de Saúde de Visão. Minsap, Bissau, Guinea-Bissau.
Ministry of Health. Nairobi, Kenya.
Ministry of Health. State Department for Public Health and Professional Standards. Nairobi, Kenya.
Ministry of Health. Nairobi, Kenya.
Tungaru Central Hospital. MHMS Tarawa, Kiribati.
Blantyre Institute for Community Outreach. Blantyre, Malawi.
Ministry of Health. Department of Clinical and Medical Rehabilitation Services. Lilongwe, Malawi.
Ministry of Health and Social Development. National Eye Health Program. Mali.
Ministère De La Santé Nouakchott. Département Des Maladies Transmissibles. Nouakchott, Mauritania.
Ministério da Saúde. Direção Nacional de Saúde Pública. Maputo, Mozambique.
Ministério da Saúde. Direção Nacional de Saúde Pública. Maputo, Mozambique.
Ministry of Health and Sports. Department of Public Health. Nay Pyi Taw, Myanmar.
Department of Health. Denigomodu District Nauru, Nauru.
National Society for Comprehensive Eye Care. Nepal Netra Jyoti Sangh, Kathmandu, Nepal.
Ministry of Health. Kathmandu, Nepal.
Ministère De La Santé Publique. Programme National De Santé Oculaire. Niamey, Niger.
Ministère De La Santé Publique. Programme National De Santé Oculaire. Niamey, Niger.
Ministère De La Santé Publique. Programme National De Santé Oculaire. Niamey, Niger.
University of Jos. Department of Ophthalmology. Jos, Plateau, Nigeria.
Federal Ministry of Health. Department of Public Health. Neglected Tropical Diseases Division. Abuja, Nigeria.
Mayo Hospital Lahore. College of Ophthalmology & Allied Vision Sciences. Community Ophthalmology. Lahore, Pakistan.
Mayo Hospital. College of Ophthalmology and Allied Vision Sciences. Lahore, Pakistan.
PNG Eye Care. Prevention of Blindness Committee. Boroko, Papua New Guinea.
National Department of Health. Waigani, Papua New Guinea.
World Health Organization. ESPEN. AF/UCU UHC/Communicable and Noncommunicable Diseases Unit. Brazzaville, Republic of Congo.
Ministère de la Santé et de L'Action Sociale. Programme National de Promotion de La Santé Oculaire. Dakar, Senegal.
Ministère de la Santé et de l'Action Sociale. Senegal.
Ministry of Health. Mogadishu, Somalia.
Federal Ministry of Health. National Program for Prevention of Blindness. Khartoum, Sudan.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health and Social Welfare. National Eye Health Programme. Banjul, The Gambia.
Ministère de la Santé et de L'Hygiène Publique. Lomé, Togo.
Public Hygiene and Universal Access to Care. Ministry of Health. Programme National des Maladies Tropicales Negligées. Lomé, Togo.
Ministry of Health. Neglected Tropical Diseases Control. Kampala, Uganda.
Ministry of Health. Neglected Tropical Diseases Control. Kampala, Uganda.
Ministry of Health. Vector-Borne and Neglected Tropical Diseases. Kampala, Uganda.
Task Force for Global Health. International Trachoma Initiative. Decatur, Georgia, USA
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
Vanuatu Ministry of Health. Department of Neglected Tropical Diseases. Port Vila, Vanuatu.
Vanuatu Ministry of Health. Department of Neglected Tropical Diseases. Port Vila, Vanuatu.
Sana'a University. Department Of Ophthalmology. Sana'a, Yemen.
Ministry of Health. Kitwe Teaching Eye Hospital. Kitwe, Zambia.
World Health Organization. Global Neglected Tropical Diseases Programme. Geneva, Switzerland.
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
London School of Hygiene & Tropical Medicine. Clinical Research Department. London, UK.
Ministère De La Santé. Programme National De Lutte Contre Les Maladies Transmissibles. Cotonou, Benin.
Université De Parakou. Département D'ophthalmologie. Borgou, Benin.
Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Brasília, DF, Brasil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Ministério da Saúde. Brasília, DF, Brasil.
Ministère de la Santé. Direction de la Protection de la Santé de la Population. Burkina Faso.
Programme National de Lutte Contre Les MTN. Attaché de Santé en Épidémiologie. Burkina Faso.
PNMTN. L'unité d'élimination du trachome. Ouagadougou, Burkina Faso.
Négligées Ministère De La Santé Publique Et De La Lutte Contre Le Sida. Département En Charge des Maladies Tropicales. Bujumbura, Burundi.
Ministère de la Santé Publique. Programme National de Lutte Contre La Cecite. Yaoundé, Cameroun.
University of Yaoundé Yaounde Centre/Ministère de la Santé Publique. Department Of Ophthalmology. Yaoundé, Cameroun.
Ministère de la Santé Publique. Bangui, Central African Republic.
Ministry of Health and Social Protection. Subdirectorate of Communicable Diseases. Bogotá, Colombia.
Sightsavers. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Ministry of Health. Neglected Tropical Disease Prevention and Control Program. Addis Ababa, Ethiopia.
Region Sanitaria Bolama-Bijagós. Bubaque, Guinea Bissau.
