scholarly journals A study on non-compliance to treatment in a Chennai based diabetic population

Author(s):  
U. Yashila Prithika ◽  
Christina Mary P. Paul ◽  
Vishwanath Simha Nethaji ◽  
S. Vishnu ◽  
Wajeeha Rumaiza ◽  
...  

Background: India is world's diabetic capital. Treatment compliance is most important to manage the disease effectively. This study was done to estimate the prevalence of treatment non–compliance among the adult diabetic population and to identify certain risk factors that may be associated with it.Methods: The study was done on 300 diabetics who were chosen through stratified random sampling from urban and rural areas. Information was collected through a questionnaire that had questions on background information of the subject and then on diabetes and treatment compliance. The data entry and analysis were done using statistical package for social sciences (SPSS) version 22. The final data was summarized into percentages and 95% C.I was calculated for the prevalence rates. Cross tabulations were done for various variables. Chi-square values were calculated wherever appropriate and p values were based on the 2 –tailed values. Associations were assessed and 95% confidence interval of odds ratios were found using Epi Info version 7.1.2.Results: The overall prevalence of non-compliance to treatment in diabetics was found to be 29.7% with a 95% CI of 24.5-34.8%. Treatment non–compliance among diabetics was significantly higher among male subjects, subjects from joint families, subjects with family history of diabetes and also subjects with BMI in the normal range.Conclusions: This study shows the high prevalence rates of treatment non–compliance among the diabetic population emphasizes on the need for effective public–private partnerships to effectively reduce the disease burden of diabetes.

Author(s):  
Christina Mary P. Paul ◽  
U. Yashila Prithika ◽  
Vishwanath Simha Nethaji ◽  
S. Vishnu ◽  
Wajeeha Rumaiza ◽  
...  

Background: The presence of depression could have a negative impact on treatment compliance and diabetes was found to double the likelihood of having depression. This study was done to estimate the prevalence of depression among the adult diabetic population and also to identify certain risk factors that may be associated with them.Methods: The study was done on 300 diabetics who were chosen through stratified random sampling from urban and rural areas. Information was collected through a questionnaire that had questions on background information of the subject PHQ – 9 questionnaires was used to estimate the prevalence of depression. The data entry and analysis were done using statistical package for social sciences (SPSS) version 22. The final data was summarized into percentages and 95% C.I was calculated for the prevalence rates. Cross tabulations were done for various variables. Chi-square values were calculated wherever appropriate and p values were based on the 2 –tailed values. Associations were assessed, and 95% confidence interval of odds ratios were found using Epi Info version 7.1.2.Results: The overall prevalence of depression among diabetics was found to be 43% with a 95% CI of 37.4% to 48.6%.Conclusions: This study shows the high prevalence rates of depression among the diabetic population and emphasizes on the need for effective mental health promotion measures to combat with the same. 


2021 ◽  
Vol 16 (3) ◽  
pp. 340-347
Author(s):  
Syifa F Syihab ◽  
Mesa Rahmi Stephani ◽  
Isti Kumalasari ◽  
Adang Suherman

The development of child motor skills is closely related to nutritional status. Stunted children generally experience delays in motor development. The objective was to determine the relationship between stunting, socioeconomic status, and children’s motor skill development. This research was conducted in 2018 using a cross-sectional method. Respondents were 80 children aged 48-60 months in urban and rural areas of West Java. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. We found that stunting prevalence in rural areas was higher than in urban areas. As much as 30 % of children in rural areas and only 12.5 % of children in urban areas were categorized as stunted. There is no significant association between stunting with the family’s socioeconomic status and motor skill development. The weight for the age variable showed a significant association with stunting. Children who are malnourished have a stunting risk of 10.9 times greater than normal children (OR 10.9 p < 0.001).


