scholarly journals Prevalence of risk factors for dementia in middle- and older- aged people registered in Primary Health Care

2021 ◽  
Vol 15 (2) ◽  
pp. 239-247
Author(s):  
Bruna Moretti Luchesi ◽  
Beatriz Rodrigues de Souza Melo ◽  
Priscila Balderrama ◽  
Aline Cristina Martins Gratão ◽  
Marcos Hortes Nisihara Chagas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Visual Impairment ◽  
High Blood Pressure ◽  
Physical Inactivity ◽  
Age Group ◽  
Primary Health

ABSTRACT. It is important to assess the prevalence of risk factors for dementia to slow down the progression and evolution of the disease, and to support interventions and prevention programs. Objective: We aimed to evaluate the prevalence of these factors in individuals registered in Primary Health Care in Brazil and their relationship with sex and age group. Methods: This was a cross-sectional and quantitative study with n=300 individuals. We evaluated the prevalence of main risk factors (low education, hearing loss, high blood pressure, obesity, smoking, depression, physical inactivity, social isolation, and diabetes mellitus) and others (poor diet, alcohol use, head trauma, monolingualism, visual impairment, and sleep disorders) identified in the literature. Poisson regression was used, according to sex and age group (45-59 years/60+ years). Results: The main risk factors with the highest prevalence were physical inactivity (60.3%) and depressive symptoms and hypertension (56.7% each). Among the other factors, monolingualism (98.0%), visual impairment (84.7%), and irregular consumption of fruits (60.4%), and vegetables (53.5%) prevailed. No differences were identified between sexes. The regression analysis confirmed a significant difference for education and age group, with older individuals having a higher prevalence of low schooling. Conclusion: The results can guide interventions, especially in developing countries. Practice of physical activity and healthy eating should be the focus of these interventions as they can indirectly help in reducing the prevalence of other factors. Early identification, screening and adequate treatment of depressive symptoms, high blood pressure and visual impairment can also contribute to reducing the prevalence of dementia.

scholarly journals Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study

2021 ◽  
Vol 18 (22) ◽  
pp. 12000
Author(s):  
Pablo Martínez ◽  
Viviana Guajardo ◽  
Víctor E. Gómez ◽  
Sebastián Brandt ◽  
Wilsa Szabo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
High Blood Pressure ◽  
Collaborative Care ◽  
Care Program ◽  
Computer Assisted ◽  
Primary Health ◽  
Health Related

The comorbidity of depression with physical chronic diseases is usually not considered in clinical guidelines. This study evaluated the feasibility of a technology-assisted collaborative care (TCC) program for depression in people with diabetes and/or high blood pressure (DM/HBP) attending a primary health care (PHC) facility in Santiago, Chile. Twenty people diagnosed with DM/HBP having a Patient Health Questionnaire-9 score ≥ 15 points were recruited. The TCC program consisted of a face-to-face, computer-assisted psychosocial intervention (CPI, five biweekly sessions), telephone monitoring (TM), and a mobile phone application for behavioral activation (CONEMO). Assessments of depressive symptoms and other health-related outcomes were made. Thirteen patients completed the CAPI, 12 received TM, and none tried CONEMO. The TCC program was potentially efficacious in treating depression, with two-thirds of participants achieving response to depression treatment 12 weeks after baseline. Decreases were observed in depressive symptoms and healthcare visits and increases in mental health-related quality of life and adherence to treatment. Patients perceived the CPI as acceptable. The TCC program was partially feasible and potentially efficacious for managing depression in people with DM/HBP. These data are valuable inputs for a future randomized clinical trial.

scholarly journals Blood pressure and other cardiovascular risk factors among treated hypertensives in Swedish primary health care

2002 ◽  
Vol 20 (4) ◽  
pp. 224-229 ◽  
Author(s):  
Jan Cederholm ◽  
Peter M. Nilsson ◽  
Carl-Peter Anderberg ◽  
Lars Fröberg ◽  
Ulla Petersson
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Primary Health

scholarly journals Potential Impact of the New American High Blood Pressure Guidelines on Hypertension Prevalence in a Primary Health Care Unit in Rio de Janeiro – the LapARC Study

2021 ◽  
Author(s):  
Marcelle Guimarães de Oliveira ◽  
Angélica Furriel de Almeida da Silva ◽  
Taissa Lorena dos Santos ◽  
Mariana Loureiro Cunha ◽  
Bruna Rosenbrock Ferreira Taveira ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
High Blood Pressure ◽  
Rio De Janeiro ◽  
Hypertension Prevalence ◽  
Primary Health ◽  
Health Care Unit ◽  
Potential Impact

scholarly journals Depressive symptoms in primary health care attendees in Sebeta Town, Ethiopia: Prevalence, associated factors, and detection by health workers

