Quality of Life and Coping Strategies among Acid Survivors

Mehjabin Sumaira Lokman, Rowshan Ara, Ummul Khair Alam, Sathi Dastidar, Azmeri Sharmin, Nuzhat Munawara Lokman
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Abstract

Background: Acid Violence is one of the worst form of violation of basic human rights and a major public health issue. Though the prevalence has dropped dramatically after the enactment of two important laws against this crime in Bangladesh the victims in this country are still leading a disastrous life. The present study aimed to identify the score of Quality of life and to find out the coping strategies among acid victims. Methods: This cross sectional study was conducted from July to September, 2019 among purposively selected 101 acid victims in four districts of Bangladesh. Data was collected through face-to-face interview by using SF-36 Health Related Quality of Life scale and Brief Cope Inventory (Carver). Results: About 82% of the acid victims were female, 51.49% were illiterate, income of 69.3% respondents were below 5000 Taka, 80.2% got married before the age of 18 years. Apart from Physical functioning (63.66±32.124) and Social functioning (60.89±39.198), all the domain of the QOL score remains below 30, the score of General health is 27.97±30.791. Active coping was followed a lot (43%) among all the other coping strategies. There was positive correlation with active coping and social functioning(r=0.359, p=0.000) and physical functioning (r=0.288, p=.003). Conclusion: Even after many years of the violence, the acid victims have not regained a good quality of life. Community support and frequent motivational campaigns can help the acid victims to cope up with their situation more positively and thus improve their quality of life. JOPSOM 2021; 41(1):19-24
硫酸幸存者的生活质量和应对策略
背景:泼酸暴力是侵犯基本人权的最严重形式之一,也是一个重大的公共卫生问题。尽管在孟加拉国颁布了两项打击这一罪行的重要法律后,这一现象的发生率急剧下降,但该国的受害者仍然过着灾难性的生活。本研究旨在了解酸受害者的生活品质,并探讨其应对策略。方法:本横断面研究于2019年7月至9月在孟加拉国四个地区故意选择101名酸受害者进行。采用SF-36健康相关生活质量量表和简要应对量表(Carver)进行面对面访谈。结果:硫酸受害者中女性占82%,文盲占51.49%,收入低于5000塔卡的占69.3%,18岁前结婚的占80.2%。除躯体功能(63.66±32.124)和社会功能(60.89±39.198)外,其余领域的生活质量得分均低于30分,一般健康得分为27.97±30.791。在所有其他应对策略中,积极应对的比例最高(43%)。积极应对与社会功能(r=0.359, p=0.000)、身体功能(r=0.288, p= 0.003)呈正相关。结论:即使经过多年的暴力,酸的受害者并没有恢复良好的生活质量。社区支持和经常性的激励运动可以帮助泼酸受害者更积极地面对他们的处境,从而改善他们的生活质量。JOPSOM 2021;41(1): 19到24
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