TY - JOUR
KW - Public Health, Environmental and Occupational Health
KW - General Medicine
KW - Health (social science)
KW - Chlamydia trachomatis
KW - Elimination
KW - gender
KW - Surgery
KW - Trachoma
KW - Trichiasis
AU - Sullivan KM
AU - Harding-Esch EM
AU - Batcho WE
AU - Issifou AAB
AU - Lopes MDFC
AU - Szwarcwald CL
AU - Vaz Ferreira Gomez D
AU - Bougouma C
AU - Christophe N
AU - Kabore M
AU - Bucumi V
AU - Bella AL
AU - Epee E
AU - Yaya G
AU - Trujillo-Trujillo J
AU - Dejene M
AU - Gebretsadik FS
AU - Gebru G
AU - Kebede F
AU - Mathewos T
AU - Cassama ETDS
AU - Sanha S
AU - Barasa E
AU - Sultani HM
AU - Watitu T
AU - Tekeraoi R
AU - Kalua KM
AU - Masika MP
AU - Traoré L
AU - Minnih AO
AU - Abdala M
AU - Massangaie ME
AU - Win Y
AU - Apadinuwe S
AU - Mishra SK
AU - Sharma S
AU - Amza A
AU - Kadri B
AU - Nassirou B
AU - Mpyet CD
AU - Olobio N
AU - Hussain A
AU - Khan AA
AU - Jambi G
AU - Ko R
AU - Kello AB
AU - Badiane MD
AU - Sarr B
AU - Dalmar A
AU - Elshafie BE
AU - Kabona GE
AU - Kaitaba O
AU - Mwingira U
AU - Simon A
AU - Kanyi S
AU - Awoussi MS
AU - Togbey K
AU - Baayenda G
AU - Francis M
AU - Tukahebwa EM
AU - Bakhtiari A
AU - Keil AP
AU - Maselko J
AU - Westreich D
AU - Garae M
AU - Taleo F
AU - Al-Khateeb TQ
AU - Mwale C
AU - Solomon AW
AU - Gower EW
AB - <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>

BT - International Health
DO - 10.1093/inthealth/ihad067
IS - Supplement_2
LA - Eng
N2 - <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>

PB - Oxford University Press (OUP)
PY - 2023
SP - ii58
EP - ii67
T2 - International Health
TI - Gender differences in the surgical management of trachomatous trichiasis: an exploratory analysis of global trachoma survey data, 2015–2019
UR - https://academic.oup.com/inthealth/article-pdf/15/Supplement_2/ii58/53979170/ihad067.pdf
VL - 15
SN - 1876-3413, 1876-3405
ER -