scholarly journals A cross-sectional study on socio-demographic profile and associated risk factors of chronic kidney disease patients in a tertiary care hospital of Andhra Pradesh

Author(s):  
S. Suneeti Kanyari ◽  
Sangram Panda ◽  
Peethala Shruthi

Background: Chronic kidney disease (CKD) is a global problem, and its prevalence is increasing dramatically. In chronic kidney disease (CKD) there is progressive loss in kidney function over a period of time. The objectives of this study were to study the socio-demographic characteristics and associated risk factors in CKD patients so as to suggest preventive measures for CKD and its long term health consequences.Methods: A cross-sectional study was conducted at MIMS Medical College, Vizianagaram, Andhra Pradesh among 194 confirmed CKD patients. A pre-tested, pre-designed questionnaire was used for collecting data on socio-demographic characteristics like age, education, occupation, residence, income etc. After completion of the questionnaire, the patients were subjected to anthropometric measurements, abdominal ultrasonography and their laboratory reports were assessed.Results: Out of 194 CKD patients, 148 were males and 46 were females. Hypertension and diabetes were present in 74.2% and 41.2% cases respectively and both of these risk factors were found to be significantly associated with CKD. Family history of diabetes/hypertension/CKD were present in 40.2% of cases and the association was found to be significant.Conclusions: Early screening and intervention is necessary for prevention of risk factors of CKD. All patients with hypertension, diabetes, family history of CKD/hypertension/diabetes, history of chronic NSAID use should be periodically screened for CKD for its early detection and effective management. 

Author(s):  
Abdella Birhan YABEYU ◽  
Kaleab Haile ◽  
Yared Belay ◽  
Henok Tegegn

Aim: Awareness of chronic kidney disease (CKD) includes general knowledge of CKD and its risk factors. The current study aimed at assessing the public knowledge of CKD by using a validated tool. Methods: A community-based cross-sectional study was conducted. The target population of this study was lay public, and health professionals were excluded from the study. Proportional numbers of study participants were included from each sub-city based on their total population size. The data was analyzed using SPSS version 21. Frequencies, table’s percentage, mean and standard deviation were used to describe participants’ responses: Independent T-test and one way ANOVA statics was used to identify factors associated with public knowledge of CKD. Results: A total of 350 individuals were approached, 301 of whom completed and returned the questionnaire, giving a response rate of 86%. In this study, the mean (S.D.) knowledge score of participants was 11.12 (±4.21), with a minimum of 0 and a maximum of 22. Concerning the distribution of the CKD knowledge score, half of the respondents score 11 and less. One way ANOVA revealed that educational level had a significant effect on knowledge of CKD. Respondents who had an educational background of degree had relatively higher knowledge scores than the other category participants (P-value= 0.015). An independent t-test was also performed but failed to reveal any association between socio-demographic characteristics and knowledge score. Conclusions: The general knowledge level of the Ethiopian population about CKD and its risk factors is low. Currently, non-communicable disease such as diabetes and hypertension becomes public health concern and are one of the significant risk factors for CKD. As the study indicated, even these groups of populations were not adequately informed regarding their increased risk of developing CKD. Keywords: chronic kidney disease, public knowledge, Ethiopia


2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Baran Serdar Kizilyildiz ◽  
Bülent Sönmez ◽  
Kamuran Karaman ◽  
Burhan Beger ◽  
Adnan Mercen ◽  
...  

Malnutrition in childhood is a dramatic indicator of poor socio-economical status worldwide. To recognize and reveal the socio-demographic features is crucial, especially for developing countries. Our aim was to investigate the prevalence and association with sociodemographic variables of malnutrition in 0-5 years old children in Van, Turkey. A total of 702 children are included in this cross-sectional study. Demographic features of subject including age, gender, family characteristics and other data were obtained. Nutritional assessment was done using anthropometric indices including weight-for-age, height-for-age, weight-for-height, head circumference and body mass index-for-age. Multivariate logistic regressions were carried out to assess malnutrition- associated factors. Prevalence of underweight, stunting and wasting were 19.7, 17.7 and 16.2%, respectively. Socio-demographic variables that statistical significantly in association with malnutrition were low monthly family income, educational level and employment status of father, parental consanguinity, number of pregnancies, regular intake of vitamin D and history of prematurity. The prevalence of children with head circumference-z score ≤−2SD and body mass index-for-age ≤−2SD were 9.8 and 16.3%, respectively. Multivariate analysis detected following risk factors for these indices; low monthly family income, history of prematurity, unemployed father and the period between pregnancies (1- 2 years). We found that prevalence of malnutrition in the city of Van, was still higher than more developed regions of Turkey. The associated risk factors of malnutrition should be specifically interpreted by health professionals and also by government authorities that are responsible for making practical politics of public health.


