scholarly journals Prevalence and determinants of hypertension in apparently healthy schoolchildren in India: A multi-center study

2018 ◽  
Vol 25 (16) ◽  
pp. 1775-1784 ◽  
Author(s):  
Rajiv Narang ◽  
Anita Saxena ◽  
Ankush Desai ◽  
Sivasubramanian Ramakrishnan ◽  
Rajendra S Thangjam ◽  
...  

Background Hypertension in children is often under recognized, especially in developing countries. Data from rural areas of developing countries is particularly lacking. Objectives To study prevalence of hypertension and its determinants in apparently health school children from predominantly rural populations of India. Methods Apparently healthy schoolchildren ( n = 14,957) aged 5–15 years (mean (standard deviation) age 10.8 (2.8) years; 55.5% boys) at four predominantly rural sites in separate states of India were studied. Systolic and diastolic blood pressures were recorded by trained staff in addition to age, gender, height, weight, type of school and season. Waist circumference was also recorded in 12,068 children. Geographic location and type of school (government, government-aided or private) were used to determine socio-economic status. Results Systolic and/or diastolic hypertension was present in 3443 (23%) children. Systolic hypertension was present in 13.6%, diastolic hypertension in 15.3% and both in 5.9%. Isolated systolic hypertension was present in 7.7% while isolated diastolic hypertension was present in 9.4%. On univariate analysis, age, gender, geographical location, socio-economic status, season and anthropometric parameters (z-scores of height, weight and waist circumference, waist/height ratio and body mass index) were all significantly related to risk of hypertension ( p < 0.0001 for each). Similar association was observed with weight group (normal, overweight and obese). Multiple regression analysis showed lower age, female gender, richer socio-economic status, certain geographical locations, higher weight and larger waist circumference to be independently associated with a greater risk of hypertension. Conclusion There is a high prevalence of hypertension in apparently healthy schoolchildren even in predominantly rural areas of India. Screening and management programs targeted to high risk groups identified may prove cost-effective.

1993 ◽  
Vol 27 (4) ◽  
pp. 630-637 ◽  
Author(s):  
Anthony F. Jorm ◽  
Stephen J. Rosenman ◽  
Patricia A. Jacomb

An analysis was carried out on Medicare data to find out if there are inequalities in the geographical distribution of private psychiatric services in Australia. The number of psychiatric services and persons becoming patients per 100,000 population was calculated for each federal electorate for the year 1985/86 and related to social indicators derived from the 1986 census. As a comparison, services provided by consultant physicians were analyzed as well. The data were based on the electorate of the patient rather than the electorate of the practitioner. Consultant psychiatrist services were found to be received more often in high socio-economic status electorates and those with older populations, and less often in rural areas. A similar pattern was found for consultant physician services, although the relationship with socio-economic status was not as strong. Frequent psychiatric consultations of longer duration, which are an indicator of insight psychotherapy, were more common in higher socioeconomic status electorates. A limitation of the Medicare data is that they cover only private services. To overcome this limitation, a supplementary analysis was carried out on the distribution of consultations for mental disorders using data from the National Health Survey. These data confirmed that individuals of high socio-economic status with a mental disorder are more likely to receive specialist treatment.


1996 ◽  
Vol 9 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Q. Li ◽  
M. D. Fottler

A case-control study of maternal mortality was conducted in selected rural areas of two provinces in China: Henan province, which has a relatively lower socio-economic status and higher maternal mortality rates, and Jiangsu province with higher socio-economic status and lower maternal mortality rates. The major cause of maternal mortality in the two provinces was postpartum hemorrhage and the largest proportion of deaths occurred on the road between the women's home and the health care facility. Results indicate that the expectant mother's socio-economic status, knowledge of maternal care, and the nature and level of maternal care provided all influence rural maternal death rates. However, socio-economic factors were only significant predictors of mortality in the poorer province. Implications for health policy and future research are discussed.


2018 ◽  
Vol 34 (0) ◽  
Author(s):  
Natalia Cadavid Ruiz ◽  
Jaime Egido ◽  
Purificación Galindo-Villardón ◽  
Pablo Del-Río

Abstract Executive functions (EFs) are considered a multiple system of processing, associated with different components, such as inhibition, working memory, planning, among others. The study of EFs requires the assessment of all its components, having in mind the socio-demographic and cognitive characteristics of the target population. Nowadays, analysis of variance is used to achieve this goal; nevertheless, HJ-Biplot analysis overcome its limitations by allowing simultaneous examination of multiple data, such as those generated in EFs studies. This study evaluates possible differences in the EFs of 80 8-year-old Colombian children by their sex, socio-economic status and type of school they attend, to exemplify the advantages of using HJ-Biplot analysis in neuropsychological studies.


2017 ◽  
Vol 15 (5) ◽  
Author(s):  
Nathalia Cadavid Ruiz ◽  
Pablo Del Río ◽  
Jaime Egido ◽  
Purificación Galindo

Executive Function (EF) is a higher cognitive process responsible for control and self-regulation of behavior. The aim of this study is to describe the developmental trajectory of EF in four and six-year old Colombian children, and to highlight possible differences by socio-cultural variables such as age, sex, type of school or socio-economic status. One hundred and sixty-three normotypical children were tested using psychological tests validated for a Spanish population belonging to the Weschler and Luria Initial batteries. HJ-biplot analysis showed that EF developed commensurate with age and school grade, although differences by socio-economic status and type of school were evident.


