scholarly journals Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ailiana Santosa ◽  
Yue Zhang ◽  
Lars Weinehall ◽  
Genming Zhao ◽  
Na Wang ◽  
...  

Abstract Background Failure to promote early detection and better management of hypertension will contribute to the increasing burden of cardiovascular diseases. This study aims to assess the gender differences in the prevalence, awareness, treatment and control of hypertension, together with its associated factors, in China and Sweden. Methods We used data from two cross-sectional studies: the Västerbotten Intervention Program in northern Sweden (n = 25,511) and the Shanghai survey in eastern China (n = 25,356). We employed multivariable logistic regression to examine the socio-demographics, lifestyle behaviours, and biological factors associated with the prevalence, awareness, treatment and control of hypertension. Results Men had a higher prevalence of hypertension (43% in Sweden, 39% in China) than their female counterparts (29 and 36%, respectively). In Sweden, men were less aware of, less treated for, and had less control over their hypertension than women. Chinese men were more aware of, had similar levels of treatment for, and had less control over their hypertension compared to women. Awareness and control of hypertension was lower in China compared to Sweden. Only 33 and 38% of hypertensive Chinese men and women who were treated reached the treatment goals, compared with a respective 48 and 59% in Sweden. Old age, impaired glucose tolerance or diabetes, a family history of hypertension or cardiovascular diseases, low physical activity and overweight or obesity were found to increase the odds of hypertension and its diagnosis. Conclusions This study shows the age and gender differences in the prevalence, awareness, treatment and control of hypertension among adults in China and Sweden. Multisectoral intervention should be developed to address the increasing burden of sedentary lifestyle, overweight and obesity and diabetes, all of which are linked to the prevention and control of hypertension. Development and implementation of the gender- and context-specific intervention for the prevention and control of hypertension facilitates understanding with regard to the implementation barriers and facilitators.

Author(s):  
Kantinath Ainapure ◽  
Kumar Sumit ◽  
Sanjay M. Pattanshetty

Background: In India National programme for prevention and control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) programme was launched in 2011 to reduce the burden of Non-Communicable diseases (NCDs). Udupi district was one of the first few districts of Karnataka where NPCDCS programme was started in the year 2010.Methods: A qualitative cross-sectional study was conducted among the stakeholders involved in the NPCDCS programme of Udupi District, Karnataka from January 2017- June 2017. Purposive sampling method was used for the sample selection. A total of 36 in-depth interviews were carried out among the stakeholders of NPCDCS programme.Results: The programme has achieved initial success and its successful implementation has to be observed in the coming years. Health staff posts which are critical in implementation of NPCDCS are vacant in many of the healthcare centres. Awareness about this programme was relatively low in the community.Conclusions: It is necessary to conduct regular awareness and screening campaigns with proper follow-up services to make the community sensitized about the programme. Regular supply of medicines should be ensured for the effective implementation of the programme in the future so that it can achieve its goal in reducing the burden NCDs.


Author(s):  
Shycil Mathew ◽  
Jenifer Dsouza ◽  
Prakash Saldanha

Introduction: Adolescent obesity is a major public health challenge and it is a growing epidemic. Change in diet and physical inactivity are the key factors affecting weight among adolescents. Due to this, the prevalence of non communicable diseases and their risk factors are alarmingly high among them. To tackle this issue, early identification and effective health promotion strategies at a young age need to be adopted. Hence, there is a need for understanding the current trend in overweight and obesity among growing adolescents. Aim: To identify the lifestyle practices and to determine knowledge on prevention and control of overweight and obesity among overweight and obese adolescents in selected urban high schools at Mangaluru, Dakshina Kannada (D.K.), India. Materials and Methods: A descriptive cross-sectional study was conducted among adolescents at selected urban high schools of Mangaluru, D K, India. A sample of 360 adolescents were screened to identify the occurrence of overweight and obesity. Body Mass Index (BMI) was computed using the formula, BMI=weight (Kg)/ height (m2). A total of 65 overweight and obese adolescents were assessed for lifestyle practices and level of knowledge on prevention and control of overweight and obesity. Demographic proforma, a structured knowledge questionnaire, and a self-report lifestyle practice rating scale were used to collect data. Results: The occurrence of overweight and obesity among adolescents was 18%. According to their BMI status, 9.7% of adolescents were overweight and 8.3% of them were obese. Self- reported lifestyle practice scores depicted that most (86.2%) of the overweight and obese adolescents follow unhealthy lifestyle practices. Majority (66.1%) of the adolescents had only average knowledge on prevention and control of overweight and obesity. Conclusion: Though a maximum number of adolescents had average knowledge on prevention and control of overweight and obesity, unhealthy lifestyle practices are major risk factors for overweight and obesity among growing adolescents. Overweight and obese adolescents should strictly follow healthy lifestyle practices.


