04093nas a2201081   4500000000100000008004100001260003400042653005700076653002100133653002800154653002600182653001600208653001100224653001200235653001300247653001500260100001600275700002000291700001400311700001600325700001500341700001800356700002500374700001500399700001700414700001300431700001300444700001300457700001100470700001100481700002400492700001300516700001900529700001200548700001300560700001500573700001700588700001200605700001300617700001500630700001300645700001500658700001300673700001400686700001400700700001400714700001300728700001800741700001000759700001600769700001400785700001300799700001100812700001200823700001500835700001300850700001300863700001400876700001200890700001200902700000900914700001300923700001500936700001100951700001300962700001600975700001400991700001401005700001501019700001201034700001201046700001501058700001301073700001501086700001401101700001701115700001601132700001201148700001401160700001601174700001201190700001201202700001801214700001201232700001501244700001301259245014601272856009301418300001401511490000701525520145401532022002502986       2023                            d  bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)10aChlamydia trachomatis10aElimination10agender10aSurgery10aTrachoma10aTrichiasis1 aSullivan KM1 aHarding-Esch EM1 aBatcho WE1 aIssifou AAB1 aLopes MDFC1 aSzwarcwald CL1 aVaz Ferreira Gomez D1 aBougouma C1 aChristophe N1 aKabore M1 aBucumi V1 aBella AL1 aEpee E1 aYaya G1 aTrujillo-Trujillo J1 aDejene M1 aGebretsadik FS1 aGebru G1 aKebede F1 aMathewos T1 aCassama ETDS1 aSanha S1 aBarasa E1 aSultani HM1 aWatitu T1 aTekeraoi R1 aKalua KM1 aMasika MP1 aTraoré L1 aMinnih AO1 aAbdala M1 aMassangaie ME1 aWin Y1 aApadinuwe S1 aMishra SK1 aSharma S1 aAmza A1 aKadri B1 aNassirou B1 aMpyet CD1 aOlobio N1 aHussain A1 aKhan AA1 aJambi G1 aKo R1 aKello AB1 aBadiane MD1 aSarr B1 aDalmar A1 aElshafie BE1 aKabona GE1 aKaitaba O1 aMwingira U1 aSimon A1 aKanyi S1 aAwoussi MS1 aTogbey K1 aBaayenda G1 aFrancis M1 aTukahebwa EM1 aBakhtiari A1 aKeil AP1 aMaselko J1 aWestreich D1 aGarae M1 aTaleo F1 aAl-Khateeb TQ1 aMwale C1 aSolomon AW1 aGower EW00aGender differences in the surgical management of trachomatous trichiasis: an exploratory analysis of global trachoma survey data, 2015–2019  uhttps://academic.oup.com/inthealth/article-pdf/15/Supplement_2/ii58/53979170/ihad067.pdf  aii58-ii670 v153 a<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>
  a1876-3413, 1876-3405