scholarly journals Risk factors for bronchial asthma among children in Medina city, Saudi Arabia: an ecological approach

Author(s):  
Alaa Alahmadi ◽  
Hoda Jradi ◽  
Eyad Alofi

Background: Asthma is a common disease in Saudi Arabia that affects many individuals. Children are profoundly affected, and the impact of the disease is noticeable in the frequent visits to the emergency departments, missed school days, recurrent hospitalizations, and high death rates. Our study is aimed at identifying the determinant of bronchial asthma risk factors based on the ecological model.Methods: A case-control study was conducted. Samples were randomly selected from two major hospitals in Medina Region, Saudi Arabia, including children aged between 1-14 years. A chi-square test was used to see any differences across categories between cases and control. Significant factors associated with asthma in bivariate analysis were submitted to conditional multivariate logistic regression analysis.Results: Factors significantly associated with asthma were being obese (OR=5.10; 95% CI 2.09-12.42), having a history of allergic rhinitis (OR=7.10; 95% CI 3.24-15.52), born preterm (OR=6.06; 95% CI 2.05-17.87), living in a carpeted home (OR=3.06; 95% CI 1.41-6.64), using a gas stove (OR=9.09; 95% CI 3.93-21.03), playing with plush toys (OR=4.58; 95% CI 2.04-10.30), living in a home distanced less than 500 meters from the main traffic road (OR=3.68; 95% CI 1.27-10.70), less than 500 meters from a plant farm (OR=3.78; 95% CI 1.68-10.70), and less than 500 meters from an electric station (OR=5.57; 95% CI 1.73-17.93).Conclusions: This study confirms the associations between individual, outdoor-indoor environmental factors, and bronchial asthma among children in Medina. This study is a step forward into the future of interventional programs to control bronchial asthma among children.

2018 ◽  
Vol 18 (1) ◽  
pp. 208
Author(s):  
Listautin Listautin

Diarrhea is one of health problem in the world including Indonesia. The Morbidity survey undertaken by Sub-Directorate of diarrhea, Health Department from 2007 to 2010is improved. According to the data gained from Puskesmas in Tanjung Pinang Jambi in 2017, it is found out that 5 different districs in Tanjung Pinang are the district which has the highest rate of diarrhea sufferers. The aim of this study is to find out the risk factors of the flies density and the dwelling sanitation to the occurance of diarrhea in Tanjung Pinang Jambi in 2017. This study is quantitative study by using case control design. The sample of this study is 68 people who consists of 34 samples of case group and 34 samples of control group. This study is analyzed through univariate and bivariate analysis by using chi-square test. The instruments of this study are the reviewed document, ceklist, and the measurement through fly grill. The result of analysis are found out that toilet is the main risk factor for the occurance of diarrhea with odds ratio (OR) value is 3,519. Sewerage (SPAL) is one the risk factor of the diarrhea occurance with odds ratio (OR) value is 3,361. The waste is the other risk factors for the occurance of diarrhea with odds ratio (OR) value is 4,418. The flies density is the protective factor for the diarrhea occurance with odds ratio (OR) value is 0,773.Based on the result of this study, it can be concluded that it is necesarry to do the coorporation across program to optimize the noticing of information to public concerning on the importance of good dwelling sanitation and the low flies density in order to avoid from the occurance of diarrhea.Keyword : Diarrhea, Dwelling Sanitation, Flies Density


Author(s):  
Mohnish N. Tundia ◽  
Dhara V. Thakrar

Background: Asthma is a common disease worldwide with significant ethnic and regional variations. This study will provide evidence about the prevalence of asthma and will highlight level of problem in community. The objective of the study was to estimate prevalence of asthma and determine the presence of environmental risk factors among children with asthma.Methods: This study was conducted in school-going children of standard 5 to 8 in Bhavnagar city in 2015. Sample size was 1428. All schools of Bhavnagar city were listed and required number of schools were selected randomly and approached for consent.  Study forms were filled up by personal interview and physical examination followed by house to house visits. Data entry and analysis were done using software Epi info 7. Chi square test was calculated. Multiple logistic regression was carried out by backward step-wise Likelihood Ratio (LR) method.  Adjusted OR for significant variable was then calculated.Results: Total prevalence of asthma was 9% (129/1428). Out of these, 61.18% were female and 38.82% were male children. It was found 36.43% in age group of 11 years and 47.3% in children of lower socio economic class. The adjusted odds ratio for male gender was 0.631 and for smoking were 2.353.Conclusions: Female children are 1.58 times more likely to develop asthma than male children. Children whose family members smoke are 2.35 times more likely to develop asthma.


2022 ◽  
Vol 9 ◽  
Author(s):  
Saeed Mastour Alshahrani ◽  
Abdullah F. Alghannam ◽  
Nada Taha ◽  
Shurouq Saeed Alqahtani ◽  
Abrar Al-Mutairi ◽  
...  