Author(s):  
Sindhura Moparthi ◽  
Madhavi Seepana ◽  
Devi Madhavi Bhimarasetty

Background: Chronic kidney disease (CKD) is being increasingly recognised as a leading public health problem. In India, given its population >1 billion, the rising incidence of CKD is likely to pose major problems for both healthcare and the economy in future years. Diabetes and hypertension are strong predictors for development and progression of chronic kidney disease. The objective of the study was to assess risk factors for chronic kidney disease among patients undergoing dialysis in King George Hospital (KGH), Visakhapatnam.Methods: This is an observational descriptive cross sectional study done in dialysis unit in KGH. A total of 100 patients were selected out of 141 registered CKD patients by simple random sampling technique. Study is done in the month of October- November 2015. A pretested semi structured schedule was administered. Informed written consent was taken from the patients. MS excel 2007 was used for data entry. Data was analysed by SPSS trial version 20. Categorical data was analysed by Chi square test.Results: Among 100 study subjects 72 were females and 28 were males. 91% of the CKD patients were Hypertensive, among whom 73.6% were males and 26.4% were females. This difference was not found to be statistically significant (p=0.446). 22% of the CKD patients were Diabetic, among whom 81.8% were males and 18.2% were females.Conclusions: Better understanding of the role of risk factors in CKD is needed. Large community based cross sectional studies are needed to study in detail about CKD risk factors. 


F1000Research ◽  
2019 ◽  
Vol 7 ◽  
pp. 1821
Author(s):  
Muhammad Dawood Khan ◽  
Ahmad Wali ◽  
Razia Fatima ◽  
Aashifa Yaqoob ◽  
Shoaib Aziz

Background: The prevalence of HIV is 0.1% in Pakistan, with epidemicity in high-risk groups. The infection is on verge of transmission from key populations to the general population through people who inject drugs and sexual transmission. Prisoners are vulnerable to infectious diseases like HIV. This study was conducted in four prisons in Balochistan, Pakistan to determine the prevalence of HIV and associated risk factors. Methods: This cross sectional study was conducted from March to June 2018, in the prisons of Balochistan. WHO-approved rapid diagnostic kits were used for determining the prevalence of HIV and structured interviews were conducted for the assessment of risk factors. Results: Out of 2084 screened prisoners, 33 (1.6%) were found to be positive. A subset of 104 interviews was analyzed for risk factors of HIV. Among HIV-infected prisoners 68.8% (OR 4.48; 95% CI 1.41-14.2) had extramarital sex, 43.8% (OR 2.09 95% CI 0.69-6.28) had a homosexual experience, and 50% had a history of needle sharing (OR 43; 95% CI 7.77-237). About 94% (OR 16.42; 95% CI 2.09-129.81) of prisoners had a history of drug addiction of any type while 50% (OR 13; 95% CI 2.82-60.01) of HIV-infected had a history of using injectable drugs. Around 75% of HIV-infected prisoners had spent 1-5 years in prison, and 25% had spent more than 10 years. Conclusion: The high prevalence of HIV in prisons of Balochistan demands that preventive and treatment strategies should be designed and implemented carefully, allowing early diagnosis and treatment initiation to minimize the spread of infection among the prisons and ultimately their onward transmission into the community.


2016 ◽  
Vol 5 (2) ◽  
pp. 4-13
Author(s):  
Mahmud Javed Hasan ◽  
Md Aminul Islam ◽  
ASM Ruhul Quddush ◽  
Amdadul Haque ◽  
Sultan Ahmed ◽  
...  

Chronic kidney disease (CKD) has become a global public health concern. The adverse outcomes of CKD are enormous in developing countries due to paucity of facilities for renal replacement therapy and high cost of services for management of ESRD. Chronic kidney disease and its risk factors are common in Bangladesh, however community-based data on the subject is lacking. The purpose of this study to estimate and compare the prevalence of low GFR, proteinuria and associated risk factors using Cockcroft-Gault (CG) and Modification of Diet in Renal Disease (MDRD) equation based on serum creatinine (SCr) in a rural area of Bangladesh. An observational cross-sectional study performed on patients aged 18 years or older living in the rural area of Mymensingh were randomly selected from the database of the health care system and who gave informed consent to participate in the study. Subjects with nonresidents, pregnant, cognitive dysfunction that interfered with understanding and answering the study questionnaire were excluded from the study. The sample size was calculated with a formula for cross-sectional study and to meet the following criteria: a confidence level of 95%, acceptable error 15% and expected prevalence of CKD 15.7%. Therefore a sample size of 920 was considered appropriate for the study. The study was carried out for a period of 16 months between March 2014 and June 2015. Renal impairment was defined as eGFR less than 60 ml/min/1.73 m2. Thus stage 3, 4 and 5 of KDOQI were grouped as renal impairment. Renal function was estimated from serum creatinine using Cockcroft-Gault and MDRD (modification of diet in renal disease) equations. Data are presented as frequencies, percentages or mean ± standard deviation as appropriate. The Chi-square test was used for categorical variables and multivariate analyses was performed by binary logistic regression to identify the risk factors of CKD. All statistical tests were 2-sided. A p value lower than 0.05 was considered to be significant. All statistical analyses were done with SPSS Version 11.5 for Windows. Over half (51.7%) of the patients were male and rest 48.3% female with mean age 42.3 ± 13.2 years. Most (67.3%) of the patients were illiterate and only 22.8% engaged in salaried job. Over two-third (67.4%) of the patients were overweight and obese, 31.2% normal and very few (1.4%) underweight. The prevalence of low eGFR was 15.3% by Cockcroft-Gault and 15.9% by MDRD equation. The survey population had a 17% prevalence of proteinuria. Sex, illiterate, overweight & obese, obese by WC, hypertension, proteinuria, raised serum creatinine, diabetes mellitus, anaemia, family H/O CKD, low HDL cholesterol and raised total cholesterol were found to be the independent predictors of CKD. The prevalence of low eGFR in this rural population is common and an increase prevalence of proteinuria. The association between CKD and risk factors was also highly significant. There is an urgent need for more detailed measurement for these risk factors through a comprehensive survey to evaluate individuals with risk factors, to enable earlier detection and risk factor reduction through rising of awareness. CBMJ 2016 July: Vol. 05 No. 02 P: 04-13


