Fatalism, Emotional Regulation, and Suicide Risk in Colombian Adults During the SAR-Cov-2 Disease Epidemic

2021 ◽  
pp. 003022282110663
Author(s):  
Carmen C. Caballero-Domínguez ◽  
Guillermo A. Ceballos-Ospino ◽  
Adalberto Campo-Arias

The current pandemic of Severe Acute Syndrome (SAR-CoV-2) is a public health problem with implications for mental health. The study aimed to determine the prevalence of suicide risk and its association with fatalism and emotional regulation during SARS-CoV-2 in Colombia's adult population. A cross-sectional study was designed, an online format was used, which evaluated sociodemographic variables, CES-D-SI, the Fatalism Questionnaire against COVID-19, and the Emotional Regulation Scale. 435 Colombian adults participated, aged between 18 and 79 years. A prevalence of suicide risk was found in 5.3%, and it was associated with the interaction between living in rural area and less education (OR = 5.60, 95%CI 1.28–24.53), emotional dysregulation (OR = 3.54, 95%CI 1.77–7.09), and fatalistic beliefs (OR = 3.09, 95%CI 1.53–6.27). 5.3% of the population presented an elevated suicide risk. It was associated with less education, rural areas, fatalistic beliefs, and emotional dysregulation in the Colombian population during mandatory confinement due to SAR-CoV-2.

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256260
Author(s):  
Panuwat Soitong ◽  
Saowaluck Jangjaicharoen ◽  
Apisit Kaewsanit ◽  
Parinya Mali ◽  
Yada Viriyakhaikul ◽  
...  

Introduction Hypertension (HT) is a major non-communicable disease worldwide and a growing global public health problem. Although several studies have investigated the independent associations of neck circumference (NC) and hypertension, no such studies have been conducted among the Thai population. Aim This study aims to identify risk factors associated with hypertension, which may be used to predict HT among asymptomatic adults residing in a remote rural community in central Thailand. Method 1,084 adults were included in this community-based cross-sectional study by a population-based total survey. The participants were included those who had been living in 6 villages in the rural community in the central area of Thailand. Anthropometric information, NC, body composition indexes such as waist circumference and blood pressure were measured. Logistic regression models were fitted to calculate the multi-variable adjusted prevalence and the association of NC with HT. Result The prevalence of HT among adults in the rural community was 27.7% (95% CI: 25.0–30.3). Of the 300 adults with HT, 164 participants (54.7%) were found within the unawareness HT category. We found that associated factors with HT were included larger neck circumference both continuous and categorical (≥ 37.5 in male, ≥ 32.5 in female), pre-existing diabetes mellitus, male, and higher body mass index. Conclusion Almost one-third of participants in the remote rural areas presented hypertension. NC was associated with HT independent from other risk factors. NC is a simple and useful anthropometric index to identify HT in rural Thai adults.


Author(s):  
C. Rajan Rushender ◽  
G. Dinesh Kumar ◽  
M. Logaraj

Background: Tuberculosis (TB) remains a major public health problem. It is reported that, globally, about 9 million people developed tuberculosis and about 1.5 million people died due to tuberculosis across the globe in 2013.Methods: A descriptive cross sectional study was conducted in the Rural Health Training Center, SRM Medical College to assess knowledge and practice regarding tuberculosis using a pretested Interview schedule. Adult population, who are residing in the field practice area were considered as study population. The study period was between August 2013 to February 2014.Results: A total of 246 study subjects were included in the final analysis with the majority of the participants to be between 21 to 40 years (39.40%). Cough and expectoration as symptom of TB was known to 82.5% of study subjects. Only 22.8% of the study subjects are aware of at least one extra pulmonary for of tuberculosis. The proportion of subjects with good overall knowledge about TB was highest in subjects aged 61 and above, lowest in 41 to 60-year age group. The proportion of subjects with good knowledge had gradually increased with increasing socio economic status.Conclusions: Culture specific IEC interventions and their delivery mechanisms need to be designed, considering the highly heterogeneous nature of population in India. 


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Tsedeke Wolde Hailemariam ◽  
Samrawit Solomon Ethiopia ◽  
Andamlak Gizaw Alamdo ◽  
Haimanot Ewnetu Hailu

Background. Obesity is an emerging public health problem in developing countries. There is limited study conducted in Ethiopia to determine the prevalence of obesity and its associated factors among adult population. Therefore, this study aimed at determining the prevalence of overweight/obesity and the associated factors among adults aged 25–64 years in Addis Ababa city community residents, Ethiopia. Methods. A community-based cross-sectional study was conducted from April 10, 2017, to May 20, 2017, in Addis Ababa. A total of 512 adults were recruited. A two-stage cluster followed by a systematic random sampling technique was used for sample selection. Data were collected using questionnaires and anthropometric measurements. The adjusted odds ratio (AOR) with a 95% CI was reported to show the strength of association. A P value < 0.05 was considered statistically significant. Results. A total of 484 adults participated in the study with a response rate of 94.5%. The prevalence of overweight and obesity among study participants was found to be 99 (21.5%) and 14 (2.9%), respectively. Males were 90% less likely to be obese when compared to females (AOR = 0.10 (95% CI: 0.01–0.84)). Illiterate people were 94% less likely to be obese compared to those who were literate people (AOR = 0.06 (95% CI: 0.01–0.44)). Nonhypertensive individuals were 86% less likely to be obese when compared to hypertensive (AOR = 0.14 (95% CI: 0.03–0.69)). Conclusion. The combined prevalence of overweight and obesity was found to be considerably high in Addis Ababa city residents compared to the national figure. Being female, literate, and presence of hypertension are independent predictors of overweight/obesity in the study population. Thus, the concerned bodies should initiate efforts to tackle the newly emerging public health problem of the country and promote healthy lifestyle behaviors in the inhabitants of city settings.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035823
Author(s):  
Nebiyu Dereje ◽  
Alemu Earsido ◽  
Layla Temam ◽  
Ashenafi Abebe

