scholarly journals Comparative study to determine self-medication practice and pattern in urban and rural areas of Etawah district

Author(s):  
Nishant Singh ◽  
Naresh Pal Singh ◽  
Pankaj Kumar Jain ◽  
Vaibhav Singh ◽  
Shailendra Chaurasiya ◽  
...  

Background: According to William Osler, a great feature which distinguishes man from animals is the desire to take medicine. Self-medication is an age old practice. According to World Health Organization guidelines “self-medication is defined as use of medicinal products by the individuals to treat self-recognized disorders or symptoms, or the intermittent or continuous use of a medication prescribed by a physician for chronic or recurring diseases or symptoms.Methods: It was a cross sectional study, which was conducted among residents of urban and rural areas of Etawah district, Uttar Pradesh by using 40×5 cluster sampling. The data was collected by using pre designed, semi-structured questionnaire. Proforma included socio- demographic profile, practice of self- medication and pattern of self-medication.Results: Most of the participants who indulged in self-medication in urban areas 69.5% and rural areas 65% belong to the age group 20-39 years. Majority of the participants (51.0%) in urban areas belonged to the nuclear family while most of the participants (50%) belonged to joint family followed by nuclear family (40%) in rural areas. most common reason for self-medication in urban area was the availability of old prescription which is present in 30.0% (60) of subjects but in rural area most common reason for self-medication was high fee of doctor which was 29.0% (58).Conclusions: Most common age group indulged in self-medication was 20-39 years. Most common reason for self-medication was availability of old prescription at home while in rural area, high fees of doctor was the common reason for self-medication.

2019 ◽  
Vol 5 (1) ◽  
pp. 36-50
Author(s):  
Temitope 'Wunmi Ladi-Akinyemi ◽  
Babatunde Oladipupo Ladi-Akinyemi ◽  
Adedoyin Oyeyimika Ogunyemi ◽  
Frances Ademola Oluwole

Background: The use of Long-Lasting Insecticide Treated Nets (LLINs) in Africa increased mean birth weight by 55g, reduced the incidence of low birth weight by 23% and decreased miscarriages/stillbirths by 33%. However, the benefit of the LLINs may be limited by the rate of ownership and utilization by pregnant women. Objective: To determine and compare the ownership and utilization of LLINs among pregnant women in urban and rural areas of Ogun State. Methods: A community-based comparative cross-sectional study on 72 and 74 pregnant women living in urban and rural areas, respectively of Ogun State was carried out. Using a multi-stage cluster sampling technique and a pretested semi-structured interviewer-administered questionnaire, information on LLINs ownership and use were obtained. Results: Ownership of LLINs was 81.1% in rural areas compared to 66.7% in urban areas. About 65% of participants in rural versus 44.4% in urban areas slept under LLINs. The predictor of ownership of LLIN was age group 15-24 years [AOR 0.10 (95%CI 0.01 - 0.56)]. The predictors of utilization of LLINs included urban residence [AOR 0.29 (95%CI 0.13 – 0.65)], age group 15-24 years [AOR 0.17 (95%CI 0.04 – 0.70)], registration of pregnancy for antenatal care [AOR 5.12 (95%CI 1.14 – 23.03)] and knowledge on prevention of malaria [AOR 4.94 (95%CI 1.51 – 16.17)]. Conclusion: Pregnant women should visit ANC clinics regularly, and health education on malaria should focus more on the prevention of malaria as well as encouraging the consistent use of the nets, particularly in the urban areas.


