scholarly journals Prevalence, patterns and socio-demographic correlates of tobacco use in Davangere taluka, Karnataka: a community-based, cross-sectional study

Author(s):  
Basanagouda K. Patil ◽  
Vijay S. Patil ◽  
A. Nagrajachari ◽  
D. Kiran ◽  
Sunita B. Patil

Background: Tobacco use is the single, largest preventable cause of death and disability worldwide. Area-specific community-based epidemiological studies on tobacco use are required to quantify the problem, identify the determinants and their distribution. The objectives were to find out the prevalence, patterns and socio-demographic correlates of tobacco use in Davangere taluka, Karnataka, India.Methods: This was a community-based, cross-sectional study of 2008 subjects (>10 years of age) in urban and rural areas of Davangere taluka, Karnataka. Interviews were conducted by using a structured, pre-tested questionnaire by house-house visits.  Results are presented using percentages, chi-square test, odds ratio and multiple logistic regression analysis.Results: The prevalence of tobacco use was 30.7%. Among urban males it was 39.5%, rural males 39.6%, rural females 26% and urban females 18.5%. Tobacco use was significantly associated with sex, locality, religion, caste, marital status, family type, occupation, and tobacco use in family or friends. There was direct relationship of tobacco use with age and inverse relationship with education and socio-economic status. Mixed tobacco use was higher in rural areas compared to urban areas. About 73.9% of 10-29 years persons had started before the age of 18 years. Among older participants there was higher frequency of consumption and duration of use.Conclusions: Tobacco use is common and it is influenced by various local socio-demographic factors. Addressing these factors and providing tobacco cessation services should be included as key strategies in tobacco control.

2013 ◽  
Vol 5 (2) ◽  
pp. 16-22 ◽  
Author(s):  
Sultana Shahana Banu ◽  
Be-Nazir Ahmed ◽  
Shamim Jubayer ◽  
Sultana Gulshana Banu ◽  
Khorsed Ara ◽  
...  

A multi-staged cross sectional study was conducted among children aged 2 -17 years to assess the level of soil transmitted helminthes (ST H) infections and its relation to socio-demographic characteristics among them. Two thousand children were randomly selected from two rural and four different communities of urban areas of Dhaka district since November 2009 to June 2010. Four different communities classified as higher, medium, poorer and slum/ low socio-economic groups from urban areas were selected on the basis of their place of residence with different socio-economic status. Urban study subjects were again sub grouped into upper (higher and medium socio-economic) and lower (poorer and slum/low socio-economic) classes. Stool specimens of the respondents were collected and tested at the Parasitology department of I E DCR , using the Kato-katz faecal technique for identification of helminthes eggs following their morphology (A. lumbricoides, Ttrichiura, and A. duodenale), and larval stage (S. stercoralis). About 32.15% study population harbored at least one of the four helminthes species. Baseline prevalence of infections and mean parasite loads for Ascaris lumbricoides were 40.61% and 600.80 e/g, for Trichuris trichiura 30.42% and 206.11e/g, and for A. duodenale 6.80% and 78.75 e/g. Three children (0.49%) were positive for Strongyloides stercoralis. Single infection of 78.32 % and double infection of 21.68 % were recorded. Single infection of A. lumbricoides (40.61%) and T trichiura (30.42%) and double infection of A. lumbricoides - T trichiura (18.61%) were more prevalent. T he prevalence of ST H infection was 25.47 % and 38.68 % for rural and urban areas respectively (P<.001). Among urban study subjects, the distribution of ST H infection was 0.0 % in the higher (living in higher socioeconomic areas) (only 3 samples could be collected), 26.75 % in medium (living in medium socio-economic areas), 45.95 % in poorer and 50.54 % in slum/low socio-economic groups. Significantly higher number of ST H infection was observed among lower than that in upper socio-economic classes (P <.001). These results suggest that ST H infections remain a serious health problem among children in Bangladesh and need appropriate prevention and control measures.DOI: http://dx.doi.org/10.3329/bjmm.v5i2.16933 Bangladesh J Med Microbiol 2011; 05 (02): 16-22


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e023033 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Xiao Wang ◽  
Xin Lan ◽  
...  

