scholarly journals A cross-sectional study on contributing risk factors and health seeking behaviour among diabetic patients attending the NCD clinic at urban health and training centre of a tertiary care institute in Durg District of Chhattisgarh, India

Author(s):  
M. N. Alam ◽  
Shagufta Khatoon ◽  
Nirmal Verma ◽  
Laxmikant Umate

Background: About 422 million people worldwide have diabetes and 1.6 million deaths each year. Global target is to halt the rise in diabetes and obesity by 2025. In context of above background study was conducted with the aim and objective to determine the risk factor and health seeking behaviour among adult’s diabetics who visited urban health and training centre (UHTC) of a tertiary care Institution.Methods: A cross-sectional study was conducted on 150 adult’s diabetics who visited NCD clinic at UHTC, of a tertiary care institution from June 2020 to May 2021. Semi open questionnaire was used. Study setting was department of community medicine, Chandulal Chandrakar Memorial Medical College, Durg, Chhattisgarh. Ethical consent was taken from institutional ethical committee and written informed consent obtained from all the participants. Data analysis done using SPSS software. Statistical significance obtained using Chi-square test at p value <0.05.Results: About 81% of subjects had good drug compliance whereas 19% had poor compliance. About 5% had exclusively supply from hospital whereas 45% from both sources hospital and medicine shop and 50% from shop only. About 69% of subjects were involved in physical activities whereas 31% did not had any physical activities. About 45% were addicted to substance abuse. Prevalence of diabetes was maximum 38% in age group 50-60 years. The mean age of diagnosis of diabetes was 45.92±13.58 years.Conclusions: Diabetes was maximum in late adulthood and majority were utilising both medicine shop and hospital for health care. 

Author(s):  
NWS Chew ◽  
RCC Wong ◽  
AH Djohan ◽  
JN Ngiam ◽  
P Chai ◽  
...  

Introduction: Countries are mandating the use of face masks to stem the spread of COVID-19. Face mask use has been associated with discomfort due to its effects on thermoregulation, breathing and oxygenation. We evaluated the prevalence and severity of self-reported cardiovascular symptoms before and during face mask use. Methods: This was a cross-sectional study of 1001 participants residing in Singapore, who participated in a self-administered questionnaire between 25th April 2020 to 4th May 2020. Symptom severity before and during mask use and health-seeking behaviour information were collected. The study outcome was the self-reported worsening of cardiovascular symptoms, and its association with the type of mask worn, duration of mask worn per day, and intensity of physical activities during mask use. Results: The commonest symptom reported during mask use was dyspnoea. Independent predictors for self-reported cardiovascular symptoms during mask use were moderate–high physical activity during mask use (OR 1.634, 95% CI 1.176–2.270, p=0.003), duration of mask use ≥3 hours (OR 1.672, 95% CI 1.189–2.352, p=0.003) and the type of mask used, after adjusting for age, sex, healthcare-based worker status and presence of comorbidities. N95 mask was associated with worse symptoms when compared to surgical mask. Participants with ≥3 worsening symptoms, or worsening dyspnoea, palpitations, fatigue and dizziness were more likely to seek medical help. Conclusion: Face mask use is proven to be an effective way in curbing COVID-19 transmission. However, participants in this study had concerns regarding its use and these concerns should be urgently addressed to enable mask-use policies to be enacted.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e032039
Author(s):  
Kaung Suu Lwin ◽  
Shuhei Nomura ◽  
Daisuke Yoneoka ◽  
Peter Ueda ◽  
Sarah Krull Abe ◽  
...  

ObjectivesTo examine the associations of parental social and economic position with health-seeking behaviour for diarrhoea and acute respiratory infection (ARI) among under-5 children in Myanmar and explore potential underlying mechanisms.DesignA cross-sectional study.SettingA secondary dataset from the nationwide 2015–2016 Myanmar Demographic and Health Survey (MDHS).ParticipantsAll under-5 children in the sampled households with reported symptoms of diarrhoea and ARI during the 2-week period preceding the MDHS survey interview.Primary and secondary outcome measuresFour parental health-seeking behaviours: ‘seeking treatment’, ‘formal health provider’, ‘public provider’ and ‘private provider’ were considered. Social and economic positions were determined by confirmatory factor analysis. Multilevel logistic regressions were employed to examine the associations of social and economic positions with health-seeking behaviours for diarrhoea and ARI. Mediation analyses were conducted to explore potential underlying mechanisms in these associations.ResultsOf the 4099 under-5 children from the sampled households in MDHS, 427 (10.4%) with diarrhoea and 131 (3.2%) with ARI were considered for the analyses. For diarrhoea, social position was positively associated with seeking treatment and private provider use (adjusted OR: 1.60 (95% CIs: 1.07 to 2.38) and 1.83 (1.00 to 3.34), respectively). Economic position was positively associated with private provider use for diarrhoea (1.57 (1.07 to 2.30)). Negative associations were observed between social and economic positions with public provider use for diarrhoea (0.55 (0.30 to 0.99) and 0.64 (0.43 to 0.94), respectively). Social position had more influence than economic position on parental health-seeking behaviour for children with diarrhoea. No evidence for a significant association of social and economic position with health-seeking for ARI was observed.ConclusionsSocial and economic positions were possible determinants of health-seeking behaviour for diarrhoea among children; and social position had more influence than economic position. The results of this study may contribute to improve relevant interventions for diarrhoea and ARI among children in Myanmar.


