scholarly journals A cross sectional study of knowledge, attitude and practice on cardiovascular disease and its risk factors among anganwadi workers of Cuddalore district

Author(s):  
Gopal Muthukrishnan ◽  
Christa Kingston ◽  
Arunmozhi Ravikumar

Background: India is facing the dual burden of communicable and non communicable diseases. The field level workers like anganwadi workers (AWW) have important role in creating awareness among people in fighting non communicable diseases. This study was an attempt to assess the prevalence of knowledge, attitude and practice of cardiovascular diseases among anganwadi workers and also to estimate the prevalence of obesity and hypertension among these workers.Methods: A total of 188 participants from 2 blocks of Cuddalore district were selected using multistagesampling technique. Each participant was given a pretested questionnaire to elicit their response and their height and weight was also measured. The Likert 3 scale was used to score their response. The statistical tool of Pearson correlation and Chi square was applied.Results: The mean (SD) age of the participants was 42.22 (10.56) years. The mean (SD) knowledge, attitude and practice score of study participants were 31.34 (5.6), 21.88 (1.97) and 8.03 (2.59) respectively. The prevalence of obesity in study sample was 43.1% and hypertension was 27.66%. There was a significant association of increasing age and obesity with hypertension (p<0.05). The study findings showed that there was a significant relationship between knowledge and attitude, attitude and practice (p<0.05) but knowledge and practice association was not statistically significant.Conclusions: Although knowledge and attitude of anganwadi workers of cardiovascular disease and its risk factors was adequate, the practice was found to be poor. The prevalence of obesity and hypertension was high.

2007 ◽  
Vol 47 (4) ◽  
pp. 161
Author(s):  
Syafruddin Haris ◽  
Sri Sofyani ◽  
Bidasari Lubis ◽  
Munar Lubis ◽  
Syahril Pasaribu ◽  
...  

Background Malaria is still considered to be an important healthproblem in Indonesia. Malaria has been found in islands withdifferent degree of endemicity. Behavior of the community isone of the factors affecting the incidence of malaria in MandailingNatal district.Objective To know the parental knowledge, attitude, and practiceamong parents whose children suffered from malaria or not.Methods A cross sectional study was conducted in six primaryschools and one health centre in October 2004. Subjects wereparents whose children were malaria positive and malaria negativebased on laboratory examination. Sample size was 85 parents foreach group. Selected respondents were interviewed usingstructured questionnaire. Degree of knowledge, attitude, andpractice on malaria were established using scoring system withinthree categories: good, less, and poor. Data were collected andpresented using chi-square and P<0.05 was considered as a levelof significant.Results The mean age of 85 parents whose children were positivemalaria, was 38.47 years (SD 6.67) and the mean age of thosewhose children were negative malaria was 40.41 years (SD 8.05).Parent’s education level was 62.9% primary school and 90% oftheir children were school-aged. There were significant differenceson parental knowledge, attitude and practice in each group(P<0.05). There was also a significant correlation betweenoccupation and knowledge, but not between parental educationlevel and parental age. Parental knowledge and attitude on theincidence of malaria in Mandailing Natal district were good,though their practice were poor.Conclusion There are significant differences on parentalknowledge, attitude and practice, between parents whose childrenwere positive and negative for malaria.


2019 ◽  
Vol 59 (1) ◽  
Author(s):  
Maria Fernanda Brandão de Resende Guimarães ◽  
Carlos Ewerton Maia Rodrigues ◽  
Kirla Wagner Poti Gomes ◽  
Carla Jorge Machado ◽  
Claiton Viegas Brenol ◽  
...  