ObjectiveDespite the latest wave of China’s healthcare reform initiated in 2009 has achieved unprecedented progress in rural areas, little is known for specific vulnerable groups’ catastrophic health expenditure (CHE) in urban China. This study aims to estimate the trend of incidence, intensity and inequality of CHE in hypertension households (households with one or more than one hypertension patient) in urban Shaanxi, China from 2008 to 2013.MethodsBased on the fourth and the fifth National Health Service Surveys of Shaanxi, we identified 460 and 1289 households with hypertension in 2008 and 2013, respectively for our analysis. We classified hypertension households into two groups: simplex households (with hypertension only) and mixed households (with hypertension plus other non-communicable diseases). CHE would be identified if out-of-pocket healthcare expenditure was equal to or higher than 40% of a household’s capacity to pay. Concentration index and its decomposition based on Probit regressions were employed to measure the income-related inequality of CHE.ResultsWe find that CHE occurred in 11.2% of the simplex households and 22.1% of the mixed households in 2008, and the 21.5% of the simplex households and the 46.9% of mixed households incurred CHE in 2013. Furthermore, there were strong pro-poor inequalities in CHE in the simplex households (−0.279 and −0.283) and mixed households (−0.362 and −0.262) both in 2008 and 2013. The majority of observed inequalities in CHE could be associated with household economic status, household head’s health status and having elderly members.ConclusionWe find a sharp increase of CHE occurrence and the sustained strong pro-poor inequalities for simplex and mixed households in urban Shaanxi Province of China from 2008 to 2013. Our study suggests that more concerns are needed for the vulnerable groups such as hypertension households in urban areas of China.


2019 ◽  
Vol 16 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Prajjwal Pyakurel ◽  
Deepak Kumar Yadav ◽  
Jeevan Thapa ◽  
Nishant Thakur ◽  
Pramita Sharma ◽  
...  

Background: Hypertension is one of the major risk factors for the rising burden of cardiovascular diseases (CVDs) in developing region. It has also been recognized as one of the major public health problems in the developing countries since the early seventies and the rate is increasing not only in urban areas but in rural areas with low socio-economic condition.  Methods: A cross sectional study was conducted in Jogidaha Village Development Comittee(VDC) and Triyuga Municipality of Udaypur district of South-Eastern Nepal. A total of 430 participants of age 18-59 years were selected. Semi-structured questionnaire (WHO NCD STEPS instrument) was used to collect information on demographic variables and associated risk factors with use of show cards. Clinical and anthropometric measurement were done. Primary outcome was prevalence of hypertension. Bivariate and multivariate analysis were performed to show strength of association among various risk factors with hypertension.  Results: The prevalence of hypertension was found to be 25.1%. Prevalence of overweight and obesity was found to be 49.8%. Hypertension was significantly associated with age (AOR=1.09, CI=1.05-1.10) and gender (male >female; AOR= 2.12,CI =1.22-3.68). Similarly, increased waist-hip ratio(7.12; CI 2.87-17.67),alcohol consumption(OR=2.82,CI=1.77-4.52), and use of tobacco products (OR =1.8,CI=1.02-3.20) showed significant association with hypertension. Conclusion: There is high prevalence of hypertension in rural districts of South-Eastern Nepal. A community-based preventive approach with early detection and treatment and life-style modification is needed to reduce the burden of disease and make sustainable changes. 


2011 ◽  
Vol 5 (10) ◽  
pp. 711-716 ◽  
Author(s):  
Sudha B Yadav ◽  
Naresh R Makwana ◽  
Bhavin N Vadera ◽  
Kishor M Dhaduk ◽  
Kapil M Gandha

Introduction: More than one third of reported cases of HIV/AIDS in India are among youth and 60 percent of these reside in rural areas. Assessment of the awareness of HIV/AIDS in the youth is important for determining the impact of previous and current awareness programs as well as the need for interventions.  This study aimed to assess the knowledge of rural youth regarding HIV/AIDS and to explore the epidemiological determinants of awareness among them. Methodology: A community-based cross-sectional study was conducted among youths aged 15-24 years in rural areas of the Saurashtra region of Gujarat, India. A cluster sampling design was used, surveying 50 subjects from each of 30 clusters. Data was collected through house-to-house visits using a semi-structured questionnaire. Proportions and logistic regression were used for analysis. Results: Out of a total of 1,237 subjects who participated in survey, 60% knew something about HIV. Of those who had heard of HIV, more than 90% subjects knew the modes of transmission and more than 80% were aware of modes of prevention of HIV/AIDS. One fifth of the subjects had misconceptions in relation to HIV/AIDS.  On applying multiple logistic regression, age, education, occupation, and mass media exposure were found to be the major determinants of their knowledge with regard to HIV/AIDS. Conclusions: Basic knowledge of HIV/AIDS is still lacking in two fifths of the rural youth. Literacy and media exposure are factors that determine awareness of HIV among them and can be helpful to raise their knowledge regarding this scourge.