2021 ◽  
Vol 8 (2) ◽  
pp. 120-124
Author(s):  
Saraswati V Sajjan ◽  
Neeta P N ◽  
Poonam P Shingade

Adolescence is the significant period in the life of a woman. Menstrual disturbances are the commonest presenting complaint in adolescent age group and unhygienic practices during menstruation can lead to untoward consequences like pelvic inflammatory disease and even infertility. To study the knowledge and practice regarding menstrual hygiene among adolescents. This is a cross-sectional study conducted from October 2018 to December 2018 among 100 adolescent girls who attended adolescent clinics at Urban Health Training centre of KBNU Medical College, Kalaburagi. The mean age of participants was 16.2 ± 2.1 SD. only 26% of participants were aware about menstruation before menarche. Majority (91%) of participants had knowledge about use of sanitary pads during menstruation but only 78% used them. The most common reason for non usage was the cost of pads (68%). The method of disposal was satisfactory among 62% of participants and 84% of participants change their pads /cloth pieces 2-3 times per day. Restriction of diet during menstruation was seen in 40% and 30% missed school during their periods. Although there was good knowledge regarding menstrual hygiene among adolescent girls, practice needs to improve. Health education sessions at urban health clinics and schools involving mothers of these adolescent girls can aid to overcome socio cultural practices of restricting movement and diet restrictions during menstruation.


2017 ◽  
Vol 37 (1) ◽  
pp. 79-82
Author(s):  
U. Anyanwu Onyinye ◽  
T. Eseonu Chinonyelum ◽  
B. Ezeanosike Obumneme ◽  
O. Cliford Okike ◽  
C. Roland Ibekwe

Introduction: A cultural myth Ogbanje have existed among the Ibo people of Nigeria. These children may have morbidities that are manageable while some normal children may have to live with the stigma of being labelled such. The objective of this study was to assess mother’s perception of ogbanje phenomenon and morbidity in ogbanje children.Material and Methods: This was a Cross-sectional study amongst mothers having the concept of “Ogbanje” children who were clinically examined. SPSS version 20.0 was used for data analysis. Variables were compared with χ2. p<0.05 was accepted as significant.Results: A total of 64.8% believed in “Ogbanje”. Commonest presentation of “Ogbanje” was frequent illness (47.3%). Only 12(3.3%) would seek orthodox care for ogbanje children. Examined “ogbanje” children had sicklecell anaemia, structural anomalies, and diabetes. Four (9.5%; n=42) children were normal. Conclusion: Ogbanje myth still exists in the minds of mothers and affects health seeking behaviour. Ogbanje children may have manageable illness and sometimes may be normal.


Author(s):  
Ekta Gupta ◽  
Archana Thakur ◽  
Shivam Dixit

Background: The increase in life expectancy has resulted in changes in age composition of India and tripling of geriatric population in last 50 years. To provide adequate and comprehensive care to elderly, understanding their health problems and health seeking behavior is imperative. Hence, this study aimed to assess the morbidity pattern and health-seeking behavior and factors affecting them among geriatric population of a rural area of district Faridabad.Methods: A cross-sectional study was carried out among 300 elderly above 60 years of age in village Pali of Faridabad district for a period of 3 months. The list of elderly was obtained from health workers’ records and they were interviewed regarding socio-demographic factors, morbidity status and health seeking behaviour using a predesigned and pretested structured questionnaire.Results: Out of 300 subjects, 56% were females and 63% were in age group of 60-69 years. Overall 93.3% subjects had one or more morbidities with musculoskeletal disorders being most common (57.3%) followed by visual impairment and cataract (54.0%) and hypertension (49.0%). Morbidities were significantly higher among females (p= 0.006), divorced/separated (p=0.014) and illiterate elderly (p=0.026). 77.7% elderly preferred allopathic system of medicine with private facilities preferred by 40%.Conclusions: Morbidity load among elderly was very high and health seeking behaviour was poor. So, strong efforts are needed to provide them with comprehensive and specialised care so that they contribute to their maximum potential to our society. Primary healthcare strategies targeting elderly needs to be strengthened and area specific strategies need to be formulated. 


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