scholarly journals Prevalence of multimorbidity in Thailand: a multilevel analysis of a population-based survey

Author(s):  
Nirun Intarut ◽  
Parinya Srihatrai ◽  
Narongsak Chantawang

Background: The objective of the study was to estimate the prevalence of multimorbidity and to analyze the factors related to multimorbidity using multilevel analysis.Methods: The data from the 2017 National Health and Welfare Survey was used. In total, 27,960 families and 65,781 participants were analyzed. Multilevel logistic regression analysis with 2-levels was performed to assess independent risk factors for the multimorbidity.Results: Of 14,353 participants analyzed, 20.4% (95% confidence interval (CI): 20.1, 20.7) of those showed multimorbidity. 59% were females; 74.4% were 56-66 years, 68.7% had primary school level education, and 63.8% were reported being married. Multilevel multiple logistic regression results showed that the prevalence of multimorbidity was higher in females (adjusted OR (AOR): 1.2, 95% CI: 1.1, 1.3), older participants had higher risk of multimorbidity than younger people (p value for trend <0.01), married (AOR: 1.2; 95% CI: 1.0, 1.4), widowed or divorced (AOR: 1.3; 95% CI: 1.1, 1.5).Conclusions: A high prevalence of multimorbidity in older patients was found. Tailored disease prevention programs and health care provider are needed to design and service for multimorbidity patients.

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Oscar H. Del Brutto ◽  
Robertino M. Mera ◽  
Aldo F. Costa ◽  
Mauricio Zambrano ◽  
Mark J. Sedler

Background. Information on the association between earlobe crease (ELC) and peripheral artery disease is limited. We assessed this association in community-dwelling older adults. Study Design. A total of 294 Atahualpa residents aged ≥60 years were enrolled. ELC were visually identified by two raters. The ankle-brachial index (ABI), used as a surrogate of peripheral artery disease, was categorized using American Heart Association criteria. Using logistic regression and probability models, adjusted for demographics and cardiovascular risk factors, we assessed the relationship between ELC and abnormal ABI determinations, as well as the influence of age on this association. Results. ELC was identified in 141 (48%) individuals, and abnormal ABI determination was carried out in 56 (19%). The association between ELC and abnormal ABI was nonsignificant in logistic regression and probability models with individuals stratified according to their median age. Conclusions. The association between ELC and abnormal ABI determinations is probably attenuated by the high prevalence of both conditions in older persons. ELC might not be useful for identifying candidates for ABI determination.


PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0219203 ◽  
Author(s):  
Paulo A. R. Neves ◽  
Bárbara H. Lourenço ◽  
Anaclara Pincelli ◽  
Maíra B. Malta ◽  
Rodrigo M. Souza ◽  
...  

2020 ◽  
Vol 10 (2) ◽  
pp. 89-99
Author(s):  
Chahya Kharin Herbawani ◽  
Dadan Erwandi

Abstract Background: HIV/AIDS reports show an increasing number of AIDS cases and the cumulative number of AIDS among housewives at first rank. Objective: to determine factors related to HIV/AIDS prevention efforts for housewives in the Bagor Health Center area. Method: Quantitative research with cross-sectional design. Independent variable; age; education; family income; age at first sexual intercourse; knowledge of HIV/AIDS; risk perception; husband's work; history of VCT; access to condoms and information about HIV/AIDS. The dependent variable is HIV/AIDS prevention efforts. Total respondent were 150 housewives, data collection using a questionnaire that was adopted/modified from the Integrated Biological and Behavioral Surveillance questionnaire (STBP) 2011. Multivariate data analysis with multiple logistic regression Results: Factors related to HIV/AIDS prevention efforts in housewives were a history of VCT (p=0.028) and exposure to information about HIV/AIDS (p=0.014). History of VCT is the most influencing factor in HIV/AIDS prevention efforts in housewives (p value=0.040; OR=3.79 95% CI=1.06-13.537). Housewives who have done VCT are 3.79 times more likely to make HIV/AIDS prevention efforts than those who did not. Conclusion: Providing education and VCT testing can provide better HIV prevention behavior for housewives. Historical factors of VCT and information exposure play a role in HIV prevention behavior in housewives Key words: HIV/AIDS, reproductive health, VCT Abstrak Latar belakang: Laporan HIV/AIDS menunjukkan peningkatan jumlah kasus AIDS dan jumlah kumulatif AIDS pada ibu rumah tangga yang menempati urutan pertama Tujuan: mengetahui faktor-faktor yang berhubungan dengan upaya pencegahan HIV/AIDS pada ibu rumah tangga di wilayah Puskesmas Bagor. Metode: Penelitian kuantitatif dengan desain cross-sectional. Variabel independen; umur; pendidikan; penghasilan keluarga; umur pertama kali berhubungan seksual; pengetahuan HIV/AIDS; persepsi berisiko; pekerjaan suami; riwayat VCT; akses terhadap kondom dan keterpaparan informasi tentang HIV/AIDS. Variabel dependen adalah upaya pencegahan HIV/AIDS. Responden berjumlah 150 ibu rumah tangga, Pengumpulan data menggunakan kuesioner yang diadopsi/dimodifikasi dari kuesioner Surveilans Terpadu Biologis dan Perilaku (STBP) Tahun 2011. Analisis data multivariate dengan multiple logistic regression Hasil: Faktor yang berhubungan dengan upaya pencegahan HIV/AIDS pada ibu rumah tangga adalah riwayat VCT (p=0,028) dan keterpaparan informasi tentang HIV/AIDS (p=0,014). Riwayat VCT merupakan faktor paling mempengaruhi upaya pencegahan HIV/AIDS pada ibu rumah tangga (p value=0,040; OR=3,79 95% CI=1,06-13,537). Ibu rumah tangga yang telah melakukan VCT 3,79 kali lebih cenderung untuk melakukan upaya pencegahan HIV/AIDS baik dibandingkan yang tidak melakukan VCT. Kesimpulan: Pemberian edukasi dan pemeriksaan VCT dapat memberikan perilaku pencegahan HIV yang lebih baik pada ibu rumah tangga. Faktor riwayat VCT dan keterpaparan informasi berperan dalam perilaku pencegahan HIV pada ibu rumah tangga.   Kata kunci: HIV/AIDS, kesehatan reproduksi, VCT


