scholarly journals Factors determining the knowledge related to tuberculosis in a rural community, a community based cross sectional study

Author(s):  
C. Rajan Rushender ◽  
G. Dinesh Kumar ◽  
M. Logaraj

Background: Tuberculosis (TB) remains a major public health problem. It is reported that, globally, about 9 million people developed tuberculosis and about 1.5 million people died due to tuberculosis across the globe in 2013.Methods: A descriptive cross sectional study was conducted in the Rural Health Training Center, SRM Medical College to assess knowledge and practice regarding tuberculosis using a pretested Interview schedule. Adult population, who are residing in the field practice area were considered as study population. The study period was between August 2013 to February 2014.Results: A total of 246 study subjects were included in the final analysis with the majority of the participants to be between 21 to 40 years (39.40%). Cough and expectoration as symptom of TB was known to 82.5% of study subjects. Only 22.8% of the study subjects are aware of at least one extra pulmonary for of tuberculosis. The proportion of subjects with good overall knowledge about TB was highest in subjects aged 61 and above, lowest in 41 to 60-year age group. The proportion of subjects with good knowledge had gradually increased with increasing socio economic status.Conclusions: Culture specific IEC interventions and their delivery mechanisms need to be designed, considering the highly heterogeneous nature of population in India. 

Author(s):  
Shriram V. Gosavi ◽  
Anil R. Koparkar ◽  
Supriya A. Giri ◽  
Komal D. More

Background: This study was to enlighten the prevalence, different types & impact of injuries in elderly population in rural area of middle income country (India).Methods: It was a community based descriptive cross-sectional study, conducted in all 24 villages under one Primary Health Centre of central India. The study was carried out from June 2009 to May 2011.Results: In the present study, prevalence of injury was 17.1%, which was highest among elderly ageing 65-69 years (36.8%) followed by elderly ageing 60-64 years (27.4%). Prevalence of injury was higher (20%) among males as compared to females (14%). Association of age, gender and injury was not statistically significant. Fall was the most common cause (34.7%) of injury followed by occupational (34.0%) and road traffic accidents (15.8%). Superficial injuries were the most common (32.6%) type of injuries followed by fracture (27.3%). Hospital admission required by 24.2% of elderly. We found 34.7% elderly was physically impaired and 26.3% physically disabled due to various injuries.Conclusions: In the present study we found injuries pose a major public health problem in elderly. Therefore there is a need of community based assessment on impact of injury among elderly in various parts of country to formulate appropriate health initiatives for prevention and optimum treatment of injuries in elderly.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Tsedeke Wolde Hailemariam ◽  
Samrawit Solomon Ethiopia ◽  
Andamlak Gizaw Alamdo ◽  
Haimanot Ewnetu Hailu

Background. Obesity is an emerging public health problem in developing countries. There is limited study conducted in Ethiopia to determine the prevalence of obesity and its associated factors among adult population. Therefore, this study aimed at determining the prevalence of overweight/obesity and the associated factors among adults aged 25–64 years in Addis Ababa city community residents, Ethiopia. Methods. A community-based cross-sectional study was conducted from April 10, 2017, to May 20, 2017, in Addis Ababa. A total of 512 adults were recruited. A two-stage cluster followed by a systematic random sampling technique was used for sample selection. Data were collected using questionnaires and anthropometric measurements. The adjusted odds ratio (AOR) with a 95% CI was reported to show the strength of association. A P value < 0.05 was considered statistically significant. Results. A total of 484 adults participated in the study with a response rate of 94.5%. The prevalence of overweight and obesity among study participants was found to be 99 (21.5%) and 14 (2.9%), respectively. Males were 90% less likely to be obese when compared to females (AOR = 0.10 (95% CI: 0.01–0.84)). Illiterate people were 94% less likely to be obese compared to those who were literate people (AOR = 0.06 (95% CI: 0.01–0.44)). Nonhypertensive individuals were 86% less likely to be obese when compared to hypertensive (AOR = 0.14 (95% CI: 0.03–0.69)). Conclusion. The combined prevalence of overweight and obesity was found to be considerably high in Addis Ababa city residents compared to the national figure. Being female, literate, and presence of hypertension are independent predictors of overweight/obesity in the study population. Thus, the concerned bodies should initiate efforts to tackle the newly emerging public health problem of the country and promote healthy lifestyle behaviors in the inhabitants of city settings.


