Patterns of Anemia in Married Women and Their Children in Cambodia: A Synthetic Cohort Analysis

Author(s):  
Ngozi J. I’Aronu ◽  
Nkechi G. Onyeneho ◽  
Benjamin C. Ozumba ◽  
S.V. Subramanian

Aim To explore the prevalence of anemia in three cohorts of women, namely, married yet to be mothers, married and are mothers, and currently pregnant, to ascertain the patterns in anemia in women. Methods We analyzed a sample of 130,965 married women from four Demographic Health Surveys: 2000, 2005, 2009 and 2015. The primary focus for the analysis was married women aged 15 to 49 years. In the absence of a longitudinal data that followed the same women over the periods, a synthetic cohort of the women of that age-group was constructed to get women aged 15 to 64 years over the four surveys. Women who were aged 15 to 19 years in 2000 were the same as those 30 to 34 years in 2015, while those aged 45 to 49 years in 2000 were the same as 60 to 64 years in 2015. Results Logistic regression revealed that young mothers were significantly more infected ( p < .001). Pregnancy affected anemia in the women ( p < .001). Being younger and richer were associated with odds ratios of 0.599 (95% confidence interval, CI: [0.560, 0.640]) and 0.765 (95% CI: [0.726, 0.807]) for anemia, respectively. Being pregnant had odds ratio of 1.642 (95% CI: [1.439, 1.872]) for anemia. Conclusion Public health strategies should target social deprivation at the household level while addressing maternal health issues. An analysis of data on unmarried women and their children is recommended.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Simonsen ◽  
Anne M. Koponen ◽  
Sakari Suominen

Abstract Background Rising prevalence of type 2 diabetes (T2D), also among younger adults, constitutes a growing public health challenge. According to the person-centred Chronic Care Model, proactive care and self-management support in combination with community resources enhance quality of healthcare and health outcomes for patients with T2D. However, research is scarce concerning the importance of person-centred care and community resources for such outcomes as empowerment, and the relative impact of various patient support sources for empowerment is not known. Moreover, little is known about the association of age with these variables in this patient-group. This study, carried out among patients with T2D, examined in three age-groups (27–54, 55–64 and 65–75 years) whether person-centred care and diabetes-related social support, including community support and possibilities to influence community health issues, are associated with patient empowerment, when considering possible confounding factors, such as other quality of care indicators and psychosocial wellbeing. We also explored age differentials in empowerment and in the proposed correlates of empowerment. Method Individuals from a register-based sample with T2D participated in a cross-sectional survey (participation 56%, n = 2866). Data were analysed by descriptive statistics and multivariate logistic regression analyses. Results Respondents in the youngest age-group were more likely to have low empowerment scores, less continuity of care, and lower wellbeing than the other age-groups, and to perceive less social support, but a higher level of person-centred care than the oldest group. Community support, including possibilities to influence community health issues, was independently and consistently associated with high empowerment in all three age-groups, as was person-centred care in the two older age-groups. Community support was the social support variable with the strongest association with empowerment across age-groups. Moreover, vitality was positively and diabetes-related distress negatively associated with high empowerment in all age-groups, whereas continuity of care, i.e. having a family/regular nurse, was independently associated in the youngest age-group only. Conclusion Person-centred care and community support, including possibilities to influence community health issues, supports empowerment among adults with T2D. Findings suggest that age is related to most correlates of empowerment, and that younger adults with T2D have specific healthcare needs.


2021 ◽  
Vol 28 (1) ◽  
pp. 51
Author(s):  
GaneshKumar Saya ◽  
KariyarathCheriyath Premarajan ◽  
Gautam Roy ◽  
Sonali Sarkar ◽  
SitanshuSekhar Kar ◽  
...  

1970 ◽  
Vol 22 (1) ◽  
pp. 29-31 ◽  
Author(s):  
Md Atiqur Rahman ◽  
Sultana Rokeya Mannan

The present study was conducted to know the knowledge, attitude and practices of 300 married women in the reproductive age group living in different districts of Bangladesh, regarding HBV infection. Only 20% of the women were found aware of the mode of transmission of HBV. However, 50% of the women were having the misconceptions regarding mode of transmission of HBV. 4% of women, 30% of children up to 5 years and 15% of children above 5 years were fully immunized with hepatitis B vaccine. 80% of children up to 5 years and 75% of children above 5 years were fully immunized as per universal immunization programme. Hence, the results of the study clearly indicated the low immunization rate with vaccine against HBV under universal immunization programme and this further potentiated the need to grow public awareness about vaccination against Hepatitis B by focusing the beneficial effect of early immunization through public electronic media. Key words: KAP; HBV; Immunization; Perinatal transmission DOI: 10.3329/medtoday.v22i1.5602 Medicine Today Vol.22(1) 2010. 29-31