2019 ◽  
Vol 18 (3) ◽  
pp. 628-635
Author(s):  
Adeleke NA ◽  
Adebimpe WO ◽  
Farinloye EO ◽  
Olowookere AS

Background: Sexual assault is about the most dehumanizing form of gender based violence against women worldwide. Nigeria and many other countries in Africa do not have National data on women sexual assault. This survey is aimed at generating data on sexual assault against women in Osun state, Nigeria. Objective: To determine the patterns of sexual assault against women in Urban and Rural areas of Osun State in South western Nigeria. Methodology: A cross section survey using interviewer administered questionnaire was carried out among selected 1,200 women aged 15 years and above in urban and rural areas, between August and December 2014. The questionnaire was patterned after WHO Multi-country study on women’s health and domestic violence data instrument. The data were analyzed using SPSS version 17.0. Results: Mean age of the respondents was 23.75 ±(13.22) years in rural area, in the urban area it was 27.69 ±(10.23) years. 46 % and 54 % were married in urban and rural areas respectively. The prevalence of completed rape was 10.0 % in urban and 9.2 % in rural, while that of attempted rape was 31.4 % and 20.0 % in the urban and rural area respectively. Women in the rural areas experienced repeat sexual assault and suffered non-genital injuries more the in urban area. Having partner and living in urban area were associated with female sexual assault. Conclusions: Sexual assault against women constitutes public health issue in Osun state with rural women incurring greater negative health consequences. Primary prevention strategies should focus at young men and women in both rural and urban areas of the state. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.628-635


Author(s):  
M. Vijay Kumar ◽  
Indranil Acharya ◽  
Jayanti P. Acharya ◽  
Puligila Raj Shravani ◽  
Sabbineni Ramya

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. Methods: A community based cross sectional study was conducted among 800 mothers from urban and rural areas of Rangareddy District. A pre designed pre tested questionnaire was used to interview the mothers. Questionnaire contained questions related to demographic factors and breast feeding practices. Institutional Ethical clearance was taken. Results: The overall prevalence of exclusive breast feeding was 65%, being comparatively more in rural area (68%) which was statistically significant. Colostrum was discarded by 15% mothers in urban and 9% in rural area. Breast feeding was initiated within 1 hour in 184 (46%) in urban area and in 148 (37%) in rural area. Conclusions: Though mothers from rural area had certain favorable breast feeding practices such as demand feeding, colostrum being given but still various inappropriate practices were prevalent in both rural and urban areas. 


2007 ◽  
Vol 10 (4) ◽  
pp. 633-637 ◽  
Author(s):  
Jian-Ping Gan ◽  
Zhong-Hua Wu ◽  
Zhi-Ming Tu ◽  
Jian Zheng

AbstractBased on the birth record data from the National Vital Statistics in the 1990 Census of China, the present study analyzed the differences between urban and rural areas on monozygotic (MZ) and dizygotic (DZ) twin rates by maternal age in 1989. The twins by zygosity were calculated with Weinberg's differential method. Results show that the MZ and DZ twinning rates in China were associated with maternal age and that there were substantial differences between urban and rural areas. The MZ twinning rates in urban and rural areas were 2.36 pairs and 2.11 pairs per 1000 deliveries respectively, significantly lower than that in most studied populations. Furthermore, our analysis indicated that MZ twinning rates remained relatively constant for mothers under the age group of 36 to 38 years, but rose over this age group in both areas, albeit with a different slope. The DZ twinning rates were strikingly affected by maternal age, but the age for peak DZ rates was found within the age group of 33 to 35 years. In all maternal age groups except for 24 to 26 years, the DZ twinning rates in urban areas were higher than in rural areas. It remains unclear as to why the DZ twinning rates reversed to reach higher values within the older maternal age groups in China, but it is almost certain that the high twinning rates had nothing to do with in vitro fertilization.


