Prevalence and associated factors of visual impairment among adults at Debre Berhan Town, North Shewa, Ethiopia.

Abstract Background: Visual impairment refers to presenting distance visual acuity worse than 6/18 in the worst eye. It remains a global challenge that greatly affects the mobility, social participation and the quality of life of the people. This study was aimed to determine the prevalence and associated factors of visual impairment among adults aged 18 years. Methods: A community-based cross-sectional study was conducted at Debre Berhan town. Systematic random sampling method was employed to select the study participants from adult’s aged ≥ 18 years. Data were collected by interview with a pre-tested semi structured questionnaire. Both anterior and posterior segment ocular examinations were done by Optometrists and Ophthalmologist. After all ocular examinations adult’s aged ≥ 18 years with presenting Visual acuity of < 6/18 in the worst eye were considered as visually impaired. Multivariate logistic regression was used to identify the determinant factors and p value less than 0.05 was considered as statistically significant. Results: A total of 416 participants were enrolled in the study with a 98.6% response rate. The prevalence of visual impairment among adults aged 18 years was 16.8% (95% CI: 13.5%-20.2%). Aged > 64 years (AOR=12.18, 95%CI: 4.47-33.20), illiterates AOR=3.02, 95% CI: 1.36-6.72), previous eye trauma (AOR=4.44, 95% CI: 1.64-12.04), family size > 5 (AOR: 4.44, 95% CI: 1.43-13.75) and family history of eye problem (AOR=7.02, 95% CI: 1.95-25.22) had statistically significant association with visual impairment.Conclusions: Prevalence of visual impairment among adults was found to be a significant public health problem. Older age, illiterates, previous eye trauma, large family size and family history eye problem were positively associated with visual impairment.

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Prevalence and associated factors of visual impairment among adults at Debre Berhan Town, North Shewa, Ethiopia.

10.21203/rs.2.15192/v2 ◽

2020 ◽

Author(s):

Natnael Lakachew Assefa ◽

Addisu Admas ◽

Nebiyat Adimasu

Keyword(s):

Family History ◽

Visual Impairment ◽

Family Size ◽

Associated Factors ◽

Public Health Problem ◽

Large Family ◽

P Value ◽

Cross Sectional ◽

Eye Trauma ◽

Debre Berhan

Abstract Background : Visual impairment refers to presenting distance visual acuity worse than 6/18 in the worst eye. It remains a global challenge that greatly affects the mobility, social participation and the quality of life of the people. This study was aimed to determine the prevalence and associated factors of visual impairment among adults aged 18 years. Methods: A community-based cross-sectional study was conducted at Debre Berhan town. Data were collected by interview with a pre-tested semi structured questionnaire and ocular examinations. The collected data were analyzed by SPSS version 20. Multivariate logistic regression was used to identify the determinant factors and p value less than 0.05 was considered as statistically significant. Results: A total of 416 participants were enrolled in the study with a 98.6% response rate. The prevalence of visual impairment among adults aged 18 years was 16.8% (95% CI: 13.5%-20.2%). Aged > 64 years (AOR=12.18, 95%CI: 4.47-33.20), illiterates AOR=3.02, 95% CI: 1.36-6.72), previous eye trauma (AOR=4.44, 95% CI: 1.64-12.04), family size > 5 (AOR: 4.44, 95% CI: 1.43-13.75) and family history of eye problem (AOR=7.02, 95% CI: 1.95-25.22) had statistically significant association with visual impairment. Conclusions: Prevalence of visual impairment among adults was found to be a significant public health problem. Older age, illiterates, previous eye trauma, large family size and family history eye problem were positively associated with visual impairment.