2018 ◽  
Vol 9 (1) ◽  
pp. 34-38 ◽  
Author(s):  
Md MH Khan ◽  
Md R Karim ◽  
Md S Alam ◽  
Md M Ali ◽  
Jakir HB Masud

Background: Smoking is recognized as a major public health problem in the world.Materials & Methods: The objective of the study was to assess the prevalence and determinant of adolescent smoking in West Kafrul Dhaka. This was a cross sectional study conducted in 2013 among 150 adolescent boys of school and slum.Results: The results showed 35.33% adolescent boys had smoking habit. Most of the adolescent (86.79%) had started smoking when they were 14-17 years old. This study found that peers influence (50.94 %) was the most common causes of smoking. Among the boys who live in slum, 80% were smoker and among the school going boys 15% were smoker.Conclusion: Smoking was very common among middle-class male teenagers and even more prevalent among youths from nearby slums. Awareness program on tobacco will be an effective way to control.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 34-38


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035823
Author(s):  
Nebiyu Dereje ◽  
Alemu Earsido ◽  
Layla Temam ◽  
Ashenafi Abebe

ObjectiveHypertension is a global public health problem, with its burden increasing particularly in developing countries. However, it has not yet received due attention in Ethiopia. The aim of this study was to determine the prevalence and associated factors of hypertension among adult population in Hosanna town, southern Ethiopia.DesignCommunity-based cross-sectional study.SettingHosanna town, southern Ethiopia.ParticipantsAdult population aged ≥18 years (n=634) were recruited by a multistage stratified sampling technique.Outcome measuresA face-to-face interview using structured questionnaire was carried out by trained nurses. Anthropometry and blood pressure were measured following standard procedures. Hypertension status was defined as systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg in two separate measurements or reported use of prescribed antihypertensive drugs for raised blood pressure. Factors associated with hypertension were identified by multivariable binary logistic regression analysis.ResultsThe overall prevalence of hypertension was found to be 17.2% (19.3% and 14.2% among men and women, respectively). About 40% were unaware that they were hypertensive prior to the study. Older age ≥35 years (adjusted OR=3.9, 95% CI: 1.4 to 10.8), alcohol use (adjusted OR=3.4, 95% CI: 1.4 to 8.3), consumption of saturated oil (adjusted OR=6.5, 95% CI: 1.5 to 17.5) and unspecified different types of oil (adjusted OR=8.2, 95% CI: 1.9 to 25.1) and overweight/obesity (adjusted OR=2.9, 95% CI: 1.9 to 4.6) were found to be independently associated with hypertension.ConclusionsThe prevalence of both diagnosed and undiagnosed hypertension is alarmingly high in the town. These findings underscore the need to design health information provision systems on the risk factors of hypertension and promote good health practices. Blood pressure screening programmes at community levels to identify and treat undiagnosed hypertension should be considered.


Author(s):  
Pramila J. Paul ◽  
Rebecca Samson ◽  
Annie William ◽  
Bridgitte Akila ◽  
Anil J. Purty ◽  
...  

Background: The prevalence of hypertension and other non-communicable diseases in India are on the increasing trend. Hypertension is a major public health problem in India. This study aimed to estimate the prevalence and associated factors of hypertension in an urban area of Puducherry, South India.Methods: A community-based cross-sectional study was carried out among adults in an urban area of Puducherry, South India, between Oct 2013 to Nov 2013. A total of 236 adults aged ≥ 35years were selected and data was collected using piloted questionnaire. Blood pressure was measured following standard technique.Results: Out of 236 participants 123(52.1%) were found to be hypertensives. Among the hypertensives, nearly one fourth 32(24%) of them were undiagnosed hypertensives. Advanced age, male gender, housewives compared to their counterparts, family history of hypertension, alcohol intake, sedentary lifestyle, and abdominal obesity (among females) were significantly associated with hypertension. Conclusions: The prevalence of hypertension is found to be high. Regular health education programme to raise awareness and community-based screening programme should be given priority for early detection of hypertension and prevention of complications. 


