scholarly journals Self-rated health and hearing disorders: study of the Brazilian hearing-impaired population

2021 ◽  
Vol 26 (suppl 2) ◽  
pp. 3725-3732
Author(s):  
Paula Anderle ◽  
Rafaela Soares Rech ◽  
Alexandre Baumgarten ◽  
Bárbara Niegia Garcia de Goulart

Abstract Hearing impairment (HI) is one of the most impacting handicaps related to social life, and 21% have intense limitation compromising daily activities. However, few studies have investigated SRH in HI. This article aims to verify the association between HI and SRH and factors related to hearing characteristics. Cross-sectional study data from National Health Survey (NHS, 2013) conducted with 1,100 hearing impaired adults (≥18 years old). The outcome was SHR, categorized as good or poor. Poisson regression with robust variance was used to calculate Prevalence Ratios. Sociodemographic variables and characteristics of HI, such as congenital or acquired HI, type of HI, wear hearing aids, and limitation were used in adjusted analysis. Poor SRH was more prevalent in acquired HI, limitation of daily activities, sociodemographic characteristics such as aging, female, black or other skin color, and lower schooling. Poor SRH is related to acquired HI, limitation of daily activities and sociodemographic conditions.

2021 ◽  
Author(s):  
Elyas Monfared ◽  
Mohsen Vahedi ◽  
Hojjat Allah Haghgoo

Abstract ObjectiveProper social participation and involvement in the daily activities of life increases the feeling of attachment, and increases a person's sense of worth, belonging, and dependence on society. Lack of social communication leads to anxiety, loneliness, depression, panic, mental. While COVID-19 has become a pandemic, public health measures to cut off human-to-human transmission may include quarantine and social isolation. Due to social distancing and quarantine practices, people's participation in many areas of social life and daily activities has been disrupted. The purpose of this study is to provide insight into the effects of the Covid 19 epidemic on integration into home activities, integration into the community and integration into productive activities, and overall determination of social participation during this epidemic.MethodsIn June 2020, the Social Integration Questionnaire (CIQ), which measures integration at home, integration in the community, and integration into purposeful and productive activities, was transcribed with the required demographic information in a web-based format. A total of 461 people (mean age 36.86±5.8 years) completed the social integration questionnaire in a cross-sectional study. The effects of Covid-19 on social interaction were then calculated by analyzing CIQ scores before and after the outbreak of COVID-19 and the data were analyzed using SPSS software version 22.ResultsComparing the participants score in the Community Integration Questionnaire before and after the COVID-19 pandemic showed that COVID-19 reduced home integration (from 4.6909±2.84 to 3.5938±2.80 , t= 11.151 p <0.000), social integration (from 8.6529±1.98 to 6.1150±2.10, t= 25.440, p <0.000), integration into productive and purposeful activities (from 5.3145±1.70 to 3.5098±2.02, t= 23.226, p <0.000) and total CIQ test score (from 18.6584±4.02 to 13.2185±4.56 , t= 29.022, p <0.000). These findings show how all three CIQ domains and their total scores decreased significantly after the outbreak of COVID-19.ConclusionAfter the COVID-19 epidemic, people's social life is severely disrupted. The direct and indirect psychological and social effects of COVID- 19 are widespread and can affect mental health. Trial Registration: This study was registered and approved by the Ethic Committee of the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (IR.USWR.REC.1399.228).


Author(s):  
Lauro Henrique Heinsch Domenighi ◽  
Angela Regina Maciel Weinmann ◽  
Leris Salete Bonfanti Haeffner ◽  
Marcelo Lorensi Feltrin

