How does autonomy of women influence maternal high-risk fertility? Evidence from a nationwide cross-sectional survey in Bangladesh

SummaryThe degree of thromboprophylaxis in medical outpatients is low despite a substantial risk for venous thromboembolism (VTE). This may be attributable to difficulties in assessing risk. Assessment tools like the Haas’ scorecard aid in determining the need for thromboprophylaxis. We aimed at evaluating how the use of this tool may aid physicians in appropriately using anticoagulants. This was an epidemiological, cross-sectional survey of acute medically ill patients with limited mobility treated by general practitioners and internists. Risk assessment for VTE by the treating physician was compared to calculated risk. Of 8,123 patients evaluated between August 2006 and April 2008, 7,271 fulfilled the in- and exclusion criteria. Mean age was 69.4 ± 13.6 years, and 45.2% were male. Of these 82.8% were high risk based on their acute medical condition, 37.9% based on their underlying chronic condition. Immobilisation, heart failure, pneumonia, age, obesity, and major varicosis were the most frequently encountered risk factors. The agreement between the Haas’ scorecard and physician indicated risk was high. At least 94.1% of patients with high risk received adequate anticoagulation mostly as low molecular weight heparins for a mean duration of 15.1 ± 30.5 days. There is a substantial risk for VTE in medical out-patients. Using a simple structured scorecard resulted in an overall appropriate risk assessment and high degree of anticoagulation. The scorecard may provide a tool to improve the overall awareness for VTE risk in medical outpatients, substantially improving the degree of prophylaxis in a patient population with largely underestimated risk.

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The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana

Journal of Sexually Transmitted Diseases ◽

10.1155/2017/8642685 ◽

2017 ◽

Vol 2017 ◽

pp. 1-12 ◽

Cited By ~ 4

Author(s):

Martha Ali Abdulai ◽

Frank Baiden ◽

Samuel Afari-Asiedu ◽

Lawrence Gyabaa-Febir ◽

Kwame Kesse Adjei ◽

...

Keyword(s):

High Risk ◽

Condom Use ◽

Pregnant Women ◽

Sexually Transmitted Infection ◽

Secondary Analysis ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted

Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women’s ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was 26.0±5.9 years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1–4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1–0.73), and partner’s approval of condom use (OR = 0.2, 95% CI: 0.01–0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5–5.7); p=0.001) and marital status (engaged, OR 2.6 (1.5–4.5); p=0.001) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner’s approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.

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Malaria in pregnancy in rural Gabon: a cross-sectional survey on the impact of seasonality in high-risk groups

Malaria Journal ◽

10.1186/1475-2875-12-412 ◽

2013 ◽

Vol 12 (1) ◽

pp. 412 ◽

Cited By ~ 9

Author(s):

Mario J Jäckle ◽

Christian G Blumentrath ◽

Rella M Zoleko ◽

Daisy Akerey-Diop ◽

Jean-Rodolphe Mackanga ◽

...

Keyword(s):

High Risk ◽

Risk Groups ◽

Malaria In Pregnancy ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Impact ◽

In Pregnancy

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WORK-RELATED STRESS, PERSONAL RESOURCES AND MENTAL HEALTH IN HIGH RISK PROFESSIONS: CROSS-SECTIONAL SURVEY

Psychological Applications and Trends 2020 ◽

10.36315/2020inpact047 ◽

2020 ◽

Author(s):

Martina Chylova ◽

◽

Jana Nezkusilova ◽

Livia Pestova ◽

Monika Seilerova ◽

...

Keyword(s):

Mental Health ◽

High Risk ◽

Personal Resources ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Work Related Stress ◽

Work Related ◽

Related Stress

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Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China

10.21203/rs.2.17357/v4 ◽

2019 ◽

Author(s):

Xingyang Yi ◽

Hua Luo ◽

Ju Zhou ◽

Ming Yu ◽

Xiaorong Chen ◽

...

Keyword(s):

Risk Factors ◽

Family History ◽

High Risk ◽

Population Attributable Risk ◽

Southwestern China ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stroke Population ◽

