Skip to main content
Top
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Leprosy | Research article

Relationship between psychological health and quality of life of people affected by leprosy in the community in Guangdong province, China: a cross-sectional study

Authors: Mingzhou Xiong, Xiaohua Wang, Ting Su, Bin Yang, Ming Li, Daocheng Zheng

Published in: BMC Public Health | Issue 1/2019

Login to get access

Abstract

Background

This paper investigates the relationship between psychological health and quality of life (QOL) of people affected by leprosy (PAL) living in a community in Guangdong province, China.

Methods

A population-based cross-sectional survey was conducted from April to October 2016 in Guangdong province, China. The 12-item general health questionnaire (GHQ12) and World Health Organization Quality of life-BREF (WHOQOL-BREF) were used to evaluate the psychological health and QOL of the participants. PAL recruited for this study included those who were (1) registered in LEPMIS by the end of 2015 and living in the community, (2) able to be contacted by investigators, and (3) willing to provide informed written consent for enrolling in the study. Proportions, medians, and ratios were used to describe the demographics of the participants and χ2 test was used to compare groups with different psychological health states. Pearson’s correlation coefficient and logistic regression analyses were used to assess the relationship between GHQ12 and QOL score.

Results

A total of 7230 PAL (5527 males and 1701 females, average age 67.3 ± 13.1 years) living in the community participated in the study. The participants averaged 1.7 ± 2.7 points on the GHQ12. Of these, 23.5% had scores meeting a psychological disorder (≥3 points). The scores for the physical, psychological, and social relationships, and environment dimensions of QOL were 17.2 ± 2.4, 20.6 ± 2.7, 9.7 ± 1.7, and 24.6 ± 4.0, respectively. Gender, age, employment, profession, and the four dimensions of QOL were independent factors associated with psychological health of PAL.

