Hypertension awareness, treatment and control in an urban low-income setting: A community-based study in Singapore

2010 ◽  
Vol 51 (5) ◽  
pp. 447-448 ◽  
Author(s):  
Liang En Wee ◽  
Gerald Choon-Huat Koh
Keyword(s):  
Low Income ◽  
Community Based ◽  
Hypertension Awareness ◽  
And Control ◽  
Low Income Setting

scholarly journals Hypertension Prevalence Based on Blood Pressure Measurements on Two vs. One Visits: A Community-Based Screening Programme and a Narrative Review

2020 ◽  
Vol 17 (24) ◽  
pp. 9395
Author(s):  
Chloé Plumettaz ◽  
Bharathi Viswanathan ◽  
Pascal Bovet
Keyword(s):  
Blood Pressure ◽  
Screening Programme ◽  
Narrative Review ◽  
Community Surveys ◽  
Community Based ◽  
Public Places ◽  
Hypertension Awareness ◽  
The Difference ◽  
And Control ◽  
Untreated Individuals

We assessed the difference in the prevalence of hypertension in community surveys when blood pressure (BP) was measured on two vs. one visits and its impact on hypertension awareness, treatment and control proportions. A community-based BP screening programme was conducted in public places in the Seychelles (619 adults) and BP was rechecked a few days later among untreated participants with high BP (≥140/90 mmHg). A narrative review of the literature on this question was also conducted. Only 64% of untreated participants with high BP still had high BP at the second visit. The prevalence of hypertension in the whole sample decreased by 13% (from 33.8% to 29.5%) when BP was measured on two vs. one visits. These results concurred with our findings in our narrative review based on 10 surveys. In conclusion, the prevalence of hypertension can be markedly overestimated in community surveys when BP is measured on two vs. one visits. The overestimation could be addressed by measuring BP on a second visit among untreated individuals with high BP or, possibly, by taking more readings at the first visit. These findings have relevance for clinical practice, policy and surveillance.

scholarly journals Screening for diabetes and hypertension in a rural low income setting in western Kenya utilizing home-based and community-based strategies

2013 ◽  
Vol 9 (1) ◽  
pp. 21 ◽  
Author(s):  
Sonak D Pastakia ◽  
Shamim M Ali ◽  
Jemima H Kamano ◽  
Constantine O Akwanalo ◽  
Samson K Ndege ◽  
...  
Keyword(s):  
Low Income ◽  
Community Based ◽  
Western Kenya ◽  
Home Based ◽  
Low Income Setting

scholarly journals Childhood Unintentional Injuries: Need for a Community-Based Home Injury Risk Assessments in Pakistan

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Adnan A. Hyder ◽  
Aruna Chandran ◽  
Uzma Rahim Khan ◽  
Nukhba Zia ◽  
Cheng-Ming Huang ◽  
...  
Keyword(s):  
Low Income ◽  
Injury Risk ◽  
Primary Outcome ◽  
Assessment Tool ◽  
Unintentional Injury ◽  
Community Based ◽  
Tutorial Program ◽  
Local Setting ◽  
Low Income Setting ◽  
Home Injury

Background. A substantial proportion of the annual 875,000 childhood unintentional injury deaths occur in the home. Very few printed tools are available in South Asia for disseminating home injury prevention information.Methods. Three tools were planned: an injury hazard assessment tool appropriate for a developing country setting, an educational pamphlet highlighting strategies for reducing home injury hazards, and an in-home safety tutorial program to be delivered by a trained community health worker.Results. The three tools were successfully developed. Two intervention neighborhoods in Karachi, Pakistan, were mapped. The tools were pretested in this local setting and are now ready for pilot testing in an intervention study.Conclusion. Planning for an innovative, community-based pilot study takes considerable time and effort in a low-income setting like Pakistan. The primary outcome of the pre-testing phase of the study was the development of three important tools geared for low-income housing communities in Pakistan.

scholarly journals Community-Based Participatory Research a Low-Income Setting: An Illustrative Case of Study

2012 ◽  
Vol 22 (4) ◽  
pp. 509-516 ◽  
Author(s):  
Sandy Lazarus ◽  
Naiema Taliep ◽  
Abdulsamed Bulbulia ◽  
Shaun Phillips ◽  
Mohamed Seedat
Keyword(s):  
Participatory Research ◽  
Low Income ◽  
Community Based Participatory Research ◽  
Illustrative Case ◽  
Community Based ◽  
Low Income Setting

scholarly journals Participation in community-based health care interventions (CBHIs) and its association with hypertension awareness, control and treatment in Indonesia

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244333
Author(s):  
Sujarwoto Sujarwoto ◽  
Asri Maharani
Keyword(s):  
Rural Areas ◽  
Community Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Care Interventions ◽  
Indonesia Family Life Survey ◽  
Hypertension Awareness ◽  
Logistic Regressions ◽  
Urban And Rural Areas ◽  
And Control

