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Article Dans Une Revue Acta Neurologica Scandinavica Année : 2012

Prevalence case-control study of epilepsy in three Burkina Faso villages.

P. Nitiéma
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H. Carabin
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S. Hounton
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Nicolas Praet
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L. D. Cowan
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R. Ganaba
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C. Kompaoré
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Z. Tarnagda
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Pierre Dorny
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Athanase Millogo
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Efécab
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Résumé

PURPOSE: To estimate the association between the prevalence of epilepsy and potential risk factors in three Burkina Faso villages. METHODS: Three villages were selected based on local reports of high numbers of epilepsy cases and pig-rearing practices. One person aged 7 or older was selected at random from all households of selected concessions for epilepsy screening and blood sampling. Epilepsy was confirmed by a physician using the ILAE definition. The cross-sectional associations between epilepsy and selected factors and seroresponse to the antigens of Taenia solium were estimated using a Bayesian hierarchical logistic regression. Prevalence odds ratios (POR) and their 95% Bayesian Credible Intervals (95% BCI) were estimated. RESULTS: Of 888 individuals interviewed, 39 of 70 screened positive were confirmed to have epilepsy for a lifetime prevalence of 4.5% (95% CI: 3.3; 6.0). The prevalence of epilepsy was associated with a positive reaction to cysticercosis Ag-ELISA serology (POR = 3.1, 95% BCI = 1.0; 8.3), past pork consumption (POR = 9.7, 95% BCI = 2.5; 37.9), and being salaried or a trader compared to a farmer or housewife (POR = 2.9, 95% BCI = 1.2; 6.4). DISCUSSION: Several factors were associated with prevalent epilepsy, with Ag-ELISA suggesting the presence of neurocysticercosis. The association between epilepsy and some occupations may reflect differences in local attitudes toward epilepsy and should be further explored.

Dates et versions

hal-00933310 , version 1 (20-01-2014)

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P. Nitiéma, H. Carabin, S. Hounton, Nicolas Praet, L. D. Cowan, et al.. Prevalence case-control study of epilepsy in three Burkina Faso villages.. Acta Neurologica Scandinavica, 2012, 126 (4), pp.270-8. ⟨10.1111/j.1600-0404.2011.01639.x⟩. ⟨hal-00933310⟩
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