scholarly journals Knowledge, attitude and practices of women towards breast cancer in the field practice area of urban health training centre, Aurangabad, Maharashtra

Author(s):  
Apeksha P. Paunikar ◽  
Hrishikesh A. Khadilkar ◽  
Mohan K. Doibale ◽  
Bina M. Kuril

Background: Breast cancer accounts for 19-34% of all cancer cases among women in India. There is a high mortality as patients usually present at an advanced stage because of lack of awareness and nonexistent breast cancer screening programs. So the aim of study is to know knowledge, attitude and practices (KAP) of women towards breast cancer in the field practice area of urban health training centre (UHTC). Methods: A cross sectional study included 140 women of age ≥15 years residing in field practice area from October 2016 to January 2017. From four wards in the field practice area, equal samples were drawn from each ward. Data was collected using questionnaires designed to elicit socio-demographic information and knowledge, attitude and practices of these women towards breast cancer. Data analysis was done by Open Epi. Results: Out of 140 women interviewed, 78.57% mentioned at least one of the symptoms of breast cancer but only 37.86% identified painless lump as a symptom. Only 46.43% mentioned any one of the risk factors. More educated and younger age women were more knowledgeable about risk factors. 44.29% participants were aware of early detection measures but very few were actually practicing SBE, CBE. CBE was most common tool identified for detection. Conclusions: Women do have KAP deficits of breast cancer. So community oriented awareness generation programs to educate women about breast cancer, to promote early detection of breast cancer and to bring about the desirable behavioural change among women is needed. 

Author(s):  
Abhijeet S. Ingale ◽  
J. V. Dixit

Background: The theme for World Health Day 2013 based on controlling high blood pressure, a condition which affects more than one in three adults and leads to more than nine million deaths worldwide every year. There is a felt need for the community based studies in urban and rural areas of our country with a view to determine the geographic differences in the prevalence of hypertension. The knowledge about the existing risk factors of hypertension in the local community helps in developing prevention programs tailor-made to modify behavioral changes and promoting healthy lifestyles among the target groups. The present study was undertaken to estimate the prevalence of hypertension and examine its associated risk factors in an urban area. The aim and objectives were to find out the prevalence of hypertension in the field practice area of Urban Health Training Centre and to study the risk factors associated with hypertension.Methods:A case control study after community based cross sectional study was conducted in the field practice area of Urban Health Training Centre of Government Medical College, Aurangabad, India. Subjects were examined with the help of pretested proforma. The blood pressure, weight, height of the subjects were measured and recorded according to standard protocol. Data was entered and analyzed using Epi Info statistical software.Results: 305 study subjects were examined. The overall prevalence of hypertension was 26.2%. Prevalence of hypertension was more in females 33.3% than in males 16.8% which was found to be statistically significant. All risk factors were subjected to multiple logistic regression analysis. Out of fourteen risk factors submitted for multivariate analysis, five out to be significant and independent risk factors for hypertension i.e. (higher socioeconomic status, Mixed diet, Additional dietary salt intake, <8hrs of sleep and restless sleep).Conclusions:These observations re-emphasize the need for tailor-made hypertension awareness programs. It also brings to light the need for follow-up, counselling and monitoring of hypertensive’s to reduce non-compliance to anti-hypertensive medication and lifestyle modification in urban areas.


Author(s):  
Ratna Balaraju ◽  
Chandrasekhar Vallepalli ◽  
K. Chandra Sekhar ◽  
M. M. V. Prasad Sharma ◽  
T. Sushmita

Background: Dementia is one of the major causes of disability and dependency among older people worldwide. Dementia has physical, psychological, social and economic impact. Worldwide prevalence of dementia in elderly population of more than 60 years is 5-8%. Prevalence of mild cognitive impairment in India is 14.89%. Present study aim was to estimate the prevalence of dementia and the risk factors associated with dementia among elderly population in rural field practice area of Nalgonda district.Methods: A descriptive, community based cross-sectional study was conducted among 119 elderly population in the field practice area of Rural Health Training Centre by simple random sampling method, with the help of a pre-designed and pre-tested questionnaire. Data was analyzed using SPSS Version 19. MMSE (mini mental status examination) questionnaire was used to screen for dementia. Barthel index was used to assess the dependency status.Results: Demographic profile of the study population of 119, males 65 (54.62%), females 54 (45.38%). Majority of their source of income were government service pension 30 (25.21%) and old age pension 70 (58.82%). 56 (47.06%) of elderly population living with family and 63 (52.94%) people were living individually. The study revealed the prevalence of cognitive impairment is 35.3%. Risk factors like middle age obesity, smoking, alcohol consumption, social isolation showed significant association with dementia.Conclusions: Dementia can be prevented by early diagnosis and promoting physical health and treating behavioural and psychological symptoms. Risk of dementia can be reduced by following regular exercise, diet, quitting smoking and alcohol.


Author(s):  
Hrishikesh A. Khadilkar ◽  
Apeksha P. Paunikar ◽  
Mohan K. Doibale ◽  
Bina M. Kuril ◽  
Arvind V. Gaikwad ◽  
...  