The COVID-19 pandemic has had a major impact on various health conditions. The objective of this study was to assess the impact of the COVID-19 pandemic on body weight and body mass index (BMI) in Saudi Arabia. We used electronic health records obtained from a healthcare system representing five hospitals in three different regions in the Kingdom to examine the change in weight utilizing a longitudinal design. The study included all adults who had visited outpatient clinics in two different time points, pre-2020 (years 2018 and 2019 prior to COVID-19) and post-2020 (the year 2021). Weight and BMI changes in percentages were described. Also, bivariate chi-square test, paired t-test, and multivariable multinomial logistic regression model were used for the analyses. A total of 165,279 individuals were included in the study. On average, a significant weight gain of 0.33 kg (95% CI: 0.29–0.36) was observed in our study. Approximately 10% of the population had shifted to either overweight or obese BMI classes during the study period, as 4.8% of those with normal BMI pre-2020 had shifted to overweight or obese classes at post-2020, and 5.1% of those who were overweight had shifted to obese class. Also, 23.1% of the population had gained 5% or more of their pre-2020 weight, while 17% had lost 5% or more. Young individuals were over three times more likely to gain 5% or more than older individuals (OR: 3.34; 95% CI: 3.12–3.56). Females had 24% higher odds to gain 5% or more of their pre-2020 weight than males (OR: 1.24; 95% CI: 1.21–1.27). Diabetics were 27% more likely to lose 5% or more than non-diabetics (OR: 1.27; 95% CI: 1.23–1.31). Our findings provide insights into the impact of COVID-19 on weight and population health. Further investment in interventions for weight management is warranted during similar circumstances such as lockdowns due to infection waves or new variants. Future studies are also needed to explore the modifications that have occurred during the pandemic in the weight-related lifestyle factors such as dietary choices and physical activity levels.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Siti Munawaroh ◽  
Elmie Muftiana ◽  
Yayuk Dwirahayu

Objective: Elementary school age children nutrition problems are the impact of an imbalance between food intake and nutrients released by the body. This can be caused by not having breakfast habits. Eating breakfast has the benefit of maintaining endurance and increasing learning concentration. The breakfast habit provides the energy and nutrients needed to carry out various activities throughout the day such as school, study, and play optimally. This study aims to determine the relationship between breakfast habits and nutritional status of elementary school children.Methods: This research was conducted at SD Muhammadiyah Terpadu Ponorogo class 4 and 5 with a sample of 113 students. The measuring instrument used was a questionnaire to explore the variables of breakfast habits, while to determine the nutritional status of students using a weighing scale. Nutritional status was calculated IMT/U. The bivariate analysis test used the Chi Square test of significance level 0.05Results: Chi square test results obtained p-value 0.406 means that there is no relationship between breakfast habits and nutritional status of school age children at SD Muhammadiyah Terpadu Ponorogo. Many factors influence nutritional status. Respondents do not usually eat breakfast, but during recess they eat by buying a canteen and in their daily life they like to eat vegetables and fruit so there is no problem with nutritional intake.Conclusion: Researchers recommend to the next researchers to dig deeper about the composition of the food at the time the respondent had breakfast.  


2017 ◽  
Vol 4 (2) ◽  
pp. 66-70
Author(s):  
Dia Resti Dewi Nanda Demur

Asthma is a chronic inflammatory disease of the airways that is characterized recurrent attacks of breathlessness and wheezing, the situation varies in severity and frequency from person to person. Type a descriptive analytic study design with a cross-sectional study, conducted date collectionwas done july 19-2, 2015. in the study population was all patients in the clinic of bronchial asthma disease in hospitals DR.achmad Mochtar Bukittinggi. The sampling technique was accidental sampling using a questionnaire with a sample of 30 people. Analysis of the data was processed and analyzed using a computerized program with univariate and bivariate analysis using chi-square test (p<0,05). The results obtained the majority of respondents exposed to the dust factor in patients with bronchial asthma by 80%, exposure to cigarette smoke as much as 73.3%, and the factor of climate change as much as 70%. Research shows there is a significant association between the risk factors of dust, cigarette smoke risk factors and climate change risk factors (p = 0.046, p = 0.001 and p = 0.004). Based on this study concluded that the degree of asthma in patients with bronchial asthma recurring multi-factor causes. It is advisable in patients with bronchial asthma can determine risk factors for asthma relapse repeatedly to prevent a recurrence. Health services are expected to be able to provide counseling and health education to both family and for patients with bronchial asthma