Author(s):  
Sandhya Rani Javalkar ◽  
Radha Y. Aras

Background: Adequate nutrition during infancy and early childhood is essential to ensure the growth, health, and development of children to their full potential. Complementary feeding is a process starting when breast milk alone is no longer sufficient to meet the nutritional requirements of infants, and therefore other foods and liquids are needed, along with breast milk. The objective was to study complementary feeding practices and the various factors influencing them in urban and rural areas.Methods: A community based cross sectional study was conducted in Urban and Rural area of Mangalore Taluk. Data was collected by interview method among 408 mothers using a predesigned pretested questionnaire, information regarding demographic profile, socio-economic status, complementary feeding practices, etc was collected.Results: As many as 186 (45.3%) i.e., 129/186 (69.3%) mothers in the rural area and 57/186 (30.6%) mothers in urban area started complementary feeds at the age of 6 months. The most common food preferred as complementary food was combination of rice and dal together. The number of meals per day given to the child varied from 2-4/day. The number of snacks given per day to the child varied from 1-4 /day; commonly preferred snacks were Biscuits both in urban and rural areas Bottle feeding was practiced by 181 (44.4%) of the mothers, that included 113/181 (62.4%) from rural area and 68/181 (37.5%) from urban area.Conclusions: Poor complementary feeding practices were observed both in rural and urban areas. Family member’s advice, poor knowledge and influence of baby food marketing strategies have resulted in inappropriate practices.


1994 ◽  
Vol 5 (4) ◽  
pp. 177-185 ◽  
Author(s):  
Anne Laine ◽  
Juhani Itämies ◽  
Markku Orell ◽  
Sisko Kvist

The composition of the invertebrate fauna living on young Norway spruce (Picea abies) branches was studied in northern Finland both in urban and rural areas during the summer months of 1988. Attention was given to the total nitrogen, sulphur and phenolics concentration of the needles. The material consisted of 52627 invertebrates from 300 separate spruce saplings. Mites formed the majority of the invertebrates. Most numerous were Ameronothrus dubinini, Diapterobates humeralis and Ceratoppia bipilis. Springtails and spiders were also numerous. The invertebrate abundances were highest in the urban areas of Isko and Linnanmaa, where the sulphur and nitrogen concentration of the needles was high and the phenolics/nitrogen ratio low. The lowest invertebrate abundances were found in Rusko, the most urban area, and Taivalkoski, the most rural area. Nitrogen and sulphur concentrations were highest at Rusko and lowest at Taivalkoski. Possible reasons for the results are discussed.


2016 ◽  
Author(s):  
Florin Constantin MIHAI

Water pollution is caused in rural areas, especially by uncontrolled wastedeposits located in river bed and in urban areas is discharged, irregular,untreated sewage. The Cuejdiu River is a tributary of the Bitriţa River inthe left side,with a total length of 24 km. Evaluation of water quality of the CuejdiuRiver was achieved by processing the results obtained from tests analyzedfor 30 samples, taken on March 17, 2012, between the mouth of the RiverBestriţa and upto the exit of the village Cuiejdi. Analysis of water samples was performedin the laboratory of the Department of Geography, at the Faculty ofGeography and Geology and was taken into account several parameters such asconductivity, pH, total acidity, nitrates, chlorine. The values obtainedwere cartographically represented to highlight differences between thesector that cross of the rural area and the sector located in the urbanarea. Water Management System Neamţ realizes assessments of the ecologicaland chemical status of the river Cuejdiu only in urban areas, classifyingwater quality in relation to general indicators. Thus, data obtained over aperiod of 10 years, from 2000 to 2010, and performing through charts,helped us to observe the time evolution of water quality in the area. Theimpact of human activities is evident in both urban and rural areas. In theurban area the connections made by citizens, particularly those who live onthe ground blocks, to the rainwater system, instead of sewerage systems,lead to the degradation of water quality. As regards the rural area, thesituation is just as difficult, meaning that the waste discharged into theriverbed changes the chemical composition of water.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Dinna Abera Nugussie ◽  
Getachew Ali Mohammed ◽  
Anteneh Tesfaye Tefera

