A survey of education and employment status of patients with transfusion-dependent thalassemia from a low-middle-income country

Shruti Kakkar , Priyanka Dewan , Sukhmani Sidhu , Evani Jain , Anirudh Jain , Praveen C. Sobti
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Abstract

Background

The literacy rate in India is nearly 77 % with a school dropout rate of 16.7 % at the secondary level. Patients with transfusion-dependent thalassemia (TDT) face great difficulties in continuing education due to repeated hospital visits, the presence of co-morbidities, and psychosocial issues. The survey was undertaken to assess the educational and employment status of adult patients with TDT.

Material and methods

A survey was conducted amongst patients with TDT >18 years of age registered at the Thalassemia Day Care Centre (TDCC) in our hospital after obtaining informed consent. Demographic details along with education and employment achievements of patients were recorded. The socioeconomic status (SES) of the family was assessed using a modified Kuppuswamy scale for the year 2022. The education and employment status were correlated with age, sex, residence, education level of parents, and SES.

Results

A total of 117 patients were enrolled in the study with a mean age of 24.7 ± 6.13 years and M: F ratio of 2.1:1. 19.7 % of participants resided in rural areas. 38.6 % of participants had completed graduation and 19.7 % completed postgraduate/professional degrees in various fields. Nearly half (52.4 %) of patients were employed and financially independent. The education and employment status positively correlated with age, female sex, education of parents, and residence in urban areas.

Conclusion

Patients with TDT can achieve their personal and professional goals if given appropriate opportunities.
中低收入国家输血依赖型地中海贫血患者教育和就业状况调查
印度的识字率接近77%,中学辍学率为16.7%。输血依赖型地中海贫血(TDT)患者在继续教育方面面临巨大困难,原因是反复住院、存在合并症和社会心理问题。本调查旨在评估成人TDT患者的教育和就业状况。材料与方法在获得知情同意后,对在我院地中海贫血日托中心(TDCC)登记的18岁TDT患者进行调查。记录患者的人口统计细节以及教育和就业成就。家庭的社会经济地位(SES)在2022年使用改进的Kuppuswamy量表进行评估。教育、就业状况与年龄、性别、居住地、父母受教育程度、社会经济地位相关。结果共纳入117例患者,平均年龄24.7±6.13岁,M: F比为2.1:1。19.7%的参与者居住在农村地区。38.6%的参与者完成了毕业,19.7%的参与者完成了不同领域的研究生/专业学位。近一半(52.4%)的患者有工作且经济独立。受教育程度和就业状况与年龄、女性性别、父母受教育程度和城镇居住状况呈正相关。结论如果给予适当的机会,TDT患者可以实现个人目标和职业目标。
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