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Open Access 01-12-2018 | Research article

Knowledge, perception and practices towards sickle cell disease: a community survey among adults in Lubaga division, Kampala Uganda

Authors: Sharifu K. Tusuubira, Ritah Nakayinga, Bashir Mwambi, John Odda, Sylvia Kiconco, Alimah Komuhangi

Published in: BMC Public Health | Issue 1/2018

Abstract

Background

Worldwide, the burden of Sickle Cell disease (SCD) has not been amply addressed. In Africa, Uganda has the 5th highest burden, a situation aggravated by limited and inaccessible formal social support structures to aid patients and families cope better with the psychosocial burden of SCD. In addition, this has been coupled with stigmatization and discrimination of people living with sickle cell disease causing isolation from family and society.

Method

This cross sectional study therefore set out to determine the attitudes, perception and level of awareness towards Sickle Cell disease in Ugandan communities. The study used an interviewer administered questionnaires to collect the data.

Results

Out of 110 people sampled; 91.2% of the respondents had ever heard of SCD with the highest proportion 38.7% hearing of SCD from friends and family. Close to half of the respondents 48% knew that SCD is inherited, however a large proportion 44.2% did not know the cause of SCD. However, 68.7% of the respondents said they cannot marry a person with SCD.

Conclusion

The study results indicate that more effort needs to be done to promote sickle cell awareness in Uganda communities with emphasis on the inclusion of sickle cell in health education campaigns.

Weatherall D, Hofman K, Rodgers G, Ruffi NJ, Hrynkow S. A case for developing north-south partnerships for research in sickle cell disease. Blood. 2005;105:921–3.CrossRefPubMed

Centers for Disease Control and Protection (2015) What is sickle cell disease? Available at: https://www.nhlbi.nih.gov/health-topics/sickle-cell-disease. Accessed 20 July 2016.

Weatherall DJ. The inherited diseases of hemoglobin are an emerging global health burden. Blood. 2010;115:4331–6.CrossRefPubMedPubMedCentral

Piel FB, Patil AP, Howes RE, et al. Global epidemiology of sickle haemoglobin in neonates: a contemporary geostatistical model-based map and population estimates. Lancet. 2013;381:142–51.CrossRefPubMedPubMedCentral

Piel FB, Hay SI, Gupta S, et al. Global burden of sickle cell anaemia in children under five, 2010–2050: modelling based on demographics, excess mortality, and interventions. PLoS Med. 2013;10:e1001484.CrossRefPubMedPubMedCentral

Ndeezi G, Kiyaga C, Hernandez AG, Munube D, Howard TA, Ssewanyana I, Nsungwa J, Kiguli S, Ndugwa CM, Ware RE, Jane R. Aceng burden of sickle cell trait and disease in the Uganda sickle surveillance study (US3): a cross-sectional study lancet glob. Health. 2016;4:e195–200.

WHO. Sickle-cell anaemia. Report A59/9. Geneva: World Health Organization; 2006.

WHO. Sickle-cell disease: a strategy for the WHO African region. Report AFR/RC60/8. Geneva: World Health Organization; 2010.

Haywood C Jr, Lanzkron S, Bediako S, et al. Perceived discrimination, patient trust, and adherence to medical recommendations among persons with sickle cell disease. J Gen Intern Med. 2014;29(12):1657–62. https://doi.org/10.1007/s11606-014-2986-7 CrossRefPubMedPubMedCentral

10.

Zempsky WT, Loiselle KA, McKay K, Lee BH, Hagstrom JN, Schechter NL. Do children with sickle cell disease receive disparate care for pain in the emergency department? J Emerg Med. 2010;39(5):691–5. https://doi.org/10.1016/j.jemermed.2009.06.003 CrossRefPubMed

11.

Todd KH, Green C, Bonham VL Jr, Haywood C Jr, Ivy E. Sickle cell disease related pain: crisis and conflict. J Pain. 2006;7(7):453–8. https://doi.org/10.1016/j.jpain.2006.05.004 CrossRefPubMed

12.

Uganda Sickle Cell Rescue Foundation .Sickle cell stigma Available at: http://www.uscrfuganda.org/ Accessed in 02 Nov 2017.

13.

Nalbandian RM, Nichols BM, Camp FR Jr, Lusher JM, Conte NF, Henry RL, Wolf PL. Dithionite tube test--a rapid, inexpensive technique for the detection of hemoglobin S and non-S sickling hemoglobin. Clin Chem. 1971;17(10):1028–32. PMID: 5095141PubMed

14.

Kish L. Survey sampling. New York: John Wiley and Sons; 1965.

15.

Bwambale F, Ssali S, Byaruhanga S, Kalyango J, Karamagi C. Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health. 2008;8(1) https://doi.org/10.1186/1471-2458-8-263.

16.

Musoke D, Boynton P, Butler C, Musoke M. Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda. Afr Health Sci. 2015;14(4):1046. https://doi.org/10.4314/ahs.v14i4.36 CrossRef

17.

Orish V, Onyeabor O, Sanyaolu A, Iriemenam N. Evaluating the knowledge of sickle cell disease and hemoglobin electrophoretic pattern among people living in Sekondi-Takoradi metropolis, Ghana. Journal Of Medicine In The Tropics. 2014;16(2):56. https://doi.org/10.4103/2276-7096.139047 CrossRef

18.

Marsh V, Kamuya D, Molyneux S. ‘All her children are born that way’: gendered experiences of stigma in families affected by sickle cell disorder in rural Kenya. Ethnicity & Health. 2011;16(4–5):343–59. https://doi.org/10.1080/13557858.2010.541903 CrossRef

19.

Nnko, S., Bukenya, D., Kavishe, B., Biraro, S., Peck, R., & Kapiga, S. et al. (2015). Chronic diseases in north-West Tanzania and southern Uganda. Public perceptions of terminologies, Aetiologies, symptoms and preferred management. PLOS ONE, 10(11), e0142194. https://doi.org/10.1371/journal.pone.0142194

20.

Adeyemo T, Ojewunmi O, Diaku-Akinwumi I, Ayinde O, Akanmu A. Health related quality of life and perception of stigmatisation in adolescents living with sickle cell disease in Nigeria: a cross sectional study. Pediatr Blood Cancer. 2015;62(7):1245–51.CrossRefPubMed

21.

Bediako S, Lanzkron S, Diener-West M, Onojobi G, Beach M, Haywood C. The measure of sickle cell stigma: initial findings from the improving patient outcomes through respect and trust study. J Health Psychol. 2014;21(5):808–20.CrossRefPubMedPubMedCentral

Title: Knowledge, perception and practices towards sickle cell disease: a community survey among adults in Lubaga division, Kampala Uganda
Authors: Sharifu K. Tusuubira
Ritah Nakayinga
Bashir Mwambi
John Odda
Sylvia Kiconco
Alimah Komuhangi
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-018-5496-4

ACC 2024 Congress

Springer Medicine

Knowledge, perception and practices towards sickle cell disease: a community survey among adults in Lubaga division, Kampala Uganda

Abstract

Background

Method

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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