Association of workplace and population characteristics with prevalence of hypertension among Brazilian industry workers: a multilevel analysis

BackgroundExposure to risk factors for hypertension may be influenced by the characteristics of the workplace, where workers spend most of their daily time.ObjectivesTo evaluate the association between features of the companies, particularly the presence of facilities to provide meals, and of population characteristics and the prevalence of hypertension, taking into account individual risk factors for hypertension.Material and methodsThis multilevel analysis was based on a cross-sectional study with individual and company data from the SESI(Serviço Social da Indústria–Social Service of Industries)study and population-based data from the national census statistics. Workers aged ≥15 years were randomly selected from small (20–99), medium (100–499) and large (≥500 employees) companies per state using multistage sampling. Logistic regression was used to analyse the association between hypertension and individual, workplace and population variables, with odds ratios (ORs; 95% CI) adjusted for three-level variables.Results4818 Workers from 157 companies were interviewed and their blood pressure, weight and height were measured. Overall, 77% were men, aged 35.4 ±10.7 years, with 8.7 ±4.1 years of schooling and mostly worked in companies with a staff canteen (66%). Besides individual characteristics—being male, ageing, low schooling, alcohol abuse and higher BMI—a workplace with no staff canteen (OR=1.28; 95% CI 1.08 to 1.52), small companies (OR=1.31; 95% CI 1.07 to 1.60) and living in cities with higher economic inequality (OR=1.47; 95% CI 1.23 to 1.76) were associated with a higher risk for hypertension.ConclusionAmong Brazilian workers, the prevalence of hypertension is associated with individual risk factors, lack of a canteen at the workplace, small companies and higher economic inequalities of cities. These three-level characteristics help to interpret differences in the prevalence of hypertension between regions or countries.

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Prevalence of asymptomatic visceral leishmaniasis in human and dog, Benishangul Gumuz regional state, Western Ethiopia

10.21203/rs.3.rs-55596/v2 ◽

2020 ◽

Author(s):

Shibabaw Bejano ◽

Girma Shumie ◽

Ashwani Kumar ◽

Eyuel Asemahagn ◽

Demekech Damte ◽

...

Keyword(s):

Risk Factors ◽

Large Scale ◽

Positive Association ◽

Cross Sectional Study ◽

Individual Risk ◽

Cross Sectional ◽

Strong Positive Association ◽

Individual Risk Factors ◽

Benishangul Gumuz Region ◽

Epidemiological Information

Abstract Background: Benishangul-Gumuz region is an important development corridor in Ethiopia. The large-scale projects; the great renaissance dam, mining and agriculture entailed huge environmental modification and settlement pattern changes. Detail epidemiological information of VL in the region is unknown. Materials and Methods: A cross sectional study to assess the epidemiology and risk factors associated with Leishmania infection. Leishmanin skin test (LST) was done for 1342 participants, and for 253 of them rK39 and DAT were done. Thirty-six dogs owned by households with LST positive member(s) were rK39 and DAT tested. A pretested questionnaire was used to capture individual and household characteristics. Results: Of the 89.2% (1197/1342) who availed themselves for LST reading 6.0% were positive. The rk39 and DAT positivity among the 253 tested were 3.2% and 5.9% respectively. In dogs, positivity rates by rK39 and DAT were 13.9% and 5.6% respectively. Of the household and individual risk factors presence of dog in household (P=0.005), male sex (0.003), residence woreda (0.000) and occupation (0.023) showed a strong positive association with LST positivity. Individuals who lived in household who owned dogs were 2.6 times more likely to be LST positive (AOR = 2.6; 95%CI= 1.54, 4.40). Being female decreased by 0.38 times the probability of being LST positive (AOR = 0.38; 95%CI= 0.20, 0.72). Living in Guba and Kurmuk has 4.7 (AOR=4.74, 95% CI 1.83, 12.31) and 5.9 (AOR=5.85, 95%CI 2.27, 15.09) times more risk of being infected. Conclusions: We demonstrated presence of active VL transmission in the areas. Thus, we underline the need to establish the responsible vector(s) and reservoir(s) for comprehensive early containment plan to prevent potentially harmful public health and economic consequence.