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Yeyen Fitri Ningsi

Fever on children is one of those cases that cannot be ignored. Based on data from a health center from January to September 2016 there were 211 febrile children with fever. One of fever treatment is to give fever-reducing medicine, which has antipyretic effect. In this case, of course knowledge and attitudes of mothers about delivering fever medications to children is very important, because of the impact that can be caused if the fever is not handled will cause brain damage, hyperpyrexia which would cause shock, epilepsy, mental retardation or learning disabilities can even endanger the safety of life.This study was to determine the relationship and attitude of mothers who have children in delivering fever medication in Betungan health center in the city.This study was an analytical study using cross-sectional design. The study population were mothers who have children with a history of fever last 3 months in Betungan health center, with the sample size of 68 people, using accidental sampling technique. Data collection was done by direct interview using a questionnaire. Data were analyzed using univariate and bivariate analysis with chi-square test at α 5%.The results showed that almost half of respondents (36.8%) had less knowledge about medication for fever, almost half of respondents (48.5%) had unfavorable attitude in granting febrifuge, and almost half of respondents (26.5%) whose toddlers who were not given medicine for fever. There was a relationship between knowledge of mothers who have children in drug delivery for fever in Betungan health center in Bengkulu City (ρ = 0.001), and there was a correlation between the attitudes of mothers who have children in drug delivery for fever in Betungan health center in Bengkulu City 2016 (ρ = 0.009).It is expected that Betungan health center to be more intensive to provide counseling and health promotion and provision of febrile febrifuge, such as in The Integrated Health Center, at village programs, as well as providing leaflets / brochures on granting fever medications appropriately.


Author(s):  
Heny Yuniarti ◽  
Hertanto Wahyu Subagio ◽  
Niken Puruhita ◽  
Etisa Adi Murbawani ◽  
Annta Kern Nugrohowati ◽  
...  

Background: Meningioma is a pathological condition in the central nervous system (CNS), while obesity is defined as excess fat accumulation in our body, which is associated with adverse effects on health. Obesity is characterized by an increase in Body Mass Index (BMI) and Waist Hip Ratio (WHR). Research on the relationship of BMI, WHR with meningioma has been widely carried out in various countries in Europe, however it has not been done much in the Asian countries, especially in Indonesia. Objective: To prove BMI and WHR as risk factors for the incidence of meningioma after being controlled by confounding variable age and sex. Research methods: This is a Case-control research involving 44 meningioma as patients and 44 family members as controls. The study was conducted at outpatient clinic at Kariadi Doctors Hospital from May 2019 to June 2019. We collected data on age, sex, BMI, and WHR. Bivariate analysis using Chi-square test and multivariate analysis with logistic regression was performed. Results: Bivariate test results showed a significant relationship between meningioma with BMI (p< 0.001), WHR (p < 0.001), and sex (p < 0.001). Multivariate test results found that the variables that most influence the incidence of meningioma were BMI, WHR, and sex. Conclusions: Besides BMI, the increase of WHR and female sex are risk factors for meningioma incidence.


2017 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Zuhrupal Hadi ◽  
Edy Ariyanto

Hypertension gives symptoms that will continue a little market target organs, such as stroke (to the brain), coronary heart disease (for coronary arteries) and hypertrophy of the right ventricle/left ventricle hypertrophy (for the heart muscle). The general objective of this study was to determine the relationship between smoking and exercise habits to the incidence of hypertension in elderly patients at the Health Center of East Kelayan Banjarmasin.In this study using analytical survey method with cross sectional approach. Accidental sampling with sampling techniques. Data collection using interviews through questionnaires, data analysis using Chi-Square test with a significance level (α) = 10 %. The data collected were analyzed using statistical univariate, bivariate analysis using chi square test with the help of computerization. The results obtained by analysis of the respondents who had diarrhea in Puskesmas kelayan Timur Banjarmasin city as much as 54.2%. Variables significantly associated with the incidence of diarrhea (p <0.1) is exercise habits. Advice can be given in this study is to health centers for improvement of East Kelayan extension given to increasing public knowledge increases. For the elderly who need to avoid developing hypertension risk factors hypertension. For further research are expected to conduct research on other risk factors.


Author(s):  
Eltagi A. M. Abdalla ◽  
Adnan M. A. Youssouf ◽  
Babiker M. H. Ahmed

Background: In Sudan, urinary schistosomiasis caused by S. haematobium is endemic in many areas of the country, mainly among school-age children. The study was done with the aim to determine the prevalence and possible risk factors of S. haematobium among students at Al-Agali Islamic complex in Al-Kalakla- Sudan.Methods: A total of 102 students were participated. 10 ml of urine sample was taken from each participant, the samples were allowing it to sediment, a drop from sediment was taken and examined microscopically using x40 objective to identify S. haematobium. A structured questionnaire was used to collect data on socio-demographic characteristics and some risk factors. The data were analyzed used SPSS version20. Chi-square test was used to determine the significance differences between variables. The Odds ratio (OR) was applied with 95% CI.Results: The prevalence of S. haematobium among students was 12.7% (13/102). The results showed there was no statistical association between socio-demographic variables (Age group, parents’ education, monthly family income and family size) and S. haematobium positivity (p>0.05). Bivariate analysis showed; swimming in rivers (OR= 8.09, 95% CI=1.69-38.73, p=0.008), working in agriculture (OR= 4.42, 95% CI=1.25-15.55, p=0.020), past infection of S. haematobium (OR=4.87, 95% CI= 1.44- 16.45, P=0.010), pre-schistosoma treatment (OR=10.29, 95% CI=2.14-49.39, p=0.003) and don not knew mode of transmission (OR=10.72, 95% CI=1.33-86.01, p=0.025), statistically significant with S. hameatobium positivity.Conclusion: The S. haematobium is still prevalent among students in study area. Health education on the mode of transmission, possible risk factors and prevention is recommended.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


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