Barriers and Enablers to Health-Seeking for People Affected by Severe Stigmatising Skin Diseases (SSSDs): A Scoping Review
Abstract
:1. Introduction
2. Rationale for the Study
3. Materials and Methods
3.1. Stage 1: Identifying the Research Question
3.2. Stage 2: Identifying Relevant Studies
3.3. Stage 3: Study Selection
- Any qualitative, quantitative or mixed methods study or review study. No restrictions were placed on study design.
- Study that includes data about barriers/enablers to accessing care for a SSSD. SSSDs included in this study are leprosy, onchocerciasis, Buruli ulcer, yaws, and clinical presentation of lymphatic filariasis, specifically lymphoedema and hydrocele.
- Studies conducted in Lower Middle-Income Countries (LMIC).
- Study written in English language.
- Studies published between 2010 and 2020.
3.4. Stage 4: Charting the Data
3.5. Stage 5: Collating, Summarising and Reporting the Results
4. Results
4.1. Study Characteristics
4.2. Demand-Side Factors
4.2.1. Ability to Perceive
4.2.2. Health Beliefs and Their Role in Health-Seeking
4.2.3. Ability to Seek
4.2.4. Ability to Reach
4.2.5. Ability to Pay
4.2.6. Ability to Engage
4.3. Supply-Side Factors
4.3.1. Approachability
4.3.2. Acceptability
4.3.3. Availability and Accommodation
4.3.4. Affordability
4.3.5. Appropriateness
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
Topic Specific Key Word | Mesh Term | Free Text Term | |
OR | Access | Health services accessibility | Health N3 Access |
OR | Availability | Health N3 Availability | |
OR | Help | Helping behaviour Help-seeking behaviour Help behaviour | Help* |
OR | Utilisation | Patient acceptance of health care | Health N3 Utili* Health N3 use |
OR | Behaviour | health N3 Behaviour health N3 behavior | |
OR | Seek | Health N3 Seek* Health N3 accept* | |
OR | Practice | Health knowledge, attitudes, practice | Health N3 practice |
OR | Perception | Health N3 perception | |
OR | Attitude | Attitude to health | Health N3 attitude |
OR | Belief | “health belief*” | |
OR | Enabler | Enabler or motivator or facilitator | |
OR | Barrier | Barrier | |
OR | Demand | Health service needs and demands | Health N3 need Health N3 demand |
Topic Specific Key Word | Mesh Term | Free Text Term | |
OR | skin disease | Skin diseases, infectious Skin diseases, parasitic | |
OR | Neglected Tropical Diseases | Neglected diseases | |
OR | Leprosy | Leprosy Mycobacterium leprae | Leprosy “Hansen’s disease” “Mycobacterium Leprae” |
OR | Buruli ulcer | Buruli ulcer | “buruli ulcer” “mycobacterium ulcerans” “skin ulcer” |
OR | Yaws | Yaws | Yaws Frambesia |
OR | Lymphoedema | Lymphedema | Lymphedema lymphoedema “Milroy’s disease” |
OR | Lymphedema | Lymphoedema | Lymphedema lymphoedema “Milroy’s disease” |
OR | Lymphatic filariasis | Elephantiasis, Filarial | “filarial elephantiasis” “lymphatic filariasis” |
OR | Hydrocele | Testicular hydrocele | Hydrocele |
Context Specific Key Word | Mesh Term | Free text terms | |
OR | Sub Saharan Africa | Africa south of the sahara | “sub-saharan Africa” |
OR | Africa | Africa | |
OR | Low-and Middle- Income Countries | LMIC “low and middle income” “low resource” | |
OR | Liberia | Liberia | Liberia |
OR | Developing countries | Developing countries | “developing countr*” |
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Health-Seeking | SSSDs | LMIC |
---|---|---|
Access Availability Help Utilisation Behaviour Seek Practice Perception Attitude Belief Enabler Barrier Demand | Skin disease Neglected tropical diseases Leprosy Buruli Ulcer Yaws Lymphoedema Lymphatic filiariasis Hydrocele | Sub-Saharan Africa Africa Low and middle income countries Liberia Developing countries |
Study | Country of Focus | Geographic Region | Chronic Condition/Disease of Focus | Methodology |
---|---|---|---|---|
(Abdulmalik et al. 2018) | Nigeria | SSA | Lymphatic Filariasis | qualitative |
(Abedi et al. 2013) | Iran | Western Asia | Leprosy | qualitative |
(Ackumey et al. 2011) | Ghana | SSA | Buruli ulcer | quantitative |
(Adhikari et al. 2015) | Nepal | Asia | Lymphoedema | qualitative |
(Alferink et al. 2013) | Benin | SSA | Buruli ulcer | quantitative |
(John et al. 2010) | India | Asia | Leprosy | quantitative |