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Prevalence and associated factors of visual impairment among adults at Debre Berhan Town, North Shewa, Ethiopia

10.21203/rs.2.15192/v4 ◽

2020 ◽

Author(s):

Natnael Lakachew Assefa ◽

Addisu Admas ◽

Nebiyat Adimasu

Keyword(s):

Visual Acuity ◽

Family History ◽

Visual Impairment ◽

Family Size ◽

Visually Impaired ◽

Associated Factors ◽

Public Health Problem ◽

P Value ◽

Eye Trauma ◽

Debre Berhan

Abstract Background: Visual impairment refers to presenting distance visual acuity worse than 6/18 in the worst eye. It remains a global challenge that greatly affects the mobility, social participation and the quality of life of the people. This study was aimed to determine the prevalence and associated factors of visual impairment among adults aged 18 years. Methods: A community-based cross-sectional study was conducted at Debre Berhan town. Systematic random sampling method was employed to select the study participants from adult’s aged ≥ 18 years. Data were collected by interview with a pre-tested semi structured questionnaire. Both anterior and posterior segment ocular examinations were done by Optometrists and Ophthalmologist. After all ocular examinations adult’s aged ≥ 18 years with presenting Visual acuity of < 6/18 in the worst eye were considered as visually impaired. Multivariate logistic regression was used to identify the determinant factors and p value less than 0.05 was considered as statistically significant. Results: A total of 416 participants were enrolled in the study with a 98.6% response rate. The prevalence of visual impairment among adults aged 18 years was 16.8% (95% CI: 13.5%-20.2%). Among the overall prevalence of visually impaired adults 27 (6.49%) had bilateral VI and 43 (10.34%) had monocular VI. Aged > 64 years (AOR=12.18, 95%CI: 4.47-33.20), illiterates AOR=3.02, 95% CI: 1.36-6.72), previous eye trauma (AOR=4.44, 95% CI: 1.64-12.04), family size > 5 (AOR: 4.44, 95% CI: 1.43-13.75) and family history of eye problem (AOR=7.02, 95% CI: 1.95-25.22) had statistically significant association with visual impairment.Conclusions: Prevalence of visual impairment among adults was found to be a significant public health problem. Older age, illiterates, previous eye trauma, large family size and family history eye problem were positively associated with visual impairment.

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Prevalence and associated factors of visual impairment among adults at Debre Berhan Town, North Shewa, Ethiopia.

10.21203/rs.2.15192/v1 ◽

2019 ◽

Author(s):

Natnael Lakachew Assefa ◽

Addisu Admas ◽

Nebiyat Adimasu

Keyword(s):

Family History ◽

Visual Impairment ◽

Family Size ◽

Associated Factors ◽

Public Health Problem ◽

Large Family ◽

P Value ◽

Cross Sectional ◽

Eye Trauma ◽

Debre Berhan

Abstract Introduction Visual impairment refers to presenting distance visual acuity worse than 6/18 in either or both eyes. Globally 285 million (4.25%) people had visual impairment and among those 266.4 million were adults. It has become a global challenge that greatly affects the mobility, social participation and the quality of life of the people.Purpose The purpose of this study was to determine the prevalence and associated factors of visual impairment among adults at Debre Berhan town.Methods and materials A community-based cross sectional study was conducted at Debre Berhan town. Data was collected by interview with pre-tested semi structured questionnaire and ocular examinations. The collected data were analyzed by SPSS version 20. Multivariate logistic regression was used to identify the determinant factors and p value less than 0.05 was considered as statistically significant.Result A total of 416 participants were involved in the study with a 98.6% response rate. The prevalence of visual impairment among adults was 16.8% (95% CI: 13.5%-20.2%). Age 40-60years (AOR: 3.04, 95% CI: 1.22-7.58), age>64 years (AOR=12.18, 95%CI: 4.47-33.20), illiterate (AOR=3.02, 95% CI: 1.36-6.72), previous eye trauma (AOR=4.44, 95% CI: 1.64-12.04), family size >5 (AOR: 4.44, 95% CI: 1.43-13.75) and family history of eye problem (AOR=7.02, 95% CI: 1.95-25.22) had statistically significant association with visual impairment.Conclusion Prevalence of visual impairment among adults was found to be a significant public health problem. Older age, illiterate, previous eye trauma, large family size and family history eye problem were positively associated with visual impairment.

