scholarly journals Determinants of chronic energy deficiency among adults living with HIV in Shebel Berenta District, East Gojjam, Amhara region, North West Ethiopia, 2017: case control study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Masreshaw Tadele ◽  
Mulugeta Tesfa ◽  
Grimay Tsegaye ◽  
Habtamu Temesgen ◽  
Nakachew Mekonnen Alamirew
2019 ◽  
Author(s):  
Dessalegn Chekol ◽  
Melkamu Bedimo ◽  
Yihun Mulugeta ◽  
Getasew Bantie

Abstract Background The global burden of cancer continues to increase largely because of the aging and growth of the world population alongside an increasing adoption of cancer-causing behaviors. Hence, the purpose of this study was to identify determinants of Non-Hodgkin lymphoma cancer among individuals who were diagnosed at Felegehiwot specialized hospital, North West Ethiopia, 2019.Methods An institution-based unmatched case-control study was conducted at Felegehiwot Specialized hospital from December 2018 up to June 2019. The sample size calculated using the two population proportion formula with 1:2 cases to control ratio. Then the final sample size was 486, (162cases and 324 controls). The simple random sampling method was employed to catch up with the estimated samples. The collected data entered into Epi-data 3.1 and analyzed using SPSS version 21. Descriptive statistics were computed. Simple logistic analysis was run (at 95% CI and p-value < 0.05) to identify factors associated with non-Hodgkin’s lymphoma.Result: A total of 486 patients participated. Larger portion of cases (34%) and controls (35.2%) were in the age group of 46-60 years. About 90% of cases and 91% of controls were Orthodox Christian. Having monthly income of < 28 dollar [AOR=2.73; 95% CI (1.8, 4.2)], being male sex [AOR=1.8; 95% CI (1.2, 2.8)], ever had chemical exposure, [AOR=11.9; 95% CI (7.6, 18.8)], had no regular physical exercise [AOR=15.5, 95% CI (5.7, 42.3)] and having hypertension [AOR=0.03; 95% CI (0.005,0.2)], lung disease (COPD) [AOR=0.2; 95% CI (0.06, 0.7)], and other health problems [AOR=0.06; 95% CI (0.01, 0.2)] were the identified root causes for non-Hodgkin’s lymphoma.Conclusions Having low monthly income, being male sex, ever had chemical exposure, not engaged in regular physical exercise and being diabetic patient was at an increased risk for non-Hodgkin’s lymphoma.


PLoS ONE ◽  
2010 ◽  
Vol 5 (3) ◽  
pp. e9702 ◽  
Author(s):  
Animut Ayenew ◽  
Abenet Leykun ◽  
Robert Colebunders ◽  
Amare Deribew

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Getasew Taddesse ◽  
Desta Debalkie Atnafu ◽  
Asmamaw Ketemaw ◽  
Yibeltal Alemu

Abstract Objective To identify the determinants for enrollment decision in the community-based health insurance program among informal economic sector-engaged societies, North West Ethiopia. Method Unmatched case-control study was conducted on 148 cases (member-to-insurance) and 148 controls (not-member-to-insurance program) from September 1 to October 30,2016. To select the villages and households, stratified then simple random sampling method was employed respectively. The data were entered in to Epi-info version 7 and exported to SPSS version 20 for analysis. Descriptive statistics, bi-variable, and multi-variable logistic regression analyses were computed to describe the study objectives and identify the determinants of enrolment decision for the insurance program. Odds ratio at 95% CI was used to describe the association between the independent and outcome variables. Results A total of 296 respondents (148 cases and 148 controls) were employed. The mean age for both cases and controls were 42 ± 11.73 and 40 ± 11.37 years respectively. Majority of respondents were males (87.2% for cases and 79% for controls). Family size between 4 and 6 (AOR = 2.26; 95% CI: 1.04, 4.89), history of illness by household (AOR = 3.24; 95% CI: 1.68, 6.24), perceived amount of membership contribution was medium (AOR = 2.3; 95% CI: 1.23, 4.26), being married (AOR = 6; 95% CI:1.43, 10.18) and trust on program (AOR = 4.79; 95% CI: 2.40, 9.55) were independent determinants for increased enrollment decision in the community-based health insurance. While, being merchant (AOR = 0.07; 95% CI: 0.09, 0.6) decreased the enrollment decision. Conclusion Societies’ enrollment decision to community-based health insurance program was determined by demographic, social, economic and political factors. Households with large family sizes and farmers in the informal sector should be given maximal attention for intensifying enrollment decision in the insurance program.


