General public knowledge, attitudes, and practices towards persons with epilepsy in South Ethiopia: A comparative community-based cross-sectional study

Deresse, Birrie; Shaweno, Debebe

doi:10.1016/j.yebeh.2016.02.037

Cited by 27 publications

(33 citation statements)

References 15 publications

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“…In general, studies that involved urban‐rural comparisons reported less knowledge about the neurological disease among rural dwellers and/or healthcare providers; this in turn was associated with increased stigma in rural areas (Birbeck, Chomba, Atadzhanov, Mbewe, & Haworth, ; Deresse & Shaweno, ; Hsiao, Liu, Xu, Huang, & Chi, ; Kaddumukasa et al, ; Kartal & Akyildiz, ; Tuan, Coung, Allebeck, Chuc, & Tomson, ).…”

Section: Resultsmentioning

confidence: 99%

“…In general, rural–urban comparison studies across several countries reported intolerance, discrimination, and unequal life opportunities more often for rural populations versus urban (Attadzhano, Chomba, Haworth, Mwewe, & Birbeck, ; Birbeck et al, ; Deresse & Shaweno, ; Kartal & Akyildiz, ; Tiamkao et al, ; Yang et al, ). For example, Attadzhano et al, and Birbeck et al () found that rural participants were less tolerant than urban participants, and intolerance across urban–rural was associated with being younger and less educated.…”

Section: Resultsmentioning

confidence: 99%

“…Seven (7/12) of the studies that reported poorer stigma‐related findings for rural participants versus urban focussed on epilepsy. Compared to urban, rural was generally: less tolerant (Atadzhano et al, ; Birbeck et al, ); less familiar and less knowledgeable (Birbeck et al, ; Kartal & Akyildiz, ); more concerned with marriage prospects (especially younger adults), feasibility of treatment, and psychosocial issues (Yang et al, ); more negative in terms of attitudes (Kartal & Akyildiz, ; Yang et al, ); more likely to be influenced by cultural beliefs, more likely to conceal, be socially excluded, and discriminated against (Tiamkao et al, ); and more likely to experience a reduction in life opportunities (Deresse et al, ; Kartal & Akyildiz, ; Tiamkao et al, ). Tegegne and Awoke () found that rural people with epilepsy were twice as likely to experience stigma in general compared to urban.…”

Section: Resultsmentioning

confidence: 99%

“…(); Bain et al (); Birbeck et al (); Deresse et al . (); Farmer et al (); Forbes et al (); Guo et al (); Hsiao et al (); Kaddumukasa et al (); Kartal et al (); Kim et al (); McQueen et al . (); Mshana et al (); Mugumbate et al .…”

Section: Methodsmentioning

confidence: 99%

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Health‐related stigma of noncommunicable neurological disease in rural adult populations: A scoping review

Elliot

Morgan

Kosteniuk

et al. 2018

Health Soc Care Community

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Stigma is a widely recognised public health issue. Many people with neurological disease and their families experience stigmatisation, adding to their burden of illness. Rural populations are typically small, lack anonymity, and often have a higher proportion of older adults with inadequate access to specialised services and resources. Although generally isolated, rural areas can offer benefits such as a sense of familiarity and interconnectedness. The purpose of this scoping review was to map the existing evidence on stigma associated with non‐communicable neurological disease in rural adult populations and identify key findings and gaps in the literature. Our literature search of peer‐reviewed English language articles published from 1 January 1992 to 22 June 2017 was conducted across five databases yielding 8,209 results. After duplicate removal, pairs of reviewers independently screened 6,436 studies according to inclusion criteria developed a priori; 36 articles were identified for inclusion in this review. Study characteristics were described and illustrated by frequency distribution, findings were grouped thematically, and each of the five types of stigma were identified (social, self, health professional, associative, structural). Four factors influencing stigma (knowledge, familiarity, beliefs, and rurality) and four overarching stigma‐related themes (concealment; exclusion; disempowerment, discrimination, and unequal opportunities; and issues related to healthcare systems and providers) emerged. In urban‐rural comparison studies, rural residents were generally less knowledgeable about the neurological disease and more stigmatised. The impact of other factors (i.e., gender, age, and education) on stigma varied and are stated where associations were reported. Three main gaps were identified including: low attention to stigma related to neurological diseases other than epilepsy, limited cross‐cultural comparisons of stigma related to neurological disease, and inclusion of gender as a variable in the analysis of stigma‐related outcomes in only half of the reviewed studies. Further research is recommended.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Health‐related stigma of noncommunicable neurological disease in rural adult populations: A scoping review