Abstract Objective In around 85% of vaginal births, the parturients undergo perineal lacerations and/or episiotomy. The present study aimed to determine the incidence of lacerations and episiotomies among parturients in 2018 in a habitual-risk public maternity hospital in southern Brazil, and to determine the risk and protective factors for such events. Methodology A retrospective cross-sectional study. Data were obtained from medical records and analyzed using the Stata software. Univariate and multivariate logistic regressions were performed. Values of p < 0.05 were considered significant. Results In 2018, there were 525 vaginal births, 27.8% of which were attended by obstetricians, 70.7% by obstetric nurses, and 1.5% evolved without assistance. Overall, 55.2% of the parturients had some degree of laceration. The professional who attended the birth was a significant variable: a greater number of first- and second-degree lacerations, as well as more severe cases, occurred in births attended by nurses (odds ratio [OR]: 2,95; 95% confidence interval [95%CI]: 1,74 to 5,03). Positions at birth that did not enable perineal protection techniques (expulsive period with the “hands-off” method), when analyzed in isolation, determined the risk; however, in the final regression model, this relationship was not confirmed. Although reported in the literature, there were no associations between the occurrence of laceration and age, skin color, or birth weight. In 24% of the births, episiotomy was performed, and doctors performed 63.5% of them. Conclusion Births attended by nurses resulted in an increased risk of perineal lacerations, of varying degrees. In turn, those assisted by physicians had a higher occurrence of episiotomy.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1237
Author(s):  
Alok Atreya ◽  
Samata Nepal ◽  
Prakash Thapa

Background: Facebook addiction is said to occur when an individual spends an excessive amount of time on Facebook, disrupting one’s daily activities and social life. The present study aimed to find out the level of Facebook addiction in the Nepalese context and briefly discuss the issues associated with its unintended use. Methods: A descriptive cross-sectional study was conducted in the Department of Forensic Medicine of Lumbini Medical College. The study instrument was the Bergen Facebook Addiction Scale typed into a Google Form and sent randomly to Facebook contacts of the authors. The responses were downloaded in a Microsoft Excel spreadsheet and analyzed using Statistical Package for Social Sciences version 16. Results: The study consisted of 103 Nepalese participants, of which 54 (52.42%) were males and 49 females (47.58%). There were 11 participants (10.68%) who had more than one Facebook account. When different approaches were applied it was observed that 8.73% (n=9) to 39.80% (n=41) were addicted to Facebook. Conclusion: When used properly Facebook has its own advantages. Excessive use is linked with health hazards including addiction and dependency. Students who engage more on Facebook may have less time studying, leading to poor academic performance. People need to be made aware of the issues associated with the misuse of Facebook.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1237
Author(s):  
Alok Atreya ◽  
Samata Nepal ◽  
Prakash Thapa

Background: Facebook addiction is said to occur when an individual spends an excessive amount of time on Facebook, disrupting one’s daily activities and social life. The present study aimed to find out the level of Facebook addiction in the Nepalese context and briefly discuss the issues associated with its unintended use. Methods: A descriptive cross-sectional study was conducted in the Department of Forensic Medicine of Lumbini Medical College. The study instrument was the Bergen Facebook Addiction Scale typed into a Google Form and sent randomly to Facebook contacts of the authors. The responses were downloaded in a Microsoft Excel spreadsheet and analyzed using Statistical Package for Social Sciences version 16. Results: The study consisted of 103 Nepalese participants, of which 54 (52.42%) were males and 49 females (47.58%). There were 11 participants (10.68%) who had more than one Facebook account. It was observed that 8.73% (n=9) to 39.80% (n=41) were addicted to Facebook. Conclusion: When used properly Facebook has its own advantages. Excessive use is linked with health hazards including addiction and dependency. Students who engage more on Facebook may have less time studying, leading to poor academic performance. People need to be made aware of the issues associated with the misuse of Facebook.