2021 ◽  
Vol 5 (2) ◽  
pp. OR7-OR11
Author(s):  
Reena R. Prasad ◽  
Hukam Chand ◽  
Mohd. Zaid

INTRODUCTION: The present generation is the most frequently targeted consumers for the fast food marketers and can lead to various health related disorders in them.AIM: To assess the perceptions, fast food consumption and eating habits among students belonging to the allied health sciences in various corners of  India.MATERIALS AND METHOD: The study was an online, questionnaire based, cross-sectional study. The questionnaire was in English language, was pre-tested on 50 students and validated accordingly. The questionnaire was based on a 5-point Likert-type scale [(1) strongly disagree, (2) disagree, (3) neutral, (4) agree, and (5) Strongly agree]; had 19 questions and required approximately four minutes for completion. Data was analysed using SPSS version 21.0 and the student’s t-test and multiple logistic regression was applied keeping the p value as 0.05.RESULTS: The study comprised of 1020 complete responses; out which males formed a majority (52.3%) and most students belonged to the 2nd year of their study (49.1). High mean ± SD scores pertaining to perception  were obtained in four questions. While assessing the eating habits, high mean ± SD scores were obtained in three questions. Multiple logistic regression based on gender revealed that females has a significant difference on both perception (0.01) and consumption(p-0.03) habits in relation to fast food as compared to males, while the year of study was significantly associated with the food consumption habits (p=0.01) of the students.CONCLUSION: Universities and institutions need to educate and motivate students on the importance of healthy eating to reduce the burden of disease among such students.


2020 ◽  
Vol 2 (2) ◽  
pp. 323-336
Author(s):  
Santosh Kumar Shah

Introduction: Banks play an important role in ensuringthe economicand social stability, and the sustainablegrowth of the economy. The savings and other accounts in financial institutions, including banks, finances, microfinances and cooperatives, enable people to execute important financial functions. Thus, households that have accounts in any of financial institutions can have access to various banking services. Objective: The objective of the study is to identify the factors associated with households having bank accounts in Nepal. Methods: The analysis is based on household data extracted from the dataset of Nepal Demographic and Health Survey, 2016. The dependent variable is dichotomous, as the households with bank accounts and without bank accounts in any formal financial channels. In order to identify the factors associated with households receiving financial services in Nepal, multiple logistic regression models were developed by examining the model adequacy test. Results: The study finds that a total of 66.9% of the households had bank accounts. Several variables were found to be 1% of significance level. The predictive power of the model is found to be 31.2% and multicollinearity among the independent variables was absent. The Hosmer-Lemoshow goodness of fit test revealed that the data were poorly (p-value=0.056) fitted by the model. However, Osius-Rojek goodness of fit test (z=0.11; p-value=0.911), Stukel test (Z=0.683, p-value=0.494), likelihood ratio test (χ2=2770; p-value<0.0001) and area under receiver operating curve (79.8%) revealed that fitted model was good. Conclusion: Multiple logistic regression model revealed that in mountainous and hilly regions, women-headed households have less chances of not having bank accounts compared to the Terai region and men-headed households. The chances of having a bank account in province-2 is even worse than in Karnali and other provinces. The odds of not having bank accounts gradually decreased with the increase in size of agricultural land, wealth index, increase in family size and the number of family members who have completed secondary education.