(Atre et al. 2011) | India | Asia | Leprosy | mixed |
(Dean et al. 2019) | Liberia | SSA | Mixed NTDs-lymphatic filariasis, leprosy, Buruli Ulcer, and onchocerciasis | qualitative |
(Dupnik et al. 2013) | Brazil | South America | leprosy | quantitative |
(Garchitorena et al. 2015) | SSA | SSA | Buruli ulcer | modelling |
(Gautham et al. 2011) | India | Asia | Leprosy | quantitative |
(Girma et al. 2018) | Ethiopia | SSA | leprosy | quantitative |
(Gómez et al. 2018) | Colombia | South America | leprosy | quantitative |
(Henry et al. 2016) | Brazil | South America | leprosy | quantitative |
(Heukelbach et al. 2011) | Brazil | South America | leprosy | quantitative |
(Ibe et al. 2015) | Nigeria | SSA | onchocerciasis | quantitative |
(Kasang et al. 2019) | Liberia | SSA | Leprosy | quantitative |
(Kouassi et al. 2018) | Guinea | SSA | Lymphatic Filariasis | mixed |
(De Kruijff 2015) | Mozambique | SSA | Leprosy | quantitative |
(Kumar et al. 2015) | India | Asia | Leprosy | quantitative |
(Lira et al. 2012) | Brazil | South America | Leprosy | quantitative |
(Renita et al. 2010) | Brazil | South America | Leprosy | quantitative |
(Lusli et al. 2015) | India | Asia | Leprosy | mixed |
(Marahatta et al. 2018) | Nepal | Asia | Leprosy | qualitative |
(Marega et al. 2019) | Mozambiqu | SSA | Leprosy | quantitative |
(Marks et al. 2017) | Ghana | SSA | Yaws | mixed |
(Mues et al. 2014) | India | Asia | Lymphoedema | quantitative |
(Nsai et al. 2018) | Cameroon | SSA | Buruli ulcer | quantitative |
(Nwafor et al. 2019) | Nigeria | SSA | Buruli ulcer | quantitative |
(Ocaya et al. 2015) | Uganda | SSA | Buruli ulcer | quantitative |
(Gupta 2015) | India | Asia | Leprosy | report |
(Pearson 2018) | Uganda | SSA | Buruli ulcer | qualitative |
(Peeters Grietens et al. 2012) | Cameroon | SSA | Buruli ulcer | mixed |
(Prochazka et al. 2020) | Liberia | SSA | Buruli ulcer, leprosy | qualitative |
(Pryce et al. 2018) | Nepal | Asia | Lymphatic Filariasis | quantitative |
(Rai et al. 2020) | Indonesia | Asia | leprosy | qualitative |
(Singh et al. 2013) | Nepal | Asia | Leprosy | quantitative |
(Ramos et al. 2012) | Ethiopia | SSA | leprosy | quantitative |
(Rogers et al. 2018) | Liberia | SSA | Leprosy | quantitative |
(Sarkar and Pradhan 2016) | Global | Global | Leprosy | review |
(Sarkar et al. 2012) | India | Asia | leprosy | review |
(Da Silva and Paz 2019) | Brazil | South America | Leprosy | qualitative |
(Stanton et al. 2016) | Ghana | SSA | Lymphatic Filariasis | mixed |
(Stanton et al. 2015) | Malawi | SSA | Lymphatic Filariasis | quantitative |
(Subedi and Engelbrektsson 2018) | Nepal | Asia | Leprosy | qualitative |
(Mani et al. 2015) | India | Asia | Leprosy | quantitative |
(Susanto et al. 2017) | Indonesia | Asia | Leprosy | qualitative |
(Tabah et al. 2018) | Cameroon | SSA | Leprosy | quantitative |
(Tembei et al. 2018) | Cameroon | SSA | Leprosy | quantitative |
(Muthuvel et al. 2017) | India | Asia | Leprosy | mixed |
(Velink et al. 2016) | Ghana | SSA | Buruli ulcer | mixed |
(Lal et al. 2017) | India | Asia | Leprosy | quantitative |
(Wharton-Smith et al. 2019) | Ethiopia | SSA | Mixed NTDs, including lymphatic filariasis | qualitative |
(Wijeratne and Østbye 2017) | Sri Lanka | Asia | leprosy | quantitative |
(Ziperstein et al. 2014) | Togo | SSA | Lymphoedema | qualitative |
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McCollum, R.; Berrian, H.; Theobald, S.; Zaizay, Z.; Kollie, K.; Dean, L. Barriers and Enablers to Health-Seeking for People Affected by Severe Stigmatising Skin Diseases (SSSDs): A Scoping Review. Soc. Sci. 2022, 11, 332. https://doi.org/10.3390/socsci11080332
McCollum R, Berrian H, Theobald S, Zaizay Z, Kollie K, Dean L. Barriers and Enablers to Health-Seeking for People Affected by Severe Stigmatising Skin Diseases (SSSDs): A Scoping Review. Social Sciences. 2022; 11(8):332. https://doi.org/10.3390/socsci11080332
Chicago/Turabian StyleMcCollum, Rosalind, Hannah Berrian, Sally Theobald, Zeela Zaizay, Karsor Kollie, and Laura Dean. 2022. "Barriers and Enablers to Health-Seeking for People Affected by Severe Stigmatising Skin Diseases (SSSDs): A Scoping Review" Social Sciences 11, no. 8: 332. https://doi.org/10.3390/socsci11080332