2021 ◽  
pp. 2518-2526
Author(s):  
Saifur Rehman ◽  
Fedik Abdul Rantam ◽  
Abdul Rehman ◽  
Mustofa Helmi Effendi ◽  
Aamir Shehzad

Background and Aim: Rabies is an important viral zoonotic disease that is mostly transmitted through the bite of a rabid dog. Despite serious efforts regarding its control, rabies is still endemic in many provinces of Indonesia. The study aims to assess the knowledge, attitudes, and practices (KAP) related to rabies in urban and rural areas in three provinces of Indonesia. Materials and Methods: A total of 432 respondents of different age groups, educational levels, geographical areas, and occupations participated in this study. Data were collected using a pre-designed questionnaire with online and offline modes to assess the KAP of rabies among the respondents. A series of Chi-square tests and frequency distribution analyses were performed to determine associations between response variables. Results: Of the 432 participants, 56.9% were aware of the clinical signs of rabies. Excepting for people at high risk of contracting the disease (e.g., veterinarians), most respondents (83.1%) were not vaccinated against rabies. Surprisingly, 79.4 % of those who were bitten by an infected dog did not seek medical care from the doctor and approximately 71.8% had poor knowledge of rabies control and vaccine campaigns. Of all respondents, 64% (p<0.05, odds ratio=1.63) were vaccinated after an infected dog bite. Similarly, 32% (p<0.05, odds ratio=1.59) were aware of surveys and vaccinations in their areas. In contrast, 20.7% (p<0.05, odds ratio=0.593) reported that rabid dogs were killed in their areas. The majority (89.60%) of the respondents were aware of the fact that rabies can cause death. Most of the respondents (93%) knew that rabies is caused by an infected dog bite. The overall levels of KAP among the respondents were good. Conclusion: The findings of the current study generally show that participants had good knowledge about clinical signs based on their frequency percentage, but lacked knowledge regarding medical treatment and surveys for awareness and vaccination of rabies. Overall, a significant (p<0.05, odds ratio>1) relationship was found among the KAP of participants. This depicts that the majority of the population is aware of rabies and factors involved in its transmission.


Author(s):  
T. J. M. S. Raju

<div><p><em>The present study aimed at the relationship between the socio-Economic Status and Academic Achievement among secondary school students of Prakasam District of Andhra Pradesh, India. A number of investigations conducted so far in the field of Socio Economic Status (SES) indicated a significant relation between achievement and SES.  After independence the SES of secondary school students in both urban and rural areas have registered a remarkable change.  On account of phenomenal advancement in science and technology the conditions of the people have changed a lot.</em></p><p><em>The data were collected from 200 secondary school students by using the tools socio-economic status tool measures the dimensions of educational, economic, social, cultural and occupational determinants.  The academic achievement tool consists of the test items of mathematics, general science and social studies.  Later the data were analyzed with the statistical procedures like mean, standard deviations, critical ratios, Chi-square test and r-values.  The results were discussed according to the significant values.  Based on the results certain conclusions were drawn. Over all observation of the study some educational implications were given.</em></p></div>


2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A F Nunes ◽  
A S Nunes ◽  
P Monteiro ◽  
C R Martins ◽  
H Forte

Abstract Introduction Anisometropia is characterized by a refractive inter ocular difference greater than 1.00 dioptre (D). It is the main cause of amblyopia and loss of binocular vision. Its prevalence depends on several factors, being different values in different geographical areas of the world and in different age groups. Objectives To estimate the frequency of anisometropia in children of the 2nd cycle of Basic Education. Methodology A total of 519 children attending the 5th and 6th school years, from Covilhã schools, from urban and rural areas, aged between 9 and 14 years (10.8 ± 0.8 years) were enrolled in the study. The refractive error was measured with a paediatric auto refractometer (Plusoptix), without cycloplegic and in binocular conditions. Anisometropia was defined as the inter ocular difference in spherical equivalent or cylindrical, greater than 1.00 D and a separate analysis for values greater than 2.00 D. Results The sample was symmetrically divided into genders (50.9% Male), between school grade (53% 5th year) and higher in urban areas (70.1%). The prevalence of anisometropia with cut-off points of 1.00 D and 2.00 D was 12.3% and 5.0%, respectively. There was a higher prevalence among males, in rural areas and in 6th grade. The Chi-square test (□2) shows that the difference is statistically significant only between years of schooling, with a higher prevalence in the 6th grade (p = 0.001). Conclusion There was a slightly higher prevalence of spherical and cylindrical anisometropia (5% and 12.3%) than is reported in the literature (rates between 4.4% and 9.4%). The 6th school year presented rates significantly higher than the 5th year, which points out that anisometropia increases with age, as was also advocated by other authors. Visual screening programs in adolescence for the detection of anisometropia are fundamental, since their timely correction allows to safeguard the binocular vision.


