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 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.

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.


Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei ◽  
Azadeh Nazemi ◽  
Atefe Dadashi

Objectives: This research has been conducted to study antibiotic self-medication, prevalence, and reasons. Methods: A questionnaire containing 30 comprehensive questions in terms of the experience of antibiotic self-medication was prepared. In this cross-sectional study, data were analyzed using analytical statistics bases on chi-square and logistic regression. Results: The results showed that 61.3% of the participants were self-antibiotic users. There was a significant difference only between gender and self-medication such that self-medication in males was more than females (P value = 0.027). Conclusions: Self-medication of antibiotics is almost high and requires more information about the side effects of these drugs in order to promote rational and physically prescribed use.


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.


2018 ◽  
Vol 4 (2) ◽  
Author(s):  
SAVIRA RAHMADIAN ◽  
FITRI FITRI ◽  
YULIANA ARSIL

Pola konsumsi vegetarian memiliki banyak manfaat bagi kesehatan, namun pola konsumsi ini juga memiliki resiko defisiensi beberapa zat gizi diantaranya zat besi. Wanita vegetarian, lebih beresiko untuk mengalami anemia karena pola konsumsi vegetarian tidak mengkonsumsi protein hewani. Keterbatasan mengkonsumsi produk hewani ini yang dapat menyebabkan wanita vegetarian ini mudah terkena anemia. Tujuan penelitian ini adalah mengetahui hubungan pola konsumsi dan asupan zat besi (Fe) dengan kejadian anemia pada wanita vegetarian usia produktif di Pekanbaru. Jenis penelitian yang dilakukan yaitu cross-sectional study. Data yang diambil berupa data primer dan data sekunder. Data primer berupa identitas responden yang diperoleh melalui kuesioner, pola konsumsi baik berupa jenis dan bahan makanan diperoleh melalui Food Frequency Questionaire, asupan zat besi diperoleh melalui Food Recall 1x24 jam, dan data kadar Hemoglobin diperoleh melalui pengambilan darah kapiler menggunakan alat Easy Touch GCHb. Sedangkan data sekunder diperoleh dari laporan Indonesia Vegetarian Society (IVS) berupa nama, umur dan alamat anggota. Data dianalisa secara univariat dan bivariat. Pada penelitian ini menggunakan teknik Simple Random Sampling dengan jumlah sampel 51 responden. Penelitian ini dilakukan 2 tahap yaitu survey pendahuluan pada bulan Oktober 2014 dan penelitian lanjutan dilakukan pada bulan April-Juni 2015. Tempat Penelitian Sekretariat Indonesia Vegetarian Society (IVS) Pekanbaru dan Pusdiklat Bumi Suci Maitreya Pekanbaru. Hasil penelitian ini menunjukkan tidak ada hubungan yang signifikan antara pola konsumsi dengan kejadian anemia, p value =0,921 (p > 0,05). Sedangkan asupan zat besi memiliki hubungan signifikan dengan kejadian anemia, p value= 0,001 (p < 0,005). Sebaiknya IVS mengadakan konseling dan penyuluhan pada wanita vegetarian agar asupan zat besi wanita vegetarian cukup dan yang terhindar dari anemia.


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.


2020 ◽  
Vol 28 (4) ◽  
pp. 364-366
Author(s):  
Noor Muhammad ◽  
Hammad Muhammad Khan ◽  
Ayesha Jawaid ◽  
Mohsin Syed Ali Shah ◽  
Owais Muhammad Ali ◽  
...  

Objective: The aim of our study was to determine the most common cause of liver cirrhosis in district Buner.   Methodology: This was retrospective cross-sectional study. Data was collected from patient’s record register from January 2016 till December 2018. A total of 203 patients were included in this study. Data was collected and entered and analyzed in IBM SPSS 23.   Results: Out of 203 cases, 135(66.5%) were males and 68 (33.5%) were females. The main cause of cirrhosis was HCV (n=163, 80.3%) and HBV (n=27, 13.3%). Cryptogenic cirrhosis occurred in 9 cases (4.4%) while others were only 1% (n=2). HCV was more positive in males (n=108, 66.25%) than in females (n=55, 33.7%), this was statistically significant with a p value .022.   Conclusion: We conclude with our study that HCV is major cause of Liver Cirrhosis in our patients. HCV is more common in males than in females. Cirrhosis occurs most commonly in 4th, 5th and 6th decades of life after being infected with HBV and HCV.   Keywords: Liver cirrhosis, Hepatitis C virus, Hepatitis B virus, Pakistan.  


