scholarly journals Retraction Note: Factors associated with induced abortion in Nepal: data from a nationally representative population-based cross-sectional survey

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Suresh Mehata ◽  
Jamie Menzel ◽  
Navaraj Bhattarai ◽  
Sharad Kumar Sharma ◽  
Mukta Shah ◽  
...  
2021 ◽  
Author(s):  
Satyajit Kundu ◽  
Subarna Kundu ◽  
Md. Hasan Al Banna ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
...  

Abstract Objectives: This study aimed to estimate the prevalence of CDDs and ARIs and also to determine the factors associated with these conditions at the population level in Bangladesh.Setting: The study entailed an analysis of nationally representative cross-sectional secondary data from the most recent Bangladesh Demography and Health Survey (BDHS) data conducted in 2017–2018.Participants: A total of 7222 children < 5 years old for CDDs, and 7215 children aged below 5 years for ARIs during the survey from mothers aged between 15 to 49 years are the participants of this study.Results: The overall prevalence of CDD and ARI among children < 5 years old were found to be 4.91% and 3.03%, respectively. Younger children were more likely to develop both CDDs and ARIs compared to their older counterparts. Children belonging to households classified as poorest (aOR = 2.414, 95% CI (1.091 to 5.341)) and with unimproved floor materials (aOR = 1.821, 95% CI (1.145 to 2.896)) had a higher prevalence of diarrhea than those from households identified as richest and with improved floor material, respectively. Stunted children had 40.8% higher odds of diarrhea than normal children (aOR = 1.408, 95% CI (1.055 to 1.879)). Male children were 48.9% more likely to develop ARI than female children (aOR = 1.489, 95% CI (1.132 to 1.960)). Children of mothers aged below 20 years had 2 times higher odds of ARI compared to children of mothers aged 20 to 34 years (aOR = 2.166, 95% CI (1.403 to 3.344)). Children whose mothers had no formal education or had primary and secondary education had higher odds of ARI compared to children of mothers having higher education.Conclusion: Programs targeting children aged below 23 months should be designed and emphasis should be given to addressing barriers to mother’s education and household wealth to reduce CDDs and ARIs.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Neo M. Tapela ◽  
Lei Clifton ◽  
Gontse Tshisimogo ◽  
Moagi Gaborone ◽  
Tebogo Madidimalo ◽  
...  

Introduction. Hypertension is a leading risk factor for cardiovascular mortality and an emerging public health concern in sub-Saharan Africa. Few studies have examined performance on the management of hypertension in this region, where the context may be distinct from other developing regions. Objectives. We aimed to determine the prevalence and correlates of hypertension, awareness, treatment, and control among adults in Botswana, a middle-income African country undergoing rapid demographic transition and with high HIV burden. Methods. In this 2014 cross-sectional survey of adults aged 15–69 years, information on sociodemographic characteristics, lifestyle behavior, and medical history was collected through in-person interviews and physical measurements (body mass index and triplicate blood pressure (BP)). Hypertension was defined as self-report of use of antihypertensives in the previous two weeks and/or having elevated BP (≥140/90 mmHg). Multivariable logistic regression was employed to explore factors associated with hypertension, awareness (report of previous diagnosis), treatment (antihypertensives), and control (BP < 140/90). Results. Our analysis (N = 4,007) yielded an age-standardized hypertension prevalence of 30% (95% CI: 28%–32%, N = 1,393). Among hypertensives, 54% (50–58%) were unaware of their condition, 45% (40–50%) of those aware were untreated, and 63% (55–70%) of those on medications were suboptimally treated (BP ≥ 140/90 mmHg). A fifth of hypertensives who were diagnosed but not on medications had BP ≥ 180/110 mmHg. Diabetes was the strongest correlate of hypertension and awareness (aOR 4.00, 1.86–8.59; aOR 3.30, 1.44–7.55, respectively). Males were less likely to be aware (aOR 0.62, 0.41–0.94) or controlled (aOR 0.36, 0.16–0.83). Obese individuals were more likely to be treated (aOR 2.17, 1.12–4.22), yet less likely to be controlled (aOR 0.32, 0.15–0.66). Conclusions. We report the first nationally representative estimates of the hypertension care cascade performance in Botswana, which will support planning and future policy evaluations. Findings contribute to the relatively sparse evidence on this subject and may inform development of innovations that improve quality of hypertension management and adherence support in similar settings.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025305 ◽  
Author(s):  
Karyn Morrissey