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Comparative assessment of overweight/obesity among rural and urban reproductive-age women in Ethiopia: Evidence from a cross-sectional 2016 national survey

Nutrition and Health ◽

10.1177/0260106020982346 ◽

2021 ◽

pp. 026010602098234

Author(s):

Gizachew Worku Dagnew ◽

Melash Belachew Asresie

Keyword(s):

Family Size ◽

Health Problem ◽

Rural Women ◽

Alcohol Intake ◽

Statistical Significance ◽

Public Health Problem ◽

Reproductive Age ◽

P Value ◽

Cross Sectional ◽

Reproductive Age Women

Background: Overweight/obesity has become a global health problem for both developed and developing regions. Nowadays, overweight/obesity among childrearing-age women has become rapidly increasing in both urban and rural areas. Aim: This study aimed to assess the variation of overweight/obesity among urban and rural reproductive-age women in Ethiopia. Methods: For this study, the 2016 Ethiopia Demographic and Health Survey data were used. The survey was a community-based cross-sectional study, which used a two-stage stratified cluster sampling technique to select the participants. A total of 13,451 reproductive-age women were included in the analysis. Both descriptive and analytical analysis was performed. A p-value of less than 0.05 was used as the measure of statistical significance. Results: The prevalence of overweight/obesity among urban reproductive-age women was statistically higher ( p = 21.5%; 95% confidence interval (CI): 18.2–25.1) than the rural women ( p = 3.5%; 95% CI: 2.9%–4.2%). Women who attend secondary or above education, women in the age groups 25–34 and ≥ 35 years, and high wealth index (rich) had higher odds of overweight/obesity in both urban and rural women. Moreover, women who were married, who had a large family size, and who have a history of alcohol intake had higher odds of overweight/obesity among urban women. Conclusions: Overweight/obesity among reproductive-age women is a public health problem in Ethiopia, especially for women who are living in urban settings. Therefore, it is important to establish targeted overweight reduction programs with particular emphasis on urban, older aged, educated, and married women. Additionally, encouraging the limitation of the number of family size and alcohol intake can reduce women’s overweight/obesity.

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Prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia 2018: A cross sectional study

10.21203/rs.2.13141/v1 ◽

2019 ◽

Author(s):

Sisay Shine ◽

Sindew Muhamud ◽

Solomon Adnew ◽

Alebachew Demelash

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Sectional Study ◽

Rota Virus ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Debre Berhan

Abstract Introduction Diarrhea is responsible for 525,000 under five children deaths and 1.7 billion cases in the world and the second leading cause of death among under-five children. It is the major public health problem in developing countries like Ethiopia. The main aim of this study was to assess the prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia.Methods Community based cross-sectional study design was done among 420 children in Debre Behan Town. Multi-stage sampling technique was used to select the study participants. Data were collected by using pre-tested and structured questionnaire. Odds ratios with 95% confidence intervals were used to assess level of significance.Results The two week prevalence of diarrhea among under-five children was 16.4%. Age of children with 7-11 month years old (AOR: 4.2, 95%CI: 1.2 – 15.3), being the second children (AOR: 3.9, 95%CI: 1.8 – 8.5), not vaccinated against Rota virus (AOR: 10.3, 95%CI: 3.2 – 91.3) and feeding children by using hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of under five children diarrhea.Conclusions This study revealed that the two weeks’ period prevalence of under-five diarrhea was relatively high. Age of children, vaccination against Rota virus and feeding children by using hand were associated with under-five children diarrhea. Education program on the important of vaccination against Rota virus and critical point of hand washing is recommended.

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Prevalence and causes of visual impairment amongst older adults in a rural area of North India: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-018894 ◽

2018 ◽

Vol 8 (3) ◽

pp. e018894 ◽

Cited By ~ 9

Author(s):

Sumit Malhotra ◽

Praveen Vashist ◽

Mani Kalaivani ◽

Noopur Gupta ◽

Suraj Singh Senjam ◽

...

Keyword(s):

