Epidemiology of atrial fibrillation in northeast China: a cross-sectional study, 2017–2019

Heart ◽  
2019 ◽  
Vol 106 (8) ◽  
pp. 590-595 ◽  
Author(s):  
Liying Xing ◽  
Min Lin ◽  
Zhi Du ◽  
Li Jing ◽  
Yuanmeng Tian ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Rural Areas ◽  
Northeast China ◽  
Management Strategies ◽  
Cross Sectional Study ◽  
Liaoning Province ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Difference ◽  
Urban And Rural Areas

ObjectiveTo evaluate the epidemiology of atrial fibrillation (AF) in northeast China.MethodsThis cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% urban, 71.1% rural) aged ≥40 years were included. All participants completed a questionnaire and underwent a physical examination and ECG. AF was diagnosed according to history and ECG findings.ResultsThe overall AF prevalence was 1.1%; it increased steeply with age. AF was more prevalent in men than in women (1.5% vs 0.9%, p<0.001); however, the difference between urban and rural areas was not significant (1.3% vs 1.1%, p=0.228). Among the AF population, the overall AF awareness rate was 52.6%, higher in women than in men (61.5% vs 44.1%, p=0.011); however, the difference between areas was not statistically significant (60.0% vs 49.0%, p=0.129). According to the CHA2DS-VASc score, almost all (90.2%, 194/215) of our subjects required oral anticoagulant (OAC) therapy; however, only 4.1% actually received it. Moreover, hypertension (66.5%), dyslipidaemia (32.6%) and diabetes (24.2%) were highly prevalent in patients with AF, but their control rates were unacceptably low (7.0%, 8.6% and 28.8%, respectively).ConclusionsThe burden of AF in northeast China was substantial. Underuse of OAC therapy and uncontrolled comorbidities will likely contribute to the cardiovascular outcomes of patients with AF in the coming decades. Long-term management strategies for AF and related risk factors are required in northeast China.

scholarly journals Challenges in Preventive Practices and Risk Communication towards COVID-19: A Cross-Sectional Study in Bangladesh

2021 ◽  
Vol 18 (17) ◽  
pp. 9259
Author(s):  
Farah Naz Rahman ◽  
Md Al Amin Bhuiyan ◽  
Kabir Hossen ◽  
Hafiz T. A. Khan ◽  
AKM Fazlur Rahman ◽  
...  
Keyword(s):  
Rural Areas ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Mitigation Strategies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Preventive Practices ◽  
Inadequate Information ◽  
Risk Communications ◽  
Urban And Rural Areas

Bangladesh recently experienced a COVID-19 second wave, resulting in the highest number of new cases and deaths in a single day. This study aims to identify the challenges for COVID-19 preventive practices and risk communications and associated factors among Bangladeshi adults. A cross-sectional survey was conducted between December 2020 and January 2021 involving 1382 Bangladeshi adults (aged ≥ 18-years) in randomly selected urban and rural areas from all eight divisions in Bangladesh. Descriptive data analysis was conducted to highlight the challenges for preventive practices and risk communications for COVID-19. Multiple logistic regression analysis was used to determine the sociodemographic groups vulnerable to these challenges. Lack of availability of protective equipment (44.4%), crowded living situations/workspaces (36.8%), inadequate information on the proper use of protective measures (21.9%), inadequate handwashing and sanitation facilities (17.6%), and negative influences on family/friends (17.4%) were identified as barriers to COVID-19 preventive practices. It was also found that males (OR = 1.3, 95% CI = 1.01, 1.7), rural residents (OR = 1.5, 95% CI = 1.2, 2), respondents with a low level of education: no schooling vs. ≥higher secondary (OR = 3.5, 95% CI = 2.3, 5.2), primary vs. ≥higher secondary (OR = 2.5, 95% CI = 1.7, 3.8), respondents engaged in agricultural (OR = 1.7, 95% CI = 1.2, 2.4), laboring (OR = 3.2, 95% CI = 2, 5), and domestic works (OR = 1.6, 95% CI = 1.07, 2.5), and people with disabilities (OR = 1.7, 95% CI = 1.1, 2.6) were all likely to have difficulty in practicing effective COVID-19 protective behaviors. Respondents’ education and occupation were significant predictors of inadequate understanding of COVID-19 risk communications and was identified as a problem among 17.4% of the respondents. A substantial percentage of Bangladeshi adults have difficulty practising COVID-19 protective behaviours and have poor comprehension of risk communications, particularly in rural areas and among those with low education. This research can aid policymakers in developing tailored COVID-19 risk communications and mitigation strategies to help prevent future waves of the pandemic.

