scholarly journals Alcohol use and problems related to the Maxakali indigenous peoples' worldview: a cross-sectional census study

Author(s):  
Roberto Carlos de Oliveira ◽  
Belinda Nicolau ◽  
Rodrigo Venâncio da Silva ◽  
Ana Valéria Machado Mendonça ◽  
Dilceu Silveira Tolentino Júnior ◽  
...  

Abstract Background The objectives of this study were to estimate the prevalence of Alcohol Use and Alcohol-Related Problems (AU & ARP) among the Brazilian Maxakali indigenous people, and to examine how the prevalence varies according to sociodemographic characteristics and their associations with these characteristics. Methods A cross-sectional analytical population-based study was conducted with 1,036 Maxakali aged from nine years. A questionnaire was applied to 66 indigenous leaders who responded about alcohol consumption in 2016 and the negative consequences of this consumption among their friends in their villages. The association between consumption and consequences with the sociodemographic data of respondents was examined by applying the chi-square, Fisher's exact, and cluster analysis tests. Kappa values were calculated to assess the reproducibility of the questionnaire. Results The 12-month prevalence of alcohol use was 39.1%. The usage rate for women (17.3%) was 3.6 times lower than the usage rate for men. Male alcohol use rates increase from 8.1–64% in the age group from 09 to 14 to 15 to 19 years old. The highest proportions of alcohol use among mothers and fathers were found in extended families and associated with the negative consequences of those who use cachaça. On the other hand, nuclear families showed an association of protection against alcohol use in the age group of 9 to 14 years in females. Although alcohol use in females starts from 20 to 24 years of age, the rates of problems related to this use in women surpassed those of men during 25 to 45 years of age. Conclusions With the substantial agreement of reproducibility in the application of the questionnaire, we expect that the ease of application and the predictive power of this tool will allow the detection and monitoring of alcohol use and its consequences in the Maxakali people.

2021 ◽  
Vol 12 ◽  
Author(s):  
Torgeir Sørensen ◽  
Knut Hestad ◽  
Ellen Karine Grov

Health-promoting initiatives incorporating meaning-making to enhance the well-being of people in late adulthood are important, particularly as the number of older people is increasing. Resilience and sources of meaning may be related to individuals’ experience of meaningfulness and satisfaction with life. However, few studies have investigated these relations among people in late adulthood. In the present exploratory study, we asked the following questions: What are the differences regarding scores on sources of meaning, resilience, meaningfulness, and satisfaction between people in late adulthood (≥65) and other adults (18–64)? What is the association between sources of meaning and meaningfulness, and between resilience and meaningfulness? What is the association between sources of meaning and satisfaction with life, and between resilience and satisfaction with life? A cross-sectional design was used. A population-based sample of 925 participants (aged 18–91 years) was recruited from the National Population Register in Norway. Of these, 219 participants were 65 years old and older (mean age 73 years). Additionally, sub-analyses for the age-group ≥ 75 (N = 71) were performed. Independent-samples t-tests, chi-square tests, one-way ANOVA, and linear regressions adjusted for demographics, anxiety, and depression were performed utilizing standardized questionnaires. It was found that people in late adulthood (≥65 years) scored significantly higher on meaningfulness compared to younger adults (18–64). Of the sources of meaning, vertical self-transcendence, including explicit religiosity and spirituality, had the strongest relation to meaningfulness for people in late adulthood, after adjusting for demographics, anxiety, and depression. For the same group, accomplishment, including generativity and unselfish engagement with the surroundings and future generations, also stood out as a prominent source of meaning when related to meaningfulness. No sources of meaning were associated with satisfaction with life in the older group. No associations between resilience and meaningfulness, nor between resilience and satisfaction with life, were found among people in late adulthood. However, positive associations were found between resilience and meaningfulness, as well as between resilience and satisfaction with life, in the 18–64 age group. Longitudinal research and interventional studies are needed to confirm whether the designated sources contribute to meaningfulness in a Norwegian context. The implications of the findings are discussed.