Visual Acuity ◽

Visual Impairment ◽

Rural Population ◽

Associated Factors ◽

Cross Sectional Study ◽

North India ◽

Refractive Errors ◽

Sectional Study ◽

Cross Sectional ◽

Common Causes

ObjectivesTo determine the prevalence, causes and associated factors for visual impairment (VI) in rural population of Jhajjar district, Haryana, north India.MethodsA community-based, cross-sectional study was conducted in two blocks of Jhajjar district. A total of 34 villages were selected using probability proportionate to size sampling method. Adults aged 50 years and above were selected using compact segment cluster sampling approach. Presenting visual acuity using LogMAR E chart was measured along with collection of other demographic details as part of the house-to-house survey. Subjective refraction and torch light examination were performed at a clinic site within the village to ascertain VI and its cause. VI was considered when presenting visual acuity was less than 6/18 in the better eye. Common causes of VI viz uncorrected refractive errors, cataract, central corneal opacity and others were noted by optometrists. Descriptive analysis was undertaken. Multivariate logistic regression analysis was performed for determining associated factors with VI.ResultsOut of 2025 enumerated adults, 1690 (83.5%) were examined at the household level and 1575 (78%) completed all study procedures. The prevalence of VI was found to be 24.5% (95% CI 21.1 to 26.3) and blindness was 5% (95% CI 3.9 to 6.1). The most common causes of VI were uncorrected refractive errors (50%) and cataract (37%). The VI in study participants was found to be associated with age, gender, marital and educational status.ConclusionsVI is still a public health problem in rural population of Jhajjar district, Haryana. Provision of spectacles and cataract surgical services are simple interventions to address this issue.

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Respectful Delivery Care and Associated Factors in Public Health Facilities in Debre Berhan Town, Ethiopia

10.21203/rs.3.rs-62205/v2 ◽

2021 ◽

Author(s):

Yonas Azanaw Wubetu ◽

Nigussie Tadesse Sharew ◽

Osman Yimer Mohammed

Keyword(s):

Public Health ◽

Associated Factors ◽

Educational Status ◽

Cross Sectional Study ◽

Health Facilities ◽

P Value ◽

Delivery Care ◽

Cross Sectional ◽

Public Health Facilities ◽

Debre Berhan

Abstract Background: Many interventions have been implemented to increase institutional delivery in Ethiopia. However, only 26% of women delivered in health facilities. This increases the curiosity of the scientific community to know more about the quality of maternity care in the country. Objective: This study aimed to assess the proportion of respectful delivery care and associated factors among women delivering in Debre Berhan town public health facilities, Ethiopia, 2019.Methods: Institution-based cross-sectional study was conducted among 412 women who delivered in Debre Berhan town public health facilities from November 15 to December 30, 2019. A consecutive sampling method was used to identify study participants. A pretested structured questionnaire was administered by the interviewer. Bivariable and multivariable logistic analyses were conducted. Adjusted Odds ratio along with a 95% confidence interval was used to assess the magnitude and direction of the association. Statistically significant association was declared at a P-value of less than 0.05.Results: A total of 412 postnatal women were participated in this study, yielding a 99.8% response rate. About 35.7% (95% CI: 31%, 40.3%) women reported that they have received respectful delivery care. Daytime delivery [AOR=2.48; 95% CI (1.55, 3.99)], secondary school educational status and plus [AOR= 3.59; 95% CI (1.53, 8.42)], having a companion during delivery [AOR=2.45; 95% CI (1.47, 4.07)], and having four or more antenatal care visits [AOR= 2.54; 95% CI (1.60, 4.01)] were positively associated with respectful delivery care. Conclusions: The proportion of women reporting respectful delivery care was low. Women who had four or more ANC visits, who were secondary-level or higher educated, delivered during the daytime, and had a companion during delivery were more likely to receive respectful delivery care. Thus, allowing the mother to have a companion, improve ANC service utilization, and improving education accomplishment should be the focus area of intervention.

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Attitude, preparedness, and perceived self-efficacy in controlling COVID-19 pandemics and associated factors among university students during school reopening

PLoS ONE ◽

10.1371/journal.pone.0255121 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0255121

Author(s):

Mesfin Tadese ◽

Abebe Mihretie

Keyword(s):

