scholarly journals Prevalence of hypertension and its modifiable risk factors among rural population aged ≥13 years

Author(s):  
S. P. Singh ◽  
Chitra Rani Chauhan ◽  
Vijayshree Verma

Background: Hypertension is a silent physiological ailment leading to bizarre pathological complications. Every year, some 12 million fatal and 20 million nonfatal strokes and myocardial infarctions occur worldwide (WHO, 2002). Prevalence was noted between rural and urban parts of India 27.6% (23.2-32.0) and 33.8% (29.7-37.8).Methods: Study design community-based cross-sectional study. Sampling technique multistage random sampling technique was used to select representative sample from rural population of Kanpur.Results: The overall prevalence of hypertension (HTN) in our study was found to be 21.27%, more among females 23.2% than males 19.7%. The results of logistic regression analysis with HTN status as dependent variable, to identify the effects of 6 risk factors (independent variables) for hypertension body mass index (BMI), grade of work, excess salt consumption, mental stress, smoking/chewing tobacco, alcohol intake. The odds ratio was 3.57 for the BMI with lower limit of 95% C.I. being 2.73, implying that it’s at least 2.73 times related to hypertension and odds of other risk factors shows that all the 6 risk factors related statistically. There was significant correlation was found between BMI, blood pressure (BP) and age. There was significance (p<0.01) of positive correlation BMI with both systolic and diastolic BP with correlation coefficient (0.395) was stronger than diastolic BP (0.301).   Conclusions: Overall prevalence of hypertension was 21.3%. Smoking, tobacco chewing increases the prevalence and Quantity of alcohol consumption were seemed to pose definite impact on mean systolic BP. BP levels increases steadily with increasing BMI and with decreasing level of physical activity (sedentary lifestyle).

Author(s):  
Alex O. Ondieki ◽  
Harun M. Kimani ◽  
Titus M. Kahiga

Background: Hypertension (HTN) is a major cause of morbidity and mortality worldwide. 9.4 out of the 20 million cardiovascular deaths are due to HTN. HTN has often been described to be more prevalent in urban areas. However, there has been an epidemiologic transition from urban to rural areas which often go unreported or underreported. This gap therefore called for a study to compare the prevalence of HTN burden and assess how socio-demographic factors contribute to HTN development among the rural and urban population.Methods: This study methodology focused on HTN among residents aged 30-69 years, from urban and rural population of Nyaribari Chache sub county, Kisii County, Kenya using a descriptive cross sectional study in which 490 respondents were interviewed. Sampling involved a random sampling technique which entailed household selection. Data was analysed using statistical package for social scientists (SPSS) version 21.Results: The prevalence of HTN for the sampled population was 44.668%. The prevalence of HTN was 44.134% in rural and 43.598% in urban areas. Rural population were more at risk of developing HTN than urban (OR=1.135 and RR=1.072). On general health, those who had ever been told that they had hypertension (p<0.000), ever been told that they had hypertension for the past 12 months (p=0.000) and those who were currently taking hypertension medication (p=0.026) were statistically significant variables.Conclusions: The study concludes that residents in rural population have higher prevalence of hypertension. Further, female respondents, those who are currently married, completed primary school education and were self-employed reported to have a higher prevalence of hypertension.


Author(s):  
Pothiraj Pitchai ◽  
Anulucia Augustine ◽  
Hiloni R. Badani ◽  
Namrataa H. Anarthe ◽  
Aiyshwarya Avasare

Background: Prevalence of non-communicable diseases (NCDs) is alarmingly increasing along with a rise in population especially in rural India. The objectives of this study are to find out prevalence as well as awareness of NCDs among the rural populations.Methods: This community-based cross-sectional study was conducted in six rural area of Panvel Taluka. One –stage cluster sampling technique was used to recruit participants from each cluster. WHO STEPS questionnaire tool (STEP I and II) was used to measure NCDs risk factors. Face validated pre-designed questionnaire was used to assess participant’s awareness, attitude, and behavior towards NCDs. The target population was classified into different age groups and gender. Data were analyzed using SPSS Software and a descriptive statistics were applied.Results: A total of 483 males and 417 females participated in this study. Among males, 34.8% consumed smoked tobacco whereas 21.8% of females consumed smokeless tobacco. Only 9.32% of male participants were reported as current alcohol drinkers. Both the genders did not meet the recommended amount of fruit consumption. Insufficient physical activity amongst males was 45.21% and females 60.49%. Based on BMI categories 19.04% males were overweight and 27.12% obese and in females 23.02% and 21.34% respectively. Risk of high waist circumference and diabetes was demonstrated more by males whereas females subjected to raised blood pressure. Awareness of NCDs among total subjects found as low as 28%.Conclusions: Awareness about NCDs is alarmingly low among the rural population thus corresponding to an increased prevalence of risk factors.


