@article{99244,
  keywords = {Public Health, Environmental and Occupational Health, General Medicine, Health (social science), Chlamydia trachomatis, Elimination, gender, Surgery, Trachoma, Trichiasis},
  author = {Sullivan KM and Harding-Esch EM and Batcho WE and Issifou AAB and Lopes MDFC and Szwarcwald CL and Vaz Ferreira Gomez D and Bougouma C and Christophe N and Kabore M and Bucumi V and Bella AL and Epee E and Yaya G and Trujillo-Trujillo J and Dejene M and Gebretsadik FS and Gebru G and Kebede F and Mathewos T and Cassama ETDS and Sanha S and Barasa E and Sultani HM and Watitu T and Tekeraoi R and Kalua KM and Masika MP and Traoré L and Minnih AO and Abdala M and Massangaie ME and Win Y and Apadinuwe S and Mishra SK and Sharma S and Amza A and Kadri B and Nassirou B and Mpyet CD and Olobio N and Hussain A and Khan AA and Jambi G and Ko R and Kello AB and Badiane MD and Sarr B and Dalmar A and Elshafie BE and Kabona GE and Kaitaba O and Mwingira U and Simon A and Kanyi S and Awoussi MS and Togbey K and Baayenda G and Francis M and Tukahebwa EM and Bakhtiari A and Keil AP and Maselko J and Westreich D and Garae M and Taleo F and Al-Khateeb TQ and Mwale C and Solomon AW and Gower EW},
  title = {Gender differences in the surgical management of trachomatous trichiasis: an exploratory analysis of global trachoma survey data, 2015–2019},
  abstract = {<p><strong>Background:</strong> Trachomatous trichiasis (TT) is a painful, potentially blinding eye condition that can be managed through epilation or surgery. Women are affected by TT approximately twice as often as men and are believed to face gendered barriers to receiving surgical care to prevent vision loss.</p>

<p><strong>Methods:</strong> We used data from 817 cross-sectional surveys conducted during 2015–2019 in 20 African countries to estimate the prevalence difference (PD) between female and male eyes for four outcomes potentially indicating gender-related differences in TT management: (1) received surgery and developed postoperative TT (PTT), (2) never offered surgery, (3) offered surgery but declined it, and (4) offered epilation but never offered surgery.</p>

<p><strong>Results:</strong> The prevalence was modestly elevated among female eyes compared with male eyes for having PTT (PD:1.8 [95% confidence limits (CL): 0.6, 3.0]) and having declined surgery for the eye (PD: 6.2 [95% CL: 1.8, 10.7]). The proportion offered epilation was similar by gender (PD:0.5 [95% CL: −0.4, 1.3]), while never having been offered surgery was somewhat more prevalent among male eyes (PD: −2.1 [95% CL: −3.5, −0.7]).</p>

<p><strong>Conclusions:</strong> Our results suggest potential gender differences in TT management. More research is needed to determine the causes and implications of the observed differences.</p>
},
  year = {2023},
  journal = {International Health},
  volume = {15},
  pages = {ii58-ii67},
  publisher = {Oxford University Press (OUP)},
  issn = {1876-3413, 1876-3405},
  url = {https://academic.oup.com/inthealth/article-pdf/15/Supplement_2/ii58/53979170/ihad067.pdf},
  doi = {10.1093/inthealth/ihad067},
  language = {Eng},
}