2021 ◽  
Vol 13 (7) ◽  
pp. 115
Author(s):  
Emilia Shiwa Ashipala ◽  
Linda Ndeshipandula Lukolo

INTRODUCTION: Hypertension complications are responsible for 9.4 million deaths worldwide and among these deaths, 51 % are due to stroke and 45% are due to heart disease like heart failure. This study aims to investigate the hypertension risk factors among adult in Oshikoto region, Namibia. METHODS: A community population-based, cross- sectional survey was conducted using WHO STEPwise approach among 375 adults in Oshikoto region. Bivariate and multivariate analysis was done to determine the association between risk factors and Hypertension, based on p-value &lt;0.05. RESULTS: Overall prevalence for risk factors was: physical inactivity (25.3%), unhealthy diet (75.7%), tobacco use (9.1%), harmful use of alcohol (40.8%). 20.5% overweight with majority (85.7%) of them were females. Obesity was 9.1% in which 91.2% were females. Hypertension prevalence was 24.3%. Four percent of individuals were having two multiple risk factors for hypertension, 2.4% with four risk factors and 1.1% with more than four risk factors. Age group (OR=2.48, 95%CI=1.44-4.26, P=0.001), Obesity (OR=3.48, 95%CI=1.55-7.79, P=0.003), and overweight (OR=2.34, 95%CI=1.31-4.19, P =0.004) were significant risk factors for hypertension. CONCLUSIONS: This study revealed a high prevalence and burden of hypertension risk factors such as obesity and overweight among adults in Oshikoto region, thus, these results highlight the need for interventions to reduce and prevent those risk factors of hypertension in Oshikoto region, Namibia.


Author(s):  
Mansyur Muhammad ◽  
Fadli Fadli

ABSTRAKTuberculosis Multi-Drug Resistnce adalah salah satu jenis resistensi basil TB terhadap setidaknya dua obat anti tuberkulosis (OAT) lini pertama yaitu isoniazid dan rifampisin, dua obat OAT yang paling efektif. Tujuan penelitian ini untuk mengetahui hubungan faktor penyebab kejadian kejadian MDR-TB. Jenis penelitian ini merupakan penelitian kuantitatif menggunakan desain observasional analitik dengan pendekatan case control. Jumlah sampel dalam penelitian ini adalah 31 responden dengan teknik pemgambilan sampel menggunakan teknik consecutive sampling. Hasil penelitian ini menggunakan uji statistik chi square dan uji multiple logistic regression. Sehingga hasil penelitian menunjukkan bahwa ada hubungan faktor dukungan keluarga terhadap kejadian MDR-TB (p value =0,021); ada hubungan faktor penegtahuan dengan kejadian MDR-TB (p=0,030); ada hubungan faktor keteraturan minum obat terhadap kejadian MDR-TB (p value =0,045); ada hubungan faktor keaktifan petugas terhadap kejadian MDR-TB (p value =0,001). Sedangan hasil uji multiple logistic regression diperoleh hasil bahwa faktor keteraturan minum obat dengan nilai p value = 0,000 dan (OR=11,218). Diharapkan petugas kesehatan memberikan konseling kepada pasien TB MDR mengenai pengobatan TB MDR, cara menanggulangi efek samping obat, serta motivasi kepada pasien TB MDR.Kata-kata kunci : Faktor resiko, tuberculosis multi-drug resistnceABSTRACTTuberculosis Multi-Drug Resistance is one type of TB bacillary resistance to at least two first-line anti-tuberculosis (OAT) drugs, namely isoniazid and rifampicin, the two most effective OAT drugs. The purpose of this study was to determine the relationship of factors causing the incidence of MDR-TB. This type of research is a quantitative study using an analytic observational design with a case control approach. The number of samples in this study were 31 respondents with a sampling technique using consecutive sampling techniques. The results of this study use the statistical test fisher's exact test and multiple logistic regression test. So the results of the study indicate that there is a relationship between family support factors for the incidence of MDR-TB (p = 0.021); there is a relationship between knowledge and MDR-TB incidence (p = 0.030); there was a correlation between the regularity of taking medication to the incidence of MDR-TB (p = 0.045); there is a correlation between the activeness factor of the officer towards the MDR-TB incidence (p = 0.001). Whereas multiple logistic regression test results showed that the regularity of taking medication with p value = 0,000 and (OR = 11,218). It is expected that health workers provide counseling to MDR TB patients regarding MDR TB treatment, how to cope with drug side effects, as well as motivation to MDR TB patients.Keywords: Risk factors, Tuberculosis Multi-Drug Resistance


2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Samuel Kyei ◽  
Stephen Ocansey ◽  
Emmanuel Kwasi Abu ◽  
Bismark Nyarko Gyedu

The purpose of the present study was to assess the practice of ocular self-medication among people of the Cape Coast Metropolis, Central Region of Ghana. A population-based survey involving 421 respondents ≥18 years old was conducted. A pre-tested interview-based questionnaire was used to collect data on demographics, ocular symptoms for which selfmedication was practiced, medical knowledge and self-care orientation. Households were systematically and randomly selected as study units. Analysis was done using SPSS version 16. Descriptive results were expressed as frequency, percentage, and mean±standard deviation, X2 test was used for associations, and logistic regression was used to test for predictors of the practice of ocular self-medication. Prevalence of ocular self-medication was 23.3% with itchy eye being the main ocular symptom for which self-medication was practiced. Local pharmacies were the main source of drug for ocular self-medication. There was no association between medical knowledge and the practice of ocular self-medication (X2=0.126; P=0.722). Some 25.5% experienced adverse effects. In conclusion, the practice of ocular self-medication was without recourse to adequate concept of the practice of self-care but its negative effect was mitigated by the low self-care orientation of the people.


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