scholarly journals Different Patterns in Ranking of Risk Factors for the Onset Age of Acute Myocardial Infarction between Urban and Rural Areas in Eastern Taiwan

2021 ◽  
Vol 18 (11) ◽  
pp. 5558
Author(s):  
Hsiu-Ju Huang ◽  
Chih-Wei Lee ◽  
Tse-Hsi Li ◽  
Tsung-Cheng Hsieh
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Onset Age ◽  
Cross Sectional ◽  
The Difference ◽  
Urban And Rural Areas

This cross-sectional study aimed to investigate the difference in ranking of risk factors of onset age of acute myocardial infarction (AMI) between urban and rural areas in Eastern Taiwan. Data from 2013 initial onset of AMI patients living in the urban areas (n = 1060) and rural areas (n = 953) from January 2000 to December 2015, including onset age, and conventional risk factors including sex, smoking, diabetes, hypertension, dyslipidemia, and body mass index (BMI). The results of multiple linear regressions analysis showed smoking, obesity, and dyslipidemia were early-onset reversible risk factors of AMI in both areas. The ranking of impacts of them on the age from high to low was obesity (β = −6.7), smoking (β = −6.1), and dyslipidemia (β = −4.8) in the urban areas, while it was smoking (β = −8.5), obesity (β= −7.8), and dyslipidemia (β = −5.1) in the rural areas. Furthermore, the average onset ages for the patients who smoke, are obese, and have dyslipidemia simultaneously was significantly earlier than for patients with none of these comorbidities in both urban (13.6 years) and rural (14.9 years) areas. The findings of this study suggest that the different prevention strategies for AMI should be implemented in urban and rural areas.

scholarly journals Challenges in Preventive Practices and Risk Communication Towards COVID-19: A Cross-sectional Study in Bangladesh

2021 ◽  
Author(s):  
Farah Naz Rahman ◽  
MD Al Amin Bhuiyan ◽  
Kabir Hossen ◽  
Hafiz T.A Khan ◽  
AKM Fazlur Rahman ◽  
...  
Keyword(s):  
Rural Areas ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Mitigation Strategies ◽  
Protective Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Preventive Practices ◽  
Risk Communications ◽  
Urban And Rural Areas

Abstract BACKGROUND Bangladesh recently experienced a COVID-19 second wave, resulting in the highest number of new cases and deaths in a single day. This study aims to identify the challenges for COVID-19 preventive practices and risk communications and associated factors among Bangladeshi adults. METHODS A cross-sectional survey was conducted between December 2020 and January 2021 involving 1,382 Bangladeshi adults (aged ≥ 18-years) in randomly selected urban and rural areas from all eight divisions in Bangladesh. Descriptive data analysis was conducted to highlight the challenges for preventive practices and risk communications for COVID-19. Multiple logistic regression analysis was used to determine the sociodemographic groups vulnerable to these challenges. RESULTS Lack of availability of protective equipment (44.4%), crowded living situations/workspaces (36.8%), inadequate information on the proper use of protective measures (21.9%), inadequate hand washing and sanitation facilities (17.6%), and negative influences of family/friends (17.4%) were identified as barriers to COVID-19 preventive practices. It was also found that males (OR = 1.3, 95% CI = 1.01,1.7), rural residents (OR = 1.5, 95% CI = 1.2,2), respondents with a low level of education: No schooling vs ≥ higher secondary (OR = 3.5, 95% CI = 2.3,5.2), Primary vs ≥ higher secondary (OR = 2.5, 95%CI = 1.7,3.8), respondents engaged in agricultural (OR = 1.7, 95%CI = 1.2,2.4), laboring (OR = 3.2, 95% CI = 2,5), and domestic (OR = 1.6, 95% CI = 1.07,2.5) works, and people with disabilities (OR = 1.7, 95% CI = 1.1,2.6) were all likely to have difficulty in practicing effective COVID-19 protective behaviors. Respondents’ education and occupation were significant predictors of inadequate understanding of COVID-19 risk communications and was identified as a problem among 17.4% of the respondents. CONCLUSION A substantial percentage of Bangladeshi adults have difficulty practicing COVID-19 protective behaviors and have poor comprehension of risk communications, that is particularly prevalent in rural areas and among those with low education. This research can aid policymakers in developing tailored COVID-19 risk communications and mitigation strategies to help prevent future waves of the pandemic.