History Of ◽

Lack Of Exercise

Abstract Background: Stroke and its risk factors epidemiological survey can help identify individuals at higher risk and therefore promote stroke prevention strategies. The aim of this study was to estimate the current prevalence of stroke and high risk stroke population, and evaluate stroke associated risk factors in southwestern China. Methods: This was a multi-center, cross sectional survey in southwestern China from May 2015 to September 2015. The 8 communities were selected at random, and 17413 residents aged ≥ 40 years volunteered to participate in this survey. Data were collected through face-to-face survey using a structured questionnaire. 521 participants with incomplete questionnaires on stroke history or risk factors records were excluded. Results: A total of 16892 people included in analysis. The overall prevalence of stroke was 3.1% (95% CI 2.6% - 3.9%), 17.1% of participants were the high risk stroke population. After full adjustments, hypertension, diabetes, dyslipidemia, overweight, lack of exercise and family history of stroke were significantly associated with overall stroke and ischemic stroke. The largest contributor was hypertension (population-attributable risk 23.6%), followed by dyslipidemia, physical inactivity, family history of stroke, diabetes, and overweight. However, only hypertension (OR = 3.66, 95% CI 1.82-8.23) was significantly associated with hemorrhagic stroke. Conclusions: The prevalence of stroke and high risk stroke population was high among adults aged ≥ 40 years in southwestern China. Hypertension, dyslipidemia and lack of exercise were stronger contributors for stroke, these findings suggest that individual-level and population-level interventions for these leading risk factors are necessary to prevent stroke.

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Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China

BMC Neurology ◽

10.1186/s12883-019-1592-z ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 4

Author(s):

Xingyang Yi ◽

Hua Luo ◽

Ju Zhou ◽

Ming Yu ◽

Xiaorong Chen ◽

...

Keyword(s):

Risk Factors ◽

Family History ◽

High Risk ◽

Population Attributable Risk ◽

Southwestern China ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stroke Population ◽

History Of ◽

Lack Of Exercise

Abstract Background Stroke and its risk factors epidemiological survey can help identify individuals at higher risk and therefore promote stroke prevention strategies. The aim of this study was to estimate the current prevalence of stroke and high risk stroke population, and evaluate stroke associated risk factors in southwestern China. Methods This was a multi-center, cross sectional survey in southwestern China from May 2015 to September 2015. The eight communities were selected at random, and 17,413 residents aged ≥40 years volunteered to participate in this survey. Data were collected through face-to-face survey using a structured questionnaire. Five hundred twenty-one participants with incomplete questionnaires on stroke history or risk factors records were excluded. Results A total of 16,892 people included in analysis. The overall prevalence of stroke was 3.1% (95% CI 2.6–3.9%), 17.1% of participants were the high risk stroke population. After full adjustments, hypertension, diabetes, dyslipidemia, overweight, lack of exercise and family history of stroke were significantly associated with overall stroke and ischemic stroke. The largest contributor was hypertension (population-attributable risk 23.6%), followed by dyslipidemia, physical inactivity, family history of stroke, diabetes, and overweight. However, only hypertension (OR = 3.66, 95% CI 1.82–8.23) was significantly associated with hemorrhagic stroke. Conclusions The prevalence of stroke and high risk stroke population was high among adults aged ≥40 years in southwestern China. Hypertension, dyslipidemia and lack of exercise were stronger contributors for stroke, these findings suggest that individual-level and population-level interventions for these leading risk factors are necessary to prevent stroke.

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Smartphone Addiction and Anxiety in Adolescents – A Cross-sectional Study

American Journal of Health Behavior ◽

10.5993/ajhb.45.5.9 ◽

2021 ◽

Vol 45 (5) ◽

pp. 895-901

Author(s):

Kitai Kim ◽

Jeong Yee ◽

Jee Eun Chung ◽

Hyun Jeong Kim ◽

Ji Min Han ◽

...

Keyword(s):

At Risk ◽

High Risk ◽

Psychological Health ◽

Well Being ◽

Anxiety Scale ◽

Survey Method ◽

Smartphone Addiction ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Addiction Risk

Objectives: The overuse of smartphones affects physical, social, and psychological well-being. However, research on smartphone addiction and anxiety disorders is scarce. Therefore, the objective of this study was to investigate the association between anxiety and smartphone addiction risk in Korean adolescents. Methods: This study used a cross-sectional survey method. We used the Revised Children's Manifest Anxiety Scale to assess anxiety symptoms and we used the Korean Smartphone Addiction Proneness Scale index to evaluate the degree of high-risk or at-risk for smartphone addiction. Results: Analyses were performed for 1733 adolescents, including 771 boys and 962 girls. The high-risk or at-risk group for smartphone addiction accounted for 20.1% (p < .0001). Total anxiety scale score, as well as physiological anxiety, oversensitivity, and social concern categories were statistically different among levels of smartphone addiction risk (all ps < .0001). Multivariate analysis showed that poor self-reported health level, higher risk of smartphone addiction, having fewer close friends, caffeine drink consumption, female sex, and alcohol use were associated with greater anxiety. Conclusions: Management of smartphone addiction seems to be essential for proper psychological health. There is an urgent need to develop a way to prevent smartphone addiction on a social level.

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