Abstract Introduction Rheumatoid arthritis (RA) is a well-documented independent risk factor for cardiovascular disease. Obesity may provide an additional link between inflammation and accelerated atherosclerosis in RA. Objective To evaluate the association between obesity and disease parameters and cardiovascular risk factors in RA patients. Method Cross-sectional study of a cohort of RA patients from three Brazilian teaching hospitals. Information on demographics, clinical parameters and the presence of cardiovascular risk factors was collected. Blood pressure, weight, height and waist circumference (WC) were measured during the first consultation. Laboratory data were retrieved from medical records. Obesity was defined according to the NCEP/ATPIII and IDF guidelines. The prevalence of obesity was determined cross-sectionally. Disease activity was evaluated using the DAS28 system (remission < 2.6; low 2.6–3.1; moderate 3.2–5.0; high > 5.1). Results The sample consisted of 791 RA patients aged 54.7 ± 12.0 years, of whom 86.9% were women and 59.9% were Caucasian. The mean disease duration was 12.8 ± 8.9 years. Three quarters were rheumatoid factor-positive, the mean body mass index (BMI) was 27.1 ± 4.9, and the mean WC was 93.5 ± 12.5 cm. The observed risk factors included dyslipidemia (34.3%), type-2 diabetes (15%), hypertension (49.2%) and family history of premature cardiovascular disease (16.5%). BMI-defined obesity was highly prevalent (26.9%) and associated with age, hypertension and dyslipidemia. Increased WC was associated with diabetes, hypertension, dyslipidemia and disease activity. Conclusion: Obesity was highly prevalent in RA patients and associated with disease activity.


Author(s):  
Yu. A. Balanova ◽  
S. A. Shalnova ◽  
A. D. Deev ◽  
A. E. Imaeva ◽  
A. V. Kontsevaya ◽  
...  

Aim. Evaluation of the prevalence of obesity and association with the risk factors of chronic non-communicable diseases of the inhabitants of selected regions of Russia, by the data from ESSE-RF study.Material and methods. Representative selections investigated, of the inhabitants of 13 regions of Russia, totally 21768 participants, males n=8 304, females n=13 464, age 25-64 y. o., under the circumstances of the study “Epidemiology of cardiovascular diseases (ESSE-RF)”, with response ~80%. Standard questionnaire, consisting 12 modules, was developed based upon adapted international methods. For the risk factors prevalence assessment, the standard epidemiological methods were applied. Body mass (BM) was evaluated in the categories of body mass index (BMI) (Ketle index: BMI — Body mass, kg / height, m2). BM as BMI was evaluated as insufficient (BMI <18,5), normal (18,5≤ BMI ≤24,9), overweight (25,0≤ BMI ≤29,9), obesity grade I (30,0 ≤BMI ≤34,9), obesity grade II (35,0 ≤BMI ≤39,9) and obesity grade III (BMI ≥40,0). Abdominal obesity (AO) was assessed with the criteria: for males waist circumference (WC) ≥102 cm and for females ≥88 cm.Results. Mean BMI value among the participants was 27,6 kg/m2, with no gender difference. BMI increases with the age only in women. WC — 87,8 cm ±0,1, among males it was significantly higher than in females (92,9 cm vs 84,1 cm, p<0,001), increasing with age. The prevalence of obesity was higher among females comparing to males: by BMI — 30,8% vs 26,9%, p<0,001; by AO — 38,4% vs 24,3%, p<0,001. The prevalence of obesity in female inhabitants of rural regions was significantly higher comparing to citizens (p<0,001), and in the group of higher education, there was no difference among males wither by BMI (p<0,005), or by AO (p<0,001). There was no clear geographic gradient of the risk factors. The prevalence of obesity increases linearly with the age, in males from 14,3% to 36,3%, p<0,001, and in females from 10,7% to 52,3%, p<0,001. AO was more prevalent in women comparing to men in every of analyzed age group, and with the age this difference gets more profound. In the multifactorial model the associations of risk factors were analyzed, with any type of obesity. Close relation was found for obesity and raised levels of glucose and triglycerides, with alcohol overconsumption. Most significant associations were found for obesity and AH in both genders — OR: 2,71 and 2,52 in men and women, respectively. There was linear increase of AH prevalence with mean SBP and DBP, together with BM.Conclusion. In Russian population, obesity is associated most closely with alcohol overconsumption, increased glucose level, lipid disorders and especially strongly — with systemic hypertension, the factors that increase prevalence with age. Burden of this closely interrelated factors on healthcare system will increase with the portion of elderly inhabitants of the country. State of affairs demand for a complex approach based on the governmental politics on the control of populational levels of bodyweight, beginning at elementary school, with mass-media involvement, as the groceries manufacturers, regional governments.


