Assessment of Quality of Life as a Tool for Measuring Morbidity Due to Schistosoma mansoni Infection and the Impact of Treatment

Kimberly Y. Won Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Bernard Abudho Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Anna J. Blackstock Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Susan P. Montgomery Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Erin D. Kennedy Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Bobbie Person Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Pauline N. M. Mwinzi Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Elizabeth A. Ochola Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Karen T. Foo Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Allen W. Hightower Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Diana M. S. Karanja Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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W. Evan Secor Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya

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Recently, health measurements have broadened to include the assessment of quality of life (QOL). This study was conducted to assess whether the short form of the World Health Organization (WHO) QOL questionnaire (WHOQOL-BREF) was an effective tool for measuring morbidity due to Schistosoma mansoni infection and whether it could detect an impact of treatment with praziquantel. A total of 724 adults 18–85 years of age were enrolled. At baseline, S. mansoni prevalence was 73.2% by stool examination and 75.4% by circulating cathodic antigen, and there was no association between infection status and WHOQOL-BREF scores. Six months after treatment, S. mansoni prevalence was lower and the proportion of persons with higher WHOQOL-BREF scores significantly increased among persons who were infected at baseline. However, a similar increase was observed in persons not infected at baseline. In areas of high prevalence, the WHOQOL-BREF may not be able to detect the benefits of schistosomiasis control programs.

Author Notes

* Address correspondence to Kimberly Y. Won, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333. E-mail: kfw7@cdc.gov

Financial support: The study was supported the United States Agency for International Development through an inter-agency agreement with the Centers for Disease Control and Prevention.

Authors' addresses: Kimberly Y. Won, Anna Blackstock, Susan P. Montgomery, Erin D. Kennedy, Bobbie Person, Karen T. Foo, Allen W. Hightower, and W. Evan Secor, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: kfw7@cdc.gov, hyp9@cdc.gov, zqu6@cdc.gov, ftw3@cdc.gov, bobbieperson@gmail.com, karen.t.foo@gmail.com, awh1953@gmail.com, and was4@cdc.gov. Bernard Abudho, Pauline N. M. Mwinzi, Elizabeth A. Ochola, Diana M. S. Karanja, Neglected Tropical Diseases Branch, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya, E-mails: babudho@kemricdc.org, pmwinzi@kemricdc.org, eakinyi@kemricdc.org, and dkaranja@kemricdc.org.

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