Author(s):  
Malik MD Islahuddin ◽  
Rajeev Kumar Nishad ◽  
Mangal Singh

Introduction: Hearing is essential to learn language and speech and to develop cognitive skills. According to World Health Organisation (WHO), world-wide approximately 350 million people have hearing disorder. The performance of some moderately severe hearing-impaired adults and children using hearing aids is poorer than that of even profoundly hearing-impaired individuals using cochlear implants with advanced speech processing strategies. Aim: To find out the appropriate candidates in need of cochlear implantation in Prayagraj district of Uttar Pradesh, India. Materials and Methods: This cross-sectional study was conducted on hearing impaired patients attending Ear Nose Throat (ENT) Out Patient Department (OPD) of tertiary health care center in Prayagraj Uttar Pradesh from August 2011 to July 2012. The study population consisted of 95 patients categorised into four groups (pre-lingual children and adults, post-lingual children and adults) who presented with the chief complaints of impaired hearing and delayed speech. A detailed history, clinical and other relevant systemic examination and investigations were done. Patients were subjected to free field audiometry, pure tone audiometry and Brainstem-Evoked Response Audiometry (BERA) for assessment of hearing threshold level. Patients used hearing aid for six months and after hearing aid use, their hearing threshold and speech discrimination scores were estimated. Patients, whose aided score on open-set sentence test was less than 50%, were selected as candidate for cochlear implants, as they were not significantly benefited by hearing aids. Results: Out of the 95 cases, 48 were found to be suitable for cochlear implantation, which formed 50.5% of the study group. Pre-lingual hearing impaired adults had the highest percentage i.e., 86.7%, fulfilling the criteria for cochlear implantation followed by pre-lingual children, in whom 46.7% fell in this category. A 26.7% of postlingual children and 20% of postlingual adults were found suitable for cochlear implantation. Conclusion: The pre-lingual hearing impaired children and adults are more in need for cochlear implantation than the postlingual hearing-impaired children and adults. Approximately, 134,501 cases were estimated to be, in need of cochlear implantation in Prayagraj district based on the census estimate of 2011.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242333
Author(s):  
Juliana Castro de Avilla ◽  
Camila Giugliani ◽  
Agnes Meire Branco Leria Bizon ◽  
Ana Cláudia Magnus Martins ◽  
Andrea Francis Kroll de Senna ◽  
...  

Background Due to the multiple health benefits of breastfeeding, it is essential to identify factors that may negatively interfere with this healthy practice. Among such factors are postpartum depression (PPD) and maternal satisfaction with breastfeeding. The objective of this study was to evaluate the association between maternal satisfaction with breastfeeding and symptoms of PPD in the first month after childbirth. Methods This cross-sectional study nested in a cohort study was conducted in Porto Alegre, Brazil, with 287 puerperal women selected at two maternity hospitals, one public and one private. Women were interviewed at their homes the week after the infant completed 30 days of life. A structured questionnaire was applied, as well as instruments to evaluate maternal satisfaction with breastfeeding (Maternal Breastfeeding Evaluation Scale) and to screen for PPD (Edinburgh Postnatal Depression Scale). The association between higher satisfaction with breastfeeding (outcome) and negative PPD screening test was assessed using Poisson regression with robust variance, adjusting for specific covariables. Adjusted prevalence ratios (aPR) and respective 95% confidence intervals (95%CI) were estimated. Results The prevalence of increased satisfaction with breastfeeding (defined as women with scores above the median) was 47% higher among women who screened negative for PPD when compared to those with a positive result (aPR 1.47; 95%CI 1.01–2.16). This result was adjusted for maternal age and skin color, cohabitation with the infant’s father, planned pregnancy, type of delivery, exclusive breastfeeding, and occurrence of breastfeeding problems. Conclusions The findings of this study showed an association between higher maternal satisfaction with breastfeeding and absence of PPD symptoms, reinforcing the importance of caring for the mental health of pregnant and puerperal women and paying attention to their satisfaction with breastfeeding.


2021 ◽  
Vol 30 ◽  
Author(s):  
Ana Cleide da Silva Dias ◽  
Silvia Lúcia Ferreira ◽  
Maria Enoy Neves Gusmão ◽  
Gabriela Cardoso Moreira Marques

ABSTRACT Objective to analyze the influence of the sociodemographic and reproductive characteristics on reproductive autonomy among women through the subscales of the Reproductive Autonomy Scale. Method an analytical and cross-sectional study with a stratified sample composed of 346 female rural workers registered in Chapéu de Palha Mulher Program in Pernambuco. Data collection occurred in the month of February 19th and February 23rd, 2018. The National Health Survey questionnaire and the Reproductive Autonomy Scale were used. The data were analyzed using simple and multiple linear regression analyses. Results the women presented high reproductive autonomy with the lowest autonomy being observed in relation to the “Communication” construct. Marital status, education level, skin color/race, participation in a family planning group, and having already being pregnant are significant variables for total reproductive autonomy. Conclusion the full reproductive autonomy of rural women can be influenced by sociodemographic and reproductive variables. One of the ways to increase reproductive autonomy among the women in this study would be through an intervention aimed at health education on sexual and reproductive rights and power and gender relations so that women can be guided, obtain more information on these topics, and correlate them with reproductive autonomy.