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Distribution of short and lifetime risks for cardiovascular disease in Italians

European Journal of Preventive Cardiology ◽

10.1177/1741826711410820 ◽

2011 ◽

Vol 19 (4) ◽

pp. 723-730 ◽

Cited By ~ 44

Author(s):

Augusto Di Castelnuovo ◽

Simona Costanzo ◽

Mariarosaria Persichillo ◽

Marco Olivieri ◽

Amalia de Curtis ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Primary Prevention ◽

Population Based ◽

Lifetime Risk ◽

Individual Risk ◽

Cvd Risk ◽

Cross Sectional ◽

Individual Risk Factors ◽

Short Time

Background: Guidelines for primary prevention recommend calculation of lifetime risk for cardiovascular disease (CVD) in addition to short-time risk. We aimed at evaluating the distribution of CVD lifetime risk and the percentage of Italians having low short-term, but high lifetime, risk. Design: Cross-sectional general population-based cohort study. Methods: We included 8,403 (46% men) cardiovascular disease-free individuals aged 35–50 years, among those randomly recruited in the framework of the MOLI-SANI cohort. Participants were stratified into three groups: low short-time (10-year) (≤3% and non diabetic)/low lifetime, low short-time/high lifetime, and high short-time risk. Short-time risk was evaluated by the equation provided by the Italian CUORE project. Lifetime risk was evaluated using the algorithm derived from the Framingham cohort. Results: High short-time risk was prevalent in 16% population (32% of men and 2% of women). Among individuals with low short-time risk, 80% had high lifetime risk (82% men and 78% women). The proportion of individuals with very low lifetime risk due to all optimal risk factors was 4.1% only (1.5% men and 6.3% women). Conclusions: A large proportion of Italian adults not qualified for CVD primary prevention because of their very low short-time predicted CVD risk, are in fact at high risk to develop a CVD event in their lifetime; therefore population-based approaches should be sought to modify the overall distribution of individual risk factors. These findings offer helpful information for policy makers involved in contrasting the burden of CVD, especially in women and young men.

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Clustering of Risk Factors for Noncommunicable Diseases in Brazilian Adolescents: Prevalence and Correlates

Journal of Physical Activity and Health ◽

10.1123/jpah.2012-0247 ◽

2014 ◽

Vol 11 (5) ◽

pp. 942-949 ◽

Cited By ~ 16

Author(s):

Felipe Vogt Cureau ◽

Paola Duarte ◽

Daniela Lopes dos Santos ◽

Felipe Fossati Reichert

Keyword(s):

Risk Factors ◽

Physical Inactivity ◽

Multinomial Logistic Regression ◽

Cross Sectional Study ◽

Noncommunicable Diseases ◽

Individual Risk ◽

Cross Sectional ◽

Multiple Risk Factors ◽

Individual Risk Factors ◽

Clustering Of Risk Factors

Background:Few studies have investigated the prevalence and correlates of risk factors for noncommunicable diseases among Brazilian adolescents. We evaluated the clustering of risk factors and their associations with sociodemographic variables.Methods:We used a cross-sectional study carried out in 2011 comprising 1132 students aged 14–19 years from Santa Maria, Brazil. The cluster index was created as the sum of the risk factors. For the correlates analysis, a multinomial logistic regression was used. Furthermore, the observed/expected ratio was calculated.Results:Prevalence of individual risk factors studied was as follows: 85.8% unhealthy diets, 53.5% physical inactivity, 31.3% elevated blood pressure, 23.9% overweight, 22.3% excessive drinking alcohol, and 8.6% smoking. Only 2.8% of the adolescents did not present any risk factor, while 21.7%, 40.9%, 23.1%, and 11.5% presented 1, 2, 3, and 4 or more risk factors, respectively. The most prevalent combination was between unhealthy diets and physical inactivity (observed/expected ratio =1.32; 95% CI: 1.16–1.49). Clustering of risk factors was directly associated with age and inversely associated with socioeconomic status.Conclusions:Clustering of risk factors for noncommunicable diseases is high in Brazilian adolescents. Preventive strategies are more likely to be successful if focusing on multiple risk factors, instead of a single one.

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Do pregnant women living in higher well-being populations in the USA experience lower risk of preterm delivery? A cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-024143 ◽

2019 ◽

Vol 9 (4) ◽

pp. e024143 ◽

Cited By ~ 1

Author(s):

Carley Riley ◽

Brita Roy ◽

Jeph Herrin ◽

Erica Spatz ◽

Mark T Silvestri ◽

...

