RISK FACTORS FOR CARDIOVASCULAR EVENTS IN RURAL NIGERIA: A CROSS SECTIONAL SURVEY AND A REVIEW OF THE CURRENT LITERATURE

Introduction: Over 80% of cardiovascular deaths take place in low and middle incomecountries. These cardiovascular deaths are caused by modifiable risk factors. Evidenceis emerging that some of these factors maybe even more prevalent in rural areas whichare generally underserved.Aim: The aim of this study was to record risk factors for cardiovascular disease inrural communities in south southern Nigeria and review some related literature.Methods: A cross sectional study during clinical outreach activities that took placein 2016 to 2018 in several rural and few urban communities in Cross River State,Nigeria. Participating individuals gave full consent and ethical clearance obtained.Socio-demographic data, Anthropometric data and Blood sugar measurements wereobtained. Data extracted was transferred into EXCEL thereafter analysis was doneusing SPSS version 21. p values less than 0.05 were deemed statistically significant.Tests of significance included Anova, chi square and student t- tests.Results: Total population investigated over the 3 year period was 504. (2016-33.1%),(2017 -37.9%), (2018 – 28%) with a Female: Male distribution of 1:1.Most participants tended to be overweight across the years 59.7%, 59.1%, 73.7%,2016, 2017, and 2018 respectively. The prevalence of Hypertension was 10.71%. Nosignificant gender difference in the prevalence of Hypertension (6.94% males to 3.77%females, p=0.097). The prevalence of Diabetes Mellitus was 10.67%. There was nosignificant gender prevalence (6.67% males to 4.00% females, p =0.431)Conclusion: Cardiovascular disease remains relatively uncommon in Sub-SaharanAfrica, despite an increasing prevalence of risk factors, but it’s incidence is rising.Steps should be taken in Sub-Saharan Africa to prevent an epidemic. This involvesdetailed and regular screening for cardiovascular risk factors in rural communities.Key words: RISK FACTORS, Cardio vascular disease, South South Nigeria.

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A Study of Prevalence of Taenia Infestation and Associated Risk Factors Among the School Children of Dharan

Kathmandu University Medical Journal ◽

10.3126/kumj.v10i3.8011 ◽

2013 ◽

Vol 10 (3) ◽

pp. 14-17 ◽

Cited By ~ 1

Author(s):

Ram Bilakshan Sah ◽

PK Pokharel ◽

IS Paudel ◽

A Acharya ◽

N Jha ◽

...

Keyword(s):

Risk Factors ◽

School Children ◽

Private School ◽

Rural Areas ◽

Close Contact ◽

Taenia Solium ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Taenia Species

Background Taenia prevalence has remained high among certain ethnic groups and occupational diseases in Nepal. Taenia saginata and Taenia solium species are worldwide in distribution. Infection is found most often in rural areas of developing countries with poor hygiene and living in close contact with pigs and eating undercooked pork meats. This allows the tapeworm infection to be completed and its cycle to continue. Objectives To measure the prevalence of taenia infestation and to identify risk factors associated with taenia infestation among the school children of Dharan. Methods A cross sectional study was conducted among 935 Government and private school going children of Grade VI, VII, and VIII of Dharan during 2007 to 2008. Stratified random sampling method was applied to choose the schools and the study subjects. The prevalence was calculated, Chi-square test was used to measure the association of risk factors and taenia infestation. Results Taenia species was found to be high (5.5%) among the school children of Dharan. Infection rate of taenia among the male children (6.0%) was slightly higher than female (4.8%). There were no cases of taenia infestation found among children washing hands with soap. Regarding meat consumption in the non-vegetarian group, taenia infestation was found higher (6.5%) among pork eating than non-pork eating (4.7%). No significant relationship was traced among the factors in the causation of taenia infestation although slight indications present. Conclusion Taenia species was found very high among the school children of Dharan. No such association was found with the risk factors. Kathmandu University Medical Journal | VOL.10 | NO. 3 | ISSUE 39 | JUL- SEP 2012 | Page 14-17 DOI: http://dx.doi.org/10.3126/kumj.v10i3.8011

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Knowledge, Attitude, Practices, and Determinants of Them towards Tuberculosis in Bangladesh: A Cross-sectional Study

10.1101/2022.01.04.21268590 ◽

2022 ◽

Author(s):

Sultan Mahmud ◽

Md Mohsin ◽

Saddam Hossain Irfan ◽

Abdul Muyeed ◽

Ariful Islam

Keyword(s):

General Population ◽

Rural Areas ◽

Cross Sectional Study ◽

Vulnerable Groups ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Good Practices ◽

