Knowledge and attitude of health science students towards epilepsy in a Nigerian University
Nigerian health science students knowledge and attitude towards epilepsy
Keywords:Knowledge. Attitude. Epilepsy. Health scienceundergraduates, Nigeria
Background: Behaviour of people, especially health workers, towards people living with epilepsy (PLE) represents an important public health concern. This study explores knowledge and attitude of health science undergraduates of a Nigerian University towards PLE.
Methods: This was a cross-sectional survey involving consecutively 656 (52.7% males; 47.3% females) undergraduates. The Epilepsy Knowledge Questionnaire (EKQ) and the Attitude towards Persons with Epilepsy (ATPE) rating scale were used to collect data on the participants’ knowledge and attitude towards PLE respectively. Data was analyzed using descriptive statistics, Spearman rank, Mann-Whitney U and Kruskal-Wallis tests at 0.05 alpha level.
Results: The mean knowledge and attitude towards epilepsy was moderate and good respectively. Majority of the participants had fair knowledge (64.3%) and good attitude (70.3%). Knowledge of the participants about epilepsy had positive significant correlations with their age and year of study and was significantly influenced by their age, faculty, department and year of study. Participants’ attitude towards PLE neither correlated nor was influenced by any of the aforementioned variables (p>0.05). Knowledge and attitude of the participants towards epilepsy did not significantly correlate with each other (p>0.05).
Conclusion: Knowledge of Nigerian students about epilepsy is poor which is associated with their age, level of study, faculty and department of study. The attitude of the students towards PLE was good and did not correlate or influenced by any of their characteristics. There is need to improve the knowledge of health science students about epilepsy.
2. Aminrad, Z., Zakariya, S.Z.B.S., Hadi, A.S. and Sakari, M. (2013). Relationship between awareness, knowledge and attitudes towards environmental education among secondary school students in Malaysia. WASJ, 22(9), 1326-1333.
3. Antonak, R.F. and Rankin, P.R. (1982): Measurement and analysis of knowledge and attitudes toward epilepsy and persons with epilepsy. Soc Sci Med. 16(17), 1591-1593.
4. Beghi, E. (2016): Addressing the burden of epilepsy: many unmet needs. Pharmacol Res, 107, 79-84.
5. Bishop, M. and Boag, E.M. (2006): Teachers’ knowledge about epilepsy and attitudes toward students with epilepsy: results of a national survey. Epilepsy Behav. 8(2), 397-405.
6. Dada, T.O. (1970): Epilepsy in Lagos, Nigeria. Afr J of Med Sci. 1(2), 161.
7. Doughty, J., Baker, G.A., Jacoby, A. and Lavaud, V. (2003): Cross‐cultural Differences in Levels of Knowledge about Epilepsy. Epilepsia, 44(1), 115-123.
8. Ekeh, B.C. and Ekrikpo, U.E. (2015): The knowledge, attitude, and perception towards epilepsy amongst medical students in Uyo, Southern Nigeria. Adv Med. 10:(8), 76-135.
9. Fiest, K.M., Sauro, K.M., Wiebe, S., Patten, S.B., Kwon, C.S., Dykeman, J., Pringsheim, T., Lorenzetti, D.L. and Jetté, N. (2017): Prevalence and incidence of epilepsy A systematic review and meta-analysis of international studies. Neurology, 88(3), 296-303.
10. Fisher, R.S., Cross, J.H., French, J.A., Higurashi, N., Hirsch, E., Jansen, F.E., Lagae, L., Moshé, S.L., Peltola, J., Roulet Perez, E. and Scheffer, I.E. (2017): Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia, 58(4), pp.522-530.
11. Fonseca, L.C., Tedrus, G.M., Costa, A.C.F., Luciano, P.Q. and Costa, K.C. (2004): Knowledge and attitude toward epilepsy among health area students. Arq Neuropsiquiatr, 62(4), 1068-1073.
12. Gilmour, H., Ramage-Morin, P. and Wong, S.L., (2016). Epilepsy in Canada: Prevalence and impact. Health Reports, 27(9), 24.
13. De Boer, H.M., Mula, M. and Sander, J.W. (2008): The global burden and stigma of epilepsy. Epilepsy Behav. 12(4), .540-546.
14. Kariuki, S.M., Chengo, E., Ibinda, F., Odhiambo, R., Etyang, A., Ngugi, A.K. and Newton, C.R. (2015): Burden, causes, and outcomes of people with epilepsy admitted to a rural hospital in Kenya. Epilepsia, 56(4), 577-584.