Elliot

Morgan

Kosteniuk

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…A compiled data of articles across the world showed that the magnitude of poor knowledge towards epilepsy ranges from 40% to 86 % (19)(20)(21)(22)(23). Unfavorable attitude also ranges from 28% to 87% (11,(21)(22)(23)(24)(25)(26) Studying knowledge and attitude towards epilepsy in Debre Berhan town enables to know the level of poor knowledge and unfavorable attitude and also it enables to dig out the factors that result in poor knowledge and unfavorable attitude.…”

Section: Introductionmentioning

confidence: 99%

Public knowledge and attitude towards epilepsy and its associated factors in Debre Berhan, North Shoa, Amhara Region, Ethiopia, 2018/19. Community-based cross-sectional study

Dargie

Alemnew

Admasu

2019

Preprint

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Introduction: Epilepsy is chronic brain disorder characterized by recurrent derangement of the nervous system due to sudden excessive disorderly discharge of the cerebral neurons. People living with epilepsy continue to suffer from enacted or perceived stigma that is based on myths, misconceptions, and misunderstandings that have persisted for many years. Therefore, this study aimed to assess the community general knowledge and attitude towards epilepsy. Methods: Community based cross sectional study was conducted to assess public general knowledge and attitude towards epilepsy and its associated factors using structured pretested questionnaire. Data was entered into Epi data version 3.1 and transported to SPSS version 21 further analysis. Both Bivariable and Multivariable Logistic Regression was done to identify associated factors. Odds Ratios and their 95% Confidence interval was computed and variables with p value less than 0.05 was considered significantly associated factors. Results: 596 study participants were participated with a response rate of 98%. Among the study participants 43.6 (95% CI: 39.6, 47.5) had poor knowledge and 41.3 (95% CI: 37.4, 45.1) had unfavorable attitude. Being secondary education, marital status, witnessed seizure, and heard the term epilepsy were showed statistically significant association with poor knowledge about epilepsy. Level of education, low average monthly income, not witnessed seizure, not heard the term epilepsy and distant from health facility showed statically significant association with the unfavorable attitude. Conclusion: In this study, Debre Berhan communities were found to have deficits in terms of general knowledge and attitude about epilepsy; and it should be given due attention.

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Status of epilepsy in the tropics: An overlooked perspective

et al. 2023

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Epilepsy is one of the most common serious chronic neurological diseases affecting people of all ages globally. It is characterized by recurrent seizures. About 50 million people worldwide have epilepsy. Indubitably, people with epilepsy (PWE) may be without access to appropriate treatment. Many studies have examined the molecular mechanisms and clinical aspects of epilepsy; nonetheless, the treatment gap exists in some special areas. In the tropics, the specific geographical and ecological conditions and a lack of medical resources result in neglect or delay of diagnosis for PWE. Herein, we summarized the epidemiology of epilepsy in the tropics and discussed the disease burden and existing problems, aiming to offer a medical environment for patients in need and highlight the importance of reducing the epileptic disease burden in tropical countries.

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General public knowledge, attitudes, and practices towards persons with epilepsy in South Ethiopia: A comparative community-based cross-sectional study

Cited by 27 publications

References 15 publications

Health‐related stigma of noncommunicable neurological disease in rural adult populations: A scoping review

Health‐related stigma of noncommunicable neurological disease in rural adult populations: A scoping review

Public knowledge and attitude towards epilepsy and its associated factors in Debre Berhan, North Shoa, Amhara Region, Ethiopia, 2018/19. Community-based cross-sectional study

Status of epilepsy in the tropics: An overlooked perspective

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