scholarly journals Anatomical site-wise distribution of upper aerodigestive tract malignancies in a rural population

Author(s):  
Mudassar A. Shariff

<p class="abstract"><strong>Background:</strong> Upper aerodigestive tract malignancies constitute approximately 4% of all malignancies. These include cancers of the various sites of the upper aerodigestive tract where malignant lesions can be found such as the nasal cavity, paranasal sinuses, nasopharynx, oral cavity and it’s sub-sites, oropharynx, larynx and hypopharynx. Malignancies of these sites are found to be common in people from lower socio-economic strata. Tobacco and alcohol are considered as risk factors for it’s development.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted in the outpatient section of Department of ENT, at Chamarajanagar Institute of Medical Sciences and Hospital, Chamarajanagar, India, for a period of 1 years 10 months from October 2014 to July 2016. During the study period, 100 cases that were diagnosed as having upper aerodigestive tract malignancy by histopathology were included in the study group. The aim of this study is to determine the epidemiology, clinical features and anatomical site-wise distribution of malignancy in the study group.  </p><p class="abstract"><strong>Results:</strong> Oral cavity was the commonest site where malignancy developed in the upper aerodigestive tract followed by the larynx. Malignant disease was more common in males and in the elderly. Majority of the patients who developed malignancy had history of tobacco and alcohol consumption.</p><p><strong>Conclusions:</strong> Oral cavity malignancy is common in rural population, is associated with tobacco chewing and is more common in elderly male. </p>

Author(s):  
Sneha Soni ◽  
Manish Kumar ◽  
Mukesh Shukla

<p class="abstract"><strong>Background:</strong> India is passing through a major demographic and epidemiological transition there by leading to increasing geriatric problems as burning public health issue within the nation. The present cross-sectional study was undertaken to study health consciousness among the elderly in a rural population of Katihar.</p><p class="abstract"><strong>Methods:</strong> The present study was conducted in rural field practice area of Katihar medical college and a total 450 elderly persons were interviewed using pre-designed, pre-tested semi structured questionnaire regarding their health consciousness and health seeking behavior during the study period of one year, from Jan 2013 to Dec 2013. Data was entered in Microsoft excel and analyzed by using frequency and proportion.</p><p class="abstract"><strong>Results:</strong> Majority (69.7%) of the elderly were conscious about health, followed by reluctant group (16.6%), while 13.5% were not conscious about their health. Factors like gender (p=0.00), marital status (p=0.02), social category (p=0.00), educational status (p=0.00), occupation (p=0.00) and financial dependency (p=0.04) were found to be significantly associated with health consciousness among elderly.</p><p class="Default"><strong>Conclusions:</strong> On the basis of these findings, it can be recommended that there is a need not only to develop comprehensive geriatric health-care services, but community based intervention are also needed to increase the overall knowledge and consciousness towards health so as to improve their health seeking behaviour.</p>


2019 ◽  
Vol 10 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Azam David Saifullah ◽  
Nur Latifah ◽  
Eria Riski Artanti ◽  
Kadek Dewi Cahyani ◽  
Umi Rahayu ◽  
...  

Background: There is a higher prevalence of mental distress in rural areas compared to urban areas in Indonesia. The rural areas of Indonesia have various socio-demographic and sophisticated cultural characteristics, but less exposed to foreign cultures. Thus, the study about the prevalence, associated factors, and predictors of mental distress in rural areas is necessary.Purpose: This study aimed to identify the population's status and related factors of mental distress in rural areas in Indonesia.Methods: A descriptive cross-sectional study was conducted to achieve the aims of the study. An Indonesian version of the Self-Rated Questionnaire, consisting of 20 items, was used to measure mental distress status of population in rural areas in Yogyakarta, Indonesia. A number of 872 records were included and analyzed using both univariate and bivariate analyses in this study.Results: The prevalence of mental distress in this population was 6%. The correlated factors of mental distress were age (χ2=6.93, p=0.01), gender (χ2=0.07, p=0.03), occupation (χ2=0.26, p=0.02), housing dimension (χ2=5.45, p=0.02), and illness status (χ2=0.01, p<0.01).Conclusion: The prevalence of mental distress in rural areas of Indonesia is relatively lower than that of the national level. Future mental health programs may be focused on improving mental health on the elderly, male, vulnerable workers, overcrowded housing, and people who got a chronic illness.


