scholarly journals Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 793
Author(s):  
Diana Malaeb ◽  
Souheil Hallit ◽  
Nada Dia ◽  
Sarah Cherri ◽  
Imad Maatouk ◽  
...  

Background: Non-communicable diseases, the major cause of death and disability, are susceptible to modifiable and non-modifiable risk factors. Atrial fibrillation (AF) increases the risk of stroke by 4-5 times and can lead to cardiovascular mortality. This study was conducted to assess the effects of different sociodemographic factors on stroke development in patients with AF. Methods: A cross-sectional study was conducted between January and June 2018 on patients recruited from Lebanese community pharmacies. The CHA2DS2-VASc scoring system is utilized as a stroke risk stratification tool in AF patients. Participants with a previous physician diagnosis of AF, documented on medical records, were included in this study. Results: A total of 524 patients were enrolled in the study with a mean age of 58.75 (± SD) ± 13.59 years with hypertension (78.38%) being the most predominant disease. The results showed that obesity (Beta=0.610, p-value =0.011), retirement and unemployment compared to employment (Beta=1.440 and 1.440, p-value=0.001 respectively), divorced/widow compared to married (Beta=1.380, p-value =0.001) were significantly associated with higher CHA2DS2-VASc scores whereas high versus low socio-economic status (Beta=-1.030, p=0.009) and high school education versus primary education level (Beta=-0.490, p-value=0.025) were significantly associated with lower CHA2DS2-VASc scores. Conclusions: The study highlights that the CHA2DS2-VASc score is affected by the presence of various sociodemographic and socioeconomic characteristics in patients with AF. Thus, screening for those factors may predict the progression of cardiovascular disease and may provide an optimal intervention.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 793
Author(s):  
Diana Malaeb ◽  
Souheil Hallit ◽  
Nada Dia ◽  
Sarah Cherri ◽  
Imad Maatouk ◽  
...  

Background: Non-communicable diseases, the major cause of death and disability, are susceptible to modifiable and non-modifiable risk factors. Atrial fibrillation (AF) increases the risk of stroke by 4 to 5 times and can lead to cardiovascular mortality. This study was conducted to assess the effects of different sociodemographic and socioeconomic factors on stroke development in patients with AF. Methods: A cross-sectional study was conducted between January and June 2018 on patients recruited from Lebanese community pharmacies. The CHA2DS2-VASc scoring system is utilized as a stroke risk stratification tool in AF patients. Participants with a previous physician diagnosis of AF, documented on medical records, were included in this study. Data was collected through a survey that was distributed to all eligible patients. Results: A total of 524 patients were enrolled in the study with a mean age (± SD) of 58.75 ± 13.59 years with hypertension (78.4%) being the most predominant disease. The results showed that obesity (Beta=0.61, p-value =0.011), retirement and unemployment compared to employment (Beta=1.44 and 1.44, p-value=0.001 respectively), divorced/widow compared to married (Beta=1.38, p-value =0.001) were significantly associated with higher CHA2DS2-VASc scores whereas high versus low socio-economic status (Beta=-1.03, p=0.009) and high school education versus primary education level (Beta=-0.49, p-value=0.025) were significantly associated with lower CHA2DS2-VASc scores. Conclusions: The study highlights that the CHA2DS2-VASc score is affected by the presence of various sociodemographic and socioeconomic characteristics in patients with AF. Thus, screening for those factors may predict the progression of cardiovascular disease and may provide an optimal intervention.


2017 ◽  
Vol 4 (6) ◽  
pp. 2205
Author(s):  
Madhivanan S. ◽  
Harikrishnan E. ◽  
Kumarasamy K.

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.


