Factors impacting a patient with leprosy:
(1) social stigma
(2) intimate relationships (rejection, conflict, etc)
(3) psychological response (depression, low self-esteem, hope, acceptance)
(4) ability to work
(5) economic status
(6) physical disability and level of independence
Risk factors for a poor quality of life in a patient with leprosy:
(1) significant social stigma
(2) visible skin lesions or deformities
(3) rejection by family and friends
(4) depression and self-loathing
(5) inability to work or undesirable job opportunities
(6) poverty
(7) severe physical impairment
(8) no or little education
(9) lack of adequate medical care