Research Female genital cutting among Egyptian girlsMohammed A Tag-Eldin et al.

Enquête nationale sur la prévalence des troubles mentaux en Égypte : étude préliminaire RÉSUMÉ Cette étude constitue une première étape de l'enquête nationale sur la prévalence des troubles mentaux en Égypte. Nous avons réalisé une enquête auprès des ménages par porte à porte dans cinq régions d'Égypte et avons interrogé 14 640 adultes âgés de 18 à 64 ans. Les troubles mentaux ont été diagnostiqués sur la base de l'interrogatoire MINI-Plus. La prévalence globale a été estimée à 16,93 % de la population adulte étudiée. Les principaux problèmes étaient des troubles de l'humeur (6,43 %), des troubles anxieux (4,75 %) et des troubles multiples (4,72 %). Les troubles mentaux étaient associés à des facteurs sociodémographiques (par exemple le fait d'être une femme, de ne pas avoir de travail et d'être divorcé) et à des maladies physiques (par exemple une cardiopathie, une maladie rénale ou une hypertension).

Abstract. Residents of Egypt's Nile river delta have among the world's highest seroprevalence of hepatitis C virus (HCV) infection. To assess the impact of HCV on chronic liver disease, we studied the association between HCV, other hepatitis viruses, and cirrhotic liver disease in a cross-sectional, community-based survey of 801 persons aged Ն 10 years living in a semi-urban, Nile delta village. Residents were systematically sampled using questionnaires, physical examination, abdominal ultrasonography and serologically for antibodies to HCV (confirmed by a thirdgeneration immunoblot assay) and to hepatitis A virus (HAV), hepatitis B virus (HBV), and hepatitis E virus (HEV). The seroprevalence of HCV increased with age from 19% in persons 10-19 years old to about 60% in persons 30 years and older. Although no practices that might facilitate HCV transmission were discovered, the seroprevalence of HCV was significantly associated with remote (Ͼ 1 year) histories of schistosomiasis. Sonographic evidence of cirrhosis was present in 3% (95% CI: 1%, 4%) of the population (0.7% of persons under 30 years of age and in 5% of older persons), and was significantly associated with HCV seroreactivity. Our findings are consistent with the hypothesis that past mass parenteral chemotherapy campaigns for schistosomiasis facilitated HCV transmission, and that HCV may be a major cause of the high prevalence of liver cirrhosis in this Nile village.

Background: Reports on adherence among patients with rheumatoid arthritis (RA) in Egypt and the Middle East region are lacking. This study aimed to measure adherence to treatment among a sample of patients with RA at Ain Shams University Rheumatology outpatient clinic and to assess factors affecting it. Methods: A crosssectional descriptive study was carried out at the rheumatology outpatient clinic on a sample of 140 patients with RA. An interview questionnaire was used to measure adherence using the 8-item Morisky's scale, factors affecting adherence to treatment like patients satisfaction were assessed using the short form patient satisfaction questionnaire, also patients' knowledge, beliefs and rate of prescription refilling were assessed. Disease Activity Score-28 was used as an objective method to assess RA disease activity. Results: According to Morisky's scale, 90.6% and 9.4% were classified as low and moderately adherent, respectively, none was classified as highly adherent to treatment. Important barriers to adherence reported were fear of side effects, nonavailability of free drugs in hospital pharmacy and cost of medications. Younger patients (P 5 0.002) and those reporting greater general satisfaction (P 5 0.02) were more likely to be adherent. In addition, on-time refill rates of medication (P 5 0.001) and disease activity (P 5 0.02) were associated with higher adherence scores and thus further validated the results of the adherence questionnaire. Conclusions: Higher adherence was associated with more positive beliefs on medication, greater satisfaction with health care and less disease activity.

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