2021 ◽  
Vol 10 (2) ◽  
pp. 14-18
Author(s):  
Mehreen Zahid

BACKGROUND AND AIM Smartphones have become an essential tool now days that impact psychologically as well as physically to the user. This study rules out smartphone excess usage and its addiction amongst pupil from Colleges of Rehabilitation Sciences METHODOLOGY A cross-sectional study was conducted on 260 medical students out of which 50 dropped out later. Smartphone Addiction Scale (SAS) was used to assess the level of smartphone addiction amongst these individuals. RESULTS The statistical value of mean is 1.48 for both the genders whereas the statistical value of mean for age ranging from 20-25 years is 21.7 and the standard deviation is 0.50 for gender and 1.38 for the included age group. Only 7 participants (3.3%) were found to have low smartphone addiction level, 108 participants (51.4%) to be moderately addicted and 95 participants (45.2%) to have higher addiction. CONCLUSION The excessive use of smartphone was significant among the individuals aged 22 years and more specifically the more males than the females were found to be more addicted by smartphone. Our findings may help in the development of policies and guidelines which should be followed by the students to improve their quality of life and mental health issues such as depression and anxiety.


Author(s):  
Dilip S. Rathod ◽  
Ashok D. Shelke ◽  
Dhananjay B. Naik ◽  
Pallavi M. Kesari

Background: Reproductive tract infections (RTIs) and sexually transmitted diseases (STDs) represent a major public health problem in developing countries. The consequences of RTIs are numerous and potentially devastating. The present study was conducted to give some indication of the likely burden of RTIs in urban slum of Bidar and also highlight some associated factors.Methods: This study was conducted with the objective of assessing the prevalence of various RTIs among married women in the reproductive age group of 15-44 years in an urban slum of Bidar (Karnataka) during September 2015 to February 2016. Total 357 married women in the reproductive age group of 15-44 years were interviewed.Results: The prevalence of RTI was found 36.1% with maximum prevalence of 42% in the age group of 35 years and above. Also the prevalence was high in illiterate women (53.2%), women having one or two children (54.1%), women using IUD (54.5%) and women having per capita income <Rs. 1000/- (46.35%).Conclusions: The prevalence of reproductive tract infections was most commonly associated with increasing age, illiteracy, low income, use of contraceptive methods and higher parity. The commonest reported symptom of RTI/STI was vaginal discharge. The RTI services should be focused on low income groups and health education regarding prevention and control of RTIs should be widely disseminated. 


2019 ◽  
Vol 5 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Rajesh Kumar Yadav ◽  
Nand Ram Gahatraj ◽  
Dipendra Kumar Yadav ◽  
Sujan Babu Marahatta

Reproductive health rights ensure that people are able to have satisfying and safe sex life and that they have the capacity to reproduce with freedom to decide, when and how often to do so. This study aimed to assess the knowledge and practices on reproductive health rights among madhesi married women. A descriptive cross-sectional study was conducted among 384 madhesi married women of reproductive age in Sarlahi district conducted from July 2014 to December 2014. Data were entry in Epidata software and analyzed by SPSS 20 version. Of the total 384 respondents most of them (39.3%) were of age group 25-35 years from different ethnic groups. Most were simple illiterate (65.6%) and housewife (60.9%) very few of respondents were knowledge about reproductive health rights (37%) and not statistical significant relationship with level of knowledge and level of practice (χ 1 2 =2.036, p=0.154). Level of knowledge was statistically significant relationship with educational level (χ 4 2 = 43.983 p<0.001). Use of FP services have statistically significant relationship with Age group (p<0.001). The level of knowledge and level of practice on RHRs is still very low in Madhesi women. Keywords: Reproductive health rights; Madhesi women; practice


2019 ◽  
Vol 46 (3) ◽  
pp. 104-105
Author(s):  
Ahmad Sadek ◽  
Kazi Shafiqul Halim

Here described two cases where mother is the main perpetrators of the event and the victims were their children in the age group of 1 year to 12 years. In 1st case 35 years lady killed her three daughters ages 12, 9, 1 by strangulation then hanged in south surma Sylhet city. In 2nd case A 32 years old married women killed her two sons (ages 5 & 8yrs ) by poisoning and later she died by hanging in Sylhet city . Autopsy examination revealed ligature mark over neck consistent with that of antemortem  hanging  and ligature marks round the child’s neck were strangulation case also poison found by chemical examination. So it’s time to take awareness within community and take prevention such like notorious incident. Bangladesh Med J. 2017 Sep; 46 (3): 104-106


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