Adequate Knowledge ◽

Chi Square Test

Introduction: Tuberculosis (TB) is an infectious disease that causes thousands of deaths in Bangladesh. Bangladesh is one of the high-risk countries among 30 high TB burden countries. In this study, we aimed to assess the knowledge, practices, attitudes towards TB, and the factors associated with them in the general population of Bangladesh. Method: A web-based anonymous cross-sectional survey was conducted among the general population in Bangladesh. A comprehensive consent statement was included at the beginning of the survey by explaining the study's intent, types of questions, anonymous and voluntary nature. Analysis was carried out using the chi-square test and univariate and multivariate logistic regression. Results: Among 1,180 eligible respondents, 58.64% were males, and 62.37% were married. The majority of the participants (78.28%) were aged between 15 to 44 years. Overall adequate knowledge, favorable attitudes, and good practices about TB were found respectively in 47.8%, 44.75%, and 31.19% of the general population of Bangladesh. Almost the same sets of associated factors were found to influence adequate knowledge, favorable attitudes, and good practices towards TB among general people. Males, young, unmarried, respondents with higher education, and urban respondents were more likely to have adequate knowledge, favorable attitudes, and good practices towards TB. Conclusion: Policymakers need to design programs and interventions to improve knowledge, attitudes, and good practices towards TB among the general people by focusing on vulnerable groups such as females, young and older people, people who live in the rural areas, and illiterate/less educated people.

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Prevalence and correlates of traditional risk factors for cardiovascular disease in a Nigerian ART-naive HIV population: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-019664 ◽

2018 ◽

Vol 8 (7) ◽

pp. e019664 ◽

Cited By ~ 5

Author(s):

Udeme E Ekrikpo ◽

Effiong E Akpan ◽

John U Ekott ◽

Aminu K Bello ◽

Ikechi G Okpechi ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Density Lipoprotein ◽

Integrated Approach ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional

ObjectivesHIV infection environment presents a classic example of the interplay between infectious diseases and non-communicable diseases (NCDs). Traditional cardiovascular disease (CVD) risk factors abound in the HIV population even before initiation of antiretrovirals (ARVs) and predispose them to the development of stroke and myocardial infarction. This work focuses on determining the prevalence of traditional CVD risk factors among ARV-naive HIV individuals in southern Nigeria.MethodsThis was a cross-sectional study of ARV-naive patients initiating care at the University of Uyo Teaching Hospital HIV clinic cohort to determine the prevalence and correlates of hypertension, diabetes mellitus (DM), obesity and dyslipidaemia.ResultsThe sample consisted of 4925 assessed for hypertension, 5223 for obesity, 1818 for DM and 926 for dyslipidaemia. Hypertension prevalence was 26.7% (95% CI 25.5% to 28.0%) with a male preponderance (p=0.02). DM was found in 5.6% (95% CI 4.5% to 6.7%), obesity in 8.3% (95% CI 7.6% to 9.1%) and dyslipidaemia in 29.1% (95% CI 26.1% to 32.1%) with a high prevalence of low high-density lipoprotein-c (42.6%). Hypertension was independently associated with age (OR 1.04 (95% CI 1.03 to 1.05), p<0.001) and body mass index (BMI) (OR 1.06 (95% CI 1.03 to 1.08), p<0.001), obesity with age (OR 1.02 (95% CI 1.01 to 1.03), p<0.001), male gender (OR 0.38 (95% CI 0.29 to 0.49), p<0.001) and CD4 count (OR 2.63 (95% CI 1.96 to 3.53), p<0.001) while dyslipidaemia was associated with BMI (OR 1.05 (95% CI 1.01 to 1.10), p=0.03).ConclusionThe prevalence of traditional CVD risk factors is high in this ART-naive HIV population. An integrated approach of HIV and NCD screening/treatment may be relevant for centres in sub-Saharan Africa.

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Nationality as a risk factor of tuberculosis resistance in two co-related countries

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v18i1.39544 ◽

2018 ◽

Vol 18 (1) ◽

pp. 36-41

Author(s):

Ali Afaghi Gharamaleki ◽

Seyyedreza Moaddab ◽

Mojtaba Darbouy ◽

Khalil Ansarin ◽

Shahram Hanifian

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Demographic Data ◽

Medical Science ◽

Drug Susceptibility ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Lowenstein Jensen