2006 ◽  
Vol 30 (2) ◽  
pp. 148-157 ◽  
Author(s):  
Joanne M. Williams ◽  
Lesley A. Smith

This study explored social and experiential differences in children's (aged 4 to 14 years) concepts of inheritance. The study utilized semi-structured interviews including four tasks that were designed to elicit judgements and explanations about different aspects of inheritance understanding. A variety of social and experiential factors were examined including, gender of participant, family composition, pet ownership, socio-economic status and urban/rural locale. The results indicated strong developmental changes and several social and environmental variations in children's knowledge of inheritance. Children from rural areas and from a higher socio-economic group showed a more sophisticated understanding of inheritance. Other variables including gender, owning a pet and having siblings had less impact on children's understanding of inheritance. Overall, children showed small variations in their inheritance concepts based on differences in experience and background. The precise causes of these differences remains an issue for future research.


2007 ◽  
Vol 10 (11) ◽  
pp. 1214-1222 ◽  
Author(s):  
Uriyoán Colón-Ramos ◽  
Edmond K Kabagambe ◽  
Ana Baylin ◽  
Alberto Ascherio ◽  
Hannia Campos ◽  
...  

AbstractObjectiveTo examine the socio-economic and lifestyle determinants of cooking oil choice in Costa Rica during the last decade (1994–2004).DesignCross-sectional study. Subjects (total n = 2274) belonged to the control population of a large case–control study; they were recruited yearly. Data about type of oil used for cooking, dietary intake, socio-economic and demographic characteristics were collected.SettingA dietitian visited all subjects and conducted the interviews at their homes; all subjects lived in the Costa Rican central valley region.SubjectsAdult, free-living, rural and urban Costa Ricans with no history of myocardial infarction and physical or mental disability.ResultsThe odds of choosing soybean over palm oil increased significantly each year (P < 0.05) and was determined by high socio-economic status (SES) and variables that suggest health awareness (self-reported history of hypertension, high cholesterol, multivitamin use and intake of green leafy vegetables). The odds of choosing other unsaturated oils, namely corn and sunflower, over soybean oil also increased yearly (P < 0.05) and was associated with the same two factors (high SES and health awareness). Palm oil users remained in the lowest SES tertile and were more likely to live in rural areas. Across all SES tertiles, high health awareness determined the odds of choosing other unsaturated oils over palm oil, and soybean oil (P < 0.05).ConclusionThese data show that, in addition to SES, health awareness is associated with the selection of unsaturated oils over palm oil in a developing country undergoing transition. These data should be considered when targeting nutrition messages and policies that promote better dietary choices.


2009 ◽  
Vol 30 (1) ◽  
pp. 79-101 ◽  
Author(s):  
PATRICK CLOOS ◽  
CAROLINE F. ALLEN ◽  
BEATRIZ E. ALVARADO ◽  
MARIA VICTORIA ZUNZUNEGUI ◽  
DONALD T. SIMEON ◽  
...  

ABSTRACTThe aim of this study was to document the perceptions of elders in six Caribbean countries about ‘active ageing’ and on the basis of their reports to make recommendations to improve their situation. Data were collected principally through 31 focus group discussions conducted in both urban and rural areas. Comparative analysis was carried out of the qualitative information, focusing on three components of ‘active ageing’: health and social services access and use, social support, and economic circumstances. Most of the participants were women, aged 60–79 years, of lower socio-economic status and from urban areas. Large disparities in the responses of Caribbean societies to population ageing were indicated, as well as unequal opportunities to obtain health care and social services, public transport, income and food by both socio-economic status and location. Home-care services are either insufficient or non-existent. Some elders receive social and financial support from relatives while others fear isolation and face deprivation. Social participation varies by place, physical condition, financial situation, association membership, and transport opportunities. Social protection benefits do not provide adequate income and some older people face food insecurity. It was concluded that a comprehensive and multi-sectoral approach using the ‘active ageing’ framework should be implemented to ensure a healthy ageing process.


2020 ◽  
Vol 33 (2) ◽  
pp. 153
Author(s):  
Shamas-ud Din ◽  
Naimatullah Hashmi

Osteoporosis has become a public health problem risk factor worldwide and a deliberate disease that affects both women and men equally. The main objective of this study is to explore the socio-economic status of osteoporosis patients related to the occurrence of osteoporosis— the current study conducted at federal government hospitals in Islamabad. A quantitative research method used to collect data through a well-designed questionnaire. A stratified random sampling technique used to select a sample of 400 osteoporosis patients within 35-80 years. Mann-Whitney U Test applied for a dependent, independent variable, and frequency distribution tables used for univariate analysis. Results showed that osteoporosis patients were spending more money on their household expenditures than health. The socio-economic status of osteoporosis patients is essential for the prevention of osteoporosis and their treatment. Osteoporosis is one of the major global health issues associated with socio-economic status. The present study recommended that the improvement of socio-economic status and increasing the level of education could play a vital role in reducing the risks of osteoporosis.


Author(s):  
T. J. M. S. Raju

<div><p><em>The present study aimed at the relationship between the socio-Economic Status and Academic Achievement among secondary school students of Prakasam District of Andhra Pradesh, India. A number of investigations conducted so far in the field of Socio Economic Status (SES) indicated a significant relation between achievement and SES.  After independence the SES of secondary school students in both urban and rural areas have registered a remarkable change.  On account of phenomenal advancement in science and technology the conditions of the people have changed a lot.</em></p><p><em>The data were collected from 200 secondary school students by using the tools socio-economic status tool measures the dimensions of educational, economic, social, cultural and occupational determinants.  The academic achievement tool consists of the test items of mathematics, general science and social studies.  Later the data were analyzed with the statistical procedures like mean, standard deviations, critical ratios, Chi-square test and r-values.  The results were discussed according to the significant values.  Based on the results certain conclusions were drawn. Over all observation of the study some educational implications were given.</em></p></div>


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