2021 ◽  
Vol 12 (3) ◽  
pp. 2280-2285
Author(s):  
Akash S Wallepure ◽  
Salin Sebastian ◽  
Sradha S Thomas ◽  
Nishant Khatiwada ◽  
Divya Mol E C ◽  
...  

Tuberculosis (TB) is a highly contagious airborne disease caused by Mycobacterium tuberculosis that primarily affects the lungs. TB is a significant and major public health emergency globally. According to the WHO Global Tuberculosis Report 2020, 10 million people developed TB disease in the year 2019. The main objective of the study was to assess the level of knowledge, attitude and practice in TB patients. The study also reveals the association between KAP and the demographics of the subjects. An observational study was employed to collect data from a total of 71 subjects. Both quantitative and qualitative statistical analysis were adopted. From the findings, the mean age of the study population was 45.5 ± 13.96 years. Over 15.50% of subjects appeared to have adequate knowledge, 87.33% of subjects had a fair attitude, and around 58% of subjects were reported to have good practices towards TB. A weak positive correlation between knowledge and attitude (p = 0.051), weak positive correlation between knowledge and practice (p = 0.138) whereas, a significant and moderately positive correlation between attitude and practice (p = 0.002) was observed. The mean knowledge scores of graduates and post-graduates were higher in comparison with other study subjects. The study findings showed that the majority of subjects had several misconceptions about TB and hence prioritized interventions and more awareness programs at the root levels are needed to aid TB control and eradication.


Author(s):  
Forouz Keshani ◽  
Seyed Mohammad Razavi ◽  
Negar Jalalpour

Introduction: Biopsy is the most accurate way to make a definitive diagnosis, based on which the prognosis and treatment plan can be determined. This study aimed to evaluate the knowledge, attitude, and practice of general dentists and dental students about the principles of biopsy. Materials & Methods: This descriptive-analytical and cross-sectional study conducted on 188 general dentists and 93 senior dental students of Isfahan University of Medical Sciences using a questionnaire. Then data were analyzed using Pearson correlation coefficient, T-test) in all tests, the significance level is considered 0.05). Results: The mean score of dentists’ knowledge was 4.62 ± 1.42 and, the mean score of students’ knowledge was 4.96 ± 1.77 out of 8 points. The knowledge of dentists who had participated in retraining courses was higher than that of dentists who had not attended any biopsy retraining and was statistically significant (p value > 0.001).The mean score of dentists’ attitude (39.6 ± 4.06) was higher than the students’ (37.05 ± 3.06). Conclusion: Level of knowledge and attitude of dentists and students about the principles of biopsy was moderate. Their performance was also poor and most of the dentists expressed a lack of necessary skills for not doing a biopsy. This study shows the need for educational programs related to the principles of biopsy, in the form of retraining courses and more emphasis on the student curriculum.


Author(s):  
Neenu mol James ◽  
Umesh Yadalam ◽  
Sarita Narayan ◽  
Vijay Raghava

Aim: The aim of the present study was to evaluate the knowledge, attitude and practice towards the treatment of periodontal disease among general dentists. Materials and methods: The study involved 150 general dentists from Bangalore.  KAP study using a questionnaire was conducted with a total of 15 questions, and the questions were divided under 3 domains assessing the knowledge, attitude, and practice towards periodontal treatment procedures. Results: Out of the 150 dentists who received the questionnaire, 100% returned properly filled forms with a mean value of 12.2 in knowledge, 15.6 in attitude and 10.2 in the practice. With pearson correlation coefficient, it is understood that there is positive relationship between the knowledge that the dentists possess and their attitude towards periodontal treatment procedures. But, the correlation between knowledge and practice is not significant, however, on the negative side. Conclusion: General dentists have good knowledge and attitude towards periodontal treatment procedures whereas, their practice towards periodontal treatment procedure is still truncated. Hence, the oral perception of general dentists towards periodontal treatment needs to be gauged for betterment of their service. Keywords: Dentists, knowledge, periodontal diseases