Programa Nacional de Saúde de Visão. Minsap, Bissau, Guinea-Bissau.
Ministry of Health. Nairobi, Kenya.
Ministry of Health. State Department for Public Health and Professional Standards. Nairobi, Kenya.
Ministry of Health. Nairobi, Kenya.
Tungaru Central Hospital. MHMS Tarawa, Kiribati.
Blantyre Institute for Community Outreach. Blantyre, Malawi.
Ministry of Health. Department of Clinical and Medical Rehabilitation Services. Lilongwe, Malawi.
Ministry of Health and Social Development. National Eye Health Program. Mali.
Ministère De La Santé Nouakchott. Département Des Maladies Transmissibles. Nouakchott, Mauritania.
Ministério da Saúde. Direção Nacional de Saúde Pública. Maputo, Mozambique.
Ministério da Saúde. Direção Nacional de Saúde Pública. Maputo, Mozambique.
Ministry of Health and Sports. Department of Public Health. Nay Pyi Taw, Myanmar.
Department of Health. Denigomodu District Nauru, Nauru.
National Society for Comprehensive Eye Care. Nepal Netra Jyoti Sangh, Kathmandu, Nepal.
Ministry of Health. Kathmandu, Nepal.
Ministère De La Santé Publique. Programme National De Santé Oculaire. Niamey, Niger.
Ministère De La Santé Publique. Programme National De Santé Oculaire. Niamey, Niger.
Ministère De La Santé Publique. Programme National De Santé Oculaire. Niamey, Niger.
University of Jos. Department of Ophthalmology. Jos, Plateau, Nigeria.
Federal Ministry of Health. Department of Public Health. Neglected Tropical Diseases Division. Abuja, Nigeria.
Mayo Hospital Lahore. College of Ophthalmology & Allied Vision Sciences. Community Ophthalmology. Lahore, Pakistan.
Mayo Hospital. College of Ophthalmology and Allied Vision Sciences. Lahore, Pakistan.
PNG Eye Care. Prevention of Blindness Committee. Boroko, Papua New Guinea.
National Department of Health. Waigani, Papua New Guinea.
World Health Organization. ESPEN. AF/UCU UHC/Communicable and Noncommunicable Diseases Unit. Brazzaville, Republic of Congo.
Ministère de la Santé et de L'Action Sociale. Programme National de Promotion de La Santé Oculaire. Dakar, Senegal.
Ministère de la Santé et de l'Action Sociale. Senegal.
Ministry of Health. Mogadishu, Somalia.
Federal Ministry of Health. National Program for Prevention of Blindness. Khartoum, Sudan.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health. Neglected Tropical Diseases Control Program. Dodoma, Tanzania.
Ministry of Health and Social Welfare. National Eye Health Programme. Banjul, The Gambia.
Ministère de la Santé et de L'Hygiène Publique. Lomé, Togo.
Public Hygiene and Universal Access to Care. Ministry of Health. Programme National des Maladies Tropicales Negligées. Lomé, Togo.
Ministry of Health. Neglected Tropical Diseases Control. Kampala, Uganda.
Ministry of Health. Neglected Tropical Diseases Control. Kampala, Uganda.
Ministry of Health. Vector-Borne and Neglected Tropical Diseases. Kampala, Uganda.
Task Force for Global Health. International Trachoma Initiative. Decatur, Georgia, USA
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
Vanuatu Ministry of Health. Department of Neglected Tropical Diseases. Port Vila, Vanuatu.
Vanuatu Ministry of Health. Department of Neglected Tropical Diseases. Port Vila, Vanuatu.
Sana'a University. Department Of Ophthalmology. Sana'a, Yemen.
Ministry of Health. Kitwe Teaching Eye Hospital. Kitwe, Zambia.
World Health Organization. Global Neglected Tropical Diseases Programme. Geneva, Switzerland.
University of North Carolina at Chapel Hill. Department of Epidemiology. Chapel Hill, North Carolina, USA.
Abstract
Background: Trachomatous trichiasis (TT) is a painful, potentially blinding eye condition that can be managed through epilation or surgery. Women are affected by TT approximately twice as often as men and are believed to face gendered barriers to receiving surgical care to prevent vision loss. Methods: We used data from 817 cross-sectional surveys conducted during 2015-2019 in 20 African countries to estimate the prevalence difference (PD) between female and male eyes for four outcomes potentially indicating gender-related differences in TT management: (1) received surgery and developed postoperative TT (PTT), (2) never offered surgery, (3) offered surgery but declined it, and (4) offered epilation but never offered surgery. Results: The prevalence was modestly elevated among female eyes compared with male eyes for having PTT (PD:1.8 [95% confidence limits (CL): 0.6, 3.0]) and having declined surgery for the eye (PD: 6.2 [95% CL: 1.8, 10.7]). The proportion offered epilation was similar by gender (PD:0.5 [95% CL: -0.4, 1.3]), while never having been offered surgery was somewhat more prevalent among male eyes (PD: -2.1 [95% CL: -3.5, -0.7]). Conclusions: Our results suggest potential gender differences in TT management. More research is needed to determine the causes and implications of the observed differences.
Share