15. Lim, K. S, and Tan, C.T. (2000): Survey of public awareness, understanding and attitude towards epilepsy among Singaporean Chinese. Neurol J Southeast Asia, 5-10
16. Mason Mason, C., Fenton, G.W. and Jamieson, M. (1990): Teaching medical students about epilepsy. Epilepsia, 31(1),95-100.
17. Meinardi, H., Scott, R.A., Reis, R., Sander, J.W.A.S. and ILAE Commission on the Developing World. (2001): The treatment gap in epilepsy: the current situation and ways forward. Epilepsia, 42(1),136-149.
18. Mustapha, A.F., Odu, O.O. and Akande, O. (2013): Knowledge, attitudes and perceptions of epilepsy among secondary school teachers in Osogbo South-West Nigeria: a community based study. Niger J Clin Pract. 16(1), 12-18.
19. National Institute of Neurological Disorders and Stroke. (2015): The epilepsies and seizures: Hope Through Research. Available at https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Epilepsies-and-Seizures-Hope-Through. Accessed on 2nd June, 2018.
20. Ngugi, A.K., Bottomley, C., Kleinschmidt, I., Sander, J.W. and Newton, C.R. (2010): Estimation of the burden of active and life‐time epilepsy: a meta‐analytic approach. Epilepsia, 51(5), 883-890.
21. Nyame, P.K. and Biritwum, R.B. (1997): Epilepsy: knowledge, attitude and practice in literate urban population, Accra, Ghana. West Afr J Med. 16(3),139-145.
22. Olubunmi, A.O. (2006): Epilepsy in Nigeria–A review of etiology, epidemiology and management. BJPM. 8(1).
23. Ojinnaka, N.C. (2002): Teachers’ perception of epilepsy in Nigeria: a community-based study. Seizure, 11(6), 386-391.
24. Osuntokun, B.O., Adeuja, A.O.G., Nottidge, V.A., Bademosi, O., Olumide, A., Ige, O., Yaria, F., Bolis, C.L. and Schoenberg, B.S. (1987): Prevalence of the epilepsies in Nigerian Africans: a community‐based study. Epilepsia, 28(3), 272-279.
25. Reynolds, E.H., Historical aspects. In 'Epilepsy, Behaviour and Cognitive Function' (1988): Rugg-Gunn, F. J., and Small, J.E. 2015. A Practical Guide to Epilepsy. Epilepsia, 283 (8).
26. Rwiza, H.T., Matuja, W.B.P., Kilonzo, G.P., Haule, J., Mbena, P., Mwang'ombola, R. and Jilek‐Aall, L. (1993): Knowledge, attitude, and practice toward epilepsy among rural Tanzanian residents. Epilepsia, 34(6), 1017-1023.
27. Ryu, H.U., Lee, S.A., Eom, S. and Kim, H.D. (2015). Perceived stigma in Korean adolescents with epilepsy: effects of knowledge about epilepsy and maternal perception of stigma. Seizure. 24, 38-43.
28. Sanya, E.O., Salami, T.A.T., Goodman, O.O., Buhari, O.I.N. and Araoye, M.O. (2005): Perception and attitude to epilepsy among teachers in primary, secondary and tertiary educational institutions in middle belt Nigeria. Trop Doct. 35(3), 153-156.
29. Taha, M., Balla, S., Hussien, A. and Dafaalla, M. (2014): Stigma of Epilepsy among Patients and their Relatives Attending Charity Clinic, Omdurman-Sudan, June, 2012. J Neurol Neurophysiol. 5:5.
30. Tekle-Haimanot, R., Abebe, M., Forsgren, L., Gebre-Mariam, A., Heijbel, J., Holmgren, G. and Ekstedt, J. (1991): Attitudes of rural people in central Ethiopia toward epilepsy. Soc Sci med, 32(2), 203-209.
31. Vancini, R.L., Benedito-Silva, A.A., Sousa, B.S., da Silva, S.G., Souza-Vancini, M.I., Vancini-Campanharo, C.R., Cabral, F.R., de Lima, C. and de Lira, C.A.B. (2012): Knowledge about epilepsy among health professionals: a cross-sectional survey in Sao Paulo, Brazil. BMJ Open, 2(2), .e000919.
32. Vaurio, L., Karantzoulis, S. and Barr, W.B. (2017): The impact of epilepsy on quality of life. In Changes in the Brain (pp. 167-187). Springer, New York, NY.
33. World Health Organization. Epilepsy Atlas Care in the World . PNDN. Geneva 2005; 7:226-229.