Impact of leprosy on the quality of life

Leprosy is considered by many as not merely a medical condition, but as a c ondition encompassing psychological, socioeconomic and spiritual dimensions that debabilitate an individual progressively, unless properly cared for. The present study was undertaken to document the nature and extent of decre ases in the quality of life (QOL) of an affected person. The World Health O rganization questionnaire on quality of life was given to a representative random sample of 50 leprosy-affected persons and 50 unaffected individuals in the Bommasamudram Taluk of Chittoor District, Andhra Pradesh, India. Thi s questionnaire explores the following six domains: physical, psychological ; level of independence; social relationships; spiritual; and environmental . The mean QOL score of the cases was significantly lower than that of the co ntrols with the exception of the spiritual domain. The mean total score for women was higher than that of males in each domain and age group. Males wi th deformities had a significantly lower score than those with no visible d eformities. Although the scores for females with deformities were also lowe r than those without deformities, the differences were not statistically si gnificant Analyses of economic status versus the QOL scores clearly showed that they were positively correlated. The study revealed that quality of life decreased progressively in leprosy- affected persons. Women bad a better QOL score than men in almost every dom ain. Given the secondary role of women in Indian rural society, this may si mply imply an acceptance of their situation. The findings are discussed in comparison with other diseases and in the context of a poor socioeconomic e nvironment. With modern amenities, better education and higher expectations , the perception of an individual regarding his or her own quality of life is bound to change. The need for frequent assessments and further studies a long these lines is emphasized.