Conclusion

In addition to focusing on the factors associated with poor QOL and psychological health amongst PAL, there is an urgent need for stigma reduction, rehabilitation programs and social integration. This may be achieved by engaging community members together with PAL to design a locally tailored intervention program.
Literature
3.
go back to reference WHO. Global leprosy update, 2015: time for action, accountability and inclusion. Wkly Epidemiol Rec. 2015;91(35):405–20. WHO. Global leprosy update, 2015: time for action, accountability and inclusion. Wkly Epidemiol Rec. 2015;91(35):405–20.
4.
go back to reference WHO. Global leprosy update, 2014: need for early case detection. Wkly Epidemiol Rec. 2015;90(36):461–74. WHO. Global leprosy update, 2014: need for early case detection. Wkly Epidemiol Rec. 2015;90(36):461–74.
5.
go back to reference Long S, Yu M, Yan L, Zhang G, Sun P. Epidemiological features of leprosy in China from 2011 to 2015. Chinese Journal of Dermatology. 2017;50(6):400–3. Long S, Yu M, Yan L, Zhang G, Sun P. Epidemiological features of leprosy in China from 2011 to 2015. Chinese Journal of Dermatology. 2017;50(6):400–3.
6.
go back to reference Yu M, Zhang G, Yan L, Shen J, Sun P. Epidemiological analysis on leprosy in China, 2001-2010. Chinese Journal of Dermatology. 2012;45(6):3. Yu M, Zhang G, Yan L, Shen J, Sun P. Epidemiological analysis on leprosy in China, 2001-2010. Chinese Journal of Dermatology. 2012;45(6):3.
7.
go back to reference Lusli M, Zweekhorst MB, Miranda-Galarza B, Peters RM, Cummings S, Seda FS, Bunders JF. Irwanto: dealing with stigma: experiences of persons affected by disabilities and leprosy. Biomed Res Int. 2015;2015:261329.CrossRef Lusli M, Zweekhorst MB, Miranda-Galarza B, Peters RM, Cummings S, Seda FS, Bunders JF. Irwanto: dealing with stigma: experiences of persons affected by disabilities and leprosy. Biomed Res Int. 2015;2015:261329.CrossRef
8.
go back to reference Tabah EN, Nsagha DS, Bissek AZ, Njamnshi TN, Njih IN, Pluschke G, Njamnshi AK. Community knowledge, perceptions and attitudes regarding leprosy in rural Cameroon: the case of Ekondotiti and Mbonge health districts in the south-west region. PLoS Negl Trop Dis. 2018;12(2):e0006233.CrossRef Tabah EN, Nsagha DS, Bissek AZ, Njamnshi TN, Njih IN, Pluschke G, Njamnshi AK. Community knowledge, perceptions and attitudes regarding leprosy in rural Cameroon: the case of Ekondotiti and Mbonge health districts in the south-west region. PLoS Negl Trop Dis. 2018;12(2):e0006233.CrossRef
9.
go back to reference Dako-Gyeke M. Courtesy stigma: a concealed consternation among caregivers of people affected by leprosy. Soc Sci Med. 2018;196:190–6.CrossRef Dako-Gyeke M. Courtesy stigma: a concealed consternation among caregivers of people affected by leprosy. Soc Sci Med. 2018;196:190–6.CrossRef
10.
go back to reference Liying Y, Meier P, Jingquan W. Study on leprosy-related discrimination and knowledge in medical staff of leprosy control agency. Chinese Preventive Medicine. 2009;10(12):1098–100. Liying Y, Meier P, Jingquan W. Study on leprosy-related discrimination and knowledge in medical staff of leprosy control agency. Chinese Preventive Medicine. 2009;10(12):1098–100.
11.
go back to reference Van Brakel WH. Measuring health-related stigma: a literature review. Psychol Health Med. 2006;11(3):307–34.CrossRef Van Brakel WH. Measuring health-related stigma: a literature review. Psychol Health Med. 2006;11(3):307–34.CrossRef
12.
go back to reference Adhikari B, Kaehler N, Chapman RS, Raut S, Roche P. Factors affecting perceived stigma in leprosy affected persons in western Nepal. PLoS Negl Trop Dis. 2014;8(6):e2940.CrossRef Adhikari B, Kaehler N, Chapman RS, Raut S, Roche P. Factors affecting perceived stigma in leprosy affected persons in western Nepal. PLoS Negl Trop Dis. 2014;8(6):e2940.CrossRef
13.
go back to reference Li R, Chen S. Evaluation of health service utilization among disabled persons affected by leprosy. China Journal of Leprosy and Skin Diseases. 2008;24(7):517–9. Li R, Chen S. Evaluation of health service utilization among disabled persons affected by leprosy. China Journal of Leprosy and Skin Diseases. 2008;24(7):517–9.
14.
go back to reference Lusli M, Peters R, van Brakel W, Zweekhorst M, Iancu S, Bunders J, Irwanto RB. The impact of a rights-based counselling intervention to reduce stigma in people affected by leprosy in Indonesia. PLoS Negl Trop Dis. 2016;10(12):e0005088.CrossRef Lusli M, Peters R, van Brakel W, Zweekhorst M, Iancu S, Bunders J, Irwanto RB. The impact of a rights-based counselling intervention to reduce stigma in people affected by leprosy in Indonesia. PLoS Negl Trop Dis. 2016;10(12):e0005088.CrossRef