Author(s):  
Arunkumar M. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: Tobacco is the leading global cause of preventable death which kills millions of people and causes huge economic damage every year. Smoking form of tobacco is a major modifiable risk factor for number of chronic non-communicable diseases. In spite of various statutory warnings, smoking still remains a major Public health problem especially in young males. In order to reduce the magnitude and for effective control, the risk factors and distribution should be well known. This study was planned with the objective of assessing the prevalence and determinants of smoking among rural young males of Kancheepuram district, Tamil Nadu, India.Methods: This community based cross sectional study was carried out between March and May 2018 among rural young males aged between 18 to 29 years. Sample size of 431 was calculated by using 4PQ/L2 and the respondents were selected from sampled households using systematic random sampling. Data were collected using a pre-tested, structured questionnaire, which were analyzed using SPSS version 16.0 and presented using descriptive and analytical statistics.Results: Among 422 participants interviewed, the prevalence of smoking was 23%. Factors found to be protective against smoking were employment status and sedentary type of jobs. Factors found to be significantly associated with smoking were individuals with smoking friends and family members, habit of alcoholism, employment and low education status.Conclusions: Since smoking is a preventable cause of morbidity and mortality, efforts should be made to control its use by intensive health education, implementing counsellingfacilities and rigorous enforcement of anti-tobacco legislation. 


Author(s):  
Vasundara S. Gayakwad ◽  
Gowri Shankar

Background: Anemia is a major nutritional problem in adolescent girls in many developing countries. Anaemia prior to pregnancy is likely to affect fetal health and survival and therefore it is necessary to evaluate the nutritional needs in this vulnerable group. To know the prevalence of anaemia and its associated factors among adolescent girls residing in the urban field practice area of S. Nijalingappa Medical College, Bagalkot.Methods: A community based cross sectional study. A field practice areas of the urban health training centers, Department of Community Medicine, S. Nijalingappa Medical College in Bagalkot. 400 unmarried adolescent girls were participants. Systematic random sampling. Data was tabulated in Microsoft Excel 2010 and analyzed by using Open Epi software.  Data was collected through predesigned, semi-structured questionnaire through house to house visits. Haemoglobin estimation was done by Sahli’s method and anaemia was classified based on WHO criteria.Results: The prevalence of anaemia was 63.3%. Factors associated with anemia were age, mother’s literacy, SES, type of family, environmental sanitation and tea consumption.Conclusions: Prevalence of anaemia is high and is a major public health problem in this area. Health education and periodical haemoglobin estimation followed by supplementation of iron would help in reduction and prevention of anaemia. 


2021 ◽  
Vol 28 (05) ◽  
pp. 702-706
Author(s):  
Niaz Hussain Keerio ◽  
Nasrullah Aamir ◽  
Nuresh Kumar ◽  
Masood Ahmad Qureshi ◽  
Hassan Amir us Saqlain ◽  
...  

 Objective: To determine how frequent NSAIDs are used for osteoarthritic patients because OA is common old age patients and NSAIDs can cause divesting complications on their health. In our study we tried to identify the main reasons and suggest a best possible solution. Study Design: Community Based Cross-sectional study. Setting: Mohammad Medical College and Hospital Mirpurkhas Pakistan. Period:  June 2018 to August 2018. Material & Methods: In this study, we included more than 300 prescriptions written for Osteoarthritis, a degenerative joint disease. Prescriptions collected from hospital pharmacy (80%) and from other pharmacies (20%). Data was collected on preformed proforma and was analyzed in SPSS version 25. Results: Osteoarthritis mainly affects elderly population. NSAIDs are used for pain relief but can cause acute renal failure and GIT bleeding ulcers. In our study 69% patients were prescribed double NSAIDs. Traditional NSAIDs were used 95% of the time and only 5% percent of the time selective cox 2 were used. Along with these NSAIDS only 20% patient were given prophylactically gastroprotective agents like PPI and other medications. Conclusion: Prescription osteoarthritis include multiple NSAID without any protocol and over dosage was observed commonly.


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