scholarly journals Predictors of smokeless tobacco consumption among women: a community based study in a slum of Kolkata

Author(s):  
Aparajita Dasgupta ◽  
Manika Pal ◽  
Bobby Paul ◽  
Lina Bandyopadhyay

Background: Tobacco consumption is one of the major preventable causes of death in India. Use of smokeless tobacco (SLT) is associated with oral and other cancers, adverse reproductive outcome and cardiovascular diseases. Prevalence of SLT consumption varies widely in different countries including India affecting people of different sex and age groups with varied socioeconomic, cultural and educational background.Methods: A community based, observational, cross-sectional study was conducted in a slum of Kolkata with the aim of determining the prevalence of SLT use and its predictors among women aged 15 years and above, by simple random sampling 159 study participants were selected. Interviews of the participants were conducted using structured questionnaire. Data were summarised and adjusted with descriptive statistics and binary logistic regression analysis in SPSS (version 16).Results: The prevalence of current SLT use was found to be 36.5%. On multivariable logistic regression, it was observed that there was significant association between SLT use and increasing age AOR (CI) 2.578 (1.131-5.876), lower SE status AOR (CI) 2.332 (1.076-5.054), lower educational level AOR (CI) 2.76 (1.163-6.295) and poor knowledge about SLT. AOR (CI) 2.191 (1.066-4.503). Quit attempt in last one year was 18.9% while missed opportunity for counselling by health care providers was 79%.Conclusions: Emphasis on IEC activities and stringent legislation in addition to the existing strategies of the national program are recommended. All efforts should be made to bring the women from behind the curtain and educate them about hazards of SLT consumption.

Author(s):  
Murali Lingala ◽  
Sneha Simon ◽  
Bhagath . ◽  
Kavitha .

Background: Tobacco kills approximately 1 million people annually in India and is responsible for almost half of all cancers in men and quarter of all cancers in women. Smokeless tobacco (SLT) is one such form that is culturally and socially acceptable by women especially in rural India. The study was aimed to estimate the prevalence of smokeless tobacco consumption among women, prevalence of exposure to second hand smoke and to determine the factors associated with it.Methods: A community based cross sectional study was done among 190 women in the rural field practice area of department of community medicine of Kakatiya Medical College, Warangal during the period of October 2019 to December 2019. Data was collected using simple random sampling. A semi structured questionnaire was prepared with the help of global adult tobacco survey proforma. The data was analyzed using statistical package for the social sciences (SPSS) 20.00.Results: Prevalence of smokeless tobacco consumption was 57% and the most common form of tobacco being consumed was tobacco with pan (40.3%). The prevalence of exposure to second hand smoke at home was 61%. The most common reason for initiation was peer pressure. High prevalence of consumption of smokeless tobacco was seen in unemployed and illiterate women.Conclusions: The prevalence of smokeless tobacco consumption is higher among women in this study and this indicates the lack of awareness and the need for better strategies to reduce the burden.


2017 ◽  
Vol 5 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Hassan Mahmoodi ◽  
Farzaneh Golboni ◽  
Haidar Nadrian ◽  
Moradali Zareipour ◽  
Shayesteh Shirzadi ◽  
...  

AIM: The aim of this study was to investigate the mother-father differences in Postnatal Psychological Distress (PPD) and its determinants among the parents with 8-weeks old children.MATERIALS AND METHODS: In this cross-sectional study, applying simple random sampling, 306 postnatal parents with an 8-weeks old infant in Saqqez County, Iran, were invited to answer the General Health Questionnaire-28 (GHQ-28) items through the telephone interview. Fifty-eight subjects declined to participate in the study (Response Rate = 81.04%). The data were analysed using the SPSS Statistics v. 21.RESULTS: About 16.9% of all the parents had PPD. The difference in the prevalence of PPD in three dimensions between the two groups were statistically significant (p < 0.01): social dysfunction (25.8% for fathers vs. 5.6% for mothers), somatic disorders (21% for fathers vs. 7.3% for mothers), and anxiety (21% for fathers vs. 6.5% for mothers). The mode of delivery of the mothers and the level of education, the number of children, monthly income, and being consent with pregnancy among the fathers were significant predictors for PPD.CONCLUSION: The level of PPD was more prevalent among the new fathers compared to the new mothers. Among the fathers, but not the mothers, socioeconomic characteristics were contributed to PPD. Considering the differences in risk factors for maternal and paternal PPD, our findings may help family health care providers and policymakers in designing gender-specific intervention programs and diagnosis tools aimed at PPD prevention among new parents.