Author(s):  
Sufyan Anwar ◽  
Maiza Duana ◽  
. Marniati

Aims: The study aims to prove the correlation between demographic factors and the eating habits of the elderly in Aceh, Indonesia. Study Design:  A cross-sectional study. Place and Duration of Study: The study was conducted in Aceh Barat district, Aceh province-Indonesia between June and October 2019. Methodology: This cross-sectional study was carried out by involving the elderly (age of 60 years or above) in 483 participants. Bivariate analysis was conducted through a chi-square test using SPSS version 21 to answer the research hypothesis. Results: Four hundred and eighty three (483) elderly people with mean age of 69.76 years were enrolled, of these, 68.9% were women and 58.2% were unemployed. Fifty-nine percent of respondents live in rural areas and 64.39% had good eating habits. Finding unveiled that age had a significant correlation with eating habits (P=0,05), gender did not correlate with eating habits (P>0,05). Occupation correlated with eating habits (P=0.05), and area of residence correlated with eating habits (P=0,05).. Conclusion: The study concluded that younger age (60-69 years old), employed, and living in urban areas positively contribute to establishing healthy eating habits in the elderly in Aceh. Furthermore, it is necessary to conduct intervention studies in the occupation variable as a modifiable variable.


Author(s):  
Mohammad Asif Khan ◽  
Najam Khalique ◽  
Zulfia Khan ◽  
Abrar Hasan

Background: Hearing impairment is avery complex phenomenon, which has many and serious consequencesfor people and involves many factors and issues that should becarefully examined. The objective of the study were to estimate the prevalence of hearing impairment in the study population.Methods: Study design was a community based cross sectional study. Setting was on field practice areas of the urban and rural health training centers, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh. No. of Participants was 422 study subjects age 18 and above 18 years; Systematic random sampling and proportionate to population size method (PPS). Statistical analysis was carried out using SPSS version 13; Chi-square.Results: Overall prevalence in present study population was found to be 23.1%. The prevalence in the rural areas (24.8%) was found to be higher than that of the urban areas (20.5%). The age specific prevalence showed that the maximum prevalence was in the age group of more than 70 years (66.6%). In the rural areas the prevalence was highest in the >70 year age group(75%) while in the urban areas it was maximum in the 61-70 year age group(61.5%). The prevalence was least in the 31-40 year age group in both urban (5.4%) as well as rural areas (14.5%). The association of hearing loss with age was found to be highly significant.Conclusions:A high prevalence of hearing impairment was found in the study. Increasing prevalence of hearing impairment was observed with advancing age.  


Author(s):  
Reema Singh ◽  
Alok Kumar ◽  
Sangeeta Kansal

Background: Globally, men have not shared equally with women the responsibility for fertility regulation. While family planning efforts have been directed almost toward women, the lack of male involvement may also reflect the limited options available to men. Current methods for men are condom, withdrawal, or permanent, such as vasectomy. The success of family planning depends on the involvement of couples but this hardly happen especially in rural areas. It is the belief, though erroneously among most males that the practice of family planning should be the sole responsibility of the female. The present study was a community based cross sectional study with the objective to assess challenges in involvement of male spouse in family planning program in rural areas.Methods: This is a community based and cross-sectional study was undertaken in randomly selected 4 villages of Kashi vidyapeeth block, Varanasi. Total enumeration of women from the selected villages delivered within last 3 years was done and their husbands were interviewed by using a pre-designed, pre-tested interview schedule. Chi-square test was applied to find out any association between the variables. P<0.05 was considered to be statistically significant, data was analyzed with statistical package for the social sciences (SPSS) 20 trial version.Results: These preliminary findings are part of thesis shows that out of 130 interviewed respondents, majority (89.5%) had aware about family planning and two third (66.2%) of the respondents said that either they or their wives are using family planning. More than half of the respondents were aware about male sterilization but none of them were using male sterilization. Majority (77.7%) of the respondents said that human immunodeficiency virus-acquired immune deficiency syndrome (HIV-AIDS) and 45.4% were said that sexually transmitted diseases or sexually transmitted infections (STDs/STIs) can be prevented by use of condom. More than half (53.8%) of the respondents were sole of the decision maker regarding the use of family planning.Conclusions: The present study concludes that the majority of the respondents were awareness about the family planning but practices of family planning is low in the study area. Health workers should educate the eligible couples for use of contraceptive methods. Promotion of male contraceptive usage should be done by intense awareness campaigns.


