General practice capacity for behavioural risk factor management: A SNAP-shot of a needs assessment in Australia

2005 ◽  
Vol 11 (2) ◽  
pp. 120 ◽  
Author(s):  
Cheryl Amoroso ◽  
Coletta Hobbs ◽  
Mark F Harris
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
General Practice ◽  
Risk Factor ◽  
Nutritional Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Activity Increase ◽  
Risk Factor Management ◽  
Rural And Urban

The objective of this study is to examine current activities, barriers, and capacity needs for the assessment and management of smoking, nutrition, alcohol and physical activity behavioural risk factors in rural and urban general practices. A cross-sectional survey of 287 general practitioners (GPs) was conducted in a rural and urban Division of General Practice in NSW. A total of 146 GPs responded yielding Divisional response rates of 51% rural and 61% urban. For each of the SNAP risk factors, between 37% and 46% of GPs report using guidelines. Verbal advice is given "very often" for smoking by 68% of GPs, for nutrition and alcohol by 48%, and physical activity by 60%. Guideline use is associated with increased frequency of advising patients. Patient compliance is the most frequently reported barrier to giving advice, especially for smoking and alcohol. GPs report that they "often" or "very often" refer patients due to nutritional risk factors (48%), with lower referral rates reported for physical activity and alcohol risk factors (28% and 27% respectively). Only 10% refer patients "often" or "very often" for smoking management, and referral for smoking management and physical activity increase as a result of training in these areas. There is considerable variability in smoking, nutrition, alcohol and physical activity risk factor intervention and management in the general practice setting. A range of strategies is required to improve the systematic management of risk factors including training, use of guidelines, referral networks, and patient education.

P3424Gender differences in the implementation of CVD prevention In patients with coronary disease: Results from the EUROASPIRE V Survey

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Kotseva ◽  
G De Backer ◽  
D De Bacquer ◽  
D Grobbee ◽  
A Hoes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Coronary Disease ◽  
Central Obesity ◽  
Ldl Cholesterol ◽  
Lifestyle Changes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Risk Factor Management ◽  
Coronary Syndrome

Abstract Introduction EUROASPIRE V was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2016–2017 in 27 European countries Purpose To describe gender differences in lifestyle and risk factor management, and the use of cardioprotective drug therapies in patients with coronary heart disease in Europe. Methods Patients <80 years with coronary disease (CABG, PCI or an acute coronary syndrome) were identified from the hospital medical records and interviewed and examined by trained staff ≥6 months and ≤2 years later using standardized methods including central laboratory measurements. Results A total of 8,261 (25.8% females), mean age 63.6 (SD 9.6) were interviewed, with a median time between the index event and interview 1.12 years (IR 0.82–1.56). Women were older (mean age 65.4 years [SD 9.2] vs 63.0 [9.7] and had a lower level of education than men.Comparing women with men, the prevalence of the risk factors were as follows: current smoking 12.8% vs 20.7%,obesity (BMI ≥30 kg/m2) 45.7% vs 34.9%, central obesity (waist circumference ≥102 cm in men or ≥88 cm in women) 78.0% vs 51.8%, raised blood pressure (BP ≥140/90 mmHg, ≥140/80 mmHg in patients with diabetes) 47.1% vs 46.0%, elevated LDL-cholesterol (≥1.8 mmol/l) 77.9% vs 68.5% and self reported diabetes 33.1% vs 28.0%. Reported use of prophylactic drug therapies for the same comparison was: antiplatelets 91.8% vs. 92.8%; beta-blockers 81.8% vs. 80.8%; ACE inhibitors/ARBs 75.0% vs. 75.3%; and statins 76.8% vs. 82.2%. The therapeutic control of blood pressure, LDL-cholesterol and diabetes (HbA1c <7 mmol/L) was: 48.2% vs 49.9%; 25.7% vs 34.1% and 48.5% vs 56.7%, respectively. Conclusions The results show that women with coronary disease have higher prevalence of obesity, central obesity, elevated LDL-cholesterol and self-reported diabetes than men. There were no differences in terms of blood pressure management. All coronary patients require professional support to make lifestyle changes and manage risk factors more effectivelyin order to reduce their risk of recurrent cardiovascular events. Acknowledgement/Funding ESC-EORP supported by Amgen, Eli Lilly, Pfizer, Sanofi, Ferrer and Novo Nordisk

scholarly journals Prevalence of impaired renal function among rural and urban populations: findings of a cross-sectional study in Malawi

2019 ◽  
Vol 4 ◽  
pp. 92 ◽  
Author(s):  
Wisdom P Nakanga ◽  
Josephine E Prynn ◽  
Louis Banda ◽  
Robert Kalyesubula ◽  
Laurie A Tomlinson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Function ◽  
Urban Areas ◽  
Impaired Renal Function ◽  
Herbal Medicines ◽  
Epidemiological Studies ◽  
Sub Saharan Africa ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural And Urban

