scholarly journals Home medication management practices and associated factors among patients with selected chronic diseases in a community pharmacy in Uganda

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Joan N Kalyango ◽  
Maurice Hall ◽  
Charles Karamagi
Keyword(s):  
Community Pharmacy ◽  
Chronic Diseases ◽  
Associated Factors ◽  
Management Practices ◽  
Medication Management ◽  
Home Medication

scholarly journals Factors predicting home medication management practices among chronically ill older population of selected districts of Nepal

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Shakti Shrestha ◽  
Ramesh Sharma Poudel ◽  
Saroj Pradhan ◽  
Aashutosh Adhikari ◽  
Arjun Giri ◽  
...  
Keyword(s):  
Management Practices ◽  
Medication Management ◽  
Chronically Ill ◽  
Older Population ◽  
Home Medication

scholarly journals Prevalence of anemia and associated factors in older adults: evidence from the SABE Study

2014 ◽  
Vol 48 (5) ◽  
pp. 723-431 ◽  
Author(s):  
Ligiana Pires Corona ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Maria Lucia Lebrão
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Associated Factors ◽  
Distribution Curve ◽  
Descriptive Analysis ◽  
Advanced Age ◽  
Depression Symptoms ◽  
Sabe Study ◽  
Aging Study ◽  
Prevalence Of Anemia

OBJECTIVE To assess the prevalence of anemia and associated factors in older adults. METHODS The prevalence and factors associated with anemia in older adults were studied on the basis of the results of the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Welfare and Aging) study. A group of 1,256 individuals were interviewed during the third wave of the SABE study performed in Sao Paulo, SP, in 2010. The study included 60.4% females; the mean age of the participants was 70.4 years, and their average education was 5.3 years. The dependent variable was the presence of anemia (hemoglobin levels: 12 g/dL in women and 13 g/dL in men). Descriptive analysis and hierarchical logistic regression were performed. The independent variables were as follows: a) demographics: gender, age, and education and b) clinical characteristics: self-reported chronic diseases, presence of cognitive decline and depression symptoms, and body mass index. RESULTS The prevalence of anemia was 7.7% and was found to be higher in oldest adults. There was no difference between genders, although the hemoglobin distribution curve in women showed a displacement toward lower values in comparison with the distribution curve in men. Advanced age (OR = 1.07; 95%CI 0.57;1.64; p < 0.001), presence of diabetes (OR = 2.30; 95%CI 1.33;4.00; p = 0.003), cancer (OR = 2.72; 95%CI 1.2;6.11; p = 0.016), and presence of depression symptoms (OR = 1.75; 95%CI 1.06;2.88; p = 0.028) remained significant even after multiple analyses. CONCLUSIONS The prevalence of anemia in older adults was 7.7% and was mainly associated with advanced age and presence of chronic diseases. Thus, anemia can be an important marker in the investigation of health in older adults because it can be easily diagnosed and markedly affects the quality of life of older adults.

scholarly journals Status of Household Solid Waste Management and Associated Factors in a Slum Community in Kampala, Uganda

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Charles Ssemugabo ◽  
Solomon Tsebeni Wafula ◽  
Grace Biyinzika Lubega ◽  
Rawlance Ndejjo ◽  
Jimmy Osuret ◽  
...  
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Associated Factors ◽  
Management Practices ◽  
Solid Waste Management ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Household Solid Waste ◽  
Behavioural Aspects ◽  
Slum Community

Background. Only a third of the total waste generated in slum communities in Kampala is collected and disposed of to the landfill every month. This study assessed the status of household solid waste management and associated factors in a slum community in Kampala, Uganda. Methods. We conducted a community-based cross-sectional study involving 395 households using a semistructured questionnaire and an observational checklist. Proper solid waste management was determined based on possession of waste collection and storage receptacle; collection receptacle ability to minimise nuisances (covered); segregation of waste; presence of flies and other vectors; and collection receptacle fill status. Prevalence rate ratios and their 95% confidence intervals were used as a measure of association. Results. Only, 41.3% (163/395) of the households exhibited proper waste management practices. The majority of the households 85.8% (339/395) owned solid waste storage receptacles, most of which were sacs 61.7% (209/339) and would minimise nuisances 72.9% (245/339). The main type of waste collected was biodegradable materials 56.7% (224/395). The majority of the households 78.7% (311/395) did not segregate their waste. Solid waste was mainly transported to the collection point by pulling the collecting sac 54.4% (215/395). The city authority 73.9% (292/395) and private companies 12.9% (51/395) were the major entities collecting waste. Factors associated with proper waste management were collecting waste in plastic containers (adjusted PR = 1.27, 95% CI (1.04–1.55)), polythene bags (adjusted PR = 0.26, 95% CI (0.14–0.47)), and paper bags or metallic bins (adjusted PR = 0.13, 95% CI (0.03–0.44)) as well as awareness of solid waste management laws (adjusted PR = 1.49, 95% CI (1.20–1.85)) and the dangers of improper solid waste management (adjusted PR = 2.15, 95% CI (1.51–3.06)). Conclusion. Solid waste management was generally poor. As such, a cascade of interventions that address knowledge, physical, and behavioural aspects of solid waste management is required to improve its management in slum communities.

