scholarly journals Socioeconomic differentials in trends in the prevalence of hypertension and pre-hypertension and hypertension awareness, treatment, and control in rural Southwestern China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lu-Ming Fan ◽  
Fang Wang ◽  
Min Zhao ◽  
Wen-Long Cui ◽  
Le Cai

Abstract Background This study examines the socioeconomic differentials in trends in the prevalence of hypertension and pre-hypertension and hypertension awareness, treatment, and control in rural Southwestern China. Methods Two cross-sectional interviews and health examination surveys were administered in rural Yunnan Province, including 6,350 consenting participants in 2009 and 6,359 consenting participants in 2016 (aged ≥ 35 years). Participant demographics, socioeconomic status (SES), and ethnicity, along with information about hypertension awareness, treatment, and control, were collected using similar questionnaires in the two surveys. The participants’ blood pressure levels were also measured. Results From 2009 to 2016, the prevalence of hypertension substantially increased from 28.4% to 39.5% (P < 0.01), and awareness and control rose from 42.2 and 25.8% to 53.1 (P < 0.01) and 30.6% (P < 0.05), respectively. Although people with a higher education level also had higher awareness and control rates than the lower education level ones, there were no conspicuous differences in the improvement of awareness and control between publics with different education levels over the 7 years studied. Increases were observed in both rates of awareness and control in people with a high level of income (P < 0.01). However, only the awareness rate increased in participants with a low level of income. Furthermore, the prevalence (P < 0.01) and treatment (P < 0.05) of hypertension were higher in the Han people than in ethnic minorities. Conclusions Individual SES has clear associations with trends in the prevalence, awareness, and control of hypertension. Future interventions to improve hypertension prevention and control should be tailored to address individual SES.

2020 ◽  
Author(s):  
Luming Fan ◽  
Fang Wang ◽  
Min Zhao ◽  
Wen-Long Cui ◽  
Le Cai

Abstract Background: This study examines the socioeconomic differentials in trends in the prevalence of hypertension and pre-hypertension and hypertension awareness, treatment, and control in rural Southwestern China.Methods: Two cross-sectional interviews and health examination surveys were administered in rural Yunnan Province, including 6,350 consenting participants in 2009 and 6,359 consenting participants in 2016 (aged ≥ 35 years). Participant demographics, socioeconomic status (SES), and ethnicity, along with information about hypertension awareness, treatment, and control, were collected using similar questionnaires in the two surveys. The participants’ blood pressure levels were also measured.Results: From 2009 to 2016, the prevalence of hypertension substantially increased from 28.4% to 39.5% (P < 0.01), and awareness and control rose from 42.2 and 25.8% to 53.1 (P < 0.01) and 30.6% (P < 0.05), respectively. Although people with a higher education level also had higher awareness and control rates than the lower education level ones, there were no conspicuous differences in the improvement of awareness and control between publics with different education levels over the 7 years studied. Increases were observed in both rates of awareness and control in people with a high level of income (P < 0.01). However, only the awareness rate increased in participants with a low level of income. Furthermore, the prevalence (P < 0.01) and treatment (P < 0.05) of hypertension were higher in the Han people than in ethnic minorities.Conclusions: Individual SES has clear associations with trends in the prevalence, awareness, and control of hypertension. Future interventions to improve hypertension prevention and control should be tailored to address individual SES.


2021 ◽  
Author(s):  
Luming Fan ◽  
Fang Wang ◽  
Min Zhao ◽  
Wen-Long Cui ◽  
Le Cai