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


Author(s):  
Dina Dewi Anggraini

ABSTRACT   The study aims todetermine the relationship between parenting style and the level of independence of Personal Hygiene Hand Wasting and Tooth Brush in Preschoolers in Kindergarten Negeri Pembina Blora in 2019. The study is a quantitative study, based on the research location including the type of field reseaerch, based on the ansence of the treatment of subjects including survey research, based on time is a cross sectional study, and based on objectives includin correlation analytics. The population in this study were all parents in Kindergarten Negeri Pembina Blora as many as 85 respondents. Based on the sample calculation, the sample obtained in this study that most parent in Kindergarten Negeri Pembina Blora amounted to 70 respondents. Srearmen’s rho test analysis results parenting parents with the level of independence of personal hygiene hand wasting result obtained p value = 0,000 < α (0,05), and parenting patters with the independence of personal hygiene tooth brush obtained results p value = 0,000 < α (0,05). So it can be concluded that were is a significant relationship between parenting parents with the level of independence of personal hygiene washing hands and brushing their tooth at preschoolers in Kindergarten Negeri Pembina Blora in 2019. Keywords: parenting; personal hygiene, preschool ABSTRAK   Penelitian ini bertujuan untuk mengetahui Hubungan Pola Asuh Orangtua Terhadap Tingkat Kemandirian Personal Hygiene Cuci Tangan dan Gogok Gigi pada Anak Prasekolah di TK Negeri Pembina Blora Tahun 2019. Penelitian ini adalah penelitian kuantitatif, berdasarkan tempat penelitian termasuk jenis penelitian lapangan, berdasarkan tidak adanya perlakuan terhadap subjek termasuk penelitian survey, berdasarkan waktu merupakan penelitian cross sectional, dan berdasarkan tujuan termasuk analitik korelasi. Populasi dalam penelitian ini adalah seluruh orangtua di TK Negeri Pembina Blora sebanyak 85 responden. Berdasarkan perhitungan sampel  maka diperoleh sampel pada penelitian ini adalah sebagian orangtua di TK Negeri Pembina Blora sebanyak 70 responden. Hasil analisis uji spearmen’s rho pola asuh orangtua dengan tingkat kemandirian personal hygiene cuci tangan didapatkan hasil p value = 0,000 < α (0,05), dan pola asuh orangtua dengan kemandirian personal hygiene gosok gigi didapatkan hasil p value = 0,000 < α (0,05). Sehingga dapat disimpulkan bahwa ada hubungan yang signifikan antara pola asuh orang tua dengan tingkat kemandirian personal hygiene cuci tangan dan gosok gigi pada anak prasekolah di TK Negeri Pembina Blora Tahun 2019. Kata kunci: pola asuh; personal hygiene; prasekolah


2017 ◽  
Vol 5 (1) ◽  
pp. 32-39
Author(s):  
Dedeh Husnaniyah

Tuberkulosis Paru merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis. Dampak TB Paru adalah penurunan daya tahan tubuh, kelemahan fisik, merugikan secara ekonomis dan dapat mengakibatkan isolasi sosial. Keadaan tersebut dapat mempengaruhi harga diri penderita TB Paru. Perubahan harga diri pada penderita TB Paru dapat mempengaruhi keberhasilan pengobatan, sehingga dibutuhkan adanya dukungan keluarga. Tujuan Penelitian ini adalah untuk mengidentifikasi pengaruh dukungan keluarga terhadap harga diri penderita TB Paru di Wilayah Puskesmas Eks Kawedanan Indramayu tahun 2015. Jenis penelitian ini adalah deskriptif analitik dengan rancangan penelitian cross sectional study. Pengambilan sampel dilakukan dengan tekhnik total sampling sebayak 45 responden. Hasil penelitian menunjukkan bahwa penderita TB Paru yang memiliki harga diri tinggi sebanyak 23 responden (51,1%) dan yang memiliki harga diri rendah sebanyak 22 responden (48,9%), penderita TB Paru yang mendapatkan dukungan keluarga sebanyak 26 responden (57,8 %) dan yang tidak mendapatkandukungan keluarga sebanyak 19 (42,2 %). Responden yang mendapatkan dukungan keluarga lebih banyak yang memiliki harga diri tinggi dibandingkan dengan responden yang tidak mendapatkan dukungan keluarga yaitu 69,6% dengan nilai p value = 0,047 (< 0,05). Simpulan dari penelitian ini adalah terdapat hubungandukungan keluarga denganharga diri penderita TB Paru. Hasil penelitian ini diharapkan dapat menjadi masukan bagi pemegang program TB untuk memberikan konseling terkait pentingnya dukungan keluarga bagi penderita TB Paru.


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