Author(s):  
Shweta Shrivastava ◽  
Preshant Shrivastava ◽  
Veena Melwani

Background: The present study was planned to assess the prevalence of anemia and study its socio-demographic correlates among adolescents’ girls of 10-19 years in Bhopal city (M.P).Methods: The study was conducted as a community based cross-sectional study on 640 adolescent girls residing in selected ward and willing to participate in the study. Detailed history as mentioned in questionnaire was obtained. Assessment of the anemia status was carried out using Hemoglobin Color Scale (HCS). Descriptive statistics and inferential statistics chi square test were used for the inferential statistics. P<0.05 was considered statistically significant.Results: Prevalence of anemia among adolescent girls was 72.8%. Anemia was found to be highly significantly associated with education and occupation of parent’s, socio economic status and BMI (p<0.05). Also, anemia was significantly associated with birth order, amount and days of menstrual blood flow (p<0.05)Conclusions: Anemia is highly prevalent in adolescent girls. Evidence suggests that there is need to emphasize on corrective measures for anemia in adolescent girls of 10-19 years before they enter adolescence so as to compensate the additional requirement for growth and development during puberty and combat the extra losses during menstruation.


Author(s):  
Jagruti Prajapati ◽  
Jaydip Oza ◽  
B. B. Patel ◽  
Sunil R. Avashia

Background: Sociodemographic determinants of diabetes such as age, sex and socioeconomic status play a major role in diabetes outcome. It was necessary to design a research project to address this. The aim of this study is to determine the prevalence of diabetes and its sociodemographic factors such as age, gender, residential area, economic status and a level of education in the project districts. Methods: The cross sectional study was carried out in the project districts named Ahmedabad, Dahod and Valsad. Urban, rural and tribal population are above 30 years of age from different districts were covered to collect data on socio economic back ground and status of diabetes. Random blood sugar was measured by glucometer and glycosylated haemoglobin (HbA1c) by the HbA1c analyzer. Results: Proportion of male and female participants were near to equal. Percentage of self reported cases of diabetes (including controlled and uncontrolled) was 14.07% in urban areas while it was 5.24% in rural areas. Pre diabetes detection rate was more in rural area. During screening 11.83% of pre diabetes cases were identified. Difference between controlled and uncontrolled diabetes among illiterate and literate groups was statistically not significant. Conclusions: This preliminary observational study included more than 51000 participants visiting primary and community health centres from three districts of Gujarat. The public private partnership model helped in systematic approach towards screening and data collection. The study reported prediabetes cases higher than global prevalence. More controlled studies are required to define the mandatory screening protocol in resource constrained settings. 


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055881
Author(s):  
Xiang-Ji Chen ◽  
Wenqiang Zhang ◽  
Rui-Li Yuan ◽  
Xiao-Bo Huang ◽  
Ya Liu ◽  
...  

ObjectivesTo investigate the prevalence of hyperuricaemia among the oldest-old persons in Chengdu and identify associated factors to provide information on achieving healthy ageing in China.DesignA community-based cross-sectional study.SettingJinjiang, Qingyang, Longquanyi locating in the southeast, the northwest and the east of Chengdu, respectively, were chosen as the study sites.ParticipantsA representative sample of 1391 people aged over 80 years were enrolled from September 2015 to June 2016, and 106 participants were excluded due to missing information. Thus, a total of 1285 participants were analysed in this study.Outcome measuresHyperuricaemia was defined as serum uric acid >420 µmol/L in men or serum uric acid >360 µmol/L in women. A univariable logistic regression model and a multivariable logistic regression model were used to estimate the ORs and 95% CI to explore the associated risk factors of hyperuricaemia.ResultsThe overall prevalence of hyperuricaemia among the oldest-old was 29.6%. There was no significant sex difference in the prevalence of hyperuricaemia, 29.1% in men vs 30.0% in women (p>0.05). Hyperlipidaemia and overweight were associated with the risk of hyperuricaemia both in men (OR 1.86; 95% CI 1.27 to 2.72; OR 2.44; 95% CI 1.42 to 4.19) and in women (OR 1.78; 95% CI 1.23 to 2.58; OR 2.95; 95% CI 1.89 to 4.61). Additionally, diabetes mellitus was associated with an increased prevalence of hyperuricaemia only in women (OR 1.99; 95% CI: 1.34 to 2.97).ConclusionThe burden of hyperuricaemia is substantial among the oldest-old population in the urban areas of Chengdu, China.


Sign in / Sign up

Export Citation Format

Share Document