Survey of community pharmacists regarding their role and desire for managing chemotherapy related toxicities in cancer patients.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 104-104
Author(s):  
Kathy Vu ◽  
Daniella Santaera ◽  
Erin Redwood ◽  
Monika K. Krzyzanowska
Keyword(s):  
Community Pharmacy ◽  
Cancer Patients ◽  
Management Practices ◽  
Community Pharmacists ◽  
Full Time ◽  
Daily Work ◽  
Provider Group ◽  
Communication Needs ◽  
High Level ◽  
Do So

104 Background: There is little published about the readiness and needs of community pharmacists to manage chemotherapy related toxicities in cancer patients. A survey was conducted to understand community pharmacists’ current toxicity management practices and their education and communication needs in this area. Methods: A 21 question electronic survey was sent to community pharmacists in Ontario, Canada from April 1 – June 30, 2016. The survey asked about demographics, toxicity management behaviours/preferences, communication and training needs/preferences. Results: Out of 559 responses received, 167 were excluded due to ineligibility giving a final response of 392 surveys. The majority of respondents were full time pharmacists practicing for more than 10 years in community pharmacy. While many pharmacists reported providing assessment (80%), advice (92%) and/or monitoring (70%) at least sometimes, few reported providing assessment (10%), monitoring (10%) or advice (18%) routinely. Types of toxicities encountered and their frequency are summarized in Table 1. There was a high level of interest (96%) among the respondents in being involved in assessing and managing chemotherapy toxicity, however, only 13% reported that they felt sufficiently trained to do so. Conclusions: Community pharmacists encounter chemotherapy-related toxicities in their daily work. While there is a strong interest in managing toxicity symptoms, many community pharmacists feel that they are not adequately trained to do so. Continuing education programs for this provider group may improve toxicity management in community pharmacy settings. [Table: see text]

scholarly journals Potentially inappropriate prescription of antidepressants in old people: characteristics, associated factors, and impact on mortality

2017 ◽  
Vol 30 (5) ◽  
pp. 715-726 ◽  
Author(s):  
Anne Hiance-Delahaye ◽  
Florence Muller de Schongor ◽  
Laurent Lechowski ◽  
Laurent Teillet ◽  
Jean-Jacques Arvieu ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Associated Factors ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Cox Model ◽  
Inappropriate Prescribing ◽  
Multivariate Logistic Regression Model ◽  
Old People ◽  
Cross Sectional ◽  
Study Population

ABSTRACTBackground:The increasing use of antidepressants (ADs) has raised concerns about their inappropriate use in old people.Objective:To examine the prevalence of potentially inappropriate prescribing (PIP) of ADs, their associated factors, and their impact on mortality in a sample of old people in France.Methods:The analysis used data from the SIPAF study, a cross-sectional study consisting of 2,350 people aged ≥ 70 years. Trained nurses interviewed participants at home between 2008 and 2010. Information was collected concerning socio-demographic and health characteristics, including medication use. The study population consisted of the 318 AD users from the SIPAF study (13.5%). PIP of ADs was defined according to national and international criteria. Factors associated with PIP of ADs were assessed using a multivariate logistic regression model. The influence of PIP of ADs on mortality was assessed using a Cox model (median follow-up 2.8 years).Results:Among the SIPAF study, 71% of AD users were female and the mean age was 84 ± 7 years. Selective serotonin reuptake inhibitors (SSRIs) were the most prescribed ADs (19.8%). We found PIP of ADs in 36.8% of the study population, mainly the co-prescription of diuretics with SSRIs (17.6%) and the prescription of tricyclics (12.9%). PIP of ADs was associated with polypharmacy (aOR5-9 drugs 2. 61, 95% CI 1.11–6.16 and aOR≥10 drugs 2.69, 95% CI 1.06–6.87) and comorbidity (aOR3-4 chronic diseases 2.59, 95%CI 1.04–6.44 and aOR≥5 chronic diseases 2.33, 95%CI 0.94–5.79), and increased the risk of mortality during follow-up (aHR 2.30, 95%CI 1.28–4.12).Conclusions:This study shows that more than one third of AD prescriptions may be inappropriate in old people. PIP of ADs was related to polypharmacy and comorbidity and increased mortality among AD users.

