Psychotropic Treatment Pattern in Medicaid Pediatric Patients With Concomitant ADHD and ODD/CD

2015 ◽  
Vol 23 (2) ◽  
pp. 140-148 ◽  
Author(s):  
Xinyue Liu ◽  
Vaishali Shah ◽  
Paul Kubilis ◽  
Dandan Xu ◽  
Regina Bussing ◽  
...  
Keyword(s):  
Combination Therapy ◽  
Demographic Factors ◽  
Treatment Pattern ◽  
Fee For Service ◽  
Cross Sectional ◽  
Children With Adhd ◽  
Children In Foster Care ◽  
Oppositional Defiant ◽  
Psychotropic Treatment ◽  
Socio Demographic Factors

Objective: To describe psychotropic treatment pattern and evaluate the association of socio-demographic factors and psychotropic combination therapy in children with ADHD and oppositional defiant disorder/conduct disorder (ODD/CD). Method: This is a cross-sectional drug utilization study based on Medicaid fee-for-service programs in 26 U.S. states (1999-2006). Children aged 4 to 18 with concomitant ADHD and ODD/CD were included. We calculated the prevalence of psychotropic drugs and used logistic regression to evaluate the role of socio-demographic factors in psychotropic combination therapy. Results: We identified 121,740 children with ADHD and ODD/CD (140,777 person-years). The period prevalence of “no psychotropic therapy,” psychotropic monotherapy, and psychotropic dual therapy was 38.1%, 44.7%, and 9.0%, respectively. The most common drug class was stimulants. Whites, males, and children in foster care were more likely to use psychotropic combination therapy. State-level variation was observed. Conclusion: “No psychotropic therapy” and stimulants dominate treatment choices in children with ADHD and ODD/CD. Socio-demographic characteristics are associated with combination psychotropic therapy.

scholarly journals Oral diseases and socio-demographic factors in adolescents living in Maasai population areas of Tanzania: a cross-sectional study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Lutango D. Simangwa ◽  
Anne N. Åstrøm ◽  
Anders Johansson ◽  
Irene K. Minja ◽  
Ann-Katrin Johansson
Keyword(s):  
Demographic Factors ◽  
Cross Sectional Study ◽  
Oral Diseases ◽  
Sectional Study ◽  
Cross Sectional ◽  
Socio Demographic Factors

scholarly journals Predictors of Burden of Care Among Caregivers of Drug-Naive Children and Adolescents With ADHD: A Cross-Sectional Correlative Study From Muscat, Oman

2018 ◽  
Vol 23 (5) ◽  
pp. 517-526 ◽  
Author(s):  
Naser Al-Balushi ◽  
Mohammed Al-Alawi ◽  
Muna Al Shekaili ◽  
Manal Al-Balushi ◽  
Hassan Mirza ◽  
...  
Keyword(s):  
Medical Records ◽  
Arabic Version ◽  
Burden Of Care ◽  
Cross Sectional ◽  
Children With Adhd ◽  
Adhd Diagnosis ◽  
Adhd Children ◽  
The World ◽  
Drug Naïve ◽  
Socio Demographic Factors

Objective: the study assessed the prevalence of burden of care among caregivers of children with ADHD in Oman. A related aim is to explore the predictors of the burden of care, subtypes of ADHD, and socio-demographic factors. Method: Arabic version of the Zarit Burden Interview (ZBI) was administered to 117 caregivers of drug-naive children with ADHD. Sociodemographic background and clinical data were gathered from medical records and from the attending caregivers themselves. The ADHD symptoms were grouped under three categories : hyperactive, inattentive, or mixed. Results: the prevalence of the burden of care was estimated to be 34%. Income levels and the child’s ADHD diagnosis being of “mixed” type have significant impact on the burden of care. Conclusion: the results of this study indicate that the prevalence of the burden of care among the caregivers of ADHD children in Oman is comparable with that in the other regions of the world.