15.
go back to reference Adhikari B, Shrestha K, Kaehler N, Raut S, Chapman RS. Community attitudes towards leprosy affected persons in Pokhara municipality of western Nepal. J Nepal Health Res Counc. 2013;11(25):264–8.PubMed Adhikari B, Shrestha K, Kaehler N, Raut S, Chapman RS. Community attitudes towards leprosy affected persons in Pokhara municipality of western Nepal. J Nepal Health Res Counc. 2013;11(25):264–8.PubMed
16.
go back to reference Kaehler N, Adhikari B, Raut S, Marahatta SB, Chapman RS. Perceived stigma towards leprosy among community members living close to Nonsomboon leprosy Colony in Thailand. PLoS One. 2015;10(6):e0129086.CrossRef Kaehler N, Adhikari B, Raut S, Marahatta SB, Chapman RS. Perceived stigma towards leprosy among community members living close to Nonsomboon leprosy Colony in Thailand. PLoS One. 2015;10(6):e0129086.CrossRef
17.
go back to reference Marahatta SB, Amatya R, Adhikari S, Giri D, Lama S, Kaehler N, Rijal KR, Marahatta S, Adhikari B. Perceived stigma of leprosy among community members and health care providers in Lalitpur district of Nepal: a qualitative study. PLoS One. 2018;13(12):e0209676.CrossRef Marahatta SB, Amatya R, Adhikari S, Giri D, Lama S, Kaehler N, Rijal KR, Marahatta S, Adhikari B. Perceived stigma of leprosy among community members and health care providers in Lalitpur district of Nepal: a qualitative study. PLoS One. 2018;13(12):e0209676.CrossRef
18.
go back to reference Savassi LC, Bogutchi TR, Lima AC, Modena CM. Quality of life of leprosy sequelae patients living in a former leprosarium under home care: univariate analysis. Qual Life Res. 2014;23(4):1345–51.CrossRef Savassi LC, Bogutchi TR, Lima AC, Modena CM. Quality of life of leprosy sequelae patients living in a former leprosarium under home care: univariate analysis. Qual Life Res. 2014;23(4):1345–51.CrossRef
19.
go back to reference Leite SC, Caldeira AP. Therapeutic workshops and psychosocial rehabilitation for institutionalised leprosy patients. Cien Saude Colet. 2015;20(6):1835–42.CrossRef Leite SC, Caldeira AP. Therapeutic workshops and psychosocial rehabilitation for institutionalised leprosy patients. Cien Saude Colet. 2015;20(6):1835–42.CrossRef
20.
go back to reference Stevelink SA, van Brakel WH, Augustine V. Stigma and social participation in southern India: differences and commonalities among persons affected by leprosy and persons living with HIV/AIDS. Psychol Health Med. 2011;16(6):695–707.CrossRef Stevelink SA, van Brakel WH, Augustine V. Stigma and social participation in southern India: differences and commonalities among persons affected by leprosy and persons living with HIV/AIDS. Psychol Health Med. 2011;16(6):695–707.CrossRef
21.
go back to reference Britton WJ, Lockwood DN. Leprosy. Lancet (London, England). 2004;363(9416):1209–19.CrossRef Britton WJ, Lockwood DN. Leprosy. Lancet (London, England). 2004;363(9416):1209–19.CrossRef
22.
go back to reference Xiong M, Li M, Zheng D, Wang X, Su T, Chen Y, Yang B. Evaluation of the economic burden of leprosy among migrant and resident patients in Guangdong Province, China. BMC Infect Dis. 2017;17(1):760.CrossRef Xiong M, Li M, Zheng D, Wang X, Su T, Chen Y, Yang B. Evaluation of the economic burden of leprosy among migrant and resident patients in Guangdong Province, China. BMC Infect Dis. 2017;17(1):760.CrossRef
23.
go back to reference El-Metwally A, Javed S, Razzak HA, Aldossari KK, Aldiab A, Al-Ghamdi SH, Househ M, Shubair MM, Al-Zahrani JM. The factor structure of the general health questionnaire (GHQ12) in Saudi Arabia. BMC Health Serv Res. 2018;18(1):595.CrossRef El-Metwally A, Javed S, Razzak HA, Aldossari KK, Aldiab A, Al-Ghamdi SH, Househ M, Shubair MM, Al-Zahrani JM. The factor structure of the general health questionnaire (GHQ12) in Saudi Arabia. BMC Health Serv Res. 2018;18(1):595.CrossRef
24.
go back to reference Martin CR, Newell RJ. The factor structure of the 12-item general health questionnaire in individuals with facial disfigurement. J Psychosom Res. 2005;59(4):193–9.CrossRef Martin CR, Newell RJ. The factor structure of the 12-item general health questionnaire in individuals with facial disfigurement. J Psychosom Res. 2005;59(4):193–9.CrossRef
26.
go back to reference Kong W, Yan L, Shen Y. A survey on the health status and the lnfluencing factors among the cured leprosy patients in Zhejiang Province. Chinese Journal of Leprosy and Skin Diseases. 2014;30(6):338–40. Kong W, Yan L, Shen Y. A survey on the health status and the lnfluencing factors among the cured leprosy patients in Zhejiang Province. Chinese Journal of Leprosy and Skin Diseases. 2014;30(6):338–40.