Background: Republic of Azerbaijan and Iran are two neighboring countries with high amount of travelling between them, different rates of TB and its resistance. These relationships could complicate the controlling of tuberculosis programs. Objective: The study was conducted to determine the prevalence of tuberculosis (TB) resistance and its risk factors in the two geographically co-related regions. Method: A total of 119Mycobacterium tuberculosis isolates from the patients of the target regions (Azerbaijan Rep. and Tabriz, Iran) were examined at the Central Tuberculosis Laboratory in Tabriz, Iran. The cultures and drug susceptibility tests was performed on Lowenstein-Jensen. All the isolates were categorized by MIRU-VNTR molecular method into clustered and un-clustered groups. The clustering as well as demographic data were analyzed to determine the risk factors contributing to TB resistance. The categorical data about the TB resistance were compared using a chi square test. Results: 27.8 percent of isolates were resistant at least to one of the 1st line of anti-tuberculosis drugs. The prevalence of any drug resistance and MDR were 64.6 and 17.9 percent respectively for Azari isolates, where the rate of resistance to rifampin and isoniazid was higher than streptomycin and ethambutol. The corresponding figures for the isolates from Tabriz were 16.9 and 3.3 percent respectively. Conclusions: The results of this comparative and cross-sectional study showed statistically significant differences in TB resistance between the isolates from the patients of Azerbaijan Rep. and Iran. According to the results, the rate of resistance to RMP, INH, and MDR was higher in Azerbaijan; consequently, nationality could be regarded as a risk factor of MDR, resistance to RMP and INH but not to SM and ETB. Other studied parameters did not contribute to TB resistance. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.36-41

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Malaria at Forest Areas in South Kalimantan, Indonesia: Risk Factors and Strategies for Elimination

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.7012 ◽

2021 ◽

Vol 9 (E) ◽

pp. 1147-1154

Author(s):

Istiana Istiana ◽

Usman Hadi ◽

Yoes Prijatna Dachlan ◽

Heny Arwati

Keyword(s):

Risk Factors ◽

Malaria Incidence ◽

Demographic Data ◽

Cross Sectional Study ◽

Malaria Prevalence ◽

Forest Area ◽

Chi Square ◽

Cross Sectional ◽

Malaria Epidemiology ◽

Effective Use

BACKGROUND: South Kalimantan is one of province in Indonesia which has endemic area, mainly in the villages at forest area. Understanding the risk factors which can increase the risk of malaria in individuals at forest area will enable more effective use for controlling the disease. The identification of risk factors will provide information about local malaria epidemiology and usefull for making appropriate and effective malaria eradication program policies in this area. AIM: To know the risk factors of malaria prevalence in endemic forest areas in South Kalimantan, Indonesia. METHODS: This cross-sectional study was conducted on 107 adult people who lived in Batu Bulan Village and Batu Paha Village, South Kalimantan. Blood samples for malaria microscopy and rapid diagnostic test is taken from cubital vein. Household factors and demographic data were obtained. Chi-square and logistic regression were performed to analyze the factors associated with malaria prevalence in South Kalimantan. This research didn’t do vector survey, only on the prevalence of malaria and risk factor in human and environment. RESULTS: The prevalence of malaria based RDT examination was 35.5% with 23.68% Plasmodium falciparum, 21.05% Plasmodium vivax, and 55.27% mixed infection. The prevalence malaria based on microscopic examination was 17.75% with 47.36% P. falciparum, 26.32% P. vivax, and 26.32% mix infection. Demographic factors influencing the prevalence of malaria were aged below 25-years-old (p = 0.01, 95% CI, OR = 2.289), villages in Batu Paha (p = 0.048, 95% CI, OR = 3.55), and occupation as a forest worker (p = 0.022, 95% CI, OR = 6.38). House factors that influence the prevalence of malaria were the condition of the walls that are open or not tight (p = 0.048 95% CI, OR = 5.205), the roof is made of plastic (p = 0.015 95% CI, OR = 2.831), and the presence of animal cage around the house (p = 0.015 95% CI, OR = 6.292). CONCLUSIONS: Malaria incidence remains occurs with high prevalence in the pupolation in remote forest areas.

