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Influencing Factors for social Acceptance of Noma (Cancrum Oris) Patients in Niger: A Hospital-Based Cross-Sectional Study

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Health 2023年第4期15卷 326-348页

作者： Abdou Hassane Issa Kadre Alio Kadre Ousmane Elhadj Ousmane Hamady Issa Jiahao Shen Maiga Djibo Douma Alkassoum Salifou Ibrahim Moeng Eva Ying Guan Department of Public Health Southern Medical University Guangzhou China Faculty of Health Science Abdou Moumouni University of Niamey Niamey Niger Clinique Noma NGO-Hilsaktion Niamey Niger Department of Women and Children Health School of Public Health Central South University Changsha China

Background: Noma, mostly identified in malnourished young children in the world’s low-income countries, causes severe orofacial disfigurement and significant mortality and morbidity. The majority of noma patients surviving with aesthetical effects are exposed to stigmatization and social rejection. Studies focusing on the socio-psychological impact of noma survivors have rarely been done. Our study aimed to identify the differences in social acceptance/rejection and the influencing factors associated with social acceptance in noma patients. Methods: A cross-sectional study was conducted at the NGO-Sentinelles (Niger) reception center on patients with noma from Zinder, Maradi, and Tahoua regions between 9th May 2017 and 2nd June 2017. The survey was conducted through a face-to-face interview on patients admitted to the center and those discharged from the centre after the treatment. The interview questionnaire comprised 45 questions (Cronbach’s alpha coefficient = 0.812) with pathological information, sociodemographic characteristics, and socio-psychological qualitative information. Findings: We recorded 50 noma patients (43 from Zinder and 7 from Maradi and Tahoua). The younger patients (1 - 5 years old), noma patients who stayed in school during follow-up treatment, patients who were referred by a health structure, patients enrolled into the centre in a short time (social acceptance rate with 60.0%, 82.9%, 60.0%, 57.1% and 94.3% respectively;whereas single adults and cheek lesion site had the highest social rejection rate when compared to their corresponding factors with 60.0% and 86.7% respectively. There were significant differences in victims’ perception of noma [χ2 = 45.536, (P social acceptance and social rejection rate, therefore all patients who accepted their new faces felt social a

关键词： Noma After-Effects Socio-Psychological Factors social Acceptance/Rejection social reintegration

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