scholarly journals A Three-Site Study of Alcohol Consumption among Adolescents from Indigenous Tribes in India

2020 ◽  
Vol 42 (6_suppl) ◽  
pp. S51-S56
Author(s):  
Ryntihlin Jennifer War ◽  
Vaibhav V Gharat ◽  
Susmita Chandramouleeshwaran ◽  
Sunil Nayak ◽  
Vishwajit L Nimgaonkar ◽  
...  

Background: Alcohol use disorder is elevated among members of indigenous tribes in India, like native populations in several other countries. Despite constituting 8.6% of the Indian population, tribals are among the most geographically isolated, socioeconomically underdeveloped, and underserved communities in the country. Based on the experience from our centers (in Tamil Nadu, Meghalaya, and Gujarat), we are aware of escalating alcohol use among tribal communities. The aims of this study are (a) to estimate alcohol use and psychiatric morbidity among teenagers from indigenous tribes, and (b) pilot test a psychoeducational efficacy study. Methods: The biphasic study is being conducted in three states of India: Tamil Nadu in South, Meghalaya in Northeast, and Gujarat in West. Phase 1 is a cross-sectional study of tribal adolescents at each site. The MINI 6.0/MINI Kid 6.0 questionnaire was used to estimate extent of psychiatric morbidity and substance addiction. Phase 2 is an intervention trial of 40 participants at each site to assess the effectiveness of NIMHANS LSE module in protecting the tribal adolescents from alcohol use. Conclusions: The desired primary outcome will be forestalling the onset of alcohol use among this group. This paper focuses on the methodology and strategies to be used to achieve the objectives.

Author(s):  
Dhanasekar Gurupatham ◽  
Jeevithan Shanmugam

Background: Alcohol use is associated with serious public health problems thereby raising the global morbidity and mortality. The main aim of this study is to estimate the prevalence of alcoholism and its co morbidity pattern among urban adult population in Salem district, Tamil Nadu.Methods: A community based cross-sectional study was carried out among urban adult population in Salem district involving 493 participants. Convenient sampling method was used. Informed consent was obtained from each participant and information was collected by using a predesigned structured questionnaire. Microsoft Excel 2007 was used for data entry and SPSS version 24 was used for data analysis.Results: It was found from the study that the prevalence of alcoholism was high. Alcohol use in any form was found in 38% of the study participants. 8% of the participants confessed that alcohol is an eye opener to them. 6% of the participants lost their job and 15% of the participants were hospitalised due to alcohol.Conclusions: The study showed higher prevalence of alcohol use among urban adult population in Salem district. Awareness about the ill effects of alcoholism among the population and necessary rehabilitation will help to reduce alcoholism consumption and its related disorders.


Author(s):  
Kalaivani Annadurai ◽  
Nithiya Balan ◽  
Karnaboopathy Ranaganathan

Background: Owing to growing epidemic of non communicable diseases (NCD), identification of risk factor profile is one of the high-priority actions required in reducing NCDs. Further, fishermen community possesses unique characteristics of a folk society despite the urban environment around it. Since major portion of the life of fishermen is spent at sea with bizarre sleep and eating pattern, their risk profile for non-communicable disease are different from general population. The objectives of the study were to assess the prevalence of risk factors for non-communicable diseases (NCDs) among fishermen community in Kancheepuram district, Tamil Nadu; to identify the association of the NCD risk factors with socio-demographic and occupational characteristics of the study participants. Methods: This was a descriptive cross sectional study conducted among 210 adult male Fishermen community of Kovalam, Kalpakkam and Mahabalipuram, of Kancheepuram district, Tamil Nadu during May to October, 2016 using a semi-structured questionnaire and all the participants were motivated to undergo laboratory investigations. Results: Prevalence of smoking tobacco form, smokeless tobacco use and alcohol use were 17.1%, 22.9% and 61.4% respectively. Mean blood pressure observed in our study was 120.14/77.86 mm Hg. Prevalence of hypertension was 39.05% and 13.3% were having abdominal obesity. Conclusions: NCD risk factors like hypertension, alcohol use was quite high in this fishermen community and it needs further evaluation. 


Author(s):  
Senthilsayinathan Balasubramaniam ◽  
Kasikrishnaraja Pauldurai ◽  
Madhushanthini Eswaran ◽  
Mohankumar Vethanayagam ◽  
Rajesh Rajagopalan

Background: Diagnosis of HIV infection creates an overwhelming stress and leads to symptoms like guilt, fear, anxiety, sad mood, grief and suicidal ideation. Though the rate of suicide has decreased after the introduction of highly active anti-retroviral therapy (HAART), it still remains high. Indian studies assessing suicidal ideation in people living with HIV (PLHIV) are scarce. Psychiatric evaluation and treatment improves the quality of life in PLHIV. Aim of the study was to assess the prevalence and patterns of psychiatric morbidity including suicidal ideation in PLHIV attending Integrated Counselling and Testing Centre (ICTC), prior to initiation of ART.Methods: A cross sectional study design was used. 11476 persons attending ICTC of IRT Perundurai Medical College, Erode, Tamil Nadu, India were tested for their HIV status over a period of two years. 211 persons were found to be positive, 143 persons gave consent and met inclusion criteria. Every patient underwent a semi-structured clinical interview and their psychiatric morbidity was assessed based on ICD 10. Current suicidal behavior, hopelessness and depression were measured by appropriate rating scales. Data was analyzed by using the SPSS 16.Results: Psychiatric diagnosis was present in 36.4% of the sample. Depression was the commonest diagnosis followed by adjustment disorder, alcohol related problems and anxiety disorder. 26 persons (18.2%) had current suicidal ideation. 3 out of 143 persons had attempted suicide within 6 months following notification of their HIV status.Conclusions: Nearly 1/3rd of PLHIV require psychiatric referral and 1/5th of PLHIV have suicidal ideation. It will be highly beneficial to integrate psychiatric services into daily care of PLHIV.