2021 ◽  
Author(s):  
Etedal Ahmed A. Ibrahim ◽  
Lina Hussain Mustafa Ali ◽  
Khabab Abbasher Hussien Mohamed Ahmed ◽  
Mohammed Eltahier Abdalla Omer

Abstract Introduction:This is the first study done in the national center for neurological sciences, Khartoum state to assess the quality of life above hundred Sudanese epileptic patients, in the period from September to December 2020.Methodology: This is a descriptive cross sectional study, data was collected using interviewing questionnaire and this questionnaire was modified from SF-36 model.Results: Most of the patients are from the urban area (60.2%), housewives are most of them, most of the patients were single and from low socioeconomic status, the history of the disease was less than three years for most of the cases covered in this study, most type is generalized tonic clonic epilepsy, normal EEG finding in 75.7% and normal MRI brain in 78.6%, most of patients mentioned they have no attack in last month. Regarding mental health 47.6% feel sometimes depression, 75.7% associated with memory problems. Regarding physical health 51.5% feel energetic all of the time, 9.7% always associated with sleep disturbance, most of patients are not driving, neither having hobbies for leisure time. 63.1% don’t have any health problem, 32% feel stigma if attack happen in public. Commonest medication prescribed was carbamazepine and 73.8% are fully complaints with medication. 95.1% are not worried about long term medication use.Conclusion: lower level of education and manual labor associated with poor quality of life, epilepsy had bad impact on social life, there is global decrease in cognitive function, most of the patients don`t worry about side effects and duration of the medication usage


2019 ◽  
Vol 59 (1) ◽  
pp. 47-56
Author(s):  
Katica Tripković ◽  
Milena Šantrić Milićević ◽  
Marina Odalović

Abstract Background Previous studies among the Serbian population concluded that the trend of self-medication with tranquillizers and sleeping pills requires deeper study. The objective is to identify gender differences in socio-demographic, health, and health service predictors of self-medication with tranquillizers and sleeping pills in a Serbian population of 15 years old and above. Methods This was a population-based, cross-sectional study. Data was extracted from the most recently available results of the Serbian National Health Survey of 2013. Multivariate logistic regression was used to determine independent self-medication predictors. Results The study included 14,623 participants, of which 51.77% were female. While 5.6% of the females reported self-medication with tranquillizers and sleeping pills, only 2.2% of males reported such practice (p<0.001). The presence of chronic disease, stress, and physical pain in the last month before the interview was significantly associated with an increased likelihood of self-medication with observed drugs in both genders. Age was the most significant socio-demographic predictor of self-medication in females, while in males it was unemployment. Women of 55–65 years of age showed a greater risk from self-medication with tranquillizers and sleeping pills in comparison to women of 15–24 years of age (aOR=4.75, 95% CI: 1.83–12.33). Unemployed males showed a greater tendency for such practice in comparison to employed (aOR=1.86, 95% CI: 1.19–2.91). Conclusion The findings highlighted predictors of self-medication with tranquillizers and sleeping pills and important differences between genders, which may contribute to the design of gender-sensitive surveillance, identification, and the prevention of such undesirable practices through evidence-based and appropriately tailored public health actions.


Author(s):  
Bruna Cardoso Leite ◽  
Danielle Samara Tavares de Oliveira-Figueiredo ◽  
Fabiana Lucena Rocha ◽  
Matheus Figueiredo Nogueira

Abstract Objective: To estimate the prevalence of multimorbidity arising from chronic noncommunicable diseases among older residents of the northeast of Brazil and to analyze its association with sociodemographic, behavioral and anthropometric factors. Method: A cross-sectional study was carried out with 3,141 older participants of the National Health Survey (2013). The dependent variable was multimorbidity, and the independent variables were sociodemographic, behavioral and anthropometric indicators. Descriptive, bivariate analyzes and logistic regression models were applied. Results: The prevalence of multimorbidity was 23.7%, with the state of Alagoas having the highest prevalence (27.2%). The occurrence of multimorbidity was associated with the female sex (OR=1.33; p=0.002), age over 80 years (OR=1.35; p=0.019) and being overweight (OR =1.37 p= 0.001). The protective factors were brown skin color (OR=0.79; p=0.013) and low weight (OR =0.71; p=0.017). Conclusion: The prevalence of multimorbidity in community-dwelling older adults in the northeast of Brazil was almost one quarter of the study population, with the state of Alagoas having the highest prevalence. Sex, age, skin color and being overweight were associated with the outcome. Knowledge of these factors can guide health care in the prevention, control and reduction of complications of these diseases, and support the strengthening of health education strategies and policies.


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