Case-control and qualitative study of attrition in a community epilepsy programme in rural India
Case-control and qualitative study of attrition in a community epilepsy programme in rural India
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DOI：
10.1053/seiz.1999.0357
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发表时间：
2000-03-01
影响因子：
3
通讯作者：
Sengupta, S
中科院分区：
文献类型：
--
作者：
Pal, DK;Das, T;Sengupta, S
在发展中国家，癫痫病方案的辍学是一个严重问题，以前没有进行过系统的研究。我们建立了一个以社区为基础的计划，在印度农村癫痫儿童本研究的目的是评估dropout.We的原因，他们的辍学在12个月内使用一个无与伦比的病例对照设计，32例和62个控制的影响评估医疗和社会人口变量。我们还采访了32名退出治疗的儿童的父母，使用主题表。三分之二的退出发生在治疗的前6个月内。严重受损的儿童更容易辍学（比值比4.60，95% CI：1.0-21.0），以前尝试过AED的家庭不太可能这样做（比值比0.12，95% CI：0.015-0.88）。拒绝诊断，访问问题和症状的解决是其他主要原因的基础流失。积极的查明方法，应重新考虑在社区计划。没有男性家长或长途旅行的非常贫穷的家庭辍学的风险很高。有严重缺陷的人需要适当的综合康复。(C)2000年，中国国际贸易有限公司
Dropout from epilepsy programmes is a serious problem in developing countries and has not been systematically studied before. We set up a community-based programme for children with epilepsy in rural India The aim of this study was to assess reasons for dropout.We assessed medical and sociodemographic variables for their effect on dropout at 12 months using an unmatched case-control design on 32 cases and 62 controls. We also interviewed the parents of 32 children who dropped out of treatment, using a topic schedule.Two-thirds of the dropouts occurred within the first 6 months of treatment. Severely impaired children were more Likely to drop out (odds ratio 4.60, 95% CI: 1.0-21.0) and families who had tried AEDs before were less likely to do so (odds ratio 0.12, 95% CI: 0.015-0.88). Denial of diagnosis, access problems and symptom resolution were the other main reasons underlying attrition.Active ascertainment methods should be reconsidered in community programmes. Very poor families without a male head or with long journey times are at high risk of dropout. People with severe impairments need appropriate integrated rehabilitation. (C) 2000 BEA Trading Ltd.