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Chronic fatigue in developing countries: population based survey of women in India

Patel, Vikram ; Kirkwood, Betty R ; Weiss, Helen ; Pednekar, Sulochana ; Fernandes, Janice ; Pereira, Bernadette ; Upadhye, Medha ; Mabey, David

BMJ, 2005-05, Vol.330 (7501), p.1190-1193 [Periódico revisado por pares]

London: British Medical Journal Publishing Group

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  • Título:
    Chronic fatigue in developing countries: population based survey of women in India
  • Autor: Patel, Vikram ; Kirkwood, Betty R ; Weiss, Helen ; Pednekar, Sulochana ; Fernandes, Janice ; Pereira, Bernadette ; Upadhye, Medha ; Mabey, David
  • Assuntos: Adolescent ; Adult ; Anemia ; Anemia - complications ; Anemia - epidemiology ; Biological and medical sciences ; Body mass index ; Chronic Disease ; Chronic illnesses ; Developing Countries ; Family Relations ; Fatigue ; Fatigue - epidemiology ; Fatigue - etiology ; Female ; General aspects ; Health risk assessment ; Health Surveys ; Humans ; India - epidemiology ; LDCs ; Medical sciences ; Mental Disorders - complications ; Mental Disorders - epidemiology ; Mental health ; Mental illness ; Middle Aged ; Predisposing factors ; Prevalence ; Primary Care ; Risk Factors ; Socioeconomic Factors ; Socioeconomics ; Spouse Abuse - psychology ; Spouse Abuse - statistics & numerical data ; Symptoms ; Women ; Womens health
  • É parte de: BMJ, 2005-05, Vol.330 (7501), p.1190-1193
  • Notas: href:bmj-330-1190.pdf
    local:bmj;330/7501/1190
    PMID:15870118
    Correspondence to: V Patel
    ark:/67375/NVC-JFJ6N4H4-9
    ArticleID:bmj.38442.636181.E0
    istex:678E30FA5655F6827D89E38A771942338F127535
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
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    Correspondence to: V Patel Vikram.patel@lshtm.ac.uk
    Ethical approval: The study received ethical approval from the ethics board of the London School of Hygiene and Tropical Medicine and the Independent Ethics Commission, Mumbai.
    We thank the Directorate of Health Services, Government of Goa, which has collaborated with the project from its inception. We also thank Suhas Lavanis, Chandrakant Mhambrey, and Arvind Salelkar for their support for the study; Sheela Gupte and Prasad Nevrekar for gynaecological supervision; Tamara Hurst and Fiona Marquet in London and Anil Pandey in India for their administrative support to the project. Finally, we acknowledge the contribution of the research team of the Stree Arogya Shodh Project.
    Funding: This study was funded by a Wellcome Trust career development fellowship in clinical tropical medicine to VP.
    Contributors: VP took primary responsibility for the study design, analysis, and writing of the paper and is the guarantor. All named authors participated in drafting the paper and have approved the final version. BK, HW, and DM participated in the study design and analysis of the data. SP, JF, MU, and BP participated in the acquisition of data and study design.
    Competing interests: None declared.
  • Descrição: Abstract Objectives To describe the prevalence of and risk factors for chronic fatigue in a developing country; in particular, to determine the association of anaemia, mental health, and gender disadvantage factors with chronic fatigue. Design Community survey. Setting Primary health centre catchment area in Goa, India. Participants 3000 randomly sampled women aged 18 to 50 years. Main outcome measures Data on the primary outcome (reporting of fatigue for at least six months) and psychosocial exposures elicited by structured interview; presence of anaemia determined from a blood sample. Results 2494 (83%) women consented to participate; 12.1% (95% confidence interval 10.8 to 13.4%) complained of chronic fatigue. In multivariate analyses, older women (P = 0.03) and those experiencing socioeconomic deprivation—less education (P < 0.001), families in debt (P = 0.09), or hunger in the past three months (P = 0.03)—were more likely to report chronic fatigue. After adjustment for these factors, factors indicating gender disadvantage (notably sexual violence by the husband; P < 0.001) and poor mental health (P < 0.001) were strongly associated with chronic fatigue. Although women with a high body mass index had a reduced risk, suggesting an influence of poor nutrition, no association was found between chronic fatigue and haemoglobin concentrations. Conclusions Chronic fatigue was commonly reported by women in this community study from India. The strongest associations with chronic fatigue were for psychosocial factors indicative of poor mental health and gender disadvantage.
  • Editor: London: British Medical Journal Publishing Group
  • Idioma: Inglês
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