Gender differences in the surgical management of trachomatous trichiasis: an exploratory analysis of global trachoma survey data, 2015-2019.
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Sullivan Kristin M, Harding-Esch Emma M, Batcho Wilfrid E, Issifou Amadou A Bio, Lopes Maria de Fátima Costa, Szwarcwald Celia Landmann, Vaz Ferreira Gomez Daniela, 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
Аннотация
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.