Araştırma Makalesi
BibTex RIS Kaynak Göster

The Determination of Epilepsy Prevalance in Adana City Center and Relationship with Sociodemographical Factors

Yıl 2017, Cilt: 11 Sayı: 1, 20 - 28, 20.03.2017
https://doi.org/10.21763/tjfmpc.296272

Öz




 In this study, identification of epilepsy prevalence, epilepsy
patients’ demographical data and epilepsy risk factors in the Adana
city centre is aimed. Methods: This is a community-based
cross-sectional study, and by using “proportional stratified
sampling method”, target population of 7052 people was identified
with considering Adana city center population. Three districts,
reflecting general socioeconomic status, are identified by using
random sampling method. One doctor and two pollsters filled survey
forms by face to face interviews. When the target population of 7052
people was reached, the study was terminated. Pre-diagnosed epilepsy
patients and participants who are more likely to be diagnosed with
the epilepsy in the future, because of their history features, are
invited to our clinic for further surveys and investigations.
Results: Out of 7052 participants who were face to face
interviewed, 3577 of them were male (50,7%) and 3475 were female
(49,3%). 52 of the participants were epilepsy patients and active
prevalence of the epilepsy was found as 0,7%. 31 of the 52 patients
were male (59,6%), 21 of the 52 patients were female (40,4%).
Prevalence of the epilepsy in the high, medium and low socioeconomic
status districts were 0,3%, 0,7% and 1,4% respectively. As the
socioeconomic level decreased, the prevalence of epilepsy increased
and the results were statistically significant. (p<0,001)
Conclusion: Our findings support the results of thp reviously
conducted prevalence studies in our country and in the world. As
socioeconomic status increases, prevalence of the epilepsy decreases.
This result can be explained with worse living conditions, inadequate
prenatal and childhood medical care and more traumatic working
conditions of low socioeconomic status people. As the studies related
to the prevalence of epilepsy in our country increase, it is obvious
that the factors contributing to the development of the disease will
be better known and the awareness of the epilepsy in our society will
increase.