Author(s):  
Thomas V. Chacko ◽  
Prabha Thangaraj ◽  
Muhammad G. M.

Background: Global reports show that falls are the major cause of disability injuries among the elders. Developing countries lack the required epidemiological data on the burden of falls and factors that contribute to it.The objectives of the study were to find the burden of fall and its distribution in time, place and person among elders and to identify risk factors associated with fall among elders. Methods: A community–based cross-sectional study of 655 elders (≥ 60 years) was done in a rural area of Coimbatore District by two stage sampling technique. History of fall within the past 6 months was included in the study. Semi-structured pre-tested questionnaire was used to assess factors contributing to falls. The burden of falls was expressed as proportions and percentages. Logistic regression analysis was done to identify risk factors for fall. Results: 26% (95%CI: 22.59-29.32) elders experienced at least one fall. Of the total falls 50.2% occurred outside home and the remaining inside home. Most of the falls occurred during ambulation and at the morning hours (39.1%). Age ≥80 years (OR: 3.28, 95%CI: 1.28-5.98) and dizziness (OR: 3.27, 95%CI: 1.00-10.06) were only found to be significantly associated with fall on multivariate analysis. Conclusions: The occurrence of fall was found to be almost similar to that identified in western countries where fall preventive measures have been implemented. Similar efforts are yet to be initiated here and so this study provides the evidence for the need. Prospective studies through more frequent home visits are needed to confirm the enormity of the problem to suggest policy recommendation. 


2021 ◽  
Vol 9 ◽  
pp. 205031212110245
Author(s):  
Getu Mosisa ◽  
Bikila Regassa ◽  
Bayise Biru

Introduction: Hypertension remains an emerging public health problem globally, particularly in developing countries. Age, income level, obesity, alcohol consumption, smoking, vegetables and fruit consumption, physical activity and chat chewing were some risk factors of hypertension. However, there are limited data on the epidemiology of hypertension in Ethiopia. This study aimed to assess Epidemiology of Hypertension among the community of selected towns of Wollega zones. Methods: A community-based cross-sectional study was conducted from 1 to 30 June 2019 in selected towns of Wollega zones. A multistage sampling technique was used to select 840 study participants. Data were collected using the WHO STEP wise approach. The data were coded and entered into EpiData 3, and exported to SPSS version 20.0 for analysis. Bivariate and multivariable logistic regression analyses were conducted. Statistical significance was declared at p-value < 0.05. Results: The study included a total of 838 respondents with a response rate of 99.7%. The prevalence of hypertension was found to be 189 (22.6%) (95% confidence interval = 19.9%–25.2%). Of this, 108 (12.9%) and 81 (9.7%) of female and male were hypertensive, respectively. Age groups of 30–44 years (adjusted odds ratio = 2.65 (1.43, 4.89)), 45–59 years (adjusted odds ratio = 3.55 (1.79, 7.04)), above 60 years (adjusted odds ratio = 2.97 (1.43, 6.18)), having history of alcohol consumption (adjusted odds ratio = 4.29 (2.4, 7.66)), involving in vigorous physical activity (adjusted odds ratio = 0.096 (0.028, 0.33)), not walking to and from the work (adjusted odds ratio = 13.12 (8.34, 20.67)), being overweight (adjusted odds ratio = 1.98 (1.21, 3.25)), inadequate fruits serving per day (adjusted odds ratio = 2.93 (1.75, 4.88)) were significantly associated with hypertension. Conclusion: The prevalence of hypertension was found to be high in the study area. Older age, alcohol consumption, not engaging in vigorous activity, physical inactivity, being overweight and inadequate intake of fruits were found to be risk factors for hypertension. Therefore, health care providers should provide extensive health education and promotion on recommended lifestyle modification to tackle the burden of hypertension.


2020 ◽  
pp. 1-2
Author(s):  
Ganesh Salvi ◽  
Rakhi Luthra

AIM: To assess the knowledge regarding Tuberculosis cause, spread, types and duration of treatment among rural and urban population of Udaipur, Rajasthan. Methodology: A cross sectional study was conducted during January to March 2020 in OPD’s of PHC and UHC of Udaipur city. Total of 216 participants were included. Results: Our study showed that 30.09% were believed that Tb spread form Air, 42.22% were aware about Pulmonary tuberculosis and 53.24% were know that treatment of Tb lasts for 6 months. Conclusion: There is a need to aware people more about Tuberculosis risk factors, symptoms and treatment.