2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110343
Author(s):  
Kibrom Haile ◽  
Addisu Tadesse Sahile
Keyword(s):  
Social Support ◽  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Associated Factors ◽  
Detection Rate ◽  
Health Workers ◽  
Binary Logistic Regression Analysis ◽  
Age Group ◽  
Primary Health

Depression often goes unrecognized in the primary health care setting. When depression occurs in clinical settings, it increases the risk of mortality from co-morbid medical conditions. Besides, 70% of patients with depression have somatic complaints, resulting in unnecessary investigations and mismanagement. This study was intended to investigate the prevalence and associated factors of depressive symptoms in primary health care centers and the detection rate in Sebeta Town, Ethiopia. An institution-based cross-sectional study was conducted among 384 visitors of adult outpatient department of four primary health centers in Sebeta Town, Ethiopia from October 1 to November 3, 2020. Depressive symptoms were assessed using PHQ-9 at cut-off score of 5. Data were entered using EPI data version 3.1 and exported to SPSS version 20 for data analysis. Descriptive statistics and binary logistic regression analysis were conducted. The prevalence of depressive symptoms was 27.9% (95% CI: 23.4–32.6). Detection rate of depressive symptoms by PHC providers was 0.93% (95% CI: 0.0–5.1). The factors positively associated with depressive symptoms were being unmarried (adjusted odds ratio (AOR): 3.40, 95% CI: 1.56–7.40, p < 0.01), perceived worsening of illness (AOR: 3.67, 95% CI: 1.73–7.77, p < 0.01), having family history of depression (AOR: 3.78, 95% CI: 1.40–10.23, p < 0.01), current alcohol consumption (AOR: 2.73, 95% CI: 1.22–6.10, p < 0.05), and current khat consumption (AOR: 5.43, 95% CI: 2.55–11.56, p < 0.01). Moderate social support (AOR: 0.16, 95% CI: 0.06–0.41, p < 0.01) and strong social support (AOR: 0.23, 95% CI: 0.09–0.63, p < 0.01) compared to poor social support, and the age group 25–31 (AOR: 0.36, 95% CI: 0.14–0.92, p < 0.05), compared to the age group 18–24, were negatively associated. Prevalence of depressive symptoms was found to be high, while the detection rate was very low. Provision of depression care services integrated into routine health care at PHC level was recommended.

scholarly journals Problem-Orientated Antenatal Notekeeping: A Useful Primary Health Care Tool

Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Significant Risk ◽  
Obstetric Care ◽  
Antenatal Screening ◽  
Primary Health ◽  
Risk Patients

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.

scholarly journals Prevalence of postnatal depression and associated risk factors among South Asian mothers living in a newly developing country

2016 ◽  
Vol 9 (6) ◽  
pp. 57
Author(s):  
Hashim Mohamed
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
South Asian ◽  
Postnatal Depression ◽  
Marital Problems ◽  
Primary Health ◽  
History Of ◽  
Associated Risk Factors ◽  
Asian Mothers

AbstractIntroductionPostnatal Depression (PND) is a major health problem affecting mother, her child and family.  Its prevalence and associated risk factors among South Asian mothers (SAM) living  in Qatar remain unknown. The objectives of this study were to estimate the prevalence of PND among (SEAM) in Qatar and to correlate risk factors contributing to the development of PND.Materials and methodsA total of (285 ) (SAM)females who were six months  postpartum were interviewed as  part of a prospective study conducted in primary health care centers in Qatar.  PND symptoms were defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 10 or higher. Descriptive statistics were used for summarizing the study and outcome variables. The χ2 test and ORs with 95% confidence intervals (CIs) were used for observation and quantifying the association between different variables. Multivariate binary logistic regression was used to identify the independent associated factors of PPD. P≤0.05 was considered significant. Variables included were age , occupation, education level ,previous psychiatric history ,comorbidities , ,history of depression during current  pregnancy, history of anxiety during current pregnancy, number of previous pregnancies, strong social support, husband support, marital problem before pregnancy and ongoing marital problems during current pregnancy.Results The prevalence of postnatal depression among 285 respondents was 33.2% .several psychosocial risk factors were significantly associated with postnatal depression and, after multiple regression analysis, a history of depressive illness ,anxiety ,marital problems before delivery ,a history of diabetes and asthma ,history of congenital malformations ,and lack of mother support.Other variables, including age, parity, education, occupation, and delivery type, were not significantly correlated (P=0.15–0.95), but marginally indicative of the risk of depressive symptoms.ConclusionThis study showed a high rate of depressive symptoms among(SAM) six months Postpartum . Future screening protocols  must be employed at primary care level and hospital based clinics in Qatar to detect and treat post natal depression.Keywords: postnatal  depression,  South Asians, primary health care ,Doha, EPDS  

Sign in / Sign up

Export Citation Format

Share Document