Keyword(s):

Risk Factors ◽

Preterm Birth ◽

Preterm Delivery ◽

Well Being ◽

Cross Sectional Study ◽

Individual Risk ◽

Sectional Study ◽

Cross Sectional ◽

Maternal Risk ◽

Individual Risk Factors

ObjectiveTo determine if preterm birth, defined as gestational age <37 weeks, is lower for women living in counties with higher well-being, after accounting for known individual risk factors.DesignCross-sectional study of all US births in 2011.ParticipantsWe obtained birth data from the National Center for Health Statistics which included 3 938 985 individuals.Main outcomes measuresPrimary outcome measure was maternal risk of preterm delivery by county; primary independent variable was county-level well-being as measured by the Gallup-Sharecare Well-Being Index (WBI).ResultsWomen living in counties with higher population well-being had a lower rate of preterm delivery. The rate of preterm birth in counties in the lowest WBI quintile was 13.1%, while the rate of preterm birth in counties in the highest WBI quintile was 10.9%. In the model adjusted for maternal risk factors (age, race, Hispanic ethnicity, smoking status, timing of initiation of prenatal visits, multiparity, maternal insurance payer), the association was slightly attenuated with an absolute difference of 1.9% (95% CI 1.7% to 2.1%; p<0.001).ConclusionsPregnant women who live in areas with higher population well-being have lower risk of preterm birth, even after accounting for individual risk factors.

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Prevalence of Asymptomatic Visceral Leishmaniasis in Human and Dog, Benishangul Gumuz Regional State, Western Ethiopia

10.21203/rs.3.rs-55596/v1 ◽

2020 ◽

Author(s):

Shibabaw Bejano ◽

Girma Shumie ◽

Ashwani Kumar ◽

Eyuel Asemahagn ◽

Demekech Damte ◽

...

Keyword(s):

Risk Factors ◽

Large Scale ◽

Positive Association ◽

Cross Sectional Study ◽

Individual Risk ◽

Cross Sectional ◽

Strong Positive Association ◽

Individual Risk Factors ◽

Benishangul Gumuz Region ◽

Epidemiological Information

Abstract Background Benishangul-Gumuz region is an important development corridor in Ethiopia. The large-scale projects; the great renaissance dam, mining and agriculture entailed huge environmental modification and settlement pattern changes. Detail epidemiological information of VL in the region is unknown. Materials and Methods A cross sectional study to assess the epidemiology and risk factors associated with asymptomatic VL. Leishmanin skin test (LST) was done for 1342 participants, and for 253 of them rK39 and DAT were done. Thirty-six dogs owned by households with LST positive member(s) were rK39 and DAT tested. A pretested questionnaire was used to capture individual and household characteristics. Results Of the 89.2% (1197/1342) who availed themselves for LST reading 6.0% were positive. The rk39 and DAT positivity among the 253 tested were 3.2% and 5.9% respectively. In dogs, positivity rates by rK39 and DAT were 13.9% and 5.6% respectively. Of the household and individual risk factors presence of dog in household (P = 0.005), male sex (0.003), residence woreda (0.000) and occupation (0.023) showed a strong positive association with LST positivity. Individuals who lived in household who owned dogs were 2.6 times more likely to be LST positive (AOR = 2.6; 95%CI = 1.54, 4.40). Being female decreased by 0.38 times the probability of being LST positive (AOR = 0.38; 95%CI = 0.20, 0.72). Living in Guba and Kurmuk has 4.7 (AOR = 4.74, 95% CI 1.83, 12.31) and 5.9 (AOR = 5.85, 95%CI 2.27, 15.09) times more risk of being infected. Conclusions We demonstrated presence of active VL transmission in the areas. Thus, we underline the need to establish the responsible vector(s) and reservoir(s) for comprehensive early containment plan to prevent potentially harmful public health and economic consequence.

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Individual risk factors of metabolic syndrome in adult patients with GH deficiency: a cross-sectional case-control study

Endocrine Abstracts ◽

10.1530/endoabs.35.p939 ◽

2014 ◽

Author(s):

Ivayla Uzunova ◽

Georgi Kirilov ◽

Sabina Zacharieva ◽

Alexander Shinkov ◽

Anna-Maria Borissova ◽

...

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Case Control Study ◽

Gh Deficiency ◽

Case Control ◽

Adult Patients ◽

Individual Risk ◽

Cross Sectional ◽

Individual Risk Factors ◽

Control Study

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Prevalence and risk factors of Helicobacter pylori infection in Wuwei, a high‐risk area for gastric cancer in northwest China: An all‐ages population‐based cross‐sectional study

Helicobacter ◽

10.1111/hel.12810 ◽

2021 ◽

Author(s):

Xiaofeng Wang ◽

Xiaochuang Shu ◽

Qiang Li ◽

Youpeng Li ◽

Zhaofeng Chen ◽

...