Background: Sub-Saharan Africa faces region-specific risk factors for chronic kidney disease (CKD), such as nephrotoxic herbal medicines, antiretroviral therapy and infections, in addition to hypertension and diabetes. However, large epidemiological studies from this area are scarce. Methods: In a cross-sectional survey of non-communicable diseases, we conducted a prevalence sub-study of CKD in two Malawian populations. Study participants (N=5264) of 18 years of age and above were recruited and data on demographics and CKD risk factors were collected. Glomerular filtration rate was estimated (eGFR) using the CKD-EPI equation. Results: The prevalence of eGFR<60ml/min/1.73m2 was 1.4% (95% CI 1.1 – 1.7%) and eGFR<90ml/min/1.73m2 was 20.6% (95% CI 19.5 – 21.7%). The rural area had higher age-standardized prevalence of both eGFR<60ml/min/1.73m2, at 1.8% (95% CI 1.4 – 2.3) and eGFR <90 ml/min/1.73m², at 21.1% (95% CI 19.9 – 22.3), than urban location, which had a prevalence of 1.5%, (95% CI 1.0 – 2.2) and 19.4% (95% CI 18.0 – 20.8), respectively, with overlapping confidence intervals. The prevalence of CKD was lower in females than in males in both rural and urban areas. Older age (p < 0.001), a higher level of education (p = 0.03) and hypertension (p < 0.001) were associated with a higher adjusted odds ratio (aOR) of low eGFR. Diabetes was associated with a reduced aOR of eGFR<90ml/min/1.73m2 of 0.69 (95% CI 0.49–0.96; p=0.03). Of participants with eGFR<60ml/min/1.73m2, 14 (19.4%) had no history of hypertension, diabetes or HIV, while 36 (50%) had a single risk factor of being hypertensive. Conclusions: Impaired renal function is prevalent, but lower than expected, in rural and urban Malawi. Further research is needed to increase understanding of CKD incidence, survival and validation of eGFR calculations in this population.

scholarly journals Knowledge and Public Awareness of Cancer Risk Factors and Determinants among Yemeni adults- A Community Based Cross-Sectional Study

2021 ◽  
Vol 319 ◽  
pp. 01051
Author(s):  
Amran Ibrahim ◽  
Karima El Rhazi ◽  
Bouchra Benazzouz ◽  
Sawson Mohammed
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Cancer Risk ◽  
Educational Level ◽  
Public Awareness ◽  
Process Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cancer Risk Factors ◽  
Fresh Vegetables

Cancer is the second biggest cause of premature death after cardiovascular diseases. However, the majority of cancers are caused by risk factors that may be changed. Knowledge is frequently a component of the behavior modification process. Data on the target population’s level of knowledge is required. A cross-sectional survey about nine risk factors for cancer was conducted in four areas in Yemen. The data was analyzed using spss statistics (version20). Among the (571) subjects who took part in the research. The majority of respondents agreed that active smoking, alcohol consumptions are cancer risk factors and physical activity as a preventive factor for developing cancer. However, fewer respondents agreed that passive smoking, lack of fresh vegetables and fruits, sun overexposure, obesity, air pollution in cities and indoor smoke, physical inactivity are cancer risk factors. Participants’ responses were shown to have a strong relationship with their educational level, residency, and gender. The higher the educational level and whenever the gender was male and residency urban the higher the probability that respondents identified cancer risk factors including smoking and physical activity as a preventive factor (p<0.0005). The findings show that this community has little knowledge of prevalent cancer risk factors.

scholarly journals Evaluation of a Newly Developed Smartphone App for Risk Factor Management in Young Patients With Ischemic Stroke: A Pilot Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Viktoria Fruhwirth ◽  
Lisa Berger ◽  
Thomas Gattringer ◽  
Simon Fandler-Höfler ◽  
Markus Kneihsl ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Intervention Group ◽  
Smoking Behavior ◽  
Smartphone App ◽  
Younger Patients ◽  
Risk Factor Management ◽  
Post Stroke