27.
go back to reference Li A. Correlation analysis of Yunnan minority average life and average education years of schooling. The Guide of Science & Education. 2016;5:197–89. Li A. Correlation analysis of Yunnan minority average life and average education years of schooling. The Guide of Science & Education. 2016;5:197–89.
28.
go back to reference Ma Y, Su Y, Yang G, Liu Y, You Y, Zhang Y, Fu Y, Kou C. The general mental health status and analysis on its related factors in adults of Changchun City. Chinese Journal of Disease Control & Prevention. 2016;20(7):663–6. Ma Y, Su Y, Yang G, Liu Y, You Y, Zhang Y, Fu Y, Kou C. The general mental health status and analysis on its related factors in adults of Changchun City. Chinese Journal of Disease Control & Prevention. 2016;20(7):663–6.
29.
go back to reference Ding L, Wang W, Liao Z, Wen C, Hong X, Chen Y, Wu S. Epidemiological investigation in residents (more than 18 years old) with depressive disorder in Xiamen City. Chinese Journal of Prevention and Control of Chronic Diseases. 2013;20(7):663–6. Ding L, Wang W, Liao Z, Wen C, Hong X, Chen Y, Wu S. Epidemiological investigation in residents (more than 18 years old) with depressive disorder in Xiamen City. Chinese Journal of Prevention and Control of Chronic Diseases. 2013;20(7):663–6.
30.
go back to reference de Castro LE, da Cunha AJ, Fontana AP, de Castro Halfoun VL, Gomes MK. Physical disability and social participation in patients affected by leprosy after discontinuation of multidrug therapy. Lepr Rev. 2014;85(3):208–17.PubMed de Castro LE, da Cunha AJ, Fontana AP, de Castro Halfoun VL, Gomes MK. Physical disability and social participation in patients affected by leprosy after discontinuation of multidrug therapy. Lepr Rev. 2014;85(3):208–17.PubMed
31.
go back to reference Majumder N. Socio-economic and health status of leprosy affected person: a study in Jharkhand. Indian J Lepr. 2015;87(3):145–54.PubMed Majumder N. Socio-economic and health status of leprosy affected person: a study in Jharkhand. Indian J Lepr. 2015;87(3):145–54.PubMed
32.
go back to reference Tada A. The associations among psychological distress, coping style, and health habits in Japanese nursing students: a Cross-sectional study. Int J Environ Res Public Health. 2017;14(11). Tada A. The associations among psychological distress, coping style, and health habits in Japanese nursing students: a Cross-sectional study. Int J Environ Res Public Health. 2017;14(11).
33.
go back to reference Li J, Mu H, Ke W, Bao X, Wang Y, Wang Z, Zeng B, Cross H. The sustainability of self-care in two counties of Guizhou Province, Peoples' republic of China. Lepr Rev. 2008;79(1):110–7.PubMed Li J, Mu H, Ke W, Bao X, Wang Y, Wang Z, Zeng B, Cross H. The sustainability of self-care in two counties of Guizhou Province, Peoples' republic of China. Lepr Rev. 2008;79(1):110–7.PubMed
34.
go back to reference Ebenso J, Muyiwa LT, Ebenso BE. Self care groups and ulcer prevention in Okegbala, Nigeria. Lepr Rev. 2009;80(2):187–96.PubMed Ebenso J, Muyiwa LT, Ebenso BE. Self care groups and ulcer prevention in Okegbala, Nigeria. Lepr Rev. 2009;80(2):187–96.PubMed
35.
go back to reference Adhikari B, Pell C, Phommasone K, Soundala X, Kommarasy P, Pongvongsa T, Henriques G, Day NPJ, Mayxay M, Cheah PY. Elements of effective community engagement: lessons from a targeted malaria elimination study in Lao PDR (Laos). Glob Health Action. 2017;10(1):1366136.CrossRef Adhikari B, Pell C, Phommasone K, Soundala X, Kommarasy P, Pongvongsa T, Henriques G, Day NPJ, Mayxay M, Cheah PY. Elements of effective community engagement: lessons from a targeted malaria elimination study in Lao PDR (Laos). Glob Health Action. 2017;10(1):1366136.CrossRef
36.
go back to reference Kong W, Shen Y, Wu L, Fei L, Yan L. Assessment of monitoring system of leprosy suspicious symptoms in Zhejiang. Chinese Journal of Leprosy and Skin Diseases. 2016;32(1):1–3. Kong W, Shen Y, Wu L, Fei L, Yan L. Assessment of monitoring system of leprosy suspicious symptoms in Zhejiang. Chinese Journal of Leprosy and Skin Diseases. 2016;32(1):1–3.
Metadata
Title
Relationship between psychological health and quality of life of people affected by leprosy in the community in Guangdong province, China: a cross-sectional study
Authors
Mingzhou Xiong
Xiaohua Wang
Ting Su
Bin Yang
Ming Li
Daocheng Zheng
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Leprosy
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-6672-x

Other articles of this Issue 1/2019

BMC Public Health 1/2019 Go to the issue