Prevalence of epilepsy in Bangladesh: Results from a national household survey

被引：6

作者：

Mohammad, Quazi Deen ^{[1
]}

Saha, Narayan Chandra ^{[2
]}

Alam, Md Badrul ^{[3
]}

Hoque, Seikh Azimul ^{[4
]}

Islam, Ariful ^{[4
]}

Chowdhury, Rajib Nayan ^{[5
]}

Hussain, Mohammad Enayet ^{[5
]}

Chowdhury, Yamin Shahriar ^{[4
]}

Hossain, Sakhawat ^{[6
]}

Chowdhury, Mahmood Ahmed ^{[7
]}

Rahman, Matiur ^{[8
]}

Majumder, Bikash Kumar ^{[9
]}

Salam, Abdus ^{[10
]}

Sarker, Amitabh ^{[11
]}

Uddin, Md Kafil ^{[1
,12
]}

Moniruzzaman, Mohammad ^{[13
]}

Hakim, Ferdous ^{[14
]}

Bhuiyan, Rijwan ^{[14
]}

Anwar, Nazneen ^{[15
]}

Zaman, Mohammad Mostafa ^{[16
]}

机构：

[1] Natl Inst Neurosci & Hosp, Dhaka, Bangladesh

[2] Natl Inst Neurosci & Hosp, Dept Pediat Neurol, Dhaka, Bangladesh

[3] Natl Inst Neurosci & Hosp, Dept Clin Neurol, Dhaka, Bangladesh

[4] Natl Inst Neurosci & Hosp, Dept Paediat Neurol, Dhaka, Bangladesh

[5] Natl Inst Neurosci & Hosp, Dept Neurophysiol, Dhaka, Bangladesh

[6] Sir Salimullah Med Coll, Neurol, Dhaka, Bangladesh

[7] Chattogram Maa O Shishu Hosp, Med Coll, Autism & Child Dev Ctr, Agrabad, Chattogram, Bangladesh

[8] Sylhet MAG Osmani Med Coll, Sylhet, Bangladesh

[9] Rangpur Med Coll Hosp, Pediat, Rangpur, Bangladesh

[10] Shaheed Sheikh Abu Naser Specialized Hosp, Neurol, Khulna, Bangladesh

[11] Sher E Bangla Med Coll, Neurol, Barishal, Bangladesh

[12] Rajshahi Med Coll, Neurol, Rajshahi, Bangladesh

[13] Shiga Univ Med Sci, Ctr Epidemiol Res Asia, Otsu, Shiga, Japan

[14] Natl Inst Neurosci & Hosp, Mental & Neurol Study Team, Dhaka, Bangladesh

[15] World Hlth Org, Reg Off South East Asia, New Delhi, India

[16] World Hlth Org Bangladesh, Dhaka, Bangladesh

来源：

EPILEPSIA OPEN | 2020年 / 5卷 / 04期

关键词：

active epilepsy; adults; children; epilepsy type; perception; treatment gap; MANAGEMENT; EPIDEMIOLOGY; ADHERENCE;

D O I：

10.1002/epi4.12430

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

ObjectiveTo determine the prevalence and types of epilepsy in Bangladesh. MethodsWe conducted a nationwide population-based cross-sectional survey among Bangladeshi population of all ages, except children under one month. We surveyed 9839 participants (urban, 4918; rural, 4920) recruited at their households using multistage cluster sampling. Trained physicians with neurology background confirmed the diagnosis of suspected epilepsy cases identified by interviewer-administered questionnaires. We reported the overall and sex, residence, and age groups-specific prevalence of epilepsy per 1000 populations with 95% confidence interval. ResultsThe national prevalence of epilepsy per 1000 was 8.4 (95% CI 5.6-11.1), urban 8.0 (4.6-11.4), and rural 8.5 (5.60-11.5). The prevalence in adult males and females was 9.2 (5.7-12.6) and 7.7 (3.6-11.7), respectively. The prevalence in children aged <18 years (8.2, 3.4-13.0 was similar to adults (8.5 (5.4-11.4). Among all epilepsy cases, 65.1% had active epilepsy. Their (active epilepsy) prevalence was 5.8 (3.5-8.1). Of them, 63.4% were not receiving treatment. Moreover, those who received allopathy treatment, 72.5% had low adherence leading to a high treatment gap. SignificanceOur findings out of this first-ever national survey were similar to other Asian countries. However, the prevalence of active epilepsy and treatment gap were considerably higher. This study serves useful evidence for tailoring interventions aimed to reduce the burden of epilepsy-primarily through targeted community awareness program-and access to antiepileptic treatment in health facilities in Bangladesh.

引用

页码：526 / 536

页数：11

共 36 条

[21] An evaluation of self-management behaviors and medication adherence in patients with epilepsy [J].