2015 ◽  
Vol 30 (6) ◽  
pp. 803-806
Author(s):  
Mahasti Alizadeh ◽  
Yalda Ravanshad ◽  
Bahram Samadi Rad ◽  
Zhila Khamnian ◽  
Anoush Azarfar

2019 ◽  
Author(s):  
Mengistie Kassahun Tariku ◽  
Sewnet Wongiel Misikir

Abstract Objective: To confirm the existence of Outbreak, describe cases in person, place and time, and identify determinants of the outbreak. Unmatched case control study in the ratio of 1:4 (38 cases and 152 controls) was conducted in Artuma fursi woreda from July 13- August 1 /2018. Data were collected with standard questionnaires. Collected data were entered into Epi Info version 7 and exported to Statistical package for social science (SPSS) version 23 for analysis. Results: A total of 38 cases and 1 death with attack rate and case fatality rate 11.8/100,000 and 2.6% respectively. All study participants had not vaccination history. Females and age group 5-14 were more affected. Being 5-14 years old versus (vs) 15 years [adjusted odd ratio (AOR) =3.53; 95% CI; 1.52-8.45)], contact with cases vs no contact with cases [AOR=2.78; 95% CI; 1.23-8.67] and travel history 7-18 days prior onset of illness vs no travel history [AOR= 2.53; 95% CI; 1.31-7.24] were significantly associated with contracting measles. Routine and supplement immunization should be strengthened to reduce future occurrence of outbreak. Keywords: Measles, outbreak, Artuma fursi woreda


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248490
Author(s):  
Mehd Abdu ◽  
Yeshimebet Ali ◽  
Samuel Anteneh ◽  
Mohammed Yesuf ◽  
Adane Birhanu ◽  
...  

Introduction Globally, tuberculosis takes the first rank for the ill-health of people living with HIV/AIDS. Despite the favorable outcome of antiretroviral therapy, the risk of tuberculosis remains higher among HIV patients. This obliges to identify factors for its occurrence and further prevention of drug-resistant tuberculosis. There is a contradiction between different studies and studies conducted in Ethiopia studied poorly the association between adherence to antiretroviral therapy and viral load with tuberculosis. Studies conducted in the study area were limited to cross-sectional study design. Therefore, this study claimed to identify factors determining the occurrence of tuberculosis after initiation of antiretroviral therapy. Methods This study was conducted at Dessie Referral Hospital by using a case-control study design on a sample of 565 with a control: case ratio of 3:1. Participants from controls were selected by systematic random sampling and from cases by consecutive random sampling. The data were collected by interviewing through structured questionnaires and from the medical record. The data were entered into Epi data version 3.1. In the multivariable analysis, variables with a P-value of ≤0.05 were anticipated as independent determinant factors. Result Patients without separate kitchen (AOR: 3.547, 95% CI: 2.137, 5.888), having opportunistic infection (AOR: 3.728, 95% CI: 2.058, 6.753), CD4 count of <350 cells/mm3 (AOR: 3.383, 95% CI: 1.520, 7.528), baseline WHO stage III (AOR: 3.321, 95% CI: 1.688, 6.534) or IV (AOR: 2.900, 95% CI: 1.251, 6.722), don’t taking IPT (AOR: 3.701, 95% CI: 2.228, 6.147) and those who were poorly adherent (AOR: 2.626, 95% CI: 1.272, 5.423) or moderately adherent (AOR: 3.455, 95% CI: 1.885, 6.335) to anti-retroviral therapy were more likely to develop tuberculosis after anti-retroviral therapy initiation. Conclusion Poor housing conditions, having an opportunistic infection, low CD4 count, starting ART at the advanced HIV stage, don’t take IPT, and being poorly adherent to antiretroviral therapy were associated with the occurrence of TB after initiation of ART. The institution should screen for TB as early as possible and strictly follow their drug adherence.


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