Background: Domestic violence is a global issue. It has a serious impact on woman’s health and well-being. So the present study was carried out to study domestic violence against married women in the field practice area of urban health training centre (UHTC). The objective of the study was to find out the magnitude of domestic violence in married women in last one year and to find out the type of violence to which females are subjected and factors associated with it. Methods: The present community based cross-sectional study was carried out in married women residing in catchment area of UHTC. Sample size was first estimated with help of epi info, which came out to be 275 by considering 23.6% as the prevalence of domestic violence from NFHS-4. 282 women of age 15-49 years were finally included in study who was interviewed by predesigned pretested questionnaire by female investigator. The questions were asked related to ‘do they suffer from domestic violence, type of domestic violence and from whom they suffer such type of violence.’ Results: The prevalence of married women experiencing domestic violence in last one year in the field practice area of UHTC is 21.63%, of which 57.71% and 50% experienced physical and psychological violence by partner respectively. Also the study revealed that education and occupation of couple plays an important role in domestic violence. Conclusions: Domestic violence represents the hidden iceberg in the society and hence more community awareness about domestic violence is needed.  


2018 ◽  
Vol 5 (22) ◽  
pp. 1677-1680
Author(s):  
Prakash Chandra Panda ◽  
Smita Kumari Panda ◽  
Shilpa Karir ◽  
Rudra Prasanna Mishra ◽  
Durga Madhab Satapathy

2011 ◽  
pp. 143-147
Author(s):  
Dongfeng Wu ◽  
Adriana Pérez

Breast cancer screening programs have been effective in detecting tumors prior to symptoms. Recently, there has been concern over the issue of over-diagnosis, that is, diagnosis of a breast cancer that does not manifest prior to death. Estimates for over-diagnosis vary, ranging from 7 to 52%. This variability may be due partially to issues associated with bias and/or incorrect inferences associated with the lack of probability modeling. A critical issue is how to evaluate the long-term effects due to continued screening. Participants in a periodic screening program can be classified into four mutually exclusive groups depending on whether individuals are diagnosed and whether their symptoms appear prior to death: True-earlydetection; No-early-detection; Over-diagnosis; and Not-sonecessary. All initially superficially healthy people will eventually fall into one of these four categories. This manuscript reviews the major methodologies associated with the over-diagnosis and long-term effects of breast cancer screening.


2021 ◽  
Vol 19 (2) ◽  
pp. 2255
Author(s):  
Anabela Fonseca ◽  
Tacio Lima ◽  
Margarida Castelo-Branco ◽  
Isabel Vitória Figueiredo

Background: Cardiovascular disease (CVD) remains the leading cause of human mortality. As highly accessible and qualified health professionals, community pharmacists can be included in the early detection of patients at risk for CVD by implementing CVD screening programs. Objective: To assess the feasibility of CVD risk screening services in Portuguese community pharmacies from the evaluation of customers acceptability. Methods: A cross-sectional study was conducted in a community pharmacy in Portugal. The purpose of entering the pharmacy was recorded for all customers. Afterwards, the customers were invited to be interviewed by the pharmacist, who registered their willingness to participate and collected the participants’ data and biochemical and physical parameters to assess their CV risk by applying the Systematic COronary Risk Evaluation (SCORE) model. For the participants who were not eligible for the SCORE-based risk assessment, the pharmacist considered the major modifiable CVD risk factors - hypertension, dyslipidemia, smoking habits, obesity, impaired fasting glucose and sedentary behavior - according to the ESC guidelines. Results: Picking up medication was the most prevalent reason 69.8% (n=1,600) for entering the pharmacy, and among the contacted customers, 56.4% (n=621) agreed to have their CVD risk assessed. Of the 588 participants, 56.6% (n=333) were already on CV pharmacotherapy and were therefore not eligible for screening. Of the 43.4% (n=255) CV pharmacotherapy-naïve participants, 94.9% (n=242) were screened with at least one CVD risk factor; 52.9% (n=135) were not eligible for the SCORE assessment, of which 92.6% (n=125) presented CVD risk factors. Of the 120 SCORE eligible participants, 80.0% (n=96) were at least at moderate risk of CVD. Conclusions: We determined the feasibility of CVD risk screening in Portuguese community pharmacies, as we found high customer acceptability, noted the reasons for nonattendance, and found a high prevalence of CVD risk factors in at-risk patients. This is an opportunity for Portuguese community pharmacists to take a leading role in the early detection of CVD.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Na Li ◽  
Yujiao Deng ◽  
Linghui Zhou ◽  
Tian Tian ◽  
Si Yang ◽  
...  

Abstract Background Statistical data on the incidence, mortality, and burden of breast cancer and the relevant risk factors are valuable for policy-making. We aimed to estimate breast cancer incidence, deaths, and disability-adjusted life years (DALYs) by country, gender, age group, and social-demographic status between 1990 and 2017. Methods We extracted breast cancer data from the 2017 Global Burden of Disease (GBD) study from 1990 through 2017 in 195 countries and territories. Data about the number of breast cancer incident cases, deaths, DALYs, and the age-standardized rates were collected. We also estimated the risk factors attributable to breast cancer deaths and DALYs using the comparative risk assessment framework of the GBD study. Results In 2017, the global incidence of breast cancer increased to 1,960,681 cases. The high social-development index (SDI) quintile included the highest number of breast cancer death cases. Between 2007 and 2017, the ASDR of breast cancer declined globally, especially in high SDI and high middle SDI countries. The related DALYs were 17,708,600 in 2017 with high middle SDI quintile as the highest contributor. Of the deaths and DALYs, alcohol use was the greatest contributor in most GBD regions and other contributors included high body mass index (BMI) and high fasting plasma glucose. Conclusion The increasing global breast cancer burden is mainly observed in lower SDI countries; in higher SDI countries, the breast cancer burden tends to be relieving. Therefore, steps against attributable risk factors should be taken to reduce breast cancer burden in lower SDI countries.


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