2021 ◽  
Author(s):  
◽  
Ronald Magezi

ABSTRACT Background: Syphilis is an infection caused by a spirochete Treponema pallidum transmitted by direct contact with a syphilitic sore on the skin and in mucous membrane. The study was under taken to determine the prevalence of venereal syphilis among youth aged between 18- 35years, it also assessed the predisposing factors, prevention and control measures of venereal syphilis Methodology: This was a cross sectional study conducted among 96 respondents in Kisenyi Health Centre IV between the month of January and February 2020. Simple random sampling method was used to select the 96 respondents where by the respondents were selected by the first come first serve basis. Questionnaire interview schedule was used for data collection, Venous blood was collected and the Treponema pallidum hem-agglutination assay test kits were used in the diagnosis. Results: Out of the 96 respondents who were enrolled in the study 20(20.8%) were males and 76(76.2%) were females. Majority of the respondents who were affected were females 04(4.2%) in the age (18-35). The most predisposing factors to venereal syphilis was Ignorance, the use of drugs, poverty, co-infection, little knowledge about the use of a condom, as well as urban residence were also revealed to be some of the predisposing factors to acquire the disease. Conclusion: the prevalence of venereal syphilis in kisenyi health centre IV was found to be higher among the youth especially between the age of 18-25 years. Recommendations: The health care providers should do thorough assessment to address common disease especially cases of venereal syphilis among the youth between 18-35 years.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S499-S500
Author(s):  
Traci L Wilson ◽  
Suzanne R Kunkel ◽  
Jane Straker ◽  
Marisa Scala-Foley ◽  
Elizabeth Blair

Abstract Unmet social needs negatively affect individual and population health, and better integration of community-based supports and health systems is a promising approach to improve health outcomes and avoid unnecessary health care use. Community-based organizations (CBOs) such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), as providers and coordinators of social services, are well-positioned within their communities to coordinate care and provide for unmet social needs. Partnerships between CBOs and health care entities have clear potential to improve health care outcomes while also reducing expenditures. This paper will present a cross-sectional analysis of a national survey of AAAs, CILS, and other CBOs at two time points (2017: n=593; 2018: n=763) to understand the extent, type, and evolution of CBO engagement with health care providers. In addition, longitudinal analysis (n=374) shows movement at the organization level: 33% of organizations who did not have a contract at T1 but were pursuing one had achieved a contract by T2. This presentation will: describe details of the services delivered, contracting arrangements, and populations served under CBO/health care contracts, as well as challenges experienced by CBOs; examine differences by state and organizational structure; and discuss the implications of state policy on integrated care and contracting.


2014 ◽  
Vol 6 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Mona Srivastava ◽  
Ritu Srivastava ◽  
Balram Pandit

Background: The present observational, cross sectional study was carried out in rural women (n=117) from the Varanasi area with natural menopause to evaluate menopausal symptoms in women above the age of 40, as well as to evaluate the correlation of age on these symptoms. Materials and Methods: A crossectional assessment by interviewing regarding the menopausal complaints in the following 40-44(n=27), 45- 50(n=30) and above 50 (n =60) years age groups. Menstrual rating scale (MRS) was administered to all the women forming the sample. Results: Mean age at menopause was 47.35 years. Mean number of menopausal symptoms in three age groups were as (mean±SD)10.53±7.33, 7.70± 6.76 and14.50±10.77 respectively, which varied significantly (F=4.86, df=2, 87, P=0.009). The study reveal, varying nature of symptoms with age and MDSM (Mean Duration since Menopause), with vasomotor symptoms being more prevalent with lesser MDSM and psychological and rheumatic complaints more prevalent with increasing age and MDSM in this region. Conclusion: Such regional studies will help to corroborate data so that health care providers can plan strategies for the middle aged women suffering from these menopausal symptoms. DOI: http://dx.doi.org/10.3126/ajms.v6i1.8431 Asian Journal of Medical Sciences Vol.6(1) 2015 87-90


