scholarly journals Morbidity profile and its determinants among the elderly residing in rural field practice area of Shirur, rural health training centre, Bagalkot-North Karnataka-a cross-sectional study

2018 ◽  
Vol 5 (3) ◽  
pp. 181-186
Author(s):  
Sachin V. Desai ◽  
Kshitij Arora ◽  
Ashok S. Dorle ◽  
Manjula R
Author(s):  
Priyanka Chakkarwar ◽  
Amol Kinge

Background: Almost 2.5 billion people don’t have the access to clean toilet globally. In 2011 sanitation coverage globally was 64%. While open defecation is declining across the globe, 15% (one billion) of the global population still defecate outdoors. OFD practices are associated with transmission of variety of infectious diseases. This study was conducted to understand the nature of defecation practices with respect to hygiene in a tribal community.Methods: It was a cross sectional study conducted among patients attending out-patient department of a rural health training center from a nearby tribal area, Thane district, Maharashtra which is a field practice area of rural health training centre of Seth GSMC and KEM Hospital, Mumbai.Results: Majority of the subjects practiced open field defecation (67%), followed by 18% subjects used household latrines and 15% used community based latrines. Majority of the study participants practiced open field defecation in agriculture fields (81%), while 44% preferred nearby water source as a site for defecation.Conclusions: The sanitary condition in the study area was poor. Rural areas with better literacy seems to have lower open field defecation prevalence and higher percentages of sanitary latrine usage. 


Author(s):  
Gowri Shankar ◽  
Jayaraj M. Ramachandra ◽  
Sarojini S. Hunshikatti

Background: Widows are the most vulnerable segment among the elderly population in India. Elderly widows face several social, economic, emotional and cultural deprivations due to their gender, widowhood and old age. Hence, this study was done with the objective to know the socio demographic profile and morbidity of elderly widows residing in urban field practice area of S.N. Medical College, Bagalkot.Methods: This cross sectional study was done in 8 Anganwadi areas during 2016 by cluster random sampling. All the elderly widows residing in the areas were included after informed consent. Ethical clearance was obtained from Institutional review board. Data regarding their socio demographic profile, cause of death of husband, the number of years being a widow, health seeking behavior and their chronic morbidities were noted. Height and weight of each elderly widow was measured and body mass index calculated using the formula weight in kilogram divided by height in meter 2 and classified according to South East Asian category. Blood pressure was recorded three times with the widow in a sitting posture in an interval of 3 minutes and the least value was documented according to JNU classification.Results: Out of 140 elderly widows who were residents of the areas, majority (69.29%) were between 60 to 74 years of age followed by 27.86% between 75 to 89 years of age. It was observed that 75% of them were illiterate. The leading cause of death of husband was coronary heart disease (19.29%), chronic obstructive pulmonary disease (12.86%) and alcoholic cirrhosis (10.71%). On examination of the non-hypertensive widows, it was observed that 36.06% were in Stage I and 22.68% were in Stage II of hypertension (JNU classification).Conclusions: Elderly widows are a vulnerable segment of the community. Their health care needs are a priority and regular health check-ups are to be planned.


Author(s):  
Ratna Balaraju ◽  
Chandrasekhar Vallepalli ◽  
K. Chandra Sekhar ◽  
M. M. V. Prasad Sharma ◽  
T. Sushmita

Background: Dementia is one of the major causes of disability and dependency among older people worldwide. Dementia has physical, psychological, social and economic impact. Worldwide prevalence of dementia in elderly population of more than 60 years is 5-8%. Prevalence of mild cognitive impairment in India is 14.89%. Present study aim was to estimate the prevalence of dementia and the risk factors associated with dementia among elderly population in rural field practice area of Nalgonda district.Methods: A descriptive, community based cross-sectional study was conducted among 119 elderly population in the field practice area of Rural Health Training Centre by simple random sampling method, with the help of a pre-designed and pre-tested questionnaire. Data was analyzed using SPSS Version 19. MMSE (mini mental status examination) questionnaire was used to screen for dementia. Barthel index was used to assess the dependency status.Results: Demographic profile of the study population of 119, males 65 (54.62%), females 54 (45.38%). Majority of their source of income were government service pension 30 (25.21%) and old age pension 70 (58.82%). 56 (47.06%) of elderly population living with family and 63 (52.94%) people were living individually. The study revealed the prevalence of cognitive impairment is 35.3%. Risk factors like middle age obesity, smoking, alcohol consumption, social isolation showed significant association with dementia.Conclusions: Dementia can be prevented by early diagnosis and promoting physical health and treating behavioural and psychological symptoms. Risk of dementia can be reduced by following regular exercise, diet, quitting smoking and alcohol.


Author(s):  
Preethi Selvaraj ◽  
Ramkumar Boopathirajan

Background: India is the diabetic capital of the world with nearly 31.7 million people suffering from the disease in 2000 which is projected to become 79.4 million in the year 2030. The incidence of diabetes in India is around 8.8%. This study aims at developing a mini questionnaire to quickly assess the self-care practices among the diabetic patients attending rural health training centre and also to educate the diabetic patients about self-care practices and dietary pattern they need to follow.Methods: The study design is a community based cross-sectional study. All diabetic patients who visited rural health training centre attached to a private medical college aged 40 years and above in the period of June to July 2019 were included in our study. Institutional ethical clearance was taken before commencing the study. Construction of mini self-care practices questionnaire (MSCPQ) comprised of two phases. Trained medical students collected the data by interview method using semi-structured, pre-tested questionnaire.Results: The reliability of the MSCPQ using Cronbach’s alpha came to be 0.82 and the intra class correlation coefficient was 0.81; 95% CI (0.763-0.853) (p=<0.001). Around sixty six percent are having their health check-up regularly. Most (43%) of the study participants check their blood sugars monthly.Conclusions: Even though there are various factors contributing in facilitating self-care activities in patients living with diabetes, the role of health care physicians in educating about self-care practices are indispensable.


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