Kaynakça

  • ILAE Commission Report. The Epidemiology of the epilepsies. Future directions. Epilepsia 1997;38(5):614-8.
  • Hauser WA, Annegers JF, Kurland LT. İncidence of epilepsy and unprovoked seizures in Rochester, Minnesota:1935-1984 Epilepsia 1993;34(3):453-68.
  • Senanayake N, Roman GC. Epidemiology of epilepsy in developing countries. Bull WHO 1993; 71:247-58.
  • Banerjee PN, Filippi D, Hauser WA. The descriptive epidemiology of epilepsy a review. Epilepsy Res 2009;85(1):31-45.
  • Giussani G, Franchi C, Messina P, Nobili A, Beghi E, EPIRES Group. Prevalence and incidence of epilepsy in a well-defined population of Northern Italy. Epilepsia 2014;55(10):1526-33.
  • Karaagaç N, Yeni SN, Senocak M, Bozluolçay M, Savrun FK, Ozdemir H, et al. Prevalence of epilepsy in Silivri, a rural area of Turkey. Epilepsia 1999;40(5):637-42.
  • Calışır N, Bora I, Irgil E, Boz M. Prevalence of epilepsy in Bursa city center, an urban area of Turkey. Epilepsia 2006;47(10):1691-9.
  • Akyüz A, Bekar D, Sümer H, Topalkara K, Topaktaş S, Dener Ş. Sivas il merkezinde tabakalı örneklem yöntemi ile gerçekleştirilen epilepsi prevalans çalışması. Epilepsi 1999;5(1):24-9.
  • Tekeli H, Yaşar H, Kendirli MT, Şenol MG, Özdağ F, Saraçoğlu M. Genç Türk Erkeklerinde Epilepsi Prevalansı. Epilepsi 2012;18(1):1-6.
  • Kılınçer A, Erdoğan Ç, Ergin A, Acar G, Şahiner T. The prevalence of epilepsy in Denizli city center. Pam Med J 2012;5(3):110-4.
  • Velioglu SK, Bakirdemir M, Can G, Topbas M. Prevalence of epilepsy in northeast Turkey. Epileptic Disord 2010;12(1):22-37.
  • Commision on Epidemiology and Prognosis İnternational League Against Epilepsia. Guidelines for Epidemiologic studies on epilepsy. Epilepsia 1993;34(4):592-6.
  • Olafson E, Hauser WA, Ludvigsson P, et al. İncidance and prevalance of epilepsy in rural Iceland. Epilepsia 1996; 37:951-5.
  • Forsgren L. Prospective incidence study and clinical charecterization of seziures in newly referred adults. Epilepsia 1990; 31:292-301.
  • Cossu P, Deriu MG, Casetta I et al. Epilepsy in Sardinia, insular Italy: a population-based prevalence study. Neuroepidemiology 2012; 39:19-26.
  • Ngugi AK, Kariuki SM, Bottomley C, Kleinschmidt I, Sander JW, Newton CR. Incidence of epilepsy: a systematic review and meta-analysis. Neurology 2011;77(10):1005-12.
  • Aydın A, Ergör A, Ergör G, Dirik E. The prevalence of epilepsy amongst school children in İzmir, Turkey. Seizure 2002; 11:392-396.
  • Bharucha NE, Bharucha EP, Bharucha AE, et al. Prevalance af epilpesy in the Parsi comminty of Bombay. Epilepsia 1988; 29:111-5.
  • Tsuboi T. Prevalance and incidence of epilepsy in Tokyo. Epilepsia 1988; 29:103-10.
  • Maremmani C, Rossi G, Bonuecille U, Murri L. Descriptive epidemiologic study of epilepsy syndrome in a district of northwest Tuscany, İtaly. Epilepsia 1991; 32:294-8.
  • Brodtkorb E, Sjaastad O. Epilepsy prevalence by individual interview in a Norwegian community. Seizure 2008;17(7):646-50.
  • Bakaki PM, Koroukian SM, Jackson LW, Jeffrey M, Albert JM, Kaiboriboon K. Defining incident cases of epilepsy in administrative data. Epilepsy Res 2013; 106:273-9.
  • Ferro MA. A population-based study of the prevalence and sociodemographic risk factors of self-reported epilepsy among adults in the United Kingdom. Seizure 2011; 20:784-8.
  • Beilmann A, Napa A, Sööt A, Talvik I, Talvik T. Prevalence of childhood epilepsy in Estonia. Epilepsia 1999;40(7):1011-9.
  • Koul R, Razdan S, Motta A. Prevalence and pattern of epilepsy (Lath/Mirgi/Laran) in Rural Kashmir, India. Epilepsia 1988;29(2):116-22.
  • Yemadje LP, Houinato D, Quet F, Druet-Cabanac M, Preux PM. Understanding the differences in prevalence of epilepsy in tropical regions. Epilepsia 2011;52(8):1376-81.
  • Kairiboriboon K, Bakaki PM, Lhatoo SD. Incidence and prevalence of treated epilepsy among poor health and low-income Americans. Neurology 2013; 80:1942-9.
  • Yaman M, Şahin Ş, Yeni SN, Karaağaç N. Sporadik ve ailevi epilepsilerde etiyolojik risk faktörü karşılaştırması 2007;12(2):121-3.
  • Neligan A, Hauser WA, Sander JW. The epidemiology of the epilepsies. Handb Clin Neurol 2012; 107:113-133.
  • Guekht A, Hauser WA, Milchakova L, Churillin Y, Shpak A, Gusev E. The epidemiology of epilepsy in the Russian Federation. Epilepsy Res 2010;92(2-3):209-18.
  • 31. Joensan P,Prevalance, incidance and classification of epilepsy in the Faroes,150-155,1986,74
  • 32. Li S, Schoenberg BE, Wang CC, et al,Epidemiology of epilpesy in urban areas of the people Republic of Chine,391-4,1985,26
  • 33. Lavados J, Germain I, Morales A et al. A,descriptive study of epilepsy in the district of EL Salvador, Chile, 1984-1988,718-29,1992,91
  • 34. Annegers JF,Epidemiology and genetics of epilepsy,15-29,1994,12

Adana İl Merkezinde Epilepsi Prevalansı ve Sosyodemografik Faktörlerle İlişkisi

Yıl 2017, Cilt: 11 Sayı: 1, 20 - 28, 20.03.2017
https://doi.org/10.21763/tjfmpc.296272