2018 ◽  
Vol 8 (1) ◽  
pp. 1-9
Author(s):  
Senka Mesihovic-Dinarevic ◽  
Aida Ramić-Čatak ◽  
Zaim Jatic

Cardiovascular diseases (CVDs) are the major cause of disability and premature death all over the world. Annually, 17.5 million people die from CVDs, representing 30% of the total number of deaths. Despite established guidelines for the treatment of acute coronary syndrome, cardiac weakness, atrial fibrillation and CVD prevention, many patients remain inadequately treated, particularly in less developed nations. A brief overview of the development of CVDs, description of the current practice guidelines, and a cross sectional analyses of the status of CVD prevention and control in the Federation of Bosnia and Herzegovina is given. In the past 7 years, there has been a steady increase in deaths, where half of all deaths in the Federation of Bosnia and Herzegovina are attributed to CVDs. Deaths from the acute myocardial infarction had a rate of 91.0/100,000 inhabitants, a significant increase compared to 2010, when this rate was 69.2. The second leading cause of death, a stroke, with a rate of 87.1 showed a slight decrease compared to 2010, when it was 89.9. The third leading cause of death, heart failure, with a rate of 68.4, has a slight decrease compared to 2010, when the rate was 75.7. CVDs are the leading cause of mortality in Federation of Bosnia and Herzegovina, which, in addition to the large number of premature deaths, also causes major costs for the health sector and economy.


2020 ◽  
Author(s):  
Yushi Mo ◽  
Yan Luo ◽  
Hong Li ◽  
Dewei Xiao ◽  
Shuqing Liu ◽  
...  

BACKGROUND In face of the sudden epidemic of COVID-19, strict prevention and control measures had been urgently carried out all over China. Because of the long-term home quarantine, all kinds of people were affected by it. OBJECTIVE In order to understand the mental health of children during the pandemic of COVID-19, this study investigated the prevalence and characteristics of emotional and behavioral problems of children aged 1-11 in Guizhou. METHODS Based on the online survey platform, the survey link was pushed through Wechat in April 2020. Electronic questionnaires were used to investigate children's demographic characteristics, emotional or behavioral problems. RESULTS A total of 3505 valid questionnaires were received from 9 prefectures and cities in Guizhou Province. 39.67% of the children in the 1-2-year-old group had emotional problems. 17.63% of the children agd 3-5 years had behavioral or emotional problems. And 23.57% of the children agd 6-11 years havd behavioral problems. CONCLUSIONS During the home quarantine period of prevention and control of COVID-19, even young children were adversely affected. The prevalence of emotional and behavioral problems in children was high, which was mainly manifested as anxiety, difficulty in concentration and sleep problems.


2021 ◽  
pp. 175717742110127
Author(s):  
Salma Abbas ◽  
Faisal Sultan

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.


2014 ◽  
Vol 23 (2) ◽  
pp. 278-285 ◽  
Author(s):  
Denise Maia Alves da Silva ◽  
Maria Alix Leite Araújo ◽  
Raimunda Magalhães da Silva ◽  
Roumayne Fernandes Vieira Andrade ◽  
Heber José de Moura ◽  
...  

The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceará, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.


2021 ◽  
Vol 14 (1) ◽  
pp. 169
Author(s):  
Fatma Lestari ◽  
Abdul Kadir ◽  
Muhammad Idham ◽  
Fahrul Azwar ◽  
Ganis Ramadhany ◽  
...  