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1821
Author(s):  
Muhammad Dawood Khan ◽  
Ahmad Wali ◽  
Razia Fatima ◽  
Aashifa Yaqoob ◽  
Shoaib Aziz

Background: The prevalence of HIV is 0.1% in Pakistan, with epidemicity in high-risk groups. The infection is on verge of transmission from key populations to the general population through people who inject drugs and sexual transmission. Prisoners are vulnerable to infectious diseases like HIV. This study was conducted in four prisons in Balochistan. Pakistan to determine the prevalence of HIV and associated risk factors. Methods: This cross sectional study was conducted from March to June 2018, in the prisons of Balochistan. WHO-approved rapid diagnostic kits were used for determining the prevalence of HIV and structured interviews were conducted for the assessment of risk factors. Results: Out of 2084 screened prisoners, 33 (1.6%) were found to be positive. A subset of 104 interviews were analysed for risk factors of HIV. Among HIV-infected prisoners 68.8% (OR 4.48; 95% CI 1.41-14.2) had extramarital sex, 43.8% (OR 2.09 95% CI 0.69-6.28) had homosexual experience, and 50% had history of needle sharing (OR 43; 95% CI 7.77-237). About 94% (OR 16.42; 95% CI 2.09-129.81) of prisoners had history of drug addiction of any type while 50% (OR 13; 95% CI 2.82-60.01) of those infected with HIV had a history of using injectable drugs. Around 75% of HIV-infected prisoners had spent 1-5 years in prison, and 25% had spent more than 10 years. Conclusion: The high prevalence of HIV in prisons of Balochistan demands that preventive and treatment strategies should be designed and implemented carefully, allowing early diagnosis and treatment initiation to minimize the spread of infection among the prisons and ultimately their onward transmission into the community.


2020 ◽  
Author(s):  
abdella birhan yabeyu ◽  
yared belete belay ◽  
kaleab taye haile

Abstract Background : awareness of chronic kidney disease (CKD) includes general knowledge of CKD, its risk factors. Early identification and management of CKD can reduce undesired outcomes related to the disease. However, nearly all CKD conditions were not clinically familiar primarily because of the poor public awareness about the disease. Methods: A community based cross-sectional study was conducted. The target population of this study was lay public and health professionals were excluded from the study. Proportional numbers of study participants were included from each sub-city based on their total population size. The data was analyzed using SPSS version 21. Frequencies, table’s percentage, mean and standard deviation were used to describe the response of participants. Independent T test and one way ANOVA statics were used identify factors associated public knowledge of CKD. Results: A total of 350 individuals were approached, 301 of whom completed and returned the questionnaire, giving a response rate of 86%. In this study, the mean (SD) knowledge score of participants was 11.12 (±4.21) with a minimum score of 0 and a maximum of 22. With respect to distribution of CKD knowledge score, half of the respondents score 11 and less. One way ANOVA revealed that educational level had significant effect on knowledge of CKD. Respondents who had a qualification of degree had relatively higher knowledge scores than the other category participants ( P-value = 0.015). Independent t-test was also performed but failed to reveal any association between socio-demographic characteristics and knowledge score. Conclusions : The general knowledge level of the Ethiopian population about CKD and its risk factors is low. Currently, non-communicable disease such as diabetes and hypertension becomes public concern those are one of the significant risk factors for CKD. As our study indicated even these groups of populations are not adequately informed regarding their increased risk for developing CKD. Keywords: chronic kidney disease, public knowledge, Ethiopia


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