scholarly journals Prevalence and socio-demographic factors associated with hypertension among rural and urban population of Kisii County, Kenya

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.

2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.


2021 ◽  
Vol 66 ◽  
Author(s):  
Anna Marzà-Florensa ◽  
Daniel Boateng ◽  
Charles Agyemang ◽  
Erik Beune ◽  
Karlijn A. C. Meeks ◽  
...  

Objectives: Multimorbidity is a growing public health concern due to the increasing burden of non-communicable diseases, yet information about multimorbidity in low- and middle-income countries and migrant populations is scarce. We aimed to investigate the distribution and patterns of multimorbidity in rural and urban areas in Ghana and Ghanaian migrants in Europe.Methods: The RODAM cross-sectional study included 4,833 participants. Multimorbidity was defined as presence of multiple non-communicable chronic conditions. Patterns were determined from frequent combination of conditions. Prevalence ratios were estimated by logistic regression.Results: Prevalence of multimorbidity was higher in women and in urban Ghana and Europe. We observed a cardiometabolic pattern in all sites as well as circulatory-musculoskeletal and metabolic-musculoskeletal combinations in Ghana. Multimorbidity prevalence ratios were higher in Europe (men 1.47, 95% CI 1.34–1.59, women 1.18, 1.10–1.26) and urban Ghana (men 1.46, 1.31–1.59, women 1.27, 1.19–1.34).Conclusion: Distribution and patterns of multimorbidity differed by sex and site. With a higher burden of multimorbidity in urban areas, prevention strategies should focus on forestalling its increase in rapidly growing rural areas.


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Paul Oladapo Ajayi ◽  
◽  
Demilade Olusola Ibirongbe ◽  
Tope Michael Ipinnimo ◽  
Oluremi Olayinka Solomon ◽  
...  

Background: Catastrophic health expenditure occurs when the burden of Out-of-pocket health expenditure has reached a certain level that a household must forego the expenditure on other basic needs of life to meet the health expenses of its member(s) of the household. Worldwide, over 44 million households suffer annually from financial catastrophe. This study intends to determine the prevalence of household catastrophic health expenditure amongst rural and urban communities in Ekiti, Nigeria. Methodology: This is a comparative cross-sectional study of households within selected rural and urban communities in Ekiti State, Nigeria. A pre-tested interviewer-administered semi-structured questionnaire was used to collect data over a period of 4 months from a sample of 1,000 household heads, using a multistage sampling technique. Data obtained were then entered using the SPSS version 20 and analysed with STATA 12. Two different methodologies were used to calculate household catastrophic health expenditure, with sensitivity analysis done. Univariate analysis were used to describe the population in relation to relevant variables. Result: The prevalence of household catastrophic health expenditure is high using the two methodological calculations. It was significantly higher in the rural areas, 18.5% than the urban areas, 12.8% (p=0.015) for first method; it was also higher in the rural areas, 8.3% compared to the urban areas, 2.5% (p<0.001) for the second method. Conclusion: Prevalence of household catastrophic health expenditure is high in Nigeria, but worse in the rural areas. It’s therefore vital to establish financial and social intervention mechanisms that can protect households from incurring catastrophic health expenditure.


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.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xiu Zhang ◽  
Mengjie Li ◽  
Li Guo ◽  
Yanna Zhu

Abstract Background With rapid development of China’s economy, there were over 68.7 million left-behind children (LBC) in China whose mental health has become a problem of public concern. The present cross-sectional study aimed to investigate the status of mental health and its associated factors of LBC aged 3–16 years old in both rural and urban areas. Methods A total of 4187 children (aged 3–16), including 1471 LBC and 2716 non-left-behind children (NLBC), were recruited from 50 communities (22 in urban areas and 28 in rural areas) in Guangdong, China in August, 2014. The mental health problems were assessed using the Strength and Difficulties Questionnaire (SDQ). Results No statistically significant difference of SDQ subscales scores about difficulties were found between LBC and NLBC on the whole participants as well as in rural areas or in urban areas within the same age group after adjustments were made (all p > 0.05). However, compared with NLBC in the same areas, urban LBC tended to have higher prosocial behaviours scores, while rural LBC had the lowest prosocial behaviours scores not only in the whole age group but also in different age subgroups (p < 0.05). Besides, compared with urban LBC, rural LBC were not worse in SDQ subscales scores except for prosocial behaviour at 7–9 age group (p = 0.003). Furthermore, higher paternal educational level and longer duration of parental absence, were associated with less difficulties in both rural and urban LBC. Besides, shorter duration of talk per-time but higher communication frequency were associated with less difficulties in rural LBC. Conclusions The present study demonstrated that in general, no difference of mental health problems were found between LBC and NLBC. Besides, longer duration of parental absence, shorter duration of talk per time but more communication frequency, and higher paternal educational level tend to have better development of mental health. The findings reinforce the importance of the stability of caregivers and the effective parent-child communication for Chinese rural LBC.