People’s behaviors can affect the spread of the COVID-19 virus. Public behaviors, including proper personal hygiene and healthy life practices, the use of appropriate masks, and the application of good disinfectants, have an important role in human health and protection towards prevention and control of COVID-19 spread. This study aims to perform a survey of public behavior and best practices related to COVID-19 prevention and control among Indonesian communities. A cross-sectional study was designed to collect information using an online survey. Respondents were gathered from 34 provinces in Indonesia through the Indonesia National Safety and Health Council network and Universities network. Respondents voluntarily submitted their response to a predesigned online questionnaire. The collected data was then analyzed using SPSS 24.0. A total of 771 respondent subjects (male 386; female 385) were recruited. The results show that 96% of participants implement positive behavior of personal hygiene, including wearing a mask when going outside their house, and almost 67.3% of respondents sprayed a disinfectant in their house. The majority of participants hold a door handle (37.2%) and desk (28.1%) at a frequency of more than six times a day. There were 8.2% of participants implementing good personal hygiene, including hand-washing at least once a day and maximum of more than six times after going to the toilet. At-risk behaviors were conducted by respondents in which they touched part of their face at a frequency of once during an hour. It was identified that males are less likely to perform better hand hygiene as opposed to females. In conclusion, the study showed that positive behavior of personal hygiene related to COVID-19 has been implemented among Indonesian communities. This result suggests that positive behavior based on community-based prevention and control needs to be continually maintained in order to prevent and control COVID-19 spread.


2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Maryam Khazaee-Pool ◽  
Towhid Babazadeh ◽  
Parvin Sarbakhsh ◽  
Koen Ponnet

Abstract Background: Brucellosis is one of the most frequently occurring zoonotic diseases of veterinary and a public health problem in developing countries. It affects human and animal health and has measurable effects on the productive and reproductive performance of livestock. Therefore, the main purpose of this study was to develop a community-based intervention program for brucellosis prevention and control. A two-arm parallel cluster randomized controlled trial investigated the effectiveness of the program over six months in a rural population in Ahar, East Azerbaijan, Iran. A total of 16 village health houses were randomly allocated to the intervention and the control groups (eight per arm), and 400 participants were recruited via household health records in the health houses. The PRECEDE model, which is an acronym for Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation, was used to design, implement, and evaluate the brucellosis prevention and control program. Knowledge, attitudes, self-efficacy, social support, environmental enabling, and behavioral factors were measured at the baseline and the six-month follow-up. A generalized mixed effects model was used to analyze data. Results: The mean ages (SD) of the intervention and control group respondents were 35.9 (11.87) and 37.28 (11.04) years, respectively. After the six-month intervention, significant between-group differences were found on all PRECEDE variables, adjusted for education, history of brucellosis, and family history of brucellosis. Conclusion: There is a need to consolidate collaborative health and veterinary sector efforts, as well as increase regular vaccination practices and financial resources to support farmers willing to slaughter animals and/or offer slaughter facilities. The present study was able to demonstrate which educational and ecological factors influence behaviors and environments related to brucellosis and, as such, provide evidence of the effectiveness of interventions based on the PROCEDE model.


2021 ◽  
Author(s):  
Min Zhou ◽  
Guangjie Zheng ◽  
Hongli Wang ◽  
Liping Qiao ◽  
Shuhui Zhu ◽  
...  

Abstract. Aerosol acidity plays a key role in regulating the chemistry and toxicity of atmospheric aerosol particles. The trend of aerosol pH and its drivers are crucial in understanding the multiphase formation pathways of aerosols. Here, we reported the first trend analysis of aerosol pH from 2011 to 2019 in eastern China. The implementation of the Air Pollution Prevention and Control Action Plan leads to −35.8 %, −37.6 %, −9.6 %, −81.0 % and 1.2 % changes of PM2.5, SO42−, NHx, NVCs and NO3− in YRD during this period. Different from the fast changes of aerosol compositions due to the implementation of the Air Pollution Prevention and Control Action Plan, aerosol pH shows a moderate change of −0.24 unit over the 9 years. Besides the multiphase buffer effect, the opposite effects of SO42− and non-volatile cations changes play key roles in determining the moderate pH trend, contributing to a change of +0.38 and −0.35 unit, respectively. Seasonal variations in aerosol pH were mainly driven by the temperature, while the diurnal variations were driven by both temperature and relative humidity. In the future, SO2, NOx and NH3 emissions are expected to be further reduced by 86.9 %, 74.9 % and 41.7 % in 2050 according to the best health effect pollution control scenario (SSP1-26-BHE). The corresponding aerosol pH in eastern China is estimated to increase by ~0.9, resulting in 8 % more NO3− and 35 % less NH4+ partitioning/formation in the aerosol phase, which suggests a largely reduced benefit of NH3 and NOx emission control in mitigating haze pollution in eastern China.


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