Insufficient awareness of the disease and reproductive health issues in persons with multiple sclerosis.

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Olivera Tamas, Nevena Veljancic, Marija Kovacevic, Nikola Veselinovic, Maja Budimkic, Nikola Momcilovic, Marko Andabaka, Sarlota Mesaros
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引用次数: 0

Abstract

Objective: Multiple sclerosis (MS) is a chronic immune-mediated demyelinating disease of the central nervous system that predominantly affects women of reproductive age. With ongoing therapeutic advances, ending common misconceptions related to the disease and pregnancy in MS is crucial for the adherence to MS treatment. The aim of our research was to assess the level of knowledge of MS as a disease in general, to estimate the awareness of reproductive issues in MS, and to evaluate the primary sources of information in persons with MS (PwMS) and persons without MS.

Material and methods: The study included female PwMS aged 18-49 years and male PwMS aged 18-65 years, who were matched with persons without MS of the same age, gender, and education. After obtaining informed consent, participants filled out an online questionnaire distributed via electronic mail between November 1st, 2022 and November 1st, 2023. The questionnaire consisted of a different statements regarding the clinical aspects of MS, pregnancy and reproductive health, primary source of information and subjective assessment of the knowledge.

Results: The study included 410 PwMS and 400 persons without MS. The survey has shown higher levels of knowledge related to the disease in the PwMS group. Seven in ten PwMS disagreed with the false statement that all PwMS at some point lose the ability to walk, while 39.2% of persons without MS agreed. On the other hand, the most common answer, for all study participants, related to reproductive issues in MS was "I do not know". Over two-thirds of PwMS did not have an answer to the question related to the benefits of breastfeeding. The primary source of information for the PwMS group were neurologists (82.7%) and for persons without MS the Internet (54.4%). Persons with MS additionally received information from MS nurses. Both PwMS and persons without MS subjectively evaluated their level of knowledge as an inadequate (49.3% vs. 77.5%).

Conclusion: People with MS still have a low level of information concerning reproductive issues while a considerable number of respondents recognized a deficit of adequate information regarding MS. Availability and validity of information are key aspects to consider in the future. Improvements in access to verified information is needed with an emphasis on reproductive issues.

对多发性硬化症患者的疾病和生殖健康问题认识不足。
目的:多发性硬化症(MS)是一种慢性免疫介导的中枢神经系统脱髓鞘疾病,主要影响育龄妇女。随着治疗的不断进步,结束与MS疾病和妊娠相关的常见误解对于坚持MS治疗至关重要。本研究的目的是评估多发性硬化症作为一种疾病的总体知识水平,估计多发性硬化症患者对生殖问题的认识,并评估多发性硬化症患者(PwMS)和非MS患者(MS)的主要信息来源。材料和方法:研究对象为18-49岁的女性PwMS和18-65岁的男性PwMS,与相同年龄、性别和教育程度的非MS患者配对。在获得知情同意后,参与者在2022年11月1日至2023年11月1日期间通过电子邮件填写了一份在线问卷。调查问卷包括关于MS临床方面、妊娠和生殖健康、主要信息来源和对知识的主观评价的不同陈述。结果:该研究纳入了410名多发性硬化症患者和400名非多发性硬化症患者。调查显示,多发性硬化症患者对该病的相关知识水平较高。十分之七的多发性硬化症患者不同意所有多发性硬化症患者在某种程度上失去行走能力的错误说法,而39.2%的非多发性硬化症患者同意这一说法。另一方面,对于所有研究参与者来说,与多发性硬化症的生殖问题有关的最常见的答案是“我不知道”。超过三分之二的PwMS没有回答与母乳喂养益处有关的问题。PwMS组的主要信息来源是神经科医生(82.7%),非MS组的主要信息来源是互联网(54.4%)。患有多发性硬化症的人还从多发性硬化症护士那里获得了信息。多发性硬化症患者和非多发性硬化症患者主观评价自己的知识水平不足(49.3% vs. 77.5%)。结论:多发性硬化症患者对生殖问题的了解程度仍然很低,而相当多的受访者认为对多发性硬化症缺乏足够的信息,信息的可用性和有效性是未来需要考虑的关键方面。需要改善取得经核实资料的机会,重点是生殖问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta neurologica Belgica
Acta neurologica Belgica 医学-临床神经学
CiteScore
4.20
自引率
3.70%
发文量
300
审稿时长
6-12 weeks
期刊介绍: Peer-reviewed and published quarterly, Acta Neurologica Belgicapresents original articles in the clinical and basic neurosciences, and also reports the proceedings and the abstracts of the scientific meetings of the different partner societies. The contents include commentaries, editorials, review articles, case reports, neuro-images of interest, book reviews and letters to the editor. Acta Neurologica Belgica is the official journal of the following national societies: Belgian Neurological Society Belgian Society for Neuroscience Belgian Society of Clinical Neurophysiology Belgian Pediatric Neurology Society Belgian Study Group of Multiple Sclerosis Belgian Stroke Council Belgian Headache Society Belgian Study Group of Neuropathology
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