Author(s):  
Hareem Syed ◽  
Amara Zafar ◽  
Maheen Khan ◽  
Alina Mohib

Abstract The aim of this study was to determine the association of happiness with sociodemographic factors and personal habits among university students in Karachi, Pakistan. This cross-sectional study was conducted at Bahria University (BU), Karachi, from January 2012 till December 2013 on 813 students. There was a significant positive relationship between happiness and having a well-off family background (p value<0.001), having breakfast (p value=0.021), wearing a seat belt (p value=0.005) and getting regular dental check-ups (p value<0.001). We also found a significant negative association between happiness and the use of tobacco (p value=0.048), being on a weight loss diet (p value=0.048) and being married (p value=0.043).Hence, behaviours such as smoking and following unhealthy weight loss diets are proven to be associated negatively with a person’s state of happiness and should be discouraged;while healthy behaviours such as having breakfast and getting dental check-ups should be encouraged. Keywords: Happiness, behaviour, health, students


e-CliniC ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Tuegeh Destyana ◽  
Yuanita Langi ◽  
Karel Pandelaki

Abstract: 65% of the world’s population live in countries where overweight. At least 2.8 million adults die each year due to obesity. The prevalence of obesity is associated with urbanization and changes in economic status in developing countries, including in Indonesia. The purpose of this research to determine the relationship between obesity and lifestyle at the Polyclinic of Internal Medicine section/SMF FK-UNSRAT BLU RSU Prof. Dr. R.D Kandou Manado. This research used a cross-sectional study. All outpatients who came in period of November 2012 at the Polyclinic of Internal Medicine section/SMF FK-UNSRAT BLU RSU Prof. Dr. R.D Kandou Manado. There are 58 people who met the inclusion criteria.The result there was no relation of physical activity with obesity. There is a relation of severe meal frequency > 3 times daily with obesity at 87% with a p value of 0.004 (p <0.005). There is a relation with the frequency of eating snacks often with obesity at 70.2% with p value 0.002 (p <0.005) found a significant relationship with OR 10.607 times the risk of obesity. There is a relation of not exercising with obesity at 73.2% with p value 0.003 (p <0.005) found a significant relationship with OR 6.545 times the risk of obesity. There was no relation of smoking with obesity. As the conclusion the frequency of  severe meal  > 3 times a day, eating snacks often and not exercising can increase the risk of obesity. Keywords: obesity, lifestyle.   Abstrak: Populasi dunia sebesar 65% di negara dimana kelebihan berat badan. Setidaknya 2.8 juta orang dewasa meninggal setiap tahun akibat obesitas. Prevalensi obesitas ini berhubungan dengan urbanisasi dan perubahan status ekonomi di negara-negara berkembang termasuk di Indonesia. Tujuan penelitian ini untuk mengetahui hubungan antara obesitas dengan gaya hidup pada pasien rawat jalan di Poliklinik Penyakit Dalam BLU RSU Prof. Dr. R.D. Kandou Manado. Metode penelitian menggunakan rancangan potong lintang. Semua pasien rawat jalan yang datang di Poliklinik Penyakit Dalam BLU RSU Prof. Dr. R.D. Kandou Manado periode bulan November 2012. Jumlah sampel 58 orang yang memenuhi kriteria inklusi. Hasilnya tidak terdapat hubungan aktifitas fisik dengan obesitas. Terdapat hubungan frekuensi makan berat > 3 kali sehari dengan obesitas yakni 87% dengan nilai p 0.004 (p < 0.005). Terdapat hubungan hubungan frekuensi makan cemilan sering dengan obesitas yakni 70.2% dengan nilai p 0.002 (p < 0.005) didapatkan hubungan bermakna dengan OR 10,607 kali berisiko obesitas. Terdapat hubungan tidak berolahraga dengan obesitas yakni 73.2% dengan nilai p 0.003 (p < 0.005) didapatkan hubungan bermakna dengan OR 6,545 kali berisiko obesitas. Tidak ditemukan hubungan riwayat merokok dengan obesitas. Kesimpulan bahwa frekuensi makan berat > 3 kali sehari, frekuensi makan cemilan yang sering dan tidak berolahraga dapat meningkatkan resiko obesitas. Kata Kunci : obesitas, gaya hidup.