Author(s):  
Bamikole E. Olowo ◽  
David M. Dairo ◽  
Olajide A. Adekunle

Condom usage is one of the most effective strategies for combating the spread of Human Immunodeficiency Virus (HIV). Despite increased sexual knowledge, adolescents in Nigeria are poor condom users. They are less likely than adults to consistently use condoms or other methods of protection that could reduce their chances of infection. The objective of the study was to describe the trend in the condom usage and to determine the association between demographic variables and condom usage among youths aged 15-24 years from1999-2008. A comparative cross-sectional population based study was carried out in which a secondary data review analyses of Nigeria Demographic and Health Survey (NDHS) 1999, 2003 and 2008 data were done. Statistical package of social science version 17.0 was used for determining frequencies, chi square and the p-values. There was a significant increase in the usage of condom from 8.2% in 1999 to 9.3% in 2008 to 10.5% in 2008 among the female youths, though the percentages are still very low. There was an insignificant increase in condom usage among the male youths from 31.1% in 1999 to 38.7% in 2003 and then a decrease to 36.8% in 2008. There was significant association between the urban dwellers, 20-24 years age group, Christians, literate and single female youths and condom usage over the years while the rural dwellers, single and literate male youths experienced significant increase in condom usage over the years at p<0.05. Condom usage by youths significantly increased over the years. However, the increase is still considered low and not enough to effectively reduce the prevalence of HIV and AIDS. Religion, marital status, age group, education and literacy are variables that influenced condom usage by young people. Campaign on the usage of condom during sexual intercourse among young people at every level of education, urban or rural residence, age group and religion should be intensified.


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


2021 ◽  
Vol 15 ◽  
pp. 117822182110045
Author(s):  
Zelalem Tadese Feyisa

All the associated risk factors were not equally responsible for influencing individuals either in alcohol use, khat use, tobacco, or cannabis use. This study attempted to examine sociocultural factors influencing university students in substance use by comparing one with another. A cross-sectional study was carried out. The study used a quantitative approach to collect data from 384 students. Compared with their involvement in khat use, female students were positively influenced in cigarette and hashish use (Adjusted Odds Ratio, AOR = 1.102, 95% CI: 1.056, 1.149) and alcohol use (AOR = 1.066, 95% CI: 1.021, 1.113). The involvement of students in alcohol use (AOR = 0.884, 95% CI: 0.838, 0.932) and cigarettes and hashish use (AOR = 0.909, 95% CI: 0.866, 0.953) were negatively associated with stress related to their academic activities. The involvement of students in alcohol use (AOR = 0.942, 95% CI: 0.906, 0.979) was negatively associated with parental influences; involved in alcohol use (AOR = 0.445, 95% CI: 0.210, 0.941) was negatively associated with the thoughts of considering substances as an energizer. The involvement of students in alcohol use (AOR = 4.980, 95% CI: 1.614, 15.368) was positively associated with peer influences. It was, thus, suggested that the management of Haramaya University should work on creating awareness of the negative consequences of substance use. Concerned professionals, including sociologists, psychologists, and health workers, should work on raising students’ awareness as it was possible to undertake their studies without substance use. Moreover, the university management is strongly recommended to expand recreational centers within the campus. Lastly, Haramaya woreda administration should restrict the availability and accessibility of these substances around the campus.


Author(s):  
Joonho Ahn ◽  
So-Jung Ryu ◽  
Jihun Song ◽  
Hyoung-Ryoul Kim

This study aimed to evaluate the association between shift work and dry eye disease (DED) in the general population. The 2011 Korea Health Panel (KHP) was used. Chi-square test and multivariate logistic regression were used to assess the relationship between shift work and DED. Stratification analysis was conducted by sex and age. Overall, the odds ratio (OR) of DED according to shift work did not showed significant results (adjusted OR = 1.230, 95% CI 0.758–1.901). When findings were stratified based on age older or younger than 40 years, the OR of DED increased to 2.85 (95% CI: 1.25–5.90) in shift workers under 40 years of age. Our results show an association between shift work and DED in a group of younger subjects.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsi Gao ◽  
Yu-Ligh Liou ◽  
Yang Yu ◽  
Lingxiao Zou ◽  
Waixing Li ◽  
...  