2021 ◽  
Vol 6 (2) ◽  
pp. 22-27
Author(s):  
Dr. Chimata Triveni ◽  
◽  
Dr. Tirumuru Divya ◽  
Dr. Ponna Rama Devi ◽  
Dr. N. Lakshmi Chowdary ◽  
...  

Introduction: Visual impairment affects students’ routine schoolwork and day-to-day activities.Hence, the aim is to study the prevalence of various refractive errors and their comparison amongschool children of 5-15 years in rural and urban areas. Methods: This cross-sectional studyexamined 998 students from both rural and urban schools. After obtaining ethical clearance andinformed consent, students were examined for refractive errors. The students with the refractiveerror were given a socio-demographic questionnaire and questionnaire regarding their usage oftelevision, computer, and family history of refractive errors. A Chi-square test was used to test thestatistical significance of proportions. P-value < 0.05 was considered statistically significant, anddata were analyzed by using coGuide software, V.1.03 Results: The prevalence of refractive errorwas found to be 6.41 %, with a prevalence of 7.61% in urban and 5.21% in rural areas. Thedifference in the type of refractive error between the study groups was found to be insignificant,with P= 0.897. Conclusion: Prevalence of refractive errors was more in urban school children thanrural. Refractive error was more prevalent in 13-15 years age group in both rural and urban schoolchildren. The most common refractive error was myopia, followed by astigmatism andhypermetropia.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Ahmad Ayaz Sabri ◽  
Muhammad Ahad Qayyum ◽  
Naif Usman Saigol ◽  
Khurram Zafar ◽  
Fawad Aslam

A questionnaire-based cross-sectional study was carried out to assess the awareness of diabetes mellitus among rural and urban diabetics. After analyzing the awareness level of both populations, the urban diabetics were found to be more educated about diabetes. A 25-question survey was used to judge the awareness level of diabetes mellitus. A total of 240 diabetics were surveyed, 120 each from rural and urban areas. The mean awareness among the rural population was 13 (SD± 2) correct answers out of a possible 25. Similarly, in the case of the urban diabetics the mean awareness was 18 (SD± 2) correct answers. The survey was conducted on randomly chosen diabetics belonging to Lahore and Faisalabad, (urban areas), as well as Habibabad, Haveli Koranga and Baba Kanwal (rural areas). The results emphasize the interrelation between demography and awareness of diabetes mellitus. The rural diabetics are far less knowledgeable about diabetes mellitus, its management and its complications. Thus, there is an urgent need to improve the awareness level of diabetes mellitus in rural areas. Doing so will give rise to a healthier workforce and a lessened economic burden on Pakistan.


2021 ◽  
Author(s):  
Paul Oladapo Ajayi ◽  
Demilade Olusola Ibirongbe ◽  
Tope Michael Ipinnimo ◽  
Oluremi Olayinka Solomon ◽  
Austin Idowu Ibikunle ◽  
...  