2019 ◽  
Vol 56 (1) ◽  
pp. 71
Author(s):  
Prabhjot Kaur

Micronutrients deficiency are often common in elderly people due to a number of factors like reduced food intake and lack of variety in foods they eat. To study the food habits, food pattern, dietary intake and their effect upon nutritional profile of elderly males belonging to rural and urban area. This was a cross sectional study done among 100 elderly males, 50 each belonging to HIG and LIG in various villages of district Ludhiana in the age group of 60 and above. A pretested, semi- structured questionnaire was used to collect the data. The data was analyzed by using different statistics formulas. The result shows that the average daily intake of energy by the elderly male respondents of HIG ranged from 1565 kcal to 1818 kcal and for respondents of LIG ranged from 1432 kcal to1660 kcal which was below the energy requirements given for 60+ age group based on their body weights. Significant association was found between knowledge and occupation, education, marital status and income. This study shows that the diet of the respondents of HIG were adequate in protein, fat, calcium, iron, vitamin C but were inadequate in energy, carbohydrates, fibre, carotene and riboflavin. The diets of elderly of LIG respondents were inadequate in all the major nutrients leading to nutritional deficiencies and making them more susceptible to diseases.


Author(s):  
Rajesh Kumar Seth

Background: Ageing is a universal process and it affects every individual, family, community and society. It is a normal, progressive and irreversible process. Ageing is generally defined as a process of deterioration in the functional capacity of an individual that results from structural changes, with advancement of age. Population ageing is a global phenomenon. Aim of the study was to study the morbidity profile and their psychosocial problems of the elderly in a rural population in the state of Uttar Pradesh, India.Methods: This was a cross-sectional community based descriptive study. People of either sex, more than 60 yrs of age residing in the field practice areas of department of community medicine constituted the study population. Socio-demographic information like name, age, sex, religion, education, occupation etc. and other information like housing, ventilation, overcrowding were collected in semi-structured and pretested proforma, after obtaining informed consent. The multi-stage sampling methodology was adopted for the selection of study unit.Results: A total of 272 elderly with 173 male and 99 females were interviewed in this study. About one fourth of the elderly belonged to age 60-61 years (25.7%). More than half of the elderly had a fall within last 12 months (66.2%). Not much difference was observed in the percentage of fall within 12 months in male (64.7%) and females (68.7%). The majority of the males (64.7%) and females (81.8%) had pain in joints as the presenting symptom. The second most common symptom was found to be weakness. Only 45.6% of the elderly were satisfied with their life. There was similar percentage of male (45.7%) and female (45.5%) elderly who were satisfied with their life. However, 51.8% felt empty in their life and 45.2% preferred to stay in the house.Conclusions: The need for the hour is to set up special health services for geriatric population in accordance with the common existing problems. Providing screening services as well as curative, rehabilitative services and convalescent homes to provide long term care is also a priority.


Author(s):  
Mudassar A. Shariff

<p class="abstract"><strong>Background:</strong> Laryngeal cancer is one of the 10 leading causes of cancer in Indian men. Late presentation of the disease may worsen management outcomes. Consumption of tobacco and alcohol is associated with the development of laryngeal malignancy.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted in the Department of ENT, at Chamarajanagar Institute of Medical Sciences and Hospital, Chamarajanagar, India, for a period of 2 years 6 months from October 2014 to March 2017. During the study period, all cases that were diagnosed as Laryngeal malignancy by histopathology were included in the study group. The aim of this study is to determine the epidemiology, anatomical location of the tumor at presentation, clinical presentation and the stage of the tumor at the time of presentation.  </p><p class="abstract"><strong>Results:</strong> Majority of patients were elderly male from lower socio-economic strata. The most common clinical presentations were change in voice, pain in throat, difficulty in swallowing, lump in neck and difficulty in breathing. Supraglottis (82%) was the most common anatomic location of tumor. 60% of the patients presented in stage III of the disease. All the cases were squamous cell carcinoma.</p><p class="abstract"><strong>Conclusions:</strong> Laryngeal malignancy is a relatively uncommon malignancy in general population but is more common in rural population especially in people belonging to lower socio-economic strata. Supraglottic malignancy is the most common anatomic location of laryngeal malignancy. Majority of the cases from rural population presented in an advanced stage of the disease.</p>


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e8015 ◽  
Author(s):  
Hongxun Song ◽  
Da Feng ◽  
Ruoxi Wang ◽  
Jian Yang ◽  
Yuanqing Li ◽  
...  

Introduction This study aimed to assess the prevalence of hypertension and to explore the disparities of its risk factors among urban and rural elderly. Method Data of hypertensive patients were collected from the China Health and Retirement Longitudinal Study (CHARLS) 2015. Stratified sample households were selected from 450 villages or communities of 150 counties from 28 provinces. Multivariable logistic regression was performed to analyze the factors correlated with hypertension. Results Prevalence of HBP was 47.6% (95% CI [45.2%–50.1%]) in total and it was close between urban and rural population (48.6% vs 47.2%). Factors associated with HBP were different between urban and rural areas. In urban areas, hypertension was significantly associated with literacy and diabetes in both genders, high BMI level and smoke quitters in males, and physical activity and dyslipidemia in females. In rural areas, hypertension was significantly associated with older age, higher BMI level in both males and females, and dyslipidemia in males. Conclusions The prevalence are about the same among urban and rural residents, but their risk factors vary from each other. Disparity in the risk factors between urban and rural population should be taken into consideration for further intervention.


2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly


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