Keyword(s):

Risk Factors ◽

Gastric Cancer ◽

Helicobacter Pylori ◽

Northwest China ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Risk Area ◽

Cross Sectional ◽

High Risk Area

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The characteristics and risk factors of human papillomavirus infection: an outpatient population-based study in Changsha, Hunan

Scientific Reports ◽

10.1038/s41598-021-94635-1 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Bingsi Gao ◽

Yu-Ligh Liou ◽

Yang Yu ◽

Lingxiao Zou ◽

Waixing Li ◽

...

Keyword(s):

Risk Factors ◽

Protective Factor ◽

Hpv Infection ◽

Population Based ◽

Cross Sectional Study ◽

Categorical Variables ◽

Chi Square ◽

Cross Sectional ◽

Hpv Dna ◽

Test Kit

AbstractThis cross-sectional study investigated the characteristics of cervical HPV infection in Changsha area and explored the influence of Candida vaginitis on this infection. From 11 August 2017 to 11 September 2018, 12,628 outpatient participants ranged from 19 to 84 years old were enrolled and analyzed. HPV DNA was amplified and tested by HPV GenoArray Test Kit. The vaginal ecology was detected by microscopic and biochemistry examinations. The diagnosis of Candida vaginitis was based on microscopic examination (spores, and/or hypha) and biochemical testing (galactosidase) for vaginal discharge by experts. Statistical analyses were performed using SAS 9.4. Continuous and categorical variables were analyzed by t-tests and by Chi-square tests, respectively. HPV infection risk factors were analyzed using multivariate logistic regression. Of the total number of participants, 1753 were infected with HPV (13.88%). Females aged ≥ 40 to < 50 years constituted the largest population of HPV-infected females (31.26%). The top 5 HPV subtypes affecting this population of 1753 infected females were the following: HPV-52 (28.01%), HPV-58 (14.83%), CP8304 (11.47%), HPV-53 (10.84%), and HPV-39 (9.64%). Age (OR 1.01; 95% CI 1–1.01; P < 0.05) and alcohol consumption (OR 1.30; 95% CI 1.09–1.56; P < 0.01) were found to be risk factors for HPV infection. However, the presence of Candida in the vaginal flora was found to be a protective factor against HPV infection (OR 0.62; 95% CI 0.48–0.8; P < 0.001). Comparing with our previous study of 2016, we conclude that the subtype distribution of HPV infection is relatively constant in Changsha. Our data suggest a negative correlation between vaginal Candida and HPV, however, more radical HPV management is required in this area for perimenopausal women and those who regularly consume alcohol.

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Gender-specific physical activity-related injuries and risk factors among university students in China: a multicentre population-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-040865 ◽

2020 ◽

Vol 10 (12) ◽

pp. e040865

Author(s):

Weicong Cai ◽

Shangmin Chen ◽

Liping Li ◽

Pengying Yue ◽

Xiaofan Yu ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

University Students ◽

Leisure Time ◽

Population Based ◽

Cross Sectional Study ◽

Cross Sectional ◽

The Past ◽

Chinese University ◽

Gender Specific

ObjectivesData on the problem of physical activity-related injury (PARI) in university students and the risk factors for PARI among different genders are rare. We conducted a multicentre population-based study to investigate the occurrence of PARI and to explore the gender-specific risk factors for PARI among Chinese university students.DesignCross-sectional study.ParticipantsA total of 5341 students in grades 1–3 at eight universities in four Chinese cities were selected to complete the online questionnaires during March and April 2017. The questionnaires assessed sociodemographic characteristics, physical activity PA) involvement, sleep duration, sedentary behaviour and PARI experiences in the past 12 months.Main outcome measuresPARI during the past 12 months.ResultsAmong the 5341 participants, 1293 suffered from at least one PARI in the past 12 months, with an overall incidence rate of 24.2% (males: 26.2%, females: 23.2%) and an injury risk of 0.38 injuries/student/year (males: 0.48, females: 0.32). Over half of the injured (57.3%) experienced a withdrawal time of PA and nearly two-fifths (39.6%) required medical attention. Irrespective of gender, Shantou and Xi’an students, sports team members and those who engaged in sports and leisure-time vigorous-intensity PA (VPA) at a higher frequency were more likely to suffer from PARI. Male students who participated in sports and leisure-time VPA for long durations had a greater likelihood of sustaining PARI, while having a chronic condition and being involved in sports and leisure-time moderate-intensity PA at a higher frequency and longer duration were potential contributors to PARI among females.ConclusionsThe occurrence of PARI and its risk factors differed by gender, which provides a direction towards developing targeted and effective gender-specific preventative programmes to protect Chinese university students from PARI.

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