Background Little attention has been paid to whether CBHIs improve awareness, treatment and control of hypertension in the contexts of low- and middle- income countries (LMICs). This study therefore aims to examine participation in CBHIs for non-communicable diseases (NCDs) and its association with awareness, treatment, and control of hypertension among Indonesians. Methods This study used data from the 2014 Indonesia Family Life Survey (IFLS), drawn from 30,351 respondents aged 18 years and older. Participation in CBHIs was measured by respondents’ participation in CBHIs for NCDs (Posbindu PTM and Posbindu Lansia) during the 12 months prior to the survey. Logistic regressions were used to identify the relationships between participation in CBHIs for NCDs and awareness, treatment, and control of blood pressure among respondents with hypertension. Results The age-adjusted prevalence of hypertension was 31.2% and 29.2% in urban and rural areas, respectively. The overall age-adjusted prevalence was 30.2%. Approximately 41.8% of respondents with hypertension were aware of their condition, and only 6.6% of respondents were receiving treatment. Participation in CBHIs for NCDs was associated with 50% higher odds of being aware and 118% higher odds of receiving treatment among adults with hypertension. There was no significant association between participation in CBHIs for NCDs and controlled hypertension. Conclusion Our data emphasise the importance of CBHIs for NCDs to improve the awareness and treatment of hypertension in the Indonesian population.

Drug policy and control at the international level

2018 ◽  
Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  
Keyword(s):  
Low Income ◽  
Low Income Countries ◽  
Drug Control ◽  
Prescription Medications ◽  
Access To Treatment ◽  
Illicit Markets ◽  
Pain Medications ◽  
Almost All ◽  
And Control ◽  
Illicit Trafficking

International drug control efforts are designed to coordinate domestic laws with international activities that regulate or limit the supply of psychoactive substances. These efforts are organized around three main drug control treaties that almost all countries have ratified in order to prevent illicit trafficking and other drug-related crime, while at the same time allowing access to prescription medications. The effects of the system have been evaluated mostly in terms of the ability to eliminate illicit markets and supply. The gross imbalance in world consumption of legal opiates is a pointer to the limited availability of effective pain medications in many low-income countries, with 80% of the world’s population having either no or inadequate access to treatment for moderate or severe pain.

scholarly journals Multilevel Pathways of Colorectal Cancer Screening Among Low-Income Vietnamese Americans: A Structural Equation Modeling Analysis

2021 ◽  
Vol 28 ◽  
pp. 107327482110110
Author(s):  
Grace X. Ma ◽  
Lin Zhu ◽  
Timmy R. Lin ◽  
Yin Tan ◽  
Phuong Do
Keyword(s):  
Health Beliefs ◽  
Low Income ◽  
Self Efficacy ◽  
Limited English Proficiency ◽  
Structural Equation ◽  
Vietnamese Americans ◽  
Equation Modeling ◽  
Community Based ◽  
Related Factors ◽  
Crc Screening

Background: Colorectal cancer (CRC) disproportionately affects Vietnamese Americans, especially those with low income and were born outside of the United States. CRC screening tests are crucial for prevention and early detection. Despite the availability of noninvasive, simple-to-conduct tests, CRC screening rates in Asian Americans, particularly Vietnamese Americans, remain suboptimal. The purpose of this study was to evaluate the interplay of multilevel factors – individual, interpersonal, and community – on CRC screening behaviors among low-income Vietnamese Americans with limited English proficiency. Methods: This study is based on the Sociocultural Health Behavior Model, a research-based model that incorporates 6 factors associated with decision-making and health-seeking behaviors that result in health care utilization. Using a community-based participatory research approach, we recruited 801 Vietnamese Americans from community-based organizations. We administered a survey to collect information on sociodemographic characteristics, health-related factors, and CRC screening-related factors. We used structural equation modeling (SEM) to identify direct and indirect predictors of lifetime CRC screening. Results: Bivariate analysis revealed that a greater number of respondents who never screened for CRC reported limited English proficiency, fewer years of US residency, and lower self-efficacy related to CRC screening. The SEM model identified self-efficacy (coefficient = 0.092, P < .01) as the only direct predictor of lifetime CRC screening. Educational attainment (coefficient = 0.13, P < .01) and health beliefs (coefficient = 0.040, P < .001) had a modest significant positive relationship with self-efficacy. Health beliefs (coefficient = 0.13, P < .001) and educational attainment (coefficient = 0.16, P < .01) had significant positive relationships with CRC knowledge. Conclusions: To increase CRC screening uptake in medically underserved Vietnamese American populations, public health interventions should aim to increase community members’ confidence in their abilities to screen for CRC and to navigate associated processes, including screening preparation, discussions with doctors, and emotional complications.

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