Background: Efficient treatment of modifiable vascular risk factors decreases reoccurrence of ischemic stroke, which is of uttermost importance in younger patients. In this longitudinal pilot study, we thus assessed the effect of a newly developed smartphone app for risk factor management in such a cohort.Methods: The app conveys key facts about stroke, provides motivational support for a healthy lifestyle, and a reminder function for medication intake and blood pressure measurement. Between January 2019 and February 2020, we consecutively invited patients with ischemic stroke aged between 18 and 55 years to participate. Patients in the intervention group used the app between hospital discharge and 3-month follow-up. The control group received standard clinical care. Modifiable risk factors (physical activity, nutrition, alcohol consumption, smoking behavior, obesity, and hypertension) were assessed during the initial hospital stay and at a dedicated stroke outpatient department three months post-stroke.Results: The study cohort comprised 21 patients in the app intervention group (62% male; age = 41 ± 11 years; education = 12 ± 3 years) and 21 sex-, age- and education-matched control patients with a comparable stroke risk factor profile. Baseline stroke severity was comparable between groups (intervention: median NIHSS = 3; control: median NIHSS = 4; p = 0.604). Three months post-stroke, patients in the intervention group reported to be physically almost twice as active (13 ± 9 h/week) compared to controls (7 ± 5 h/week; p = 0.022). More intense app usage was strongly associated with higher physical activity (r = 0.60, p = 0.005) and lower consumption of unhealthy food (r = −0.51, p = 0.023). Smoking behavior (p = 0.001) and hypertension (p = 0.003) improved in all patients. Patients in the intervention group described better self-reported health-related quality of life three months post-stroke (p = 0.003).Conclusions: Specifically designed app interventions can be an easily to implement and cost-efficient approach to promote a healthier lifestyle in younger patients with a stroke.

scholarly journals Risk Factors for Dysmotility, Acid Reflux Symptoms, and Overlap Using FSSG in Japan

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Seiji Shiota ◽  
Kazunari Murakami ◽  
Kunimitsu Inoue ◽  
Kyoko Yamamoto ◽  
Akiko Kuroda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Independent Risk Factor ◽  
Female Gender ◽  
Acid Reflux ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frequency Scale ◽  
Logistic Analysis ◽  
Reflux Symptoms

Aims. FSSG {frequency scale for the symptoms of gastroesophageal reflux disease (GERD)} was developed as a diagnostic tool for dysmotility and acid reflux symptoms. We first used FSSG to investigate the prevalence and risk factors for dysmotility and acid reflux symptoms and overlap of the two symptoms in a Japanese population. Methods. A cross-sectional survey was performed in Japanese underwent the routine medical examination. Dysmotility and acid reflux symptom were diagnosed by using FSSG. Subjects met both criteria were considered as overlap group. Results. Among 778 subjects, 395 persons were included in the final analyses. Dysmotility symptoms were found in 32.6% and acid reflux symptoms in 20.5%. Their overlap was found in 13.9% of all 395 subjects, which in 42.6% of dysmotility symptoms and 67.9% of acid reflux symptoms. Multiple logistic analysis showed that female gender was significantly associated with dysmotility symptoms compared with controls. Female gender, smoking, and hiatus hernia were significantly associated with overlap. Smoking was significantly associated with overlap compared with dysmotility symptoms alone and acid reflux symptoms alone. Conclusions. Overlap between dysmotility and acid reflux symptoms was common in Japan. Smoking was an independent risk factor for overlap among two symptoms.

scholarly journals Risk factors for resistance in urinary tract infections in women in general practice: A cross-sectional survey

2015 ◽  
Vol 71 (3) ◽  
pp. 302-311 ◽  
Author(s):  
Louise Rossignol ◽  
Sylvie Maugat ◽  
Alexandre Blake ◽  
Sophie Vaux ◽  
Beate Heym ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Practice ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tract Infections

scholarly journals CEREBRAL INFARCTION;

2017 ◽  
Vol 24 (10) ◽  
pp. 1484-1488
Author(s):  
Muhammad Adnan Sarwar ◽  
Huma Muzaffar ◽  
Shakeel Ahmad
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Atrial Fibrillation ◽  
Risk Factor ◽  
Heart Disease ◽  
Cerebral Infarction ◽  
Cross Sectional Survey ◽  
Common Risk Factor ◽  
Cross Sectional ◽  
Medical College

Objectives: To determine the frequency of different risk factors among patientsof stroke due to cerebral infarction. Study Design: Descriptive cross sectional survey. Setting:Punjab Medical College and affiliated hospitals (Allied Hospital and DHQ), Faisalabad. Durationwith Dates: Six months from June 2006 to November 2006. Methods: This was a crosssectional survey that included 195 patients with stroke due to cerebral infarction. The mainoutcome variable was frequency of different risk factors which were described as frequencydistribution table. Results: Hypertension was seen among 142 (73%) patients, followed bydiabetes mellitus in 83 42.5% patients, ischemic heart disease in 74 (38%) patients, smokingin 59 (30.3%) patients, obesity in 53(27%) patients, atrial fibrillation in 43 (22%) patients anddyslipidemia in 23 (11.8%). Conclusion: Hypertension is the most common risk factor followedby diabetes mellitus associated with stroke due to cerebral infarction.