University Students ◽

Self Efficacy ◽

Associated Factors ◽

Public Health Problem ◽

Health Science ◽

Binary Logistic Regression Analysis ◽

Prevention Measures ◽

Cross Sectional ◽

Favourable Attitude ◽

Debre Berhan

Introduction The coronavirus disease 2019 (COVID-19) pandemic remains a significant public health problem globally. In Ethiopia, the number of infected peoples and deaths due to COVID-19 has increased dramatically in the past. Currently, students are resuming to face to face education with strict prevention measures. University students are more dynamic and more susceptible to acquiring and spreading the virus. Objective To assess the attitude, preparedness, and self-efficacy to prevent and control COVID-19 and associated factors among university students during school reopening, Northeast Ethiopia. Method A cross-sectional study was conducted among Debre Berhan University (DBU) students from December 1 to 15/2020, when students return to campus. A multistage sampling technique was applied to recruit 682 participants. The ReadyScore criteria were used to classify the level of preparedness. Epi-Data version 4.6 was used for data entry, while SPSS version 25 for analysis. Descriptive and Binary logistic regression analysis was computed, and a p-value < 0.05 was considered statistically significant. Result The overall level of favourable attitude, good preparedness, and high self-efficacy among students were 67.2%, 17.9%, and 50.4%, respectively. Only mothers’ education was associated with attitude. Female gender, open relationships, health science faculty, heart disease, and favourable attitude were significant preparedness factors. Whereas being undergraduate, parents’ education, residing in dorm being four and above, having kidney disease, having friend/family history of COVID-19 infection and death, favourable attitude, and good preparedness were predictors of self-efficacy. Conclusion The level of attitude, preparedness, and self-efficacy towards COVID-19 among students during campus re-entry were low. Managing chronic illnesses and raising the attitude and preparedness of students is essential to reduce the burden of COVID-19 pandemics. Besides, emphasis should be placed on male, unmarried, postgraduate, and non-health science students to increase the level of preparedness and self-efficacy.

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Magnitude And Associated Factors Of Delayed Immunization Among Children Aged11 -23 Months In Edagahamus Town, Tigray, Ethiopia, 2018

10.21203/rs.2.11295/v1 ◽

2019 ◽

Author(s):

Merhawit Gebremeskel Hagos ◽

Teferi Gebru Gebremeskel ◽

Selam Shushay Kassahun ◽

Birhane Hailu Gebrezgi ◽

Manay Kifle Woldegebriel

Keyword(s):

Associated Factors ◽

Tertiary Education ◽

Public Health Problem ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

P Value ◽

Major Public Health Problem ◽

Cross Sectional ◽

Disease Epidemics ◽

Study Participants

Abstract Background Delay in receiving immunization is a major public health problem that has been associated with vaccine preventable disease epidemics. In Ethiopia, many children have not received the benefits of age appropriate immunization; thus more than 90% of child deaths are largely due to preventable communicable diseases. Therefore, assessment of magnitude and associated factors of delayed child immunization is essential to prevent morbidity and mortality among children. Objective To assess magnitude and factors associated with delayed immunization among 11 -23 months old children in Edagahamus Town, Tigray, Ethiopia, 2018 G.C. Method and materials A community based Cross-Sectional study was carried out on July1-30, 2018. Simple random sampling method was used to select study participants. Information was collected using structured, pre-tested questionnaire. Vaccination dates were obtained from children immunization cards and timeliness assessed based on the recommended age ranges. Data were entered and analyzed using SPSS version 20.0. Variable with P-value < 0.2 in bivariatewere exported to multivariate. The strength of association was identified using odds ratio with 95% confidence interval (CI) and P-value of <0.05 in multivariate was taken statistically significant. Results In this study the overall magnitude of delayed immunization was29.5%(95%CI 26.7-45). Private firm work of mothers(AOR=0.205 95% CI 0.068-0.617), sickness of the child(AOR= 11.8, 95% CI 6.16-22.65), Mothers who attend tertiary education (AOR 0.169, 95% CI 0.032-0.882) and secondary education (AOR 0.269, 95% CI 0.114-0.636) were significantly associated with delayed immunization. Conclusion From the study it is concluded that the magnitude of delayed immunization for children aged 12-23 months is high (29.5%) in Edagahamus. Delayed immunizations of children were predicted by Mother’s occupation, education and experience of illness of the child.

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Low Prevalence of Active Trachoma and Associated Factors among Children aged 1–9 years in Rural Communities of Metema District, Northwest Ethiopia: A Community Based Cross-sectional Study

10.21203/rs.3.rs-281081/v1 ◽

2021 ◽

Author(s):

Kessete Ayelgn ◽

Tadesse Guadu ◽

Atalay Getachew

Keyword(s):

Rural Communities ◽

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Active Trachoma ◽

Study Participants

Abstract BackgroundTrachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited.ObjectiveTo determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia.MethodA community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance.ResultsA total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95 % CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3-6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma.ConclusionThe current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

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