Author(s):  
T. Josna T. Josna ◽  
N. Rajesh N. Rajesh ◽  
K. Naga Sindhura K. Naga Sindhura ◽  
K. Hema Ravali K. Hema Ravali ◽  
N. Uma Jyothi N. Uma Jyothi ◽  
...  

Background: Psychiatric disorders are known to vary across time within the same population and also vary across populations. Most of the community-based Indian epidemiological studies are on point prevalence. The adult epidemiological finding that mental disorders have early ages of onset has created interest in the minds of psychiatrists. Children and adolescents are at high risk of developing mental disorders. Aim & objective: we are aimed at to conduct of this study was to know the overall incidence and prevalence rate of various Psychiatric disorders in the Psychiatric department of teaching based hospitals and the objective of the study is to find out the incidence and prevalence of the predominant psychiatric disorder. To find the role of key factors like age, Education, Gender, environmental analysis, Marital status, and sleep pattern on the mental health status of Patients. Material & Methods: This study was conducted on 500 patients, both male and female were included in the study. ICD- 10 and DSM IV criteria tools were used. Statistical Analysis was done using appropriate tests like the “t” test and Chi-Square test. Results: A total of 500 Patients we are included in our study, males are 293(59%) and Females are 207 (41%). Depression shows the highest incidence of 7.0%. Schizophrenia shows the highest prevalence (17.6%) Chi-Square analysis indicated no significant difference in prevalence between the number of males and females.  There were no significant differences among the prevalence rates among the participants who belonged to middle-class urban and rural areas. Conclusion: Psychology is the science of behavior and mind, it intends to surmise clinical individuals and groups via placing general principles and researching specific cases. As a responsible clinical pharmacist, we have played a major role in the effective counseling of patients by using counseling aids. In this research, have a leading prevalence plus incidence of psychiatric disorders are detected.


2017 ◽  
Vol 18 (1) ◽  
pp. 52-56
Author(s):  
Rachana Bahuguna ◽  
Atul Jain ◽  
Divya Suryavanshi ◽  
Hemlata Chauhan ◽  
Suleiman A Khan ◽  
...  

ABSTRACT Introduction This research analyzed the influence of television on the behavior of children belonging to urban and rural socioeconomic backgrounds of Bhopal city and its vicinity. Materials and methods About 400 parents with children between 1 and 18 years of age were subjected to a self-designed questionnaire, which sought information regarding the television viewing habits of children. Differences in responses were noted between the subjects of urban and rural areas. Obtained data were subjected to statistical analysis using Pearson's chi-square test to determine the level of significance. Results The urban class showed a dominating pattern in the positive aspects of television viewing, such as significantly better awareness of oral health, more emphasis shown toward oral care adverts, and a higher knowledge of the cause of dental caries. However, the urban class also possessed a poor attitude; the appearance of a dentist on television did not remind them about oral needs, products with gifts pleased their children to a greater extent, they had more demanding children, parents fulfilled their children's demand more, and they relied on the self for selection of toothpaste. Overall, in all aspects, the rural class lacked significantly. Conclusion Television exerts a positive as well as negative influence on children's behavior among urban and rural communities, with the influence being more obvious in the urban class. Clinical significance The results of this study can be utilized in bringing about better and effective advertising oriented toward attaining optimum oral health of children; overall general health through adverts that discourage obesogenic diet and promote a diet rich in protein and fiber can also be focused on. How to cite this article Bahuguna R, Jain A, Suryavanshi D, Chauhan H, Khan SA, Thakur R. Influence of Television Advertising on Behavior of Children across Socioeconomic Backgrounds. J Contemp Dent Pract 2017;18(1):52-56.