scholarly journals Maternal co-relates of anaemia among children aged 1-3 years of age in a rural area of Meerut

2018 ◽  
Vol 5 (8) ◽  
pp. 3532
Author(s):  
Tanveer Bano ◽  
Abhishek Agarwal ◽  
Sunil Kumar Garg ◽  
Harivansh Chopra ◽  
Seema Jain ◽  
...  
Keyword(s):  
Maternal Education ◽  
Demographic Factors ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Maternal Factors ◽  
Cross Sectional ◽  
Present Cross Sectional Study ◽  
History Of ◽  
Iron Folic Acid ◽  
Socio Demographic Factors

Background: Iron deficiency anaemia constitutes more than half of the anaemia burden among the under 5 children. In addition to socio-demographic factors, the maternal factors plays an important role in determining childhood anaemia. The objective of the study was to determine the prevalence of anaemia among 1-3 year old children and to find their association with maternal factors.Methods: The present cross sectional study was conducted in a sub centre village under Machhra CHC. Sample size was calculated as 182 by taking the prevalence of anaemia as 79% with 7.5% relative precision and 95% confidence interval. From the list of 404 children obtained from MCTS data, 200 children were selected randomly. Detailed information regarding socio demographic factors and maternal factors was obtained on a pre tested and pre designed questionnaire. Hemoglobin levels were estimated using haemo check rapid diagnostic kit. The data was collected and analyzed on epi info 3.7.2 using appropriate statistical tests.Results: Out of 200 children 77.5% of them were suffering from mild to severe anaemia. Among all the maternal factors studied maternal education, iron folic acid consumption during pregnancy, birth order of the index case and history of exclusive breast feeding were found to be significantly associated with prevalence of anaemia among the children.Conclusions: The present study revealed a high prevalence of anaemia in children and maternal factors plays an important role in determining the disease. 

PREVALENCE OF HYPERTENSION AND ITS SOCIO-DEMOGRAPHIC FACTORS AMONG ADULT POPULATION IN A RURAL COMMUNITY OF KANTI BLOCK, MUZAFFARPUR

2021 ◽  
pp. 22-24
Author(s):  
Vijay Kumar Yadawa ◽  
Kumari Sushma Saroj ◽  
Ravindra Prasad
Keyword(s):  
Rural Population ◽  
Adult Population ◽  
Demographic Factors ◽  
Adult Mortality ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Mortality And Morbidity ◽  
Life Styles ◽  
Cardiovascular Morbidity And Mortality ◽  
Socio Demographic Factors

Hypertension is a major contributor to the cardiovascular morbidity and mortality in industrialized countries. The recent reports suggest that hypertension is rapidly increasing in developing countries like India. Non-communicable diseases (NCDs) are the leading causes of death globally and also the leading cause of adult mortality and morbidity worldwide now days. The NCD like hypertension is emerging as a major health problem in India with increasing prevalence signicantly in both urban and rural population. The objectives of the study were to nd out the prevalence of hypertension and its association with socio-demographic factors among the study subjects, if any. A community-based cross-sectional study was conducted in rural communities of Kanti block, Muzaffarpur, Bihar from May, 2020 to April, 2021. We studied among 671 individuals, aged 21 years or above of both sexes except pregnant and seriously ill subjects. The data were collected about education, type of family, family history of hypertension, income etc. The overall prevalence of hypertension was 25.7% (male 21.7% and female 29.8%). Prevalence increased with increase in age group. Muslim religion, less education and sedentary life styles were found to be signicantly associated with hypertension; while socio-economic status had no association with hypertension. Summary: The prevalence of hypertension in the rural population was found to be on the higher side compared to previous reports from India. Strong public health measures need to be seriously implemented to combat hypertension and its consequences.