Abstract Background: This study examines the socioeconomic differentials in trends in the prevalence of hypertension and pre-hypertension and hypertension awareness, treatment, and control in rural Southwestern China.Methods: Two cross-sectional interviews and health examination surveys were administered in rural Yunnan Province, including 6,350 consenting participants in 2009 and 6,359 consenting participants in 2016 (aged ≥ 35 years). Participant demographics, socioeconomic status (SES), and ethnicity, along with information about hypertension awareness, treatment, and control, were collected using similar questionnaires in the two surveys. The participants’ blood pressure levels were also measured.Results: From 2009 to 2016, the prevalence of hypertension substantially increased from 28.4% to 39.5% (P < 0.01), and awareness and control rose from 42.2 and 25.8% to 53.1 (P < 0.01) and 30.6% (P < 0.05), respectively. Although people with a higher education level also had higher awareness and control rates than the lower education level ones, there were no conspicuous differences in the improvement of awareness and control between publics with different education levels over the 7 years studied. Increases were observed in both rates of awareness and control in people with a high level of income (P < 0.01). However, only the awareness rate increased in participants with a low level of income. Furthermore, the prevalence (P < 0.01) and treatment (P < 0.05) of hypertension were higher in the Han people than in ethnic minorities.Conclusions: Individual SES has clear associations with trends in the prevalence, awareness, and control of hypertension. Future interventions to improve hypertension prevention and control should be tailored to address individual SES.


Author(s):  
Longmei Tang ◽  
Shangchun Wu ◽  
Dianwu Liu ◽  
Marleen Temmerman ◽  
Wei-Hong Zhang

Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.


Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 678
Author(s):  
Julio Jaramillo-Monge ◽  
Michael Obimpeh ◽  
Bernardo Vega ◽  
David Acurio ◽  
Annelies Boven ◽  
...  

We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.


Author(s):  
Maryam Said ◽  
Hadi Pratomo

Riwayat pemberian Air Susu Ibu (ASI), karakteristik ibu dan anak serta pola asuh berpengaruh terhadap kecerdasan anak. Penelitian ini bertujuan untuk mengetahui proporsi tingkat kecerdasan anak, riwayat pemberian ASI, karakteristik ibu dan anak, serta faktor dominan yang berhubungan dengan tingkat kecerdasan anak pada siswa SDSN Pekayon Jaya VI Kota Bekasi. Penelitian kuantitatif dengan desain potong lintang dengan metode systematic random sampling dengan jumlah sampel sebesar 166 responden (siswa/i yang berumur 7 - 9 tahun) beserta ibunya. Penelitian ini dilaksanakan pada bulan Mei 2013. Pada siswa dilakukan tes kecerdasan menggunakan tes Raven sedangkan ibunya mengisi kuesioner. Hasil penelitian menunjukkan tingkat kecerdasan rendah 6%, rata-rata 36,7%, dan tinggi 57,2%. Variabel yang berhubungan dengan kecerdasan adalah durasi pemberian ASI dan pendidikan ibu. Pendidikan ibu adalah faktor dominan terhadap kecerdasan, bahwa ibu yang berpendidikan tinggi berpeluang mempunyai anak dengan kecerdasan tinggi yaitu 3,556 kali lebih besar dibandingkan ibu berpendidikan rendah setelah dikontrol variabel durasi ASI. Untuk Dinas Pendidikan Kota Bekasi agar menyelenggarakan berbagai aktivitas seperti seminar/pelatihan/konseling bagi orang tua murid tentang pentingnya peran orangtua terhadap tumbuh kembang anak.Breastfeeding history, mother and children characteristics, and child care are considered influential on child intellegence. This study aimed to determine the proportion of exclusive breastfeeding, the level of childrens intellegence, mother and children characteristics, the relationship between duration of breastfeeding with the level of students intellegence. This research used a cross-sectional design and through systematic random sampling with a sample size of 166 respondents (students aged 7 - 9 years old) and their mothers. The intellegence was tested using the Raven test while their mothers were interviewed. The results showed that the level of childrens intellegence was high (57.2%), average (36.7%), and low (6%). Those variables which related to the intellegence level were duration of breastfeeding and the level of mothers education. The mothers education level is one of the factors which has higher effect, againts the childrens intellegence. Those mothers who have high level education will have probability 3,556 to have their children with high level intellegence (after controlling the duration breastfeeding). Suggestion; The Department of Education Bekasi city to organize activities relevant to the improving of parents in growth and development of their children through seminars/training/counseling.      