Author(s):  
Faraha Naaz ◽  
S. R. Nigudgi ◽  
Shreeshail Ghooli

Background: The first few years of life is the most crucial period of life as this age is known for accelerated growth and development. Various studies in India have shown that respiratory and gastrointestinal tract infections are the leading cause of morbidity in infants. These infectious diseases are affected by several sociodemographic factors such as birth weight, gestational age, birth order, immunization status, day care attendance and socio-economic status of the family.Methods: A cross sectional study was conducted in the urban field practice area of department of community medicine MRMC, Kalaburagi from June 2016-October 2016. House to house survey using pre-structured and pretested questionnaire method was done.Results: Out of 104 infants in the present study it was found that majority 53% were females and 49% were males. Majority 61.5% of the infants belonged to low socioeconomic class and majority 54.8% of them were from nuclear families, most 62.5% of the infants had 1-2 siblings in the family and 34.6% had no siblings, 51% of the mothers were illiterate and majority 54.8% of the fathers were literate. Among all the morbidities majority 36.50% had fever. No significant association was found between various social factors.Conclusions: Though no significant association was found between morbidity and socio-demographic factors, but the socio demographic factors which showed more prevalence of morbidity among infants were females, number of siblings in the family and lower socio economic class. As these infants are the future citizens of the country hence their health should be the utmost priority for us and their health needs should be properly addressed.


2017 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Entia Nopa ◽  
Ranissa Dwi Imansari ◽  
Irwandi Rachman

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi 1Entianopa, 2Ranissa Dwi Imansari, 3Irwandi Rachman       123Program Studi Kesehatan Masyarakat STIKES Harapan Ibu, Jambi   Abstrak Latar Belakang: Kulit merupakan organ terbesar pada tubuh manusia yang membungkus otot-otot dan organ-organ dalam serta merupakan jalinan jaringan pembuluh darah, saraf, dan kelenjar yang tidak berujung, semuanya memiliki potensi untuk terserang penyakit yang salah satunya adalah penyakit kulit. Penyakit kulit merupakan salah satu gangguan kesehatan yang sering dialami oleh pekerja pengangkut sampah. Berdasarkan komposisi sampah yang diangkut serta waktu paparan kerja. Tujuan penelitian ini untuk mengetahui hubungan antara masa kerja, pemakaian Alat Pelindung Diri (APD), dan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di Kota Jambi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Sampel penelitian yaitu sebanyak 62 pekerja pengangkut sampah yang berada di Kantor Pekerjaan Umum dan Penata Ruang, yang mana seluruh populasi dijadikan sampel. Data dikumpulkan berdasarkan pemeriksaan kesehatan oleh dokter dan dengan kuesioner, kemudian dianalisa menggunakan uji statistik chi-square. Hasil: Hasil menunjukan bahwa pekerja yang mengalami penyakit kulit sebanyak 35 pekerja (56,5%). Berdasarkan hasil analisis chi-square didapatkan bahwa ada hubungan yang bermakna antara masa kerja dengan kejadian penyakit kulit pada pekerja pengangkut sampah dimana nilai (p-value= 0,006), Pemakaian Alat Pelindung Diri (APD) nilai (p-value= 0,008), personal hygiene nilai (p-value= 0,008). Kesimpulan: Untuk meminimalisir risiko terjadinya penyakit kulit pada pekerja pengangkut sampah disarankan perlunya disusun standar operasional prosedur yang aman, penyediaan sarana sanitasi agar dapat mengurangi resiko terkena penyakit kulit. Pentingnya pemakaian APD dan perilaku hidup bersih dan sehat selama bekerja, serta diharapkan pekerja menggunakan APD pada saat bekerja dan lebih memperhatikan personal hygiene.   Kata kunci      : Masa Kerja, APD, Personal Hygiene


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