Health awareness, lifestyle and dietary behavior of university students in the northeast part of Bangladesh

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Mahmuda Mohammad ◽  
Muhammad Abdul Baker Chowdhury ◽  
Md Nazrul Islam ◽  
Arifa Ahmed ◽  
Farha Nusrat Zahan ◽  
...  
Keyword(s):  
Health Status ◽  
University Students ◽  
Dietary Habits ◽  
Healthy Lifestyle ◽  
Dietary Behavior ◽  
Demographic Factors ◽  
Dietary Habit ◽  
Health Awareness ◽  
Cross Sectional ◽  
Socio Demographic Factors

AbstractIntroductionUniversity students generally face a variety of challenges. During this period of life, they practice some unhealthy eating patterns and lifestyles. Therefore, we aimed to assess the health awareness status of university students from the northeast part of Bangladesh and to evaluate its associated factors.MethodsWe conducted a cross-sectional study using a stratified random sampling among public and private university students from the northeast region of Bangladesh and interviewed 1143 students. We used a self-reported questionnaire, including questions related to awareness status, lifestyle practice, dietary habit and socio-demographic factors. To assess students’ health awareness status and its association with their lifestyle practices and socio-demographic factors, we used logistic regression models.ResultsThe majority (61%) of the students were not aware of better health status and their dietary habits were not adequate. Smokers [odds ratio (OR): 0.66; 95% confidence interval (CI): 0.44, 0.99] were less likely to be aware of better health status. The participants who thought that they were leading a healthy lifestyle were less likely (OR: 0.71; CI: 0.56, 0.92) to be aware. Moreover, frequency of participating in sports and the psychological factors related to eating behaviors were significantly (p < 0.05) associated with health awareness status.ConclusionOur study findings may help to create a foundation for possible interventional programs on health awareness and nutritional education to improve the health awareness status and dietary behavior of university students. To prevent students from poor eating habits while feeling happy, effective programs (e.g. seminars, projects and media campaigns) should be held, which may include enhancing healthy and recommended amounts of food consumption.

scholarly journals General and abdominal adiposity in a representative sample of Portuguese adults: dependency of measures and socio-demographic factors’ influence

2015 ◽  
Vol 115 (1) ◽  
pp. 185-192 ◽  
Author(s):  
Joanna Kowalkowska ◽  
Rui Poínhos ◽  
Bela Franchini ◽  
Cláudia Afonso ◽  
Flora Correia ◽  
...  
Keyword(s):  
Representative Sample ◽  
Demographic Data ◽  
Occupational Status ◽  
Demographic Factors ◽  
Cross Sectional Study ◽  
Education Level ◽  
Inverse Association ◽  
Abdominal Adiposity ◽  
Cross Sectional ◽  
Socio Demographic Factors

AbstractThe aims of this study were: (i) to estimate the dependency between BMI and waist:height ratio (WHtR) as measures of general and abdominal adiposity, and (ii) to evaluate the influence of socio-demographic factors on both measures and on their dependency in risk classification. Data from a cross-sectional study conducted in 2009 among a representative sample of 3529 Portuguese adults were used. Height, weight and waist were measured and socio-demographic data (sex, age, education level, occupational status, marital status, region of residence) were obtained. Using logistic regression, crude and adjusted OR for high general (BMI≥25·0 kg/m2) and abdominal (WHtR≥0·5) adiposity, and for incompatible classification between them, were calculated. Above half (50·8 %) of the respondents had high BMI and 42·1 % had high WHtR, and the rates were higher in men than in women. There was an inverse association between education level and both adiposity measures. The lowest prevalence of high general and abdominal adiposity was observed in students and singles, whereas the highest was found in retired, widowed and respondents from Azores, Madeira and Alentejo. Nearly a quarter of respondents (24·0 %) were incompatibly classified by BMI and WHtR, with higher prevalence in men than in women and in low- than in high-educated people. Future surveys should focus on developing at least sex-specific cut-offs for both measures. Implementation of effective strategies for preventing and reducing high adiposity levels in Portugal should be directed primarily to men, older, low-educated individuals, as well as those living in the islands and poor regions of the country.

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