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PLoS Negl Trop Dis. 2013;7(1):e2014. doi: 10.1371/journal.pntd.0002014. Epub 2013 Jan 17.

Perceptions on the effectiveness of treatment and the timeline of Buruli ulcer influence pre-hospital delay reported by healthy individuals.

Author information

1
University of Groningen, University Medical Center Groningen, Department of Health Sciences, Groningen, The Netherlands. m.alferink@umcg.nl

Abstract

BACKGROUND:

Delay in seeking treatment at the hospital is a major challenge in current Buruli ulcer control; it is associated with severe sequelae and functional limitations. Choosing alternative treatment and psychological, social and practical factors appear to influence delay. Objectives were to determine potential predictors for pre-hospital delay with Leventhal's commonsense model of illness representations, and to explore whether the type of available dominant treatment modality influenced individuals' perceptions about BU, and therefore, influenced pre-hospital delay.

METHODOLOGY:

130 healthy individuals aged >18 years, living in BU-endemic areas in Benin without any history of BU were included in this cross-sectional study. Sixty four participants from areas where surgery was the dominant treatment and sixty six participants from areas where antibiotic treatment was the dominant treatment modality were recruited. Using a semi-structured interview we measured illness perceptions (IPQ-R), knowledge about BU, background variables and estimated pre-hospital delay.

PRINCIPAL FINDINGS:

The individual characteristics 'effectiveness of treatment' and 'timeline acute-chronic' showed the strongest association with pre-hospital delay. No differences were found between regions where surgery was the dominant treatment and regions where antibiotics were the dominant treatment modality.

CONCLUSIONS:

Individual characteristics, not anticipated treatment modality appeared predictors of pre-hospital delay.

PMID:
23350009
PMCID:
PMC3547863
DOI:
10.1371/journal.pntd.0002014
[Indexed for MEDLINE]
Free PMC Article

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