AbstractThis cross-sectional study investigated the characteristics of cervical HPV infection in Changsha area and explored the influence of Candida vaginitis on this infection. From 11 August 2017 to 11 September 2018, 12,628 outpatient participants ranged from 19 to 84 years old were enrolled and analyzed. HPV DNA was amplified and tested by HPV GenoArray Test Kit. The vaginal ecology was detected by microscopic and biochemistry examinations. The diagnosis of Candida vaginitis was based on microscopic examination (spores, and/or hypha) and biochemical testing (galactosidase) for vaginal discharge by experts. Statistical analyses were performed using SAS 9.4. Continuous and categorical variables were analyzed by t-tests and by Chi-square tests, respectively. HPV infection risk factors were analyzed using multivariate logistic regression. Of the total number of participants, 1753 were infected with HPV (13.88%). Females aged ≥ 40 to < 50 years constituted the largest population of HPV-infected females (31.26%). The top 5 HPV subtypes affecting this population of 1753 infected females were the following: HPV-52 (28.01%), HPV-58 (14.83%), CP8304 (11.47%), HPV-53 (10.84%), and HPV-39 (9.64%). Age (OR 1.01; 95% CI 1–1.01; P < 0.05) and alcohol consumption (OR 1.30; 95% CI 1.09–1.56; P < 0.01) were found to be risk factors for HPV infection. However, the presence of Candida in the vaginal flora was found to be a protective factor against HPV infection (OR 0.62; 95% CI 0.48–0.8; P < 0.001). Comparing with our previous study of 2016, we conclude that the subtype distribution of HPV infection is relatively constant in Changsha. Our data suggest a negative correlation between vaginal Candida and HPV, however, more radical HPV management is required in this area for perimenopausal women and those who regularly consume alcohol.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Izabela Fulone ◽  
Marcus Tolentino Silva ◽  
Luciane Cruz Lopes

Abstract Background The use of atypical antipsychotics for the treatment of schizophrenia and other mental disorders in populations under 18 years of age is increasing worldwide. Little is known about treatment patterns and the influence of gender differences, which may be a predictor of clinical outcomes. The aim of this study was to investigate gender differences in the use of atypical antipsychotics in patients with early-onset schizophrenia (EOS) assisted by the public health system in Brazil. Methods We conducted a cross-sectional study of outpatients with EOS aged 10 to 17 years who received at least one provision of atypical antipsychotics (clozapine, olanzapine, risperidone, quetiapine or ziprasidone) from a large Brazilian pharmaceutical assistance programme. Data were retrieved from a nationwide administrative database from 2008 to 2017. Results Of the 49,943 patients with EOS, 63.5% were males, and the mean age was 13.6 years old. The patients were using risperidone (62.5%), olanzapine (19.6%), quetiapine (12.4%), ziprasidone (3.3%) and clozapine (2.2%). We found gender differences, especially in the 13–17 year age group (65.1% for males vs. 34.9% for females, p < 0.001), in the use of risperidone (72.1% for males vs. 27.9% for females, p < 0.001) and olanzapine (66.5% for males vs. 33.5% for females, p < 0.001). Only in the 13 to 17 years age group were the prescribed doses of olanzapine (p = 0.012) and quetiapine (p = 0.041) slightly higher for males than for females. Conclusions Our findings showed gender differences among patients diagnosed with EOS and who received atypical antipsychotics. More attention should be devoted to gender differences in research and clinical practice.


2013 ◽  
Vol 5 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Ritam Banerjee ◽  
Sharmistha Bhattacherjee ◽  
Kuntala Ray ◽  
Jayanta Kumar Roy ◽  
Saikat Datta ◽  
...  

