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. 2012 Sep;30(3):262-9.
doi: 10.3329/jhpn.v30i3.12289.

Quality of Life and Mental Health Status of Arsenic-Affected Patients in a Bangladeshi Population

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Free PMC article

Quality of Life and Mental Health Status of Arsenic-Affected Patients in a Bangladeshi Population

Emdadul H Syed et al. J Health Popul Nutr. .
Free PMC article

Abstract

Contamination of groundwater by inorganic arsenic is one of the major public-health problems in Bangladesh. This cross-sectional study was conducted (a) to evaluate the quality of life (QOL) and mental health status of arsenic-affected patients and (b) to identify the factors associated with the QOL. Of 1,456 individuals, 521 (35.78%) were selected as case and control participants, using a systematic random-sampling method. The selection criteria for cases (n=259) included presence of at least one of the following: melanosis, leucomelanosis on at least 10% of the body, or keratosis on the hands or feet. Control (nonpatient) participants (n=262) were selected from the same villages by matching age (±5 years) and gender. The Bangladeshi version of the WHOQOL-BREF was used for assessing the QOL, and the self-reporting questionnaire (SRQ) was used for assessing the general mental health status. Data were analyzed using Student's t-test and analysis of covariance (ANCOVA), and the WHOQOL-BREF and SRQ scores between the patients and the non-patients were compared. The mean scores of QOL were significantly lower in the patients than those in the non-patients of both the sexes. Moreover, the mental health status of the arsenic-affected patients (mean score for males=8.4 and females=10.3) showed greater disturbances than those of the non-patients (mean score for males=5.2 and females=6.1) of both the sexes. The results of multiple regression analysis revealed that the factors potentially contributing to the lower QOL scores included: being an arsenic-affected patient, having lower age, and having lower annual income. Based on the findings, it is concluded that the QOL and mental health status of the arsenic-affected patients were significantly lower than those of the non-patients in Bangladesh. Appropriate interventions are necessary to improve the well-being of the patients.

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References

    1. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans Some drinking-water disinfectants and contaminants, including arsenic. IARC Monogr Eval Carcinog Risks H. 2004;84:1–477. - PubMed
    1. World Health Organization, International Program on Chemical Safety . Arsenic and arsenic compounds. 2nd ed. Geneva: World Health Organization; 2001. p. 521 p.
    1. National Research Council . Arsenic in the drinking water. Washington, DC: National Academy Press; 1998. p. 330 p.
    1. Chen Y, Ahsan H. Cancer burden from arsenic in drinking water in Bangladesh. Am J Public Health. 2004;94:741–4. - PMC - PubMed
    1. McLellan F. Arsenic contamination affects millions in Bangladesh. Lancet. 2002;359:1127. - PubMed

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