scholarly journals The Prevalence of OSMF among Biscuit Factory Workers in Delhi NCR Region: A Cross-Sectional Study

2018 ◽  
Vol 2 (1) ◽  
pp. 20-23
Author(s):  
Khateeb Khan ◽  
Mansimranjit Kaur Uppal ◽  
Saloni Deol Jain
Keyword(s):  
Rural Areas ◽  
Oral Submucous Fibrosis ◽  
Cross Sectional Study ◽  
Factory Workers ◽  
Cross Sectional ◽  
Associated Lesions ◽  
Submucous Fibrosis ◽  
The Difference ◽  
Urban And Rural Areas ◽  
Oral Conditions

INTRODUCTION: The consumption of tobacco and related products is on the rise and promotes various medical/oral conditions that leads to increased morbidity/mortality in people.AIM: To assess the prevalence of Oral Submucous Fibrosis (OSMF) among biscuit factory workers in Delhi NCR region, IndiaMATERIALS AND METHOD: A total of 496 biscuit factory workers in Delhi NCR region, were interviewed and examined for OSMF and associated lesions with the help of a preformed, pre-tested questionnaire. The population was divided into four stratas according to age(≤34 years, 35- 44 years, 45-60 years and >60 years). Data was entered into Microsoft Excel. Descriptive statistics were applied and statistics (t-test) was done using SPSS 19.0.RESULTS: OSMF was observed in 173(34.9%)[ males 116 (23.4%), females 57(11.5%)] and the difference was statistically significant (p=0.02). The majority of subjects having OSMF (48, 27.8%) were seen in the age group of ≤34 years. Male: Female predilection was observed as 2.03CONCLUSION: Efforts and strategies need to be directed to reduce the overall consumption of tobacco and related products in both urban and rural areas.

scholarly journals The Prevalence and Awareness of Cardiovascular Diseases Risk Factors among the Lebanese Population: A Prospective Study Comparing Urban to Rural Populations

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Iqbal Fahs ◽  
Zainab Khalife ◽  
Diana Malaeb ◽  
Mohammad Iskandarani ◽  
Pascale Salameh
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Overweight And Obesity ◽  
Undiagnosed Diabetes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Undiagnosed Hypertension ◽  
Lebanese Population ◽  
Urban And Rural Areas ◽  
A Prospective Study

Introduction. CVDs are largely driven by modifiable risk factors. This study sought to determine the awareness and prevalence of the modifiable CVDs risk factors among the Lebanese population.Methods. In a cross-sectional survey, 1000 participants aged ≥ 45 years were randomly selected from pharmacies and interviewed. The data was analyzed with SPSS version 21.0 software.Results. Differences between urban and rural areas include alcohol consumption (2.8% versus 1.7%;p=0.0001), cardioprotective vegetable servings (6.1% versus 2.3%;p=0.016), sedentary hours per day (18.6% versus 15.1%;p=0.002), and hypertension (38.5% versus 25.4%;p=0.001). The prevalence of overweight and obesity (77.3% versus 75.2%;p=0.468), smoking (39.3% versus 43.3%;p=0.232), diabetes (25.4% versus 21.4%;p=0.173), and dyslipidemia (25 versus 21.2%) was reported. Measurements revealed 19.3% of undiagnosed hypertension (12.4% versus 22.4%,p=0.001), 61.7% of hypertension (59.8% versus 62.6%;p=0.203), and 7.9% of undiagnosed diabetes (6.6% versus 8.6%;p=0.323). The declared awareness of CVDs risk factors was highest for smoking (91.5% versus 89.7%;p=0.339) and lowest for diabetes (54.4 versus 55.7%;p=0.692).Conclusion. This study has shown a high prevalence of modifiable CVDs risk factors in the Lebanese population ≥ 45 years, among which hypertension is the most prominent.

scholarly journals Occupational Safety and Hygiene of Dentists from Urban and Rural Areas in Terms of Sharp Injuries: Wound Structure, Causes of Injuries and Barriers to Reporting—Cross-Sectional Study, Poland

2018 ◽  
Vol 15 (8) ◽  
pp. 1655 ◽  
Author(s):  
Anna Garus-Pakowska ◽  
Mariusz Górajski ◽  
Ewelina Gaszyńska
Keyword(s):  
Rural Areas ◽  
Antiretroviral Treatment ◽  
Occupational Safety ◽  
Cross Sectional Study ◽  
Post Exposure Prophylaxis ◽  
Cross Sectional ◽  
Urban And Rural Areas ◽  
Exposure Prophylaxis ◽  
The Village ◽  
The City