Background: Catastrophic health expenditure occurs when the burden of Out-of-pocket health expenditure has reached a certain level that a household must forego the expenditure on other basic needs of life to meet the health expenses of its member(s) of the household. Worldwide, over 44 million households suffer annually from financial catastrophe. This study intends to determine the prevalence of household catastrophic health expenditure amongst rural and urban communities in Ekiti, Nigeria. Methodology: This is a comparative cross-sectional study of households within selected rural and urban communities in Ekiti State, Nigeria. A pre-tested interviewer-administered semi-structured questionnaire was used to collect data over a period of 4 months from a sample of 1,000 household heads, using a multistage sampling technique. Data obtained were then entered using the SPSS version 20 and analysed with STATA 12. Two different methodologies were used to calculate household catastrophic health expenditure, with sensitivity analysis done. Univariate analysis were used to describe the population in relation to relevant variables. Result: The prevalence of household catastrophic health expenditure is high using the two methodological calculations. It was significantly higher in the rural areas, 18.5% than the urban areas, 12.8% (p=0.015) for first method; it was also higher in the rural areas, 8.3% compared to the urban areas, 2.5% (p&lt;0.001) for the second method. Conclusion: Prevalence of household catastrophic health expenditure is high in Nigeria, but worse in the rural areas. It’s therefore vital to establish financial and social intervention mechanisms that can protect households from incurring catastrophic health expenditure.


2018 ◽  
Vol 1 (2) ◽  
pp. 129-135
Author(s):  
S G Goar ◽  
G K Ayuba ◽  
F P Tungchama ◽  
Y T Maigari ◽  
M T Agbir ◽  
...  

The patterns of alcohol consumption among females  is of enormous public health concerns, as harmful consumption poses danger to their health, welfare, children and to the civil society. The study objectives were to determine the current prevalence of alcohol use, the related socio-demographic factors and the patterns of alcohol consumption. It was a descriptive cross-sectional study in Jos North Local Government Area, carried out from March to July, 2017 after ethical clearance was obtained. A multistage sampling technique was employed to select the participants who were age 18 years and above. A total of 272 females with an age range of 18 to 60 years responded. The mean age was 28.8±8.6 years. Majority 112(41.2%) were in the age group of 25-34 years. Most of them were never married 168 (61.8%), protestants 151(55.4%) and had secondary education 97(35.7%). About half of them were employed (148(54.4%) with 167(61.4%) of them earned an average monthly income of 20,000 naira or less. One hundred and fifty nine (58.5%) use alcohol in the family. The estimated prevalence of life time use, current use and abstention were 79.4%, 41.2% and 20.6% respectively. Of the current users 35(31.1%) were low risk while hazardous, harmful and dependent users were 30(26.8%), 21(18.8%) and 26(23.2%) respectively. The sociodemographic variables associated with current alcohol use were history of family use (χ2 = 3.088, df = 1, p = 0.01) and educational status (χ2 = 8.797, df = 3, p = 0.03). These findings call for immediate advocacy and sensitization of awareness concerning prevention, treatment and rehabilitation to stem the tide of deleterious patterns of alcohol consumption among females in the community.


2017 ◽  
Vol 5 (3) ◽  
pp. 374-382
Author(s):  
Poonam Khanna ◽  
Rajbir Kaur ◽  
Tejinder Singh ◽  
Jill Miller ◽  
Amandeep Sandhu ◽  
...  

Malnutrition is a global concern in developing countries. About one third of the world's malnourished children live in India. To study the prevalence of malnutrition and its associations with socio demographic factors among under 5 children in rural areas. A community based cross sectional study was conducted in district Fatehgarh Sahib. A census based technique was used with 573 under 5 children from nine villages of Fatehgarh Sahib District. Data was collected using structured questionnaire and anthropometric measurements. 573 children, ages 5 years and below, were enrolled for this study with 58.2% participants in upper middle and upper class, and 5.9% in lower and lower middle class. It was found that 14.14%, 15.71% and 18.85 % of the children were malnourished with respect to Weight for age (WHZ) and Height for age (HAZ) z-scores and disturbet body weight. Multivariate regression analyses of all indicators of malnutrition reflect parental education, socioeconomic status, an increase in number of children in household and children born in second or third order were some of the socio-demographic factors, which had an impact on the nutritional status of the under-five children. Significantly for stunting ( a marker of malnutrition of great concern), children from a lower caste had a 2.2 fold higher odds (OR 2.24), second or higher birth order was associated with 26% higher odds (OR 1.262), and children born to parents with lower literacy ( primary and below) had 52% and 33% higher odds for mother’s and father’s education respectively (OR 1.52 and 1.32). The burden of under-nutrition among under-5 children has not changed significantly even after several intervention programs. Therefore, policy makers must focus on simultaneous socioeconomic development also. Additional qualitative research is needed on identifying and designing new programs or modifying existing programs with services which can be easily understood and afforded equitably by the intended beneficiaries


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