2018 ◽  
Vol 19 (3-4) ◽  
pp. 72-81 ◽  
Author(s):  
Roberta Heale ◽  
Simone Dahrouge ◽  
Sharon Johnston ◽  
Joan E. Tranmer

Nurse practitioners (NPs) in Ontario work in a number of settings, including physician-led, interprofessional Family Health Teams (FHTs). However, many aspects of NP practice within the FHTs are unknown. Our study aimed to describe the characteristics of NP practice in FHTs and the relationships between NPs and physicians within this model. This cross-sectional descriptive study analyzed NP service and diagnostic code data collected for every NP patient encounter from 2012 to 2015. Encounter data were linked to health administrative data housed at the Institute for Clinical Evaluative Sciences to allow for comparison with physician service and diagnostic codes. Findings demonstrated that NPs saw patients across all age groups for one to more than five problems per encounter and that NPs handled both acute and episodic care and chronic disease management issues. Patients with chronic conditions had more encounters with physicians than with NPs. In addition, compared to physicians, NPs saw more female than male patients. Our findings provide a snapshot of NP practice in FHTs and may be useful in informing other practice models in Ontario, elsewhere in Canada, and internationally. More evidence is needed, however, to clarify the responsibilities of the NPs in collaborative relationships with physicians and to embed policies that will ensure that NPs work to their full potential. In addition, applying service coding to all health care providers in FHTs could enhance data on interprofessional teams and the individual clinicians that comprise them.


Author(s):  
Netri Das ◽  
Anadi S. Tasa ◽  
Anuradha H. Medhi

Background: Tobacco use is a leading cause of preventable death worldwide and an estimated 250 million children and adolescents in developing countries die prematurely because of tobacco consumption. The objectives of the study were to determine the pattern of tobacco use among the adolescents and assess the factors associated with its use in urban slums of Jorhat, Assam.Methods: A community-based cross-sectional study was conducted in two randomly selected urban slums of Jorhat district from September 2015 to February 2016 among 110 adolescents using predesigned pretested proforma. Data were analyzed using SPSS - trial version 16; risk analysis was done using odds ratios with 95% confidence intervals.Results: 106 (96.36%) adolescents had ever used a tobacco product and 97 (88.18%) were current users. 57.73% consumed smokeless form and 3.1% used smoking form exclusively while 39.17% used both smoking and smokeless tobacco. Exclusive smokeless tobacco use was more common among girls. Smoking as well as combined smoking and smokeless tobacco was more common among boys. Gutkha was most common smokeless product (94.84%) and cigarette was commonest smoking form (34.02%) used. Awareness regarding its harmful effects was high (77.28%). Tobacco use in family is significantly associated with current use of tobacco (OR 5.88).Conclusions: Tobacco consumption is an emerging threat to health of adolescents in urban slums. Smokeless tobacco use is high in our study, especially among girls. Tobacco use by family is a major reason behind using tobacco indicating an urgent need to carry out behaviour change communication (BCC) activities among adolescents and their family members. 