Background: Dyslipidemia, one of the classical Framingham risk factors of cardiovascular diseases, accounts significantly to the rise of non communicable diseases in India. Urbanization, along with greater consumption of dietary fats and decreased physical activity, has led to an increase in this problem manifold. Objectives: To determine the prevalence of dyslipidemia among urban adults of Siliguri city, West Bengal and to identify the cardio-vascular risk factors associated with it. Methods: This descriptive, cross-sectional study was carried out among the 226 adults aged ≥20yrs in an urban area of Siliguri city, West Bengal, India. Data was collected by detailed history and physical examination; biochemical measurements were done using standards procedures. Dyslipidemia was defined by the presence of one or more than one abnormal serum lipid concentration. Statistical analysis was done using chi-square test, t test and logistic regression analysis using SPSS 20 software (Chicago, IL, USA). Results: Dyslipidemia was prevalent among 78.4 % of the total study subjects. Dyslipidemia was more in males than in females & in both males and females it was more prevalent in the age group 40 -59 years than in any other age group. It was associated with higher odds of major cardiovascular risk factors like hypertension, hyperglycemias, and tobacco use. Conclusion: Dyslipidemia remains a significant and growing problem in this part of the country. The reduction in the disease burden will require changes in life style as well as in national policies. DOI: http://dx.doi.org/10.3126/ajms.v5i1.8474 Asian Journal of Medical Science Vol.5(1) 2014 pp.1-8


Author(s):  
Rekha Dahiya ◽  
Aparna Mishra

The present study aims to identify the potential deterrents of digital marketing communication while buying a car. Data was collected from 801 respondents from Delhi using area wise proportionate sampling. 75% of the respondents used at least one digital channel of communication while buying a car. There were 25% of the respondents who didn’t use digital channels of communication while buying a car and relied exclusively upon traditional channels of communication. The study analyzed the respondents believing only in traditional channels of communication while buying a car to know the deterrents impeding the usage of digital channels of communication. The study also aimed to identify the distinct customers segments using traditional channels of communication while buying a car. Data was analyzed with the help of chi-square test and cluster analysis. ‘Technicality’ of the medium followed by ‘lack of knowledge and time’ were identified as the major deterrents of digital marketing communication. Two customer segments were identified in the study that made use of only traditional channels of communication while buying a car. First segment comprised of respondents ‘above 40 years of age’ belonging to ‘business’ category. Second segment was composed of respondents in ‘service’ occupational category belonging to ‘26 to 30 years age’ group.


BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e033471
Author(s):  
Anja Schmidt Vejlgaard ◽  
Sanne Rasmussen ◽  
Dorte Ejg Jarbøl ◽  
Kirubakaran Balasubramaniam

ObjectivesTo identify the personal and professional relations of women experiencing gynaecological alarm symptoms, to analyse if involving a personal relation is related to healthcare-seeking with gynaecological alarm symptoms, and to analyse if having an available social network is associated with involvement of this relation.DesignWeb-based, population-based, cross-sectional questionnaire survey.SettingThe general population in Denmark.ParticipantsThe study invited 100 000 individuals randomly drawn from the Danish Civil Registration System. Pregnant women and women who did not answer relevant questions about social network were excluded. A total of 5053 women who experienced at least one gynaecological alarm symptom were included in the study.Primary and secondary outcomes(1) Personal and professional relations that women experiencing gynaecological alarm symptoms involve; (2) the association between involving a personal relation and healthcare-seeking; and (3) the association between having an available social network and involvement of this relation.ResultsThe general practitioner (GP) was the most involved professional relation, while the spouse/partner was the most involved personal relation. When experiencing gynaecological alarm symptoms, more than 50% of women did not involve a professional relation and 20% did not involve a personal relation. For all four gynaecological alarm symptoms, the odds of involving the GP were higher in the oldest age group. Women were two to seven times more likely to involve their GP if they had personal relation involvement. No statistically significant association was found between having an available social network and involving the GP.ConclusionInvolving a personal relation in healthcare-seeking was associated with increased involvement of the GP, who consequently was the most involved professional relation when experiencing gynaecological alarm symptoms. Spouse/partner was the most involved personal relation. The oldest age group had the highest odds of involving the GP. No association was found between having an available social network and involving the GP.


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