(1) Background: Frequent contact of the dentist with potentially infectious material (PIM) is undeniable. The aim of the study was to determine the frequency and type of injuries, as well as to identify barriers to reporting and barriers to the implementation of post-exposure prophylaxis (PEP) among dentists from urban and rural areas. (2) Methods: We surveyed 192 dentists using an anonymous questionnaire. (3) Results: During the 12 months preceding the survey, 63% of dentists from the village and 58.8% of dentists from the city suffered at least one superficial cut, and deep cuts 15.1% and 17.6% respectively. Contact with PIM through spitting on the conjunctiva was 58.9% and 52.1% (village vs. city). Needle stick injuries were 50.4% and fingers were affected in 48.8% cases. The causes of injuries were: inattention 54.7%, rush 27%, unpredictable behavior of the patient 19%, recapping 18.2%. Work in the countryside was associated with a 1.95-times greater chance of not reporting injuries. The distance from a hospital with antiretroviral treatment may be a barrier to the implementation of PEP. (4) Conclusion: The circumstances of the injuries and the reasons for not applying for antiretroviral treatment point to the areas of necessary dentist education in this topic.

scholarly journals PREVALENCE OF PREMATURE EJACULATION AND ERECTILE DYSFUNCTION AND THEIR ASSOCIATED FACTORS AMONG URBAN AND RURAL POPULATION OF MALAYSIA

2017 ◽  
Vol 17 (3) ◽  
pp. 86-96 ◽  
Author(s):  
Mohd Rohaizat Hassan ◽  
Mohd Fadhli Samsuri ◽  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Zulkifli Md Zainuddin ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Rural Areas ◽  
Rural Population ◽  
Associated Factors ◽  
Premature Ejaculation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Urban And Rural Areas

The purpose of this study was to determine the prevalence and factors associated with of Premature Ejaculation &Erectile Dysfunctionamong Malaysian men. A cross-sectional study was conducted in urban and rural areas using standardized and validated self-administered questionnaires. A total of 319 samples were recruited for PE screening. The overall prevalence of PE was 31.7% with 20.7% and 40.8% for urban and rural area respectively. Depression, anxiety and frequent masturbation were significantly associated with PE. While For ED, infrequent sexual intercourse was the sole factor significantly associated with ED.PE and ED were highly prevalent in both urban and rural areas; with several significant preventable associated factors.

scholarly journals Diferencias étnicas en salud en personas mayores del norte de Chile / Ethnic Differences in Health among Elderly People Living in Northern Chile

2016 ◽  
Vol 5 (2) ◽  
pp. 71-79
Author(s):  
Lorena Patricia Gallardo Peralta
Keyword(s):  
Ethnic Group ◽  
Rural Areas ◽  
Aging Process ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Cultural Aspects ◽  
Chilean Altiplano ◽  
Impaired Health ◽  
Urban And Rural Areas

ABSTRACTThis research analyzes the differences in health in terms of belonging to a native Chilean ethnic group in the region of Arica and Parinacota. This is one of the first investigations in Chile and South America that analyze this dimension in the aging process. This is a quantitative and cross-sectional study. The sample consists of 493 Chilean elderly living in the far north of Chile. The application of the questionnaire was conducted through personal interviews. The study was conducted in urban and rural areas, including villages in the Chilean Altiplano. Scales internationally recognized geriatric research to measure the presence of symptoms of impaired health, dependence and depression were applied. The results of data analysis showed statistically significant differences in depression and health in terms of ethnic belonging, establishing a disadvantage for the elderly Indians. The findings confirm the heterogeneity of the aging process and the importance of the cultural aspects through belonged to a native ethnic group. For the field of social sciences this study confirms the need for gerontological contextualized interventions that positively discriminate against groups at riskRESUMENEsta investigación analiza las diferencias en salud en función de la pertenencia a una etnia originaria chilena en la región de Arica y Parinacota. Se trata de unas de las primeras investigaciones en Chile y en Sudamérica que analizan esta dimensión en el proceso de envejecimiento. Se trata de un estudio cuantitativo y transversal. La muestra está conformada por 493 personas mayores chilenas que residen en el extremo norte de Chile. La aplicación del cuestionario se realizó a través de entrevista personal. El estudio fue realizado en zona urbana y zonas rurales, incluyendo poblados del altiplano chileno. Se aplicaron escalas internacionalmente reconocidas en la investigación geriátrica para medir la presencia de síntomas de deterioro en salud, dependencia y depresión. Los resultados obtenidos en el análisis de datos muestran diferencias estadísticamente significativas en depresión y salud en función de la pertenecía étnica, estableciendo una desventaja para las personas mayores indígenas. Los hallazgos confirman la heterogeneidad del proceso de envejecimiento y la relevancia de los aspectos culturales a través de la pertenecía a una etnia originaria. Para el campo de las ciencias sociales este estudio confirma la necesidad de realizar intervenciones gerontológicas contextualizadas que discriminen positivamente a los grupos en riesgo social.

