"It's not all about the disease": do treatment and socioeconomic status affect perceived impact and satisfaction of patients treated for cutaneous leishmaniasis?
Rev. Soc. Bras. Med. Trop
; 56: e0253, 2023. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1422910
Responsible library:
BR1.1
ABSTRACT
ABSTRACT Background:
This cross-sectional study compared the general impact of cutaneous leishmaniasis (CL) and patient satisfaction with treatment and health services as perceived by those undergoing different therapeutic regimens in an endemic region in South-Eastern Brazil. We also investigated the factors associated with both outcomes (general impact and satisfaction).Methods:
We included 84 patients with CL treated between 2018 and 2019 with intravenous meglumine antimoniate, liposomal amphotericin B, or intralesional meglumine antimoniate therapy. Data were collected through interviews that assessed sociodemographic characteristics, comorbidity status, access and use of health services for CL diagnosis and treatment, and the items of the Cutaneous Leishmaniasis Impact Questionnaire (CLIQ). The CLIQ is a psychometric questionnaire previously validated to assess the general impact of CL on patient satisfaction with treatment and health services. Multivariate logistic regression analysis was used to identify the factors associated with high CL impact and low patient satisfaction.Results:
The general impact of CL and patient satisfaction with treatment and health services were not significantly associated with the therapeutic regimen. High CL impact was associated with low family income (odds ratio [OR]3.3; 95% confidence interval [CI]1.0-10.3), occurrence of complications/adverse effects during treatment (OR7.7; 95%CI2.4-25.6), and additional costs during diagnosis and/or treatment (OR12.1; 95% CI2.8-52.4). Low satisfaction was associated with high disease impact (OR 9.5; 95% CI2.7-33.9), occurrence of complications/adverse effects (OR4.2; 95% CI1.3-13.0), and high family income (OR7.1; 95%CI1.7-28.2).Conclusions:
Our data support public health policies aimed at reducing the impact of CL and its treatment as well as the use of therapy with fewer adverse effects.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Neglected Diseases
Database:
LILACS
Type of study:
Observational study
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Prognostic study
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Risk factors
Aspects:
Social determinants of health
/
Patient-preference
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
Tropical Medicine
Year:
2023
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Rondonópolis/BR
/
Universidade Federal dos Vales do Jequitinhonha e Mucuri/BR