2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Sidra Hameed ◽  
Faisal Faiyaz Zuberi ◽  
Sagheer Hussain ◽  
Syed Khalid Ali

Objective: To evaluate risk factors having significant effect on mortality of smear positive Pulmonary Tuberculosis (PTB) inpatients. Methods: A descriptive cross-sectional study was conducted at Ojha Institute of Chest Diseases, Dow University Hospital Ojha Campus, Karachi. One hundred and seventy (170) inpatients of smear positive PTB confirmed by Acid Fast Bacilli (AFB) smear, aged between 13-80 years were enrolled by using consecutive sampling technique while patients with drug resistant Tuberculosis (TB) and extra pulmonary TB were excluded from the study. Selected patients were interviewed for collecting demographic data and risk factor data by using a standard questionnaire. Results: Out of 170 PTB inpatients, mortality was observed in 23 (13.5%) patients among which male patients were 12 (52.2%), and female were 11 (47.8%). Mortality was significantly associated with increasing age (p=0.003), socioeconomic status (p=0.019), anemia (p=0.03), Chronic Liver Disease (CLD) (p=0.005), Diabetes Mellitus (DM) (p=0.001), Human Immunodeficiency Virus (HIV) (p=0.007), Hypertension (HTN) (p=0.006), recurrent TB (p=0.001), and smoking (p=0.001). Conclusion: Increasing age, poverty, smoking history, and presence of comorbidities like DM, CLD, HIV, hypertension, and anemia are associated with higher mortality in smear positive PTB cases. doi: https://doi.org/10.12669/pjms.35.5.919 How to cite this:Hameed S, Zuberi FF, Hussain S, Ali SK. Risk factors for mortality among inpatients with smear positive pulmonary tuberculosis. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.919 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Author(s):  
Amina Ehsan ◽  
Farwa Iqbal ◽  
Muhammad Azeem Rao

Abstract Objectives: The objectives of the study were to find out the prevalence of internet addiction and to determine the risk factors associated with internet addiction in medical students. Methods: This descriptive cross-sectional study was carried out at Rawalpindi Medical University, Rawalpindi from July 2018 to August 2019. Our study population included medical students from all the years of MBBS aged 18-25 years, who have been using the internet for the past two years or more. A Stratified random sampling technique was used. Seventy-six self-administered questionnaires were distributed in each year. Data was entered and analyzed using the Statistical Package for Social Sciences (SPSS version 25). Results: Out of the total sample of 380, the prevalence came out to be 90% (n=342). Two hundred and twenty-two 222 (58.4%) had mild, 115 (30.3%) had moderate, six (1.6%) had severe and 37 (9.7%) had no addiction. Out of the risk factors online friendships (p= 0.007), online relationships (P=0.035), online chatting (p= 0.009), online shopping (p= 0.009), online games (p=0.023) and online series/movies (p< 0.000) were statistically significant. Conclusion: The prevalence of internet addiction is high among medical students, which is mostly of a mild type. Internet addiction is more common in males and non-hostel residents. Other significant risk factors are online relationships, online gaming, and online series/movies. Keywords: Prevalence, internet, medical students, risk factors. Continuous...


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Abstract Background Institutional delivery is the cornerstone reducing maternal mortality. Community-based behavioral change interventions are increasing institutional delivery in developing countries. Yet, there is a dearth of information on the effect of attending pregnant women’s conferences in improving institutional delivery in Ethiopian. Therefore, this study was aimed to assess the effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia. Methods Community-based comparative cross-sectional study was conducted in 2017 among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants). Participants were selected by using a multistage-simple random sampling technique and a structured interviewer-administered questionnaire was used for data collection. Both descriptive and logistic regression analyses were performed using SPSS V.23. A P-value less than or equal to 0.05 at 95% confidence interval was set to test statistical significance. Results Institutional delivery among women who attended pregnant women’s conferences was 54.3%, higher compared with 39.9% of women who didn’t attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (38.9%) compared with their counterparts (25.7%). Being knowledgeable on childbirth (AOR = 1.7, 95%CI: 1.2, 2.8) and postpartum danger signs (AOR = 14.0, 95%CI: 4.6, 40.0), and discussed with partners/families about the place of birth (AOR = 7.7, 95%CI: 3.6, 16.4) were more likely to institutional delivery among women who attended pregnant women’s conference. Whereas, among women who didn’t attend the pregnant women’s conference, being knowledgeable about pregnancy danger signs (AOR = 3.6, 95%CI: 1.6, 8.1) were more likely to institutional delivery. In addition, the nearest health facility within 1 h of walking and well-preparedness for birth and its complication were found positively associated with institutional delivery in both groups. Conclusion Institutional delivery was low in both groups compared to the national plan, but was higher among women who attended the conference. Similarly, women’s knowledge of obstetric danger signs and preparation for birth and its complication was higher among women who attended the conference. Therefore, encouraging women to attend the pregnant women’s conference and discuss with their families about the place of delivery should be strengthened.


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