ObjectiveThis study explores the factors associated with health service use for individuals with cardiovascular disease (CVD) and comorbidity in the Ireland.DesignPopulation-based cross-sectional survey.SettingNationally representative health and health service use survey from the 2010 Quarterly National Household Survey was analysed.Primary outcome measuresFour outcome variables were examined: no CVD, CVD only, CVD with CVD-related comorbidities and CVD with non-CVD-related comorbidity.ResultsOf the 791 individuals reporting doctor-diagnosed CVD, 77% had a second morbidity. Using type of healthcare coverage as a proxy for socioeconomic status, both CVD-related and non CVD-related comorbidity increases the use of health service usage substantially for individuals with CVD, particularly general practitioner services (8.47, CI 4.49 to 15.96 and 5.20, CI 2.10 to 12.84) and inpatient public hospital care (3.64, CI 2.93 to 4.51 and 3.00, CI 2.11 to 4.26).ConclusionThis study indicated that even when demographic and socioeconomic factors are controlled for, comorbidity significantly increases the risk of accessing health services for individuals with CVD.


2021 ◽  
Author(s):  
Evy Yunihastuti ◽  
Ari Fahrial Syam ◽  
Herikurniawan Herikurniawan ◽  
Dewi Sumaryani Soemarko ◽  
Andrian Wiraguna

Abstract Doctors have a greater risk of acquiring COVID-19 due to occupational exposure. Personal protective equipment (PPE) is an essential factor in reducing COVID-19 transmission. We aimed to evaluate the risk of moderate-severe COVID-19 infection and behavior adaptation in PPE usage among doctors who survived COVID-19 in Indonesia. This was an online population-based cross-sectional survey among Indonesian doctors of COVID-19 survivors. Bivariate and multivariate analyses were performed to determine factors associated with moderate-severe COVID-19 infection. A total of 389 doctors who survived COVID-19 infection across in Indonesia was included in this study. Most participants were young doctors (20-39 years: 69.7%), general practitioners (50.4%), working in COVID-19 designated hospitals (62.5%), and worked more than 40 hours/week (57.8%). Factors associated with moderate-severe COVID-19 were IMA moderate occupational risk (aOR 4.14, 95% CI: 1.11-15.47), age 40-59 years (aOR 3.24, 95% CI: 1.99-5.29), working in COVID-19 designated hospital (aOR 1.89, 95% CI: 1.18-3.01), and higher BMI (aOR 1.88, 95% CI: 1.00-3.54). N95 respirator and other PPEs use improved after these doctors recovered from COVID-19 infection in isolation and non-isolation rooms. In conclusion, working COVID-19 designated hospital, moderate occupational risk, higher BMI, and age 40-59 were associated with moderate-severe COVID-19 among doctors in Indonesia.


2018 ◽  
Vol 46 (9) ◽  
pp. 3796-3808 ◽  
Author(s):  
Tawima Sirirassamee ◽  
Sasiwan Phoolsawat ◽  
Supakorn Limkhunthammo

Objectives This study aimed to examine the prevalence of weight misperception and to explore the association of weight perception with physical activity and dietary intake. Methods A population-based, nationally representative cross-sectional survey was conducted of 920 Thai adolescents aged 13 to 24 years. Respondents were selected using stratified multistage sampling. Respondents who agreed to participate were asked to complete the Youth Risk Behavior Questionnaire. Results Females were more likely than males to misperceive themselves as overweight (21.8% vs. 11.7%), whereas males were more likely than females to misperceive themselves as underweight (12.3% vs. 3.4%). Males were more likely than females to report a high intake of vegetables (45.7% vs. 38.0%), milk (39.1% vs. 38.0%), 100% fruit juice (20.9% vs. 17.7%) and soda or pop (38.5% vs. 20.6%). Males were also more likely than females to report vigorous physical activity of more than 60 minutes per day (38.1% vs. 21.3%) and vigorous exercise to strengthen or tone muscles (37.3% vs. 13.2%). Conclusions Gender differences in dietary intake and physical activity were identified. However, there were no significant differences in dietary intake and physical activity between adolescents who correctly perceived themselves as overweight and those who misperceived themselves as overweight.