Author(s):  
Agus Mulyawan ◽  
Rita Sekarsari ◽  
Nuraini Nuraini ◽  
Eriyono Budi

ABSTRACT Covid-19 is still a serious world problem with the number of cases still rising and falling every day. In response to this, the government is currently aggressively humiliating the Covid-19 Vaccination program and at the same time encouraging the public to continue to carry out health protocols such as wearing masks, washing hands and maintaining distance. This study aims to describe the level of community compliance in the application of post-Covid-19 vaccination health protocols in the Pakuhaji Health Center Work Area. The design in this study was cross sectional. Data collection using online and manual questionnaires. The sample is 85 respondents who have been vaccinated against Covid-19 to 1 or 2, respondents were taken by purposive sampling technique. The results obtained as many as 17 respondents (20%) in the non-compliant category and 68 respondents (80%) in the obedient category. And based on the characteristics of the respondents age, gender, and education. Based on this study, it was found that respondents with early adulthood (18-40 years) were more obedient to the implementation of health protocols. based on gender, female respondents were much more obedient in implementing health protocols and furthermore based on education level, respondents with middle to high education levels were much more obedient in implementing health protocols. ABSTRAK Covid-19 hingga saat ini masih menjadi permasalahan dunia yang serius dengan jumlah kasus yang masih naik turun setiap harinya. Dalam menanggapi hal tersebut pemerintah saat ini sedang gencar malukan program Vaksinasi Covid-19 dan sekaligus menganjurkan masyarakat untuk tetap melakukan protokol kesehatan seperti memakai masker, mencuci tangan dan manjaga jarak. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kepatuhan masyarakat dalam penerapan protokol kesehatan post Vaksinasi Covid-19 di Wilayah Kerja Puskesmas Pakuhaji. Desain pada penelitian ini adalah cross sectional. Pengumpulan data menggunakan kuesioner secara online dan manual. Sample berjumlah 85 responden yang sudah vaksinasi Covid-19 ke 1 atau 2, responden diambil dengan teknik purposive sampling. Hasil penelitian didapatkan sebanyak 17 responden (20%) dengan kategori tidak patuh dan 68 responden (80%) dengan kategori patuh. Dan berdasarkan karakteristik responden usia, jenis kelamin, serta pendidikan. Berdasarkan penelitian ini, ditemukan responden dengan usia dewasa awal (18-40 tahun) lebih patuh terhadap penerapan protokol kesehatan. Selain itu berdasarkan jenis kelamin, responden perempuan jauh lebih patuh dalam penerapan protokol kesehatan dan selanjutnya berdasarkan tingkat pendidikan, responden dengan tingkat pendidikan menenga hingga tinggi jauh lebih patuh dalam penerapan protokol kesehatan.


Author(s):  
Tatiane da Silva Dal Pizzol ◽  
Cassia Garcia Moraes ◽  
Paulo Sérgio Dourado Arrais ◽  
Andréa Dâmaso Bertoldi ◽  
Luiz Roberto Ramos ◽  
...  

ABSTRACT: Introduction: The written information on medicines has been acknowledged as an important tool for health education. Objective: To analyze the use and understanding of medicine package inserts by users and assess sociodemographic and medical factors associated with their comprehension. Method: Data in this analysis are part of the PNAUM National Survey - a cross-sectional population-based study conducted in Brazil. Descriptive statistics and the Pearson χ2 tests were performed to compare proportions between sociodemographic and medical characteristics, as well as use and understanding of medicine package inserts. Results: A total of 28.427 individuals responded to questions related to medicine package inserts. From these, 59.6% (95%CI 57.7 - 61.5) said they usually read the inserts, and 98.4% (95%CI 98.0 - 98.8) considered them necessary. Among people who read the medicine package inserts, more than half indicated difficulties with legibility (57.4%; 95%CI 55,2 - 59,6) and readability (54.1%; 95%CI 52.1 - 56.1). People from a lower education level reported greater difficulty in understanding them. Conclusion: The larger portion of the population usually read medicine package inserts. Nevertheless, people have difficulty in reading and understanding them.