scholarly journals People's Knowledge and Practice of Salt Iodization, as Well as the Assessment of Iodine Content in Salt in the Cumilla Region of Bangladesh

2021 ◽  
pp. 12-24
Author(s):  
Sadia Jahan ◽  
Md. Saddam Hossain ◽  
Md. Anisur Rahman Bhuiyan ◽  
Susmita Roy Lisa ◽  
Somaia Haque Chadni
Keyword(s):  
Iodine Deficiency ◽  
Rural Areas ◽  
Iodine Content ◽  
Iodine Concentration ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Salt Iodization ◽  
Knowledge And Practice ◽  
Urban And Rural Areas ◽  
And Behavior

Aim: To evaluate the household iodine content and knowledge, attitude, and behavior regarding salt iodization among the residents of Cumilla, Bangladesh. Subjects and Methods: We conducted a cross-sectional survey of 700 inhabitants in Cumilla's urban and rural areas to determine the iodine concentration of salt they consume. The participants were asked about what they know about iodine deficiency and salt iodization as well as how their salt was packaged and stored. Among them, 338 people provided a sample of salt to be tested of its iodine content by the titrimetric method. Results: 46.57% of people knew that iodization was the best way to prevent iodine deficiency while 35.14% considered salt iodization during purchasing. Most people stored salt in plastic boxes (89.7%) and closed containers (84.14%).Among all participants, only 37.14% of people were aware of the iodine requirement during pregnancy. In urban regions, the median iodine content was 36.76 ppm (OR=0.658, 95% CI, 0.469-0.925), while in rural areas, the median iodine content was 40.92 ppm (OR=1.188, 95% CI, 1.022-1.380). Iodine levels were less than 15 ppm (minimum limit) in 6.8% of samples and greater than 40 ppm (maximum limit) in 56.5%. Only 36.7% of the salt samples contained adequate iodine. Conclusion: An effective and consistent approach for controlling iodine concentration in distributed salt is required at Cumilla, Bangladesh.

The Evaluation of the Awareness, Attitude and Practice of the Elderly Toward Self-Medication: A Cross-Sectional Study

Drug Research ◽  
2018 ◽  
Vol 68 (08) ◽  
pp. 475-480
Author(s):  
Mohammad Heidari ◽  
Mansureh Borujeni ◽  
Mansour Ghafourifard ◽  
Rahim Sheikhi
Keyword(s):  
Rural Areas ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Average Score ◽  
Self Medication ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Age Related ◽  
Significant Difference ◽  
Urban And Rural Areas

Abstract Introduction The prevalence of various diseases in the elderly has increased the use of drugs, which is coupled with age-related physiological changes and places the elderly at risk for multiple side effects. The present study aimed to determine awareness, attitudes and practices of elderly towards self-medication. Materials and Methods The sample included 300 participants over 60 years under any of the health centers in urban and rural areas of Abadeh city, who were selected based on stratified random sampling method. In order to collect data, the questionnaire including demographic information, awareness, attitude and performance of the elderly and the checklist of drug intractable consumption. Results Based on the results, 76% of the elderly reported drug consumption. Regarding lifestyle, the average score of the elderly’s awareness for the elderly who lived with and without families were 78.6±14.2 and 69.2±13.6, respectively. In other words, a significant difference was observed between these two groups. In addition, there was a significant between the elderly’s performance score with and without family members about the self-medication (p=0.001). Conclusion Considering the increase in self-medication among the elderly, adherence to prescription criteria for drug among this age group is recommended. Finally, designing and implementing various educational programs in health education center is necessary for the elderly and their families for the purpose of improving awareness and practice.

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