Background. Tuberculosis (TB) continues to be a health problem in both developed and developing countries, including Ethiopia. Objective. In this study, the prevalence of smear-positive tuberculosis among presumptive TB cases who visited the hospital was assessed. Method. Acid fast bacilli (AFB) test was performed on samples collected from 200 presumptive TB cases. Data were analyzed using appropriate statistical tools. Result. Among 200 presumptive TB cases, 10% (20 individuals) (60% were male and 40% were female) were found to be positive for the AFB. Of these AFB positive subjects, 11.2% and 6.3% were from urban and rural areas, respectively. Among 20 AFB positive cases, 45% (9), 45% (9), and 10% (2) were HIV positive, HIV negative, and with HIV status unknown, respectively. The highest AFB positive cases were found within age group between 25 and 44 years (70%) and followed by age above 40 years (30%). It was found out that 75% (15), 15% (3), 5% (1), and 5% (1) were unemployed, government employed, student, and nongovernment employed, accordingly. Conclusion. This study indicated higher level of AFB positive cases within age groups of 25–44 and 65–74 years and also exhibited higher prevalence of TB cases from urban areas.


Author(s):  
Murari Pradeep Kumar ◽  
Pushpa S. Patil ◽  
Umesh R. Dixit

Background: Prevalence of risk factors for cardiovascular diseases is routinely carried out in developed countries. The aim was to study the prevalence of risk factors associated with cardiovascular diseases in urban and rural areas of Dharwada population.Methods: A total of 652 subjects (male-328; female-324) with an age group 15-64 years from rural and urban areas of Dharwad population were selected for the present study. Pregnant women, severe chronic illness, bedridden patients and subjects who refused to participate in the study were excluded from the study. Age-sex, religion educational status, and occupation, type of family, socioeconomic status followed by a questionnaire on the use of tobacco, alcohol were collected and tabulated.Results: Subjects with tobacco smoking habit were 30 (9.2%) in the urban area which was more in comparison to 11 (3.4%) in the rural area. In the urban area, tobacco usage was more among males (62.9%) and unemployed (55.9%) and it was found to be statistically significant (p<0.05). In the rural area, tobacco usage was more among 40-64 years age group (39.4%), males (61.6%), literates (39.4%), employed (48.8%) and lower socioeconomic group (39.2%) and it was found to be statistically significant (p<0.05). The alcohol consumption habit among the study subjects was more in the age group of 40-64 years in both urban (18.3%) and rural (9.6%) area and they were found to be statistically significant.Conclusions: Consumption of tobacco, alcohol is the major risk factor in the management of cardiovascular diseases in the urban and rural population.


2015 ◽  
Vol 40 (2) ◽  
pp. 58-62 ◽  
Author(s):  
M Khammarnia ◽  
A Keshtkaran ◽  
Z Kavosi ◽  
R Hayati

The present study aimed to investigate the households' impoverishment due to the healthcare costs in Shiraz in 2012. In this household's survey, 800 households were studied in Shiraz. The study sample was selected using stratified and cluster sampling in the urban and rural areas, respectively. The information was collected using the household section of the World Health Survey questionnaire. In order to determine impoverishment due to health spending, at first, the households' food-based poverty line (subsistence expenditure) was measured. Then, households' health expenditure was subtracted from their total expenditure and if the obtained value was lower than the households' food-based poverty line, the households was considered to be impoverished due to health expenditures. The collected data were entered into the SPSS (version 16) statistical software and analyzed using descriptive statistic, Chi-square test, and logistic regression in backward method. The study results showed that 7.1% of the households (CI: 0.071±0.018) were impoverished because of healthcare expenditures. Besides, the households in the first quintile were more likely to be faced with poverty compared to those in the other quintiles (p<0.05). Being covered by health insurance did not affect the protection from poverty due to health costs. Moreover, the participants living in rural areas were faced with poverty more than those living in urban areas (p<0.05). It seems that health expenditure can be an economic shock for household in Shiraz and through spending on health a household may fall into poverty. As insurance had no effect on impoverishment, it implies that change in health insurance plans and ways of health financing is necessary.Bangladesh Med Res Counc Bull 2014; 40 (2): 58-62


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