scholarly journals Polypharmacy, inappropriate medication use and associated factors among brazilian older adults

2020 ◽  
Vol 28 (3) ◽  
pp. 400-408
Author(s):  
Juliana Lima Constantino ◽  
Ronielly Pereira Bozzi ◽  
Gustavo Pinheiro Machado Motta de Souza ◽  
Renan Marchesi ◽  
Antonio José Lagoeiro Jorge ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Associated Factors ◽  
Population Aging ◽  
Inappropriate Medication ◽  
Prevalence Rates ◽  
Family Health Program ◽  
Background Population ◽  
Multiple Drugs ◽  
Multiple Chronic Diseases

Abstract Background Population aging is still an important worldwide phenomenon. Elderly people suffer from multiple chronic diseases that require the use of several drugs, and this demographic scenario fosters the increased prescription of multiple drugs, or Polypharmacy (PP) and Potentially Inappropriate Medication (PIM). Objective This study aimed to identify the prevalence rates and associated factors of PP and PIM in Brazilian older adults. Method The prevalence of PIM use and PP was estimated in a sample of 222 patients enrolled in the Family Health Program in Niterói, Brazil. Logistic regression models were used to analyze the data. Age and sex were kept in the models as potential confounding factors. Results PP and PIM use presented prevalence rates of 23.9 and 24.8%, respectively. PP was associated with body mass index, coronary heart disease, diabetes mellitus, and a number of comorbidities, whereas PIM use was associated with PP. Conclusion The prevalence rates of PP and PIM use found were lower than those reported in previous studies. This could be a result of differences in availability of drugs or prescribing habits. Multiple chronic diseases were associated with PP. These results suggest that more care should be taken in prescribing for the elderly population.

scholarly journals Patient Engagement in Decision Making and Associated Factors among Outpatients with Selected Non-Communicable Chronic Diseases in Public Hospitals of West Shoa, Ethiopia,2020

2021 ◽  
Author(s):  
Desalegn Emana
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Chronic Diseases ◽  
Patient Engagement ◽  
Associated Factors ◽  
Public Hospitals ◽  
Health Care Decision ◽  
Factors Associated ◽  
High Engagement ◽  
Care Decision

Abstract Background: Despite the importance of patient engagement in health care decision-making in the care of patients with chronic diseases, there is limited information about it and the factors affecting it in Ethiopia in general and in the Public Hospitals of West Shoa in particular. Thus this study is designed to assess the engagement of patients with selected chronic non-communicable diseases in health care decision making and associated factors in public hospitals of West Shoa Zone, Oromia, Ethiopia.Methods: Facility-based cross-sectional study design was used. Systematic sampling was used for the selection of study participants from June 7 – July 26, 2020. Standardized, pretested, and structured Patient Activation Measure was used to measure patient engagement in healthcare decision-making. Descriptive analysis was done to determine the magnitude of patient engagement in health care decision-making. Multivariate logistic regression analysis was used to determine factors associated with patients’ engagement in the health care decision-making process. Adjusted odds ratio with a 95% confidence interval was calculated to measure the strength of association. Statistical significance was declared at p<0.05. The results were presented by tables and graphs.Results: A total of 406 patients with chronic diseases participated in the study yielding a response rate of 96.2%. Less than a fifth [19.5% (95% CI: 15.5, 23.6)] of participants in the study area had a high engagement in their health care decision-making. Educational level (college or above) [AOR=5.2, 95% CI (1.76-15.46)], duration of diagnosis >5 years [AOR= 1.8, 95% CI (1.03-3.2)], health literacy [AOR=1.15, 95% CI (1.06-1.24)], autonomy preference in decision making [AOR=1.35, 95% CI (1.03-1.96)] were factors significantly associated with participants’ engagement in health care decision making among patients with chronic diseases. Conclusion- Low number of respondents had a high engagement in their health care decision-making. Preference for autonomy in decision making, educational level, health literacy, duration of diagnosis with the disease were factors associated with patient engagement in health care decision making among patients with chronic diseases in the study area. Thus individualized patient-centered care and patient empowerment is essential among patients with chronic non-communicable diseases.

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