Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study

Hewan Tirukelem,1 Solomon Gedlu Nigatu,2 Dessie Abebaw Angaw,2 Telake Azale1 1Department of Health Education and Behavioral Science, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute o...

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Autores principales: Tirukelem H, Nigatu SG, Angaw DA, Azale T
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:966e04e18ae94502a82ff4c33007d3702021-12-02T14:24:09ZCommunity Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study1178-2021https://doaj.org/article/966e04e18ae94502a82ff4c33007d3702021-02-01T00:00:00Zhttps://www.dovepress.com/community-attitude-towards-epilepsy-patients-and-associated-factors-in-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hewan Tirukelem,1 Solomon Gedlu Nigatu,2 Dessie Abebaw Angaw,2 Telake Azale1 1Department of Health Education and Behavioral Science, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Solomon Gedlu Nigatu Email sol.gondar@gmail.comBackground: Epilepsy, defined as seizure activity that is recurrent, unpredictable, and typically unprovoked. It is one of the most common disorders of the nervous system. Sociocultural attitudes in many African nations continue to have a negative impact on epilepsy management. It has been found that stigma and discrimination against people with epilepsy are more devastating and harmful than the illness itself. This is mainly attributed to misconceptions about the disease with fear and fright of the public on confronting an epileptic seizure. So, the current study assesses the community’s attitude toward epilepsy patients and associated factors towards epilepsy in South Achefer District, Northwest Ethiopia.Methods: Community-based cross-sectional study triangulated with the qualitative method was conducted from March 1 to May 30, 2020 in South Achefer District. A systematic sampling technique was used to select a total of 762 individuals. Data were collected by face-to-face interview using a structured questionnaire and analyzed using SPSS version 23. Logistic regression analysis was performed and P < 0.05 with a 95% confidence interval was considered to measure statistically significant variables. For the qualitative study participants were selected purposively. Focus Group Discussion, key Informant Interview, and Individual Depth Interview were conducted until it reaches the point of saturation. Thematic analysis was done by using an open code software version 4.2.Results: A total of 753 respondents participated which gave a 98.8% response rate. Among those 60.8% (95% CI: 57.2– 64.3) were found to have a favorable attitude towards epilepsy patients. Being informed about epilepsy (AOR=1.47; 95% CI, 1.02– 2.11), witnessing seizure in the past (AOR=1.6; 95% CI, 1.14– 2.27), and having good knowledge about epilepsy (AOR=2.08; CI, 1.49– 2.89) were the variables that showed statistically significant association with a favorable attitude.Conclusion: The favorable attitude of the community towards epilepsy patients was found high in the study area. Information about epilepsy, witnessing seizure, and knowledge about epilepsy showed a significant association with attitude. Therefore, health professional and health extension workers should provide a larger and comprehensive community-based education to enhance people’s knowledge about epilepsy to bring attitude change against a negative attitude towards epilepsy.Keywords: attitude, epilepsy, EthiopiaTirukelem HNigatu SGAngaw DAAzale TDove Medical PressarticleattitudeepilepsyethiopiaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 365-377 (2021)
institution DOAJ
collection DOAJ
language EN
topic attitude
epilepsy
ethiopia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle attitude
epilepsy
ethiopia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Tirukelem H
Nigatu SG
Angaw DA
Azale T
Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study
description Hewan Tirukelem,1 Solomon Gedlu Nigatu,2 Dessie Abebaw Angaw,2 Telake Azale1 1Department of Health Education and Behavioral Science, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Solomon Gedlu Nigatu Email sol.gondar@gmail.comBackground: Epilepsy, defined as seizure activity that is recurrent, unpredictable, and typically unprovoked. It is one of the most common disorders of the nervous system. Sociocultural attitudes in many African nations continue to have a negative impact on epilepsy management. It has been found that stigma and discrimination against people with epilepsy are more devastating and harmful than the illness itself. This is mainly attributed to misconceptions about the disease with fear and fright of the public on confronting an epileptic seizure. So, the current study assesses the community’s attitude toward epilepsy patients and associated factors towards epilepsy in South Achefer District, Northwest Ethiopia.Methods: Community-based cross-sectional study triangulated with the qualitative method was conducted from March 1 to May 30, 2020 in South Achefer District. A systematic sampling technique was used to select a total of 762 individuals. Data were collected by face-to-face interview using a structured questionnaire and analyzed using SPSS version 23. Logistic regression analysis was performed and P < 0.05 with a 95% confidence interval was considered to measure statistically significant variables. For the qualitative study participants were selected purposively. Focus Group Discussion, key Informant Interview, and Individual Depth Interview were conducted until it reaches the point of saturation. Thematic analysis was done by using an open code software version 4.2.Results: A total of 753 respondents participated which gave a 98.8% response rate. Among those 60.8% (95% CI: 57.2– 64.3) were found to have a favorable attitude towards epilepsy patients. Being informed about epilepsy (AOR=1.47; 95% CI, 1.02– 2.11), witnessing seizure in the past (AOR=1.6; 95% CI, 1.14– 2.27), and having good knowledge about epilepsy (AOR=2.08; CI, 1.49– 2.89) were the variables that showed statistically significant association with a favorable attitude.Conclusion: The favorable attitude of the community towards epilepsy patients was found high in the study area. Information about epilepsy, witnessing seizure, and knowledge about epilepsy showed a significant association with attitude. Therefore, health professional and health extension workers should provide a larger and comprehensive community-based education to enhance people’s knowledge about epilepsy to bring attitude change against a negative attitude towards epilepsy.Keywords: attitude, epilepsy, Ethiopia
format article
author Tirukelem H
Nigatu SG
Angaw DA
Azale T
author_facet Tirukelem H
Nigatu SG
Angaw DA
Azale T
author_sort Tirukelem H
title Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study
title_short Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study
title_full Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study
title_fullStr Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study
title_full_unstemmed Community Attitude Towards Epilepsy Patients and Associated Factors in South Achefer District, Northwest Ethiopia: A Mixed-Methods Study
title_sort community attitude towards epilepsy patients and associated factors in south achefer district, northwest ethiopia: a mixed-methods study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/966e04e18ae94502a82ff4c33007d370
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AT angawda communityattitudetowardsepilepsypatientsandassociatedfactorsinsouthacheferdistrictnorthwestethiopiaamixedmethodsstudy
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