ObjectiveHypertension is a global public health problem, with its burden increasing particularly in developing countries. However, it has not yet received due attention in Ethiopia. The aim of this study was to determine the prevalence and associated factors of hypertension among adult population in Hosanna town, southern Ethiopia.DesignCommunity-based cross-sectional study.SettingHosanna town, southern Ethiopia.ParticipantsAdult population aged ≥18 years (n=634) were recruited by a multistage stratified sampling technique.Outcome measuresA face-to-face interview using structured questionnaire was carried out by trained nurses. Anthropometry and blood pressure were measured following standard procedures. Hypertension status was defined as systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg in two separate measurements or reported use of prescribed antihypertensive drugs for raised blood pressure. Factors associated with hypertension were identified by multivariable binary logistic regression analysis.ResultsThe overall prevalence of hypertension was found to be 17.2% (19.3% and 14.2% among men and women, respectively). About 40% were unaware that they were hypertensive prior to the study. Older age ≥35 years (adjusted OR=3.9, 95% CI: 1.4 to 10.8), alcohol use (adjusted OR=3.4, 95% CI: 1.4 to 8.3), consumption of saturated oil (adjusted OR=6.5, 95% CI: 1.5 to 17.5) and unspecified different types of oil (adjusted OR=8.2, 95% CI: 1.9 to 25.1) and overweight/obesity (adjusted OR=2.9, 95% CI: 1.9 to 4.6) were found to be independently associated with hypertension.ConclusionsThe prevalence of both diagnosed and undiagnosed hypertension is alarmingly high in the town. These findings underscore the need to design health information provision systems on the risk factors of hypertension and promote good health practices. Blood pressure screening programmes at community levels to identify and treat undiagnosed hypertension should be considered.


Author(s):  
Rupali R. Rajput ◽  
Shashikant R. Pawar

Background: Ocular morbid conditions are responsible for partial or total blindness. Blindness due to ocular morbidities with its economic and social consequences represents a serious public health problem in different region of the world. According to the World Health Organization; 285 million people are estimated to be visually impaired worldwide: 39 million are blind and 246 million have low vision. The study has to be done to determine the prevalence of blindness and common ocular morbidities in age groups of 20 years and above and to study the distribution patterns of ocular morbidities among different socio-demographic conditions.Methods: The present cross-sectional study was conducted to find the prevalence of blindness and other ocular morbidities among adult population of 20 years and above, and also to study determinants of ocular morbidities.Results: Prevalence of blindness was found to be (2.33%) and prevalence for ocular morbidities was found to be (36.84%) in the population with a marginal higher prevalence in females (38.72%) as compared to the males (34.98%).In present study, out of 600 study subject, 221 (36.84%) suffered ocular morbidities. The major cause of morbidities was refractive errors (53.39%), followed by cataract (35.74%), conjunctivitis (1.80%). The prevalence of ocular morbidities in the age group 20-29 year was 11.12%, then it increases significantly (p<0.01) with advancing age to 74.21% in the age group of ≥60 years.Conclusions: Increasing age showed increasing prevalence of ocular morbidity. Widows/widower, Hindu religion, Individuals from nuclear family, skilled worker showed higher prevalence of ocular morbidity.


Author(s):  
Dharaneesh Prasad S. ◽  
Rajeev K. H.

Background: Hypertension is one of the major risk factors for CVDs and its complications which account for 9.4 million deaths worldwide every year. Hypertension itself responsible for about 45% and 51% deaths due to heart disease and stroke respectively. It is a major public health problem in India both in urban and rural areas and is increasing at an alarming rate in rural population now days. Because of lack of access to health care facilities at rural areas, the early screening and treatment of hypertension is not done regularly, so we conducted this study. The objective of the study was to determine the prevalence and associated factors of hypertension in a rural community of South Karnataka.Methods: A community based cross sectional study was conducted at rural field practice area of a private medical college in Bengaluru. Sample size was 380 and convenient sampling method used. Data was collected by visiting homes and blood pressure measured with mercury sphygmomanometer. Descriptive statistics were used to analyse the data.Results: Among 380 participants, 58.4% and 41.6% were males and females respectively. The overall prevalence of hypertension among them was 22.6%, newly diagnosed cases were 7.1% and the proportion of hypertension was more among the age group of 50-59 years (40.7%).Conclusions: Our study shows that hypertension has creeped into the rural areas also and creating a huge health problem for the community. Newly diagnosed cases are also high which shows that most of the people are not aware of their blood pressure and importance of regular monitoring of blood pressure. Since screening helps in early detection, so strengthening of health facilities and creation of awareness at rural levels will reduce the morbidity and mortality due to hypertension and its complications.


Author(s):  
Kate Emond ◽  
Melanie Bish ◽  
Michael Savic ◽  
Dan I. Lubman ◽  
Terence McCann ◽  
...  

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.


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