2017 ◽  
Vol 21 (6) ◽  
pp. 1094-1105 ◽  
Author(s):  
Kirsti Kvaløy ◽  
Marita Melhus ◽  
Anne Silviken ◽  
Magritt Brustad ◽  
Tore Sørlie ◽  
...  

AbstractObjectiveThe present study aimed to investigate disordered eating (DE) among Sami compared with non-Sami residing in northern Norway.DesignIn a cross-sectional design, stratified by sex and ethnicity, associations were tested between DE (Eating Disturbance Scale; EDS-5) and age, education level, BMI category, anxiety and depression, physical activity and consumption of snacks.SettingThe SAMINOR 2 Clinical Survey (2012–2014) based on the population of ten municipalities in northern Norway.SubjectsAdults aged 40–69 years; 1811 Sami (844 male, 967 female) compared with 2578 non-Sami (1180 male, 1398 female) individuals.ResultsNo overall significant ethnic difference in DE was identified, although comfort eating was reported more often by Sami individuals (P=0·01). Regardless of ethnicity and sex, symptoms of anxiety and depression were associated with DE (P<0·001). Furthermore, DE was more common at lower age and higher BMI values. Education levels were protectively associated with DE among Sami men (P=0·01). DE was associated (OR, 95% CI) with low physical activity in men in general and in non-Sami women (Sami men: 2·4, 1·4, 4·0; non-Sami men: 2·2, 1·4, 3·6; non-Sami women: 1·8, 1·2, 2·9) and so was the consumption of snacks (Sami men: 2·6, 1·3, 5·0; non-Sami men: 1·9, 1·1, 3·1; non-Sami women: 2·1, 1·3, 3·4).ConclusionsThere were no significant differences regarding overall DE comparing Sami with non-Sami, although Sami more often reported comfort eating. There were significant sex and ethnic differences related to DE and physical activity, snacking and education level.


2021 ◽  
Author(s):  
Robertus Dole Guntur ◽  
Jonathan Kingsley ◽  
Fakir M A Islam

Objectives: This study aims to investigate ethnic variation and its association with malaria awareness in the East Nusa Tenggara Province (ENTP), Indonesia. Methods: A community–based cross–sectional study was conducted upon 1495 adults recruited by multi –stage cluster random sampling technique. A malaria awareness related questionnaire was used to collect data alongside a malaria awareness index (MAI). A logistic regression method was applied to quantify the strength of associations of factors associated with the awareness index. Results: Of total participants, 33% were from Manggarai, 32.3% were from Atoni, 30.2% from Sumba ethnicity. The level of MAI was significantly different between these groups with the highest in Manggarai ethnicity (65.1%, 95% confidence interval (CI): 59.9 — 70.3) and the lowest in Sumba ethnicity (35%, 95% CI: 27.6 — 42.4). The most prominent factors influencing the MAI in Sumba and Manggarai ethnicity were education level, whilst it was socio–economic status (SES) in Atoni ethnicity. The level of MAI was significantly higher for adults with diploma or above education level (adjusted odds ratio (AOR): 21.4, 95% CI: 3.59 — 127.7- for Manggarai; AOR: 6.94, 95% CI: 1.81 — 26.6 for Sumba). The level of MAI was significantly higher for adults living in high SES in Atoni (AOR 24.48, 95% CI: 8.79 — 68.21). Conclusions. Poorer education levels and low SES were more prominent factors contributing to lower levels of MAI in rural ENTP. Interventions should focus on improving malaria awareness to these groups to support the national commitment of the Indonesian government to achieve a malaria elimination zone by 2030.


Sign in / Sign up

Export Citation Format

Share Document