Öz




 Bu çalışmada, Adana il merkezinde epilepsi prevalansı, hastaların
demografik verileri ve epilepsi gelişimindeki risk faktörlerinin
belirlenmesi amaçlanmıştır. Gereç ve yöntem: Çalışma,
toplum temelli kesitsel olarak planlandı ve Adana il merkezi nüfusu
üzerinden ‘'orantılı tabakalı örneklem yöntemi'' kullanılarak
hedef nüfus 7052 kişi olarak belirlendi. Toplumun, sosyoekonomik
düzeyini yansıtacak şekilde rastgele örneklem yöntemi ile üç
mahalle belirlendi. Hazırlanan anket formları bir doktor ve iki
anketör tarafından yüz yüze görüşme yöntemi ile dolduruldu.
Hedef nüfus olan 7052 kişiye ulaşıldığında çalışma
sonlandırıldı. Daha önceden epilepsi tanısı almış olan veya
öykü özellikleri ile epilepsi olabilecek olan grup, hazırlanan
diğer anket formlarının doldurularak ileri tetkiklerin yapılması
için kliniğimize davet edildi. Bulgular: Anket formu
doldurulan 7052 kişinin, 3577'si erkek (%50,7), 3475'i (%49,3)
kadındı. Taranan nüfus içerisinde 52 kişi epilepsi olarak
tanındı ve aktif epilepsi prevalansı %0,7 olarak bulundu.
Epilepsi tespit edilen grubun 31'i (%59,6) erkek 21'i (%40,4) ise
kadındı. Sosyoekonomik durumu yüksek olan mahallede prevalans %0,3
sosyoekonomik durumu orta düzeyde olan mahallede %0,7 ve
sosyoekonomik durumu düşük olan mahallede ise prevalans %1,4
olarak bulundu. Sosyoekonomik düzey düştükçe, epilepsi
prevalansında artış saptandı ve bulgular istatiksel olarak
anlamlı bulundu (p<0,001). Sonuç: Elde ettiğimiz
veriler, daha önce ülkemizde ve dünyada yapılan prevalans
çalışmalarını destekler nitelikte bulunmuştur. Sosyoekonomik
düzey yükseldikçe prevalansta düşme saptanmıştır. Bu durum,
düşük sosyoekonomik düzeye sahip kişilerin yaşam koşulları
nedeniyle prenatal dönemde ve çocukluk çağlarında daha az tıbbi
bakım almaları, çalışma şartları nedeniyle daha çok travmaya
maruz kalmaları ile açıklanabilir. Ülkemizde epilepsi prevalansı
ile ilgili yapılan çalışmalar arttıkça, hastalığın
gelişimine katkıda bulunan faktörler daha iyi tanınarak toplumda
epilepsi farkındalığının artacağı kuşkusuzdur.