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Prevalence and Associated Risk Factors of Hypertension in a Rural Community of Western Nepal: A Cross Sectional Study

Journal of Advances in Internal Medicine ◽

10.3126/jaim.v7i1.19577 ◽

2018 ◽

Vol 7 (1) ◽

pp. 11-16 ◽

Cited By ~ 3

Author(s):

RC Kafle ◽

D Sharma ◽

N Paudel ◽

S Sapkota ◽

VM Alurkar

Keyword(s):

Risk Factors ◽

Rural Areas ◽

Lifestyle Modification ◽

Screening Program ◽

Cross Sectional Study ◽

Public Health Issue ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Community Screening ◽

Treatment And Prevention

Background and aim: Hypertension is a major risk factor for cardiovascular disease. Hypertension evolved as a major public problem in urban populations of many countries including Nepal, but little is known about its prevalence and risk factors in rural areas. The objective of our study was to assess the prevalence of and risk factors associated with hypertension.Methods: A community-based cross-sectional survey was carried out in November 2017 in a four days health camp where peoples from ward number eight of Suklagandaki municipality of Tanahu district were called for screening of diabetes mellitus. No prior notice was given to the population about screening of hypertension. We screened total of 568 participants. Demographics, anthropometry and two independent blood pressure (BP) readings were taken. The data was analyzed using descriptive and inferential statistics using SPSS version 18.0.Results: A total of 568 individuals were interviewed and taken complete BP, weight and height measurements. More than 1/3rd (36.26%) of the respondents were in age group 18- 39 years with mean age 47.49 ± 16.61. Nearly, 60% of the respondents were female. Whilst 17.3% were smokers and 20% reported drinking alcohol. Overall prevalence of hypertension was 41.55% and this was significantly associated with age, gender, education, size of family, smoking habits, intake of alcohol, presence of diabetes mellitus.Conclusion: The prevalence of hypertension was found to be high and it has become a important public health issue even in rural part of Nepal. Community screening program, timely detection, lifestyle modification, treatment and prevention are all important to deal

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Incidence and Risk Factors of Brucellosis in Kermanshah Province, Iran During 2010-2014

Infectious Disorders - Drug Targets ◽

10.2174/1871526519666181211155420 ◽

2020 ◽

Vol 20 (2) ◽

pp. 203-207

Author(s):

Jalil Rajabi ◽

Ramin Hamidi-Farahani ◽

Feizollah Mansouri ◽

Saeed Soleiman-Meigooni

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Demographic Data ◽

Cross Sectional Study ◽

Growing Up ◽

Medical Sciences ◽

Chi Square ◽

Cross Sectional ◽

Female Ratio ◽

Vaccination History

Introduction: Incidence of brucellosis was growing up in Iran during the past years. Kermanshah province-west of Iran is one of the endemic regions of the disease. The aim of this study was to evaluate the incidence and risk factors of brucellosis in Kermanshah province during a recent five-year period. Methods: This study was an observational cross-sectional study performed on registries of the patients with brucellosis at the center for the zoonotic disease of Kermanshah University of medical sciences during 2010-2014. The data was collected using a questionnaire containing demographic data and the risk factor of brucellosis. Collected data were analyzed by SPSS-22 software using descriptive statistic, Chi-square, and student t-test. Results: The five-years mean incidence of brucellosis in our study was 46.5 in one hundred thousand, and male to female ratio was 1.37/1. The most common risk factors of brucellosis in our patients were unpasteurized dairy products’ consumption (47%) and occupational contact with livestock (14.4%). 84% of the patients were rural. The most common diagnostic method was the standard agglutination test within 1/160 and 1/320 titers. Conclusion: Risk factors of brucellosis in our study were like other studies, but in more than onethird of the patients, no risk factor was identified. Lack of livestock vaccination history and incomplete registered data about other possible transmission routes of transmission were the limitations of the study.

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A CROSS-SECTIONAL SURVEY OF THE PREVALENCE AND THE RISK FACTORS OF TOBACCO USE AMONGST CONSTRUCTION ARTISANS IN EKITI STATE, NIGERIA

10.1101/2021.04.08.21255137 ◽

2021 ◽

Author(s):

Charles Oluwatemitope Olomofe ◽

Caryl Beynon ◽

Kabir Adekunle Durowade ◽

Oluwafunmike Ruth Olomofe

Keyword(s):

Risk Factors ◽

Tobacco Use ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Multi Stage ◽

Associated Risk Factors ◽

Age Range

Background: Construction artisans are those who perform skilled work relating to the erection or assembly of a large structure. These artisans are prone to tobacco use. This study aims to assess the prevalence and the associated risk factors of tobacco use amongst construction artisans in Ekiti State, Nigeria. Materials and Methods: This cross-sectional study employed a multi-stage sampling technique to select participants (carpenters and bricklayers) artisans, journeymen, and their apprentices who were working in Ekiti State. Chi-square and logistic regression were used to test for association in bivariate and multivariate analyses respectively. Results: The prevalence of ever-smoke amongst respondents was 19.3%. Multivariate analysis showed that artisans who were within the age range 31-40 years were four times more likely to use tobacco (OR=3.410; CI=1.476-7.878). Similarly, being in school and divorced/separated were associated with tobacco use. Conclusion: Noting the increased prevalence of tobacco use among construction artisans when compared to the general population, and few self-reported cases of addiction amongst users demands action from communities and government at all levels. Keywords Construction artisans, tobacco use, Nigeria