2020 ◽  
Author(s):  
Nitsu Addis ◽  
Muluken Azage ◽  
Dabere Nigatu ◽  
Kristen Kirksey

Abstract Background: Alcohol use during pregnancy is a modifiable health behavior that causes a range of health problems in infants, including impaired growth, stillbirth, and fetal alcohol spectrum disorder. However, there is lack of comprehensive information on alcohol use and associated factors during pregnancy using a population-based dataset in Ethiopia. Therefore, this study aimed to assess the prevalence of alcohol use during pregnancy and associated factors using a national, population-based survey.Methods: The study utilized data from the 2011 and 2016 Ethiopian Demographic and Health Survey, a cross-sectional survey conducted on a nationally representative sample. The survey employed a multistage cluster sampling method to generate representative national and sub-national health and health related indicators. A total of 2,341 pregnant women were included in the analysis. Factors associated with alcohol use were identified using multivariable logistic regression model. Adjusted odds ratios (AOR) with 95% confidence interval (CI) were computed to quantify the degree of association between independent variables and alcohol use.Results: In Ethiopia, the prevalence of alcohol use among pregnant women was 30.2% (95% CI: 28.4%-32.2%). The study identified that being employed (AOR: 2.07; 95%CI: 1.55-2.77), ever attempted termination of pregnancy (AOR: 2.21; 95% CI: 1.60-3.05), having two (AOR: 2.56; 95% CI: 1.76-3.72), or three (AOR: 2.98; 95% CI: 1.40-6.35) sexual partners in lifetime and chat chewing (AOR: 8.91; 95% CI: 4.61-17.23) had increased the odds of alcohol use during pregnancy.Conclusion: In this study, the prevalence of alcohol use during pregnancy among Ethiopian mothers was high. Working status, ever used something to terminate the pregnancy, more than one lifetime partner, and chat chewing were factors associated with alcohol use during pregnancy. Thus, prevention interventions and strategies can draw on the identified modifiable health behaviors.


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e027070 ◽  
Author(s):  
Coralie Galland-Decker ◽  
Pedro Marques-Vidal ◽  
Peter Vollenweider

ObjectiveTo assess the prevalence and factors associated with fatigue in the general population.DesignPopulation-based, cross-sectional survey performed between May 2014 and April 2017.SettingGeneral population of the city of Lausanne, Switzerland.Participants2848 participants (53.2% women, age range 45–86 years).Primary outcome measurePrevalence of fatigue the previous week, defined as a score of ≥4 using the Fatigue Severity Scale.ResultsThe prevalence of fatigue was 21.9% (95% CI 20.4% to 23.4%) in the total sample. On bivariate analysis, participants with fatigue were younger, had a higher body mass index, a lower handgrip strength and lower ferritin levels. Participants with fatigue were more frequently women, had a lower educational level, presented more frequently with clinical insomnia, diabetes, anaemia, depression and low thyroid stimulating hormone (TSH) values, had a higher consumption of antihistamines, antidepressants and hypnotics, and rated more frequently their health as bad or very bad. Multivariable analysis showed that obesity (OR 1.40 (95% CI 1.03 to 1.91)), insomnia categories (p value for trend <0.001), depression (OR 3.26 (95% CI 2.38 to 4.46)), anaemia (OR 1.70 (95% CI 1.00 to 2.89)) and low self-rated health status (p value for trend <0.001) were positively associated with fatigue, while older age (p value for trend 0.002) was negatively associated with fatigue. Conversely, no association was found for diabetes, TSH levels, antihistamines or hypnotics.ConclusionIn a population-based sample aged 45–86, fatigue was present in one out of five subjects. Regarding clinical factors, sleep disturbances such as insomnia and sleep apnoea should be assessed first, followed by depression. Regarding biological factors, anaemia should be ruled out, while screening for hypothyroidism is not recommended as a first step. Sleep complaints and fatigue in older subjects are not due to ageing and should prompt identification of the underlying cause.


Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 696
Author(s):  
Elsie Yan ◽  
Daniel W. L. Lai ◽  
Vincent W. P. Lee

Vaccination is one of the most effective ways to stop the spread of COVID-19. Understanding factors associated with intention to receive COVID-19 vaccines is the key to a successful vaccination programme. This cross-sectional study explored the rate of vaccination intention and identified its predictors using the health belief model (HBM) in the general population in Hong Kong during the pandemic. Data were collected between December 2020 and January 2021 via telephone surveys. Hierarchical logistic regression analysis was used to identify factors associated with intention to receive COVID-19 vaccines. A total of 1255 adults (>18 years, 53% female) completed the telephone survey. Overall, 42% indicated an intention to vaccinate, 31.5% showed vaccine hesitancy, and 26.5% reported refusal to receive any COVID-19 vaccines. Individuals who were men, older in age, working, with past experiences of other pandemics, less concerned with the vaccine safety, with poorer knowledge about COVID-19, and having greater levels of perceived susceptibility, self-efficacy, cues to action, and acceptance of governmental preventive measures related to COVID-19 were significantly more likely to report an intention to vaccinate. The low intention among the Hong Kong population reflects the importance of developing effective vaccination promotion campaigns with the predictors identified in this study.


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