Author(s):  
Gopal Muthukrishnan ◽  
Suresh Balan Kumaraswamy Pillai Uma ◽  
Anantharaman V. V.

Background: Hypertension is one of the major public health issues in worldwide. The objective of this study was to find out the prevalence of hypertension and its associated risk factors in fishermen of Chennai district, Tamil Nadu, India.Methods: The cross sectional study was conducted among 519 fishermen at the coastal areas of north Chennai district selected by multistage cluster sampling method.Results: In our present study, the significantly associated with the factors included age, level of education, economic status, marital status, BMI, diabetes mellitus, diet, smoking and alcohol user were significantly association (p<0.05) with hypertension. The study included 519 fishermen. Among them, 63% (328) were in the age group of 36–55 years, 24% (124) were in the age group of 18-35 years, 13% (67) were >55 years. The fishermen population showed a prevalence of 46.6% for hypertension. The prevalence of smoking tobacco use and alcohol use were found 34.30% and 71.68%. The average SBP and DBP was 127 and 84 mmHg respectively. The mean BMI was 24 (4.38) kg/m2. The prevalence of hypertension was found in 45% and 38.73% were having abdominal obesity.Conclusions: The prevalence of hypertension was higher than the general population. The present study showed a significant association between the duration of alcohol use and prevalence of hypertension although smoking was not found to have significant association. The present study supports the association of obesity with hypertension.


2021 ◽  
Vol 8 (25) ◽  
pp. 2127-2131
Author(s):  
Balamurugan Chidambaram ◽  
Vinoth Rajasekaran ◽  
Vasanth Malaiyaperumal Selvam ◽  
Giridharan Shanmugam

BACKGROUND Appendicitis is a common clinical condition but sometimes diagnosis is delayed when appendix is found at a rare location. The present study was conducted to find out various clinical presentations of appendicitis, to evaluate its various positions in South Indian population and compare the same with western population. METHODS The cross-sectional study was conducted among a total of 1000 patients (631 males and 369 females) taken from Government Stanley Medical College and Hospital, Tamil Nadu, India, from 2018 to 2019 with an age range of 18 to > 60 years of both sexes. The clinical symptoms were recorded, demographic details were collected. RESULTS The present study included 631 (63.1%) male and 369 (36.9%) female patients including the age category 18 to > 60 years old patients. The anatomical locations of the appendix which were as follows: retrocecal in 860 individuals (86%), pelvic in 110 patients (11%), postileal in 10 (10%), preileal in 10 (10%), subhepatic in 8 individuals (0.8%), paracolic and subcaecal in 1 person respectively (0.1%). In our study, the mean distribution of gender by age in the study population was 157.75 males and 92.25 females. Length of appendix > 119 mm was found in total individuals (32.9%) i.e., maximum than other studies. These results showed an extreme statistically significant P value. CONCLUSIONS The present study successfully compared south Indian population with western population. The clinical symptoms were recorded, details of demography, age and sex were collected successfully. KEYWORDS Anatomical Locations, Appendix, Appendectomy, South Indian, Western Population


2021 ◽  
Vol 219 ◽  
pp. 108488
Author(s):  
Louis Jacob ◽  
Lee Smith ◽  
Nicola C. Armstrong ◽  
Anita Yakkundi ◽  
Yvonne Barnett ◽  
...  

2001 ◽  
Author(s):  
LI Alexeeva ◽  
S Erdesz ◽  
NM Mylov ◽  
AV Smirnov ◽  
LI Benevolenskaya

Author(s):  
Concepció Fuentes-Pumarola ◽  
Zaira Reyes-Amargant ◽  
Alba Berenguer-Simon ◽  
David Ballester-Ferrando ◽  
Maria Dolors Burjalés-Martí ◽  
...  

(1) Background: Sexual violence (SV) has become common in universities for reasons related to unwanted social/peer pressures regarding alcohol/drug use and sexual activities. Objectives: To identify perceptions of SV and alcohol use and estimate prevalence among nursing students in Catalonia, Spain. (2) Methods: Observational descriptive cross-sectional study of a convenience sample of nursing students attending public universities. (3) Results: We recruited 686 students (86.11% women), who reported as follows: 68.7% had consumed alcohol, 65.6% had been drunk at least once in the previous year, 62.65% had experienced blackouts and 25.55% had felt pressured to consume alcohol. Drunkenness and blackouts were related (p < 0.000). Of the 15.6% of respondents who had experienced SV, 47.7% experienced SV while under the influence of alcohol and were insufficiently alert to stop what was happening, while 3.06% reported rape. SV was more likely to be experienced by women (OR: 2.770; CI 95%: 1.229–6.242; p = 0.014), individuals reporting a drunk episode in the previous year (OR: 2.839; 95% CI: 1.551–5.197; p = 0.001) and individuals pressured to consume alcohol (OR: 2.091; 95% CI: 1.332–3.281; p = 0.001). (4) Conclusions: Nursing instructors need to raise student awareness of both the effects of alcohol use and SV, so as to equip these future health professionals with the knowledge and skills necessary to deal with SV among young people.


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