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Habit of cooking pork on hot stones as main risk of cysticercosis

Zinc supplementation improves heme biosynthesis in rats exposed to lead ◽

10.18051/univmed.2018.v37.88-96 ◽

2018 ◽

Vol 37 (2) ◽

pp. 88

Author(s):

Semuel Sandy ◽

Antonius Oktavian ◽

Hanna S Kawulur ◽

Mirna Widiyanti ◽

Iman HS Sasto ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Demographic Data ◽

Taenia Solium ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Serological Examination ◽

Food Borne ◽

Immunoassay Technique

Background Cysticercosis is an infectious disease caused by the larval form of Taenia solium (cysticercus cellulosae) and has been ranked as the most important food-borne parasite of humans in terms of public health, socioeconomic and trade impact. Cysticercosis is still a health problem in Papua and is inseparable from socio-cultural factors, hygiene and environmental sanitation. The aim of this study was to investigate the seroprevalence of cysticercosis and the risk factors that contribute to cysticercosis. Methods A cross-sectional study was conducted in March-November 2016 involving 800 subjects. Demographic data and risk factors were collected using questionnaires. Cysticercosis serological examination was performed by means of the magnetic microsphere bead immunoassay technique coupled with rT24H recombinant protein to detect serum rT24H cysticercosis specific antibodies. The data obtained were analyzed by bivariate test (chi-square) and logistic regression. Results Cysticercosis seroprevalence in Papua was 3.6% (284/7 874). The logistic regression analysis found that the risk factors playing the role of predictor were cooking pork with hot stones [OR=3.06; 95%CI: 2.19-4.28; p=0.000], nail hygiene [OR=2.05; 95%CI: 1.57-2.67; p=0.000], consumption of raw vegetables or salads [OR=0.52; 95%CI: 0.30-0.91; p=0.022], use of river water for washing foods [OR= 1.92; 95%CI: 1.39-2.64; p=0.000]. Conclusions Cooking pork with hot stones was the main risk factor of cysticercosis. Suspected cases of T. solium in pigs should be confirmed by molecular methods. Both taeniasis and human cysticercosis should be notifiable and surveillance in animals should be improved.

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Rural-Urban Differences in Stroke Types, Risk Factors, Severity and Prognosis in Babol, Northern Iran

Elderly Health Journal ◽

10.18502/ehj.v4i2.258 ◽

2018 ◽

Author(s):

Payam Saadat ◽

Alijan Ahmadi Ahangar ◽

Soraya Khafri ◽

Mandana Kalantar ◽

Azin Dariaie ◽

...

Keyword(s):

Risk Factors ◽

Rural Areas ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Chi Square ◽

Northern Iran ◽

Cross Sectional ◽

Chi Square Test ◽

Urban And Rural Areas ◽

Rural Patients

Introduction: Stroke recognized as the third most common cause of death. Stroke survivors often suffer a large amount of physical and mental disability. Due to assess difference between stroke types, progression and distribution of risk factors according to residential status, to get the correct information for prevention planning and management, this study was conducted. Methods: This descriptive cross-sectional study on stroke patient from 2016 to 2017 that admitted to Ayatollah Rohani Hospital of Babol was conducted. Type of stroke, their severity, risk factors, and urban or rural area of residence of patients were recorded in the checklist. The chi-square test was used to compare frequencies of gender, and stroke risk assessment between the urban and rural residents. Binary logistic regression modeling was used to estimate the association of risk factors with living in urban and rural areas. The results were expressed as multivariable-adjusted odds ratios (ORs) and 95 % confidence intervals (95 % CIs). A two-sided p < 0.05 was considered statistically significant. All data analyses were performed, using SPSS statistical analysis software. Results: Of 241 stroke patients, 133 patients (55 %) were female and 213 patients (88.4 %) were ischemic. Also, 140 cases were (58 %) rural. Embolic strokes more in urban population and thrombotic strokes were more in rural populations. Hyperlipidemia was more in urban than rural p = 0.01. Severity of stroke in admission time (p = 0.03) and at discharge (p = 0.005) was more in rural than urban. The mortality was higher in rural 12 (8.6) vs. 2 (2) urban resident,( p = 0.03). Conclusion: Rural patients had more severity, thrombotic type and mortality than urban. Suitable policy regard to residential parameter is suggested.

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