Kaynakça

  • ILAE Commission Report. The Epidemiology of the epilepsies. Future directions. Epilepsia 1997;38(5):614-8.
  • Hauser WA, Annegers JF, Kurland LT. İncidence of epilepsy and unprovoked seizures in Rochester, Minnesota:1935-1984 Epilepsia 1993;34(3):453-68.
  • Senanayake N, Roman GC. Epidemiology of epilepsy in developing countries. Bull WHO 1993; 71:247-58.
  • Banerjee PN, Filippi D, Hauser WA. The descriptive epidemiology of epilepsy a review. Epilepsy Res 2009;85(1):31-45.
  • Giussani G, Franchi C, Messina P, Nobili A, Beghi E, EPIRES Group. Prevalence and incidence of epilepsy in a well-defined population of Northern Italy. Epilepsia 2014;55(10):1526-33.
  • Karaagaç N, Yeni SN, Senocak M, Bozluolçay M, Savrun FK, Ozdemir H, et al. Prevalence of epilepsy in Silivri, a rural area of Turkey. Epilepsia 1999;40(5):637-42.
  • Calışır N, Bora I, Irgil E, Boz M. Prevalence of epilepsy in Bursa city center, an urban area of Turkey. Epilepsia 2006;47(10):1691-9.
  • Akyüz A, Bekar D, Sümer H, Topalkara K, Topaktaş S, Dener Ş. Sivas il merkezinde tabakalı örneklem yöntemi ile gerçekleştirilen epilepsi prevalans çalışması. Epilepsi 1999;5(1):24-9.
  • Tekeli H, Yaşar H, Kendirli MT, Şenol MG, Özdağ F, Saraçoğlu M. Genç Türk Erkeklerinde Epilepsi Prevalansı. Epilepsi 2012;18(1):1-6.
  • Kılınçer A, Erdoğan Ç, Ergin A, Acar G, Şahiner T. The prevalence of epilepsy in Denizli city center. Pam Med J 2012;5(3):110-4.
  • Velioglu SK, Bakirdemir M, Can G, Topbas M. Prevalence of epilepsy in northeast Turkey. Epileptic Disord 2010;12(1):22-37.
  • Commision on Epidemiology and Prognosis İnternational League Against Epilepsia. Guidelines for Epidemiologic studies on epilepsy. Epilepsia 1993;34(4):592-6.
  • Olafson E, Hauser WA, Ludvigsson P, et al. İncidance and prevalance of epilepsy in rural Iceland. Epilepsia 1996; 37:951-5.
  • Forsgren L. Prospective incidence study and clinical charecterization of seziures in newly referred adults. Epilepsia 1990; 31:292-301.
  • Cossu P, Deriu MG, Casetta I et al. Epilepsy in Sardinia, insular Italy: a population-based prevalence study. Neuroepidemiology 2012; 39:19-26.
  • Ngugi AK, Kariuki SM, Bottomley C, Kleinschmidt I, Sander JW, Newton CR. Incidence of epilepsy: a systematic review and meta-analysis. Neurology 2011;77(10):1005-12.
  • Aydın A, Ergör A, Ergör G, Dirik E. The prevalence of epilepsy amongst school children in İzmir, Turkey. Seizure 2002; 11:392-396.
  • Bharucha NE, Bharucha EP, Bharucha AE, et al. Prevalance af epilpesy in the Parsi comminty of Bombay. Epilepsia 1988; 29:111-5.
  • Tsuboi T. Prevalance and incidence of epilepsy in Tokyo. Epilepsia 1988; 29:103-10.
  • Maremmani C, Rossi G, Bonuecille U, Murri L. Descriptive epidemiologic study of epilepsy syndrome in a district of northwest Tuscany, İtaly. Epilepsia 1991; 32:294-8.
  • Brodtkorb E, Sjaastad O. Epilepsy prevalence by individual interview in a Norwegian community. Seizure 2008;17(7):646-50.
  • Bakaki PM, Koroukian SM, Jackson LW, Jeffrey M, Albert JM, Kaiboriboon K. Defining incident cases of epilepsy in administrative data. Epilepsy Res 2013; 106:273-9.
  • Ferro MA. A population-based study of the prevalence and sociodemographic risk factors of self-reported epilepsy among adults in the United Kingdom. Seizure 2011; 20:784-8.
  • Beilmann A, Napa A, Sööt A, Talvik I, Talvik T. Prevalence of childhood epilepsy in Estonia. Epilepsia 1999;40(7):1011-9.
  • Koul R, Razdan S, Motta A. Prevalence and pattern of epilepsy (Lath/Mirgi/Laran) in Rural Kashmir, India. Epilepsia 1988;29(2):116-22.
  • Yemadje LP, Houinato D, Quet F, Druet-Cabanac M, Preux PM. Understanding the differences in prevalence of epilepsy in tropical regions. Epilepsia 2011;52(8):1376-81.
  • Kairiboriboon K, Bakaki PM, Lhatoo SD. Incidence and prevalence of treated epilepsy among poor health and low-income Americans. Neurology 2013; 80:1942-9.
  • Yaman M, Şahin Ş, Yeni SN, Karaağaç N. Sporadik ve ailevi epilepsilerde etiyolojik risk faktörü karşılaştırması 2007;12(2):121-3.
  • Neligan A, Hauser WA, Sander JW. The epidemiology of the epilepsies. Handb Clin Neurol 2012; 107:113-133.
  • Guekht A, Hauser WA, Milchakova L, Churillin Y, Shpak A, Gusev E. The epidemiology of epilepsy in the Russian Federation. Epilepsy Res 2010;92(2-3):209-18.
  • 31. Joensan P,Prevalance, incidance and classification of epilepsy in the Faroes,150-155,1986,74
  • 32. Li S, Schoenberg BE, Wang CC, et al,Epidemiology of epilpesy in urban areas of the people Republic of Chine,391-4,1985,26
  • 33. Lavados J, Germain I, Morales A et al. A,descriptive study of epilepsy in the district of EL Salvador, Chile, 1984-1988,718-29,1992,91
  • 34. Annegers JF,Epidemiology and genetics of epilepsy,15-29,1994,12
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm Orijinal Makaleler
Yazarlar

Mehmet Balal

Turgay Demir

Kezban Aslan

Hacer Bozdemir Bu kişi benim

Yayımlanma Tarihi 20 Mart 2017
Gönderilme Tarihi 3 Mart 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 11 Sayı: 1

Kaynak Göster

Vancouver Balal M, Demir T, Aslan K, Bozdemir H. The Determination of Epilepsy Prevalance in Adana City Center and Relationship with Sociodemographical Factors. TJFMPC. 2017;11(1):20-8.

Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.