2021 ◽  
Vol 233 ◽  
pp. 02009
Author(s):  
Wang Jie ◽  
Yang Kun ◽  
Dong Wen

Hypertension is the most common chronic disease in the Chinese population. The study analyzes the differences of hypertension in different regions in China from space, analyzes the influencing factors of the disease, and the spatial distribution of different populations. The data comes from CHARLS Harmonize. 22,310 interviewees were selected to respond effectively. Single-factor chi-square test and binary logistic regression were used to analyze the factors affecting hypertension. BMI, urban and rural areas, jogging 1KM, smoking, drink, gender, education status, public medical insurance and hypertension chi-square test are significant, BMI (OR=1.193 95%CI 1.182~1.203), age (OR =1.049, 95%CI 1.045~1.053). There is a spatial difference in the prevalence of hypertension in China, which provides a spatial reference for the control and prevention of different regions, so as to better prevent and treat patients with hypertension. Keywords: hypertension, spatial difference, CHARLS data


2020 ◽  
Vol 16 (1) ◽  
pp. 140
Author(s):  
Andini Retno Yunitasari ◽  
Ratu Ayu Dewi Sartika ◽  
Asih Setiarini

The underweight still remains a public health problem for toddlers in Indonesia. The purpose of the study to identify the factors related to the underweight incident for toddlers at 24-59 months in urban and rural areas of Indonesia. This research used cross-sectional study design. This study used secondary data on the Total Diet Study-Individual Food Consumption Survey of 2014. The sample size in this study was 5165 toddlers from 24-59 months and distinguished by urban and rural areas. Bivariate Analysis used chi square. This study estimates that 20.3% of children aged 24-59 months were underweight with a greater proportion in rural areas 22.5%. Significant factors related to the underweight incidence in the urban and rural areas were the father's education level (urban; p = 0.02 and rural; p = 0.005) and mother’s education level (urban; p = 0.001 and rural; p = 0.005), number of household members (urban; p = 0.03 and rural; p = 0.012), and energy adequacy level (urban; p = 0.012 and rural; p = 0.005). The factor that was estimated to be significantly related to the underweight incidence just in rural areas as children’s age (p = 0.012), the total number of children in one house (p = 0.047). Multisectoral collaboration is needed to reduce nutritional problems, especially in rural areas. The efforts to improve community nutrition by improving the socio-economic condition of the community should be based on regional capabilities and local wisdom in the region.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020955 ◽  
Author(s):  
Cheng-Yu Lin ◽  
Yen-Cheng Tseng ◽  
How-Ran Guo ◽  
Der-Chung Lai

ObjectiveChildhood hearing impairment (CHI) is a major developmental disability, but data at the national level are limited, especially those on different severities. We conducted a study to fill this data gap.DesignA nationwide study on the basis of a reporting system.SettingTo provide services to disabled citizens, the Taiwanese government maintains a registry of certified cases. Using data from this registry, we estimated prevalence rates of CHI of different severities from 2004 to 2010 and made comparisons between urban and rural areas.ParticipantsTaiwanese citizens ≤17 years old.Primary outcome measuresTo qualify for CHI disability benefits, a child must have an unaided pure-tone better ear hearing level at 0.5, 1 and 2 kHz with an average ≥55 decibels (dB), confirmed by an otolaryngologist. The severity was classified by pure-tone better ear hearing level as mild (55–69 dB), moderate (70–89 dB) and severe (≥90 dB).ResultsThe registered cases under 17 years old decreased annually from 4075 in 2004 to 3533 in 2010, but changes in the prevalence rate were small, ranging from 7.62/10 000 in 2004 to 7.91/10 000 in 2006. The prevalence rates of mild CHI increased in all areas over time, but not those of moderate or severe CHI. Rural areas had higher overall prevalence rates than urban areas in all years, with rate ratios (RRs) between 1.01 and 1.09. By severity, rural areas had higher prevalence rates of mild (RRs between 1.08 and 1.25) and moderate (RRs between 1.06 and 1.21) CHI but had lower prevalence rates of severe CHI (RRs between 0.92 and 0.99).ConclusionWhile rural areas had higher overall prevalence rates of CHI than urban areas, the RRs decreased with CHI severity. Further studies that identify factors affecting the rural–urban difference might help the prevention of CHI.


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