scholarly journals FAKTOR RISIKO KEGEMUKAN PADA WANITA DEWASA INDONESIA

2013 ◽  
Vol 8 (1) ◽  
pp. 1 ◽  
Author(s):  
Rian Diana ◽  
Indah Yuliana ◽  
Ghaida Yasmin ◽  
Hardinsyah Hardinsyah
Keyword(s):  
Physical Activity ◽  
Higher Education ◽  
Risk Factors ◽  
Logistic Regression ◽  
Household Income ◽  
Significant Risk ◽  
Education Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Overweight Women

This study was aimed to analyze risk factors of overweight women aged 19—55 years in Indonesia. This study used electronic files data of the National Basic Health Research 2010 from Ministry of Health, which was designed as a cross sectional survey. A total of 57,167 women aged 19—55 years were selected for the analysis. A logistic regression was applied to analyze risk factors of overweight. The result showed that 29.4% of subjects were overweight (including obese). The significant risk factors (p&lt;0.05) of overweight among subjects were marital status (OR for married=2.712; 95%CI:2.559—2.875), household income (OR for high income=1.566; 95%CI:1.504—1.631), living settlement (OR for urban=1.358; 95%CI:1.304—1.413), physical activity (OR for sedentary=1.213; 95%CI:1.153—1.275), energy from carbohydrate (EAC) (OR for EAC≥55%=1.119; 95%CI:1.067—1.173), and energy from sugary sweetened foods (ESF) (OR for ESF≥10%=1.100; 95%CI:1.037—1.166). Education level (OR for higher education=0.817; 95%CI:0.782—0.853) was a protective factors for overweight. This implies the importance of promoting physical activity and healthy diet, especially with sugary sweetened foods and adequate energy from carbohydrate, for preventing and controlling overweight among Indonesian adults especially women.

scholarly journals ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STROKE DI RSUD INDRAMAYU

2017 ◽  
Vol 2 (2) ◽  
pp. 65
Author(s):  
Wayunah Wayunah ◽  
Muhammad Saefulloh
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Risk Factor ◽  
Blood Vessels ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Consecutive Sampling ◽  
The Brain

ABSTRAKStroke merupakan penyakit neurologik yeng terjadi karena gangguan suplai darah menuju suatu bagian otak. Angka kejadian stroke meningkat seiring dengan bertambahnya usia, semakin tinggi usia seseorang semakin tinggi kemungkinan terjadi stroke. Menurut penyebabnya stroke dibagi dua yaitu stroke hemoragik akibat pecahnya pembuluh darah otak dan stroke iskemik (stroke non hemoragik) akibat adanya trombus atau embolus pada pembuluh darah otak. Banyak faktor yang menyebabkan stroke, yang terdiri dari faktor yang tidak dapat diubah dan faktor yang dapat diubah. Tujuan  penelitian untuk mengidentifikasi dan menjelaskan faktor risiko yang berhubungan dengan kejadian stroke. Penelitian ini merupakan penelitian observasonal analitik dengan rancangan cross sectional study. Sampel sebanyak 103 responden yang diambil dengan tehnik consecutive sampling. Hasil penelitian menunjukkan ada hubungan yang signifikan antara hipertensi (p = 0,035) dan aktivitas fisik (p = 0,011) dengan jenis stroke. Aktivitas fisik merupakan faktor risiko paling dominan yang berhubungan dengan jenis stroke dengan OR = 5,8. Penelitian ini menyimpulkan riwayat hipertensi dan aktivitas fisik merupakan faktor risiko independen yang berhubungan dengan jenis stroke. Rekomendasi dari penelitian ini ditujukan kepada rumah sakit untuk meningkatkan kegiatan penyuluhan untuk mencegah faktor risiko terjadinya stroke. Selain itu meningkatkan peran perawat dalam  pemberian pelayanan keperawatan, dimana perawat memfokuskan asuhan pada kebutuhan kesehatan pasien secara holistik.ABSTRACT Stroke is a neurological disease that occurs due to disruption of the blood supply to a part of the brain. The incidence of stroke increases with age, that the older the person the possibility of stroke. According to the cause of stroke divided into two hemorrhagic stroke due to rupture of blood vessels of the brain and ischemic stroke (stroke non hemoragik) due to thrombus or embolus in the blood vessels of the brain. Many factors cause a stroke, which consists of factors that can not be changed and the factors that can be changed. The aim of research to identify and explain the risk factors associated with the occurrence of stroke.This research is an analytic observational study with cross sectional study. The sample of this study as many as 103 respondents is taken with consecutive sampling technique. The results showed significant relationship between hypertension (p = 0,035) and physical activity (p = 0.011) with the type of stroke. Physical activity is the predominant risk factor associated with this type of stroke with OR = 5.8. The study concluded a history of hypertension and physical inactivity is an independent risk factor associated with this type of stroke. Recommendations from this study aimed to hospitals to improve education activities to prevent risk factors for stroke. Besides increasing the role of nurses in the delivery of nursing services, where nurses care focuses on the health needs of patients holistically.

Sign in / Sign up

Export Citation Format

Share Document