scholarly journals Prevalence of Mental Health Disorders among Elderly Diabetics and Associated Risk Factors in Indonesia

Author(s):  
Mahalul Azam ◽  
Rina Sulistiana ◽  
Arulita Ika Fibriana ◽  
Soesmeyka Savitri ◽  
Syed Mohamed Al Junid

AbstractThis cross-sectional study aimed to explore the prevalence of mental health disorders (MHD) among elderly diabetics in Indonesia and their associated risk factors. Data were extracted from the 2018 national basic health survey, Indonesia (abbreviated as the acronym of RISKESDAS). The survey involved households randomly selected from 34 provinces, 416 districts, and 98 cities in Indonesia, with 1,017,290 respondents. The number of subjects selected in this study was 2,818 elderly diabetic subjects. MHD was determined by self-reporting assessment. Secondary data acquired from the RISKESDAS 2018 data involved age, sex, urban-rural residence status, marital status, educational level, employment status, obesity, hypertension, heart disease, stroke, family history of MHD, and duration of DM. Binary logistic regression was used to analyze the risk factors related to MHD among elderly diabetics. Prevalence of MHD among elderly diabetics in Indonesia was 19.3%. Factors associated with MHD among elderly diabetics were obesity (prevalence odds ratio [POR]=4.57; 95% CI: 3.312-6.297), family history of MHD (POR=2.43; 95% CI: 1.707-3.471), lower education (POR=1.93; 95% CI: 1.464-2.533), stroke (POR=1.76; 95% CI: 1.292-2.384), hypertension (POR=1.74; 95% CI: 1.416-2.145), heart diseases (POR=1.49; 95% CI: 1.123-1.973), female (POR=1.43; 95% CI: 1.122-1.813), and urban residence (POR=0.75; 95% CI: 0.607-1.183). The prevalence of MHD among elderly diabetics in Indonesia was 19.3%, suggesting that screening for psychological problems and educating elderly diabetic patients is essential. Obesity, family history of MHD, lower education, stroke, hypertension, heart disease, female, and rural residence altogether more likely to experience MHD in elderly diabetics.

Author(s):  
Piotr Długosz

Objective The study aims to investigate the risk factors of bad psychosomatic health among students in quarantine during the first wave of the COVID-19 pandemic. Method:The survey was conducted on-line, on a sample of 1,978 respondents in Poland. The study was carried out by the end of the summer semester. The questionnaire was designed in a way which allows for the observation of main risk factors which have impact on the students’ mental health. The variance analysis and the hierarchical regression analysis were used to determine the predictors of mental health. Results:The results indicate that average and high levels of psychosomatic disorders were observed among 61% of respondents. The hierarchical regression analysis has revealed that the main factors influencing the level of mental health disorders were educational burnout, satisfaction with life, strategies for coping with stress and gender. As indicated by the respondents, mental health disorders increase in tandem with educational burnout, the application of emotion-focused coping strategies and the lack of satisfaction with one’s life. Moreover, it was observed that female respondents scored higher on the scale of disorders in comparison to males. Conclusions:The results of research indicate that distance education and negative coping strategies are the main risk factors of mental health disorders among students during the pandemic.


2020 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Deviana Widayanti ◽  
Chatarina Setya Widyastuti

Background: Coronary Heart Disease (CHD) Is a condition when the arteries that supply blood to the heart wall experience hardening and narrowing. It is estimated that 30% of coronary heart disease causes death worldwide. Objective: This study aims to determine the risk factors for CHD in Panti Rapih Hospital. Methods: This descriptive study aims to determine the risk factors for CHD in outpatients at Panti Rapih Hospital. The population is patients who have been diagnosed with coronary heart disease and the sample was taken by 50 respondents with non-random accidental sampling technique. This research take the data use questionnaire and make univariat analysis. Results: Risk factors for CHD are a number of factors that cannot be changed: family history of 42%, age = 40 years 95% in men and 95% age = 65 years in women. Factors that can be changed are: Smoking 78%, history of hypertension 68%, history of diabetes mellitus 28%, dyslipidemic 90%, excess body weight42% and lack of exercise 38%. Conclusion: Risk factors for CHD that cannot be changed: family history of 42%, age = 40 years 95% in men and 95% age = 65 years in women. Factors that can be changed are: Smoking 78%, history of hypertension 68%, history of diabetes mellitus 28%, dyslipidemic 90%, excess body weight 42% and lack of exercise 38%.     Keywords: coronary heart disease, risk factors


2017 ◽  
Vol 1 ◽  
pp. 73-82
Author(s):  
Naresh Manandhar

Background: Hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiologies. Males have slightly higher prevalence than female in most of countries of Southeast-Asian region.Objective: The objective of study is to find out prevalence and the risk factors of hypertension at Sipaghat, Sindhulchowk, Nepal.Materials and Methods: A cross-sectional study was conducted at Sipaghat of Sindhupalchowk district in May 2016 and 260 persons were selected randomly. Results: The prevalence of hypertension was higher in male (25.4%) than female (17.4%). Mean age of study population was 42.08 years with standard deviation, 15.95 years. Variables namely age group, smoking, alcohol consumption and family history of hypertension were found to be significant at 5 percent level of significance. Alcohol consumption and smokers have more than two times higher chance of getting hypertension compared to alcohol non-consumer and nonsmoker with 95% confidence intervals were 1.08-4.80 and 1.21-6.10, respectively. Persons with family history of hypertension have 3.8 times more chance of getting hypertension compared to no family history of hypertension with 1.89-7.61 of 95% confidence interval.Conclusion: Lifestyle modification reduces blood pressure which prevents or delays the incidence of hypertension. Hypertension can be controlled and prevented by modifying the lifestyle. People should be advised to avoid modifiable risk factors of hypertension like smoking, consumption of alcohol and physical inactivity through health education programs.Nepalese Journal of Statistics, 2017, Vol. 1, 73-82


1996 ◽  
Vol 17 (3) ◽  
pp. 94-97
Author(s):  
Thomas J. Starc ◽  
Richard J. Deckelbaum

For many adults, the risk of atherosclerosis can be reduced by intervention and treatment of known risk factors. Direct proof that similar intervention will be effective in children is not available. However, evidence suggests that prevention beginning in childhood will lead to a decrease in incidence of heart disease later in life. The majority of families are eager to take steps to prevent heart disease in their children, especially if there is a family history of early heart disease. It is the role of the pediatrician to identify those children at risk for early heart disease and to initiate advice on reducing risk factors.


SLEEP ◽  
2013 ◽  
Vol 36 (7) ◽  
pp. 1009-1018 ◽  
Author(s):  
Philip Gehrman ◽  
Amber D. Seelig ◽  
Isabel G. Jacobson ◽  
Edward J. Boyko ◽  
Tomoko I. Hooper ◽  
...  

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