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Physical disability and psychosocial impact due to chronic filarial lymphoedema in Sri Lanka

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dc.contributor.author Wijesinghe, R.S. en_US
dc.contributor.author Wickremasinghe, A.R. en_US
dc.contributor.author Ekanayake, S. en_US
dc.contributor.author Perera, M.S. en_US
dc.date.accessioned 2014-10-29T09:25:24Z
dc.date.available 2014-10-29T09:25:24Z
dc.date.issued 2007 en_US
dc.identifier.citation Filaria Journal. 2007; 6: pp.4 en_US
dc.identifier.issn 1475-2883 (Electronic) en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/1812
dc.description In PUBMED
dc.description.abstract BACKGROUND: Information on the physical and psychosocial disability of lymphatic filariasis in Sri Lanka is scarce. Therefore this study was carried out to describe the physical disability and psychosocial impact associated with chronic lymphoedema in patients attending filariasis clinics in the Colombo district, Sri Lanka. METHODS: Four hundred and thirteen patients with lymphoedema of limbs attending filariasis clinics in Werahera and Dehiwala in the Colombo district were enrolled in the study after obtaining informed written consent. Data were collected using a pre-tested, interviewer-administered questionnaire and analyzed using SPSS. RESULTS: Majority (95%) of patients had lower limbs affected and there was a significant association with difficulty in walking (p = 0.023). The swollen limb affected the work of 87 (52%) of employed patients and 26 persons reported loss of job. Approximately 25% and 6% reported having problems interacting with the community and family, respectively and 8.7% felt that they were rejected by society. The swollen limb was perceived as a major problem by 36.8% of patients. Of the married persons, 5.7% and 6.2% reported sexual and marital problems respectively, due to their swollen limb/s. Of those who had marital problems, 77.3% reported sexual problems as well (p < 0.001). CONCLUSION: Lymphoedema significantly affects physical, psychological and social functioning in affected individuals. Morbidity control, in addition to control of physical disability, should target the psychosocial consequences.
dc.publisher BioMed Central en_US
dc.subject Filariasis
dc.title Physical disability and psychosocial impact due to chronic filarial lymphoedema in Sri Lanka en_US
dc.type Article en_US
dc.identifier.department Public Health en_US
dc.creator.corporateauthor Liverpool School of Tropical Medicine en_US


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