2020 ◽  
Vol 06 ◽  
Author(s):  
Maryam Khadibi ◽  
Mahlagha Dehghan ◽  
Fatemeh Ghaedi-Heidari ◽  
Sima Mokhtarabadi

Aim: Some evidence shows an increased utilization of complementary and alternative medicine for infertility treatment, although little information is available to measure this phenomenon in infertile women. Hence, this study aimed to assess the application of Complementary and Alternative Medicine (CAM) techniques on infertile women. Materials and methods: This study was cross-sectional. Infertile women referred to the only center of infertility in Kerman, Iran were selected using convenience sampling. In total,144 participants were assessed. Data were collected using a twopart researcher-made questionnaire and they were analyzed using descriptive and analytical statistics [chi-square test and logistic regression] with SPSS version 18. Results: 56.3% of participants in the present study used at least one of the CAM methods in the past year.. The multivariate logistic regression showed a significant correlation only between education and CAM users/non-users. Conclusions: According to the results, almost one third of infertile women used CAM to treat their infertility indicating high prevalence of CAM usage among infertile women. Therefore, health care providers must pay more attention for infertility treatment to reduce the treatment interactions and increase the quality of care.Keywords: Complementary Therapies, Infertility, traditional medicine, women.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Damitie Kebede Mengesha ◽  
Reddy P. C. J. Prasad ◽  
Degnet Teferi Asres

Even if adolescence is a window of opportunity to break the intergenerational cycle of malnutrition, adolescents are the neglected age groups. Hence, information regarding the nutritional status of adolescents is lacking, making creating and implementing intervention programs difficult. This study aimed to assess the prevalence and determinants of thinness among school adolescents in Finote Selam Town, Northwest Ethiopia. A school-based cross-sectional study among adolescent students aged 10–19 in public primary and secondary schools was carried out in Finote Selam Town from February 05 to March 27, 2018. Stratified and simple random sampling techniques were employed to select study subjects. A total of 397 adolescent students were included in the study. Pretested structured questionnaires were used to collect the data. Data were entered using Epi Info version 7 and analyzed using SPSS version 20 and WHO AnthroPlus software. A multivariable binary logistic regression analysis was employed to identify factors associated with thinness. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at p value less than 0.05. The prevalence of thinness among adolescents was 14.9%. Early adolescent stage (AOR = 4.81; 95% CI : 1.23, 18.51), being male adolescent students (AOR = 2.33; 95% CI : 1.60, 3.40), having less than 1000 birr family monthly income (AOR = 6.54; 95% CI : 3 : 82, 14.89), having 1000–2000 birr family monthly income (AOR = 3.47; 95% CI : 1.15, 7.45), and using well water (AOR = 3.82; 95% CI : 1.46, 10.04) were significantly associated with thinness at 95% confidence interval. The study revealed that prevalence of thinness was high in the study area. Sex, place of residence, and family monthly income were found to be important factors associated with thinness among the respondents.


Author(s):  
Yeshvanth Kumar ◽  
Pavan Mukherjee ◽  
Augustin Frankline ◽  
Sajitha M. F. Rahman ◽  
Kirubah V. David ◽  
...  

Background: Family planning influences mothers and infant’s health, population growth and regional and national development. Studying the knowledge, attitude and practice of contraceptive methods of a region aids in overcoming the barriers in the utilization of the services providing them.Methods: A community based cross sectional study was done among 350 married women of an urban population by systematic random sampling using a structured questionnaire.Results: From a total of 350 women enrolled, majority were of the Hindu religion (84.9%) and from the lower socio-economic status (68%). The prevalence of use of contraceptive methods was 75.4% and it was predominantly female sterilization. It was significantly higher (p<0.001) in women aged above 32 years, married for more than 10 years, having more than two children and last child birth of more than seven years. Only 142 (40.6%) of the participants had adequate knowledge of contraceptive methods. However, 299 (85.4%) had a positive attitude to contraception and 296 (84.6%) had good practice of family planning (FP) methods.Conclusions: The knowledge and use of contraceptive methods especially temporary methods needs to be improved in our community. The utilization of media can be improved in addressing this shortfall. Health care providers being the bulk source of information on contraceptive methods must be pro-active in every interaction with women and men of reproductive age group by providing information on the various methods.


Sign in / Sign up

Export Citation Format

Share Document