2021 ◽  
Vol 8 (9) ◽  
pp. 1-8
Author(s):  
Lokesh Kumar. S ◽  
Nirosha. P

Background: The second wave of the COVID Pandemic spread like wildfire, wreaking havoc on the healthcare system. Medical practitioners must have sufficient knowledge and practice to avoid getting infected and to limit the danger of disease transmission among patients. We conducted this study to assess the current Knowledge, Attitude, and Practice towards COVID-19 among medical practitioners in India. Methods: An online cross-sectional questionnaire based study on COVID-19 was conducted among Medical practitioners using snowball sampling technique over 1 month period (16th April 2021 to 15th May 2021). Knowledge, Attitude, Practice score relation to independent variables and correlation between scores were analyzed. Results: Out of 306 responses assessed, The Mean Knowledge score was 55.2±10.5 and 52.9% had Knowledge above the mean. Overall attitude score was 62.5±23.1, Only 46.4 % were confident in managing a COVID patient. The Overall practice score was 89.8±16 which is better compared to Knowledge and attitude. A statistically significant (p=0.04) higher knowledge was observed among Postgraduates. Males (p=0.03) and older people (p =0.002) had better attitude. Superspecialists had statistically significant better practice (p=0.006). Knowledge and attitude score correlation (p=0.03), symptom spread vs treatment outcome score difference (p=0.0005) were statistically significant. Conclusion: Only half of the medical practitioners had good Knowledge about COVID 19. Only less than half had confidence in managing COVID patients and also there was a lacuna in PPE usage. A unified treatment protocol and periodic training could improve clinical knowledge. Stronger healthcare and positive reinforcement of preventive practices could help in better handling of the pandemic in the future. Keywords: COVID-19, Pandemic, Knowledge, Attitude, Practice, Medical Practitioners, India, second wave


2020 ◽  
pp. 120-126
Author(s):  
Abdulzahra Hussain ◽  
Deepak Rao ◽  
Thomas Buttle ◽  
Lynette Linkson ◽  
William Owen ◽  
...  

Background: During the recent coronavirus disease (COVID-19) pandemic there have been several studies implicating an association between obesity, COVID-19 severity, and mortality. This retrospective study aims to investigate the association between obesity, other risk factors, and COVID-19 mortality of patients admitted over a 6-week period to the respiratory units at the authors’ hospitals. Methods: This is a retrospective study of 71 patients who were admitted into a respiratory unit over a 6-week period where the data were analysed for correlation between various risk factors, COVID-19 severity, and mortality. The statistical analysis was performed using excel statistics and SPSS (IBM, Armonk, New York, USA) statistical software. The significance was considered at p<0.05. The multivariate analysis, Z-test, Cox regression, Pearson correlation, and Kaplan–Meier analysis were used. Results: The mean age of the patients was 65.8 years (range: 35.0–93.0 years) standard deviation (13.21) and the male to female ratio was 2.73 (52:19, respectively). The most frequent comorbidities were obesity (42/71; 59%), hypertension (36/71; 50%), diabetes (22/71; 31%), heart disease (13/71; 18%), respiratory disease (9/71; 13%), and cancer (8/71; 11%). The mean body weight was 83.7 kg (60.4–147.7 kg) and the mean BMI was 32.2 (22.0–53.0 kg/m2). Smoking was reported in 8 (11%) of the patients. There were 20 (83%) mortalities among patients >70 years old (p<0.0001), 20 (83%) deaths among male patients (p<0.0001), 14 (58%) deaths among patients with a BMI >25 kg/m2 (p=0.001), 17 (70%) deaths reported for patients with hypertension (p=0.008), 6 (25%) mortalities for patients with cardiovascular disease (p=0.001), 14 (30%) deaths among patients who were mechanically ventilated (p=0.00028), and 5 (20%) mortalities among patients with cancer (p=0.003). Conclusions: Obesity, cancer, mechanical ventilation, male sex, intensive care unit admission, cardiovascular disease, and hypertension are significant risk factors for mortality in patients with COVID-19.


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