Magnitude of Overweight, Obesity and Associated Factors among Middle Aged Urban Residents of West Ethiopia

Abstract Background People die due to biologically impairment than chronological aging worldwide. Diabetic mellitus is becoming public health problem and undiagnosed diabetes is a challenge for health providers. Nevertheless, the prevalence and associated factors of undiagnosed diabetes in west Ethiopian unnoticed at community level. Objective To Investigate the magnitude of undiagnosed diabetes(T2DM) and associated factors among middle aged urban residents in west Ethiopia. Methods A community based cross-sectional study was conducted in March 01–30, 2019 on 266 undiagnosed middle aged urban residents. Data were collected using questionnaires, anthropometric measures and biomarkers. Fasting blood glucose ≥ 126mg/dl at morning were taken as diabetes. With SPSS version 24 multivariable logistic regression analyses was applied and associated factors at 95%CI with p ≤ 0.05 considered statistically significant. Results The overall prevalence of undiagnosed diabetic mellitus was 7.14% among urban residents in west Ethiopia. Being having sleep apnea, sedentary life, high (waist circumference, waist to height ratio, BMI, triglycerides, and blood pressure) were significantly associated with elevated fasting blood glucose. On multivariable logistic regression analysis: being high BMI four times (AOR: 4.87; p = 0.049), elevated blood pressure five times (AOR: 5.22; p = 0.005), and sleep apnea (p = 0.023) were associated significantly. Conclusion This study revealed undiagnosed diabetes was prevalent and associated to its risk factors in west Ethiopia. Therefore, community based education and early detection were significant to reduce the burden of diabetic mellitus.

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Blood Pressure Change and the Associated Factors in a Middle-Aged Korean Rural Population: Atherosclerosis Risk of a Rural Area Korean General Population (ARIRANG) Study

Journal of the Korean Society of Hypertension ◽

10.5646/jksh.2014.20.2.31 ◽

2014 ◽

Vol 20 (2) ◽

pp. 31

Author(s):

Jun-Won Lee ◽

Byung-Su Yoo ◽

Ji Hyun Lee ◽

Young Jin Youn ◽

Sung Gyun Ahn ◽

...

Keyword(s):

Blood Pressure ◽

General Population ◽

Rural Area ◽

Rural Population ◽

Associated Factors ◽

Pressure Change ◽

Blood Pressure Change ◽

Middle Aged ◽

Atherosclerosis Risk

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Social isolation and associated factors in middle‐aged and older persons in Brazil

Psychogeriatrics ◽

10.1111/psyg.12632 ◽

2020 ◽

Author(s):

Taiene da Silva Alencar ◽

Ana C.S. Augusto ◽

Mariana F. Carrijo ◽

Aline M. Alves ◽

Ana M.F. Ribeiro ◽

...

Keyword(s):

Social Isolation ◽

Associated Factors ◽

Older Persons ◽

Middle Aged

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Willingness of community based health insurance uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, a cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-020-05583-x ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Alem Deksisa ◽

Meyrema Abdo ◽

Ebrahim Mohamed ◽

Daniel Tolesa ◽

Sileshi Garoma ◽

...

Keyword(s):

Health Insurance ◽

Willingness To Pay ◽

Associated Factors ◽

Cross Sectional Study ◽

Urban Residents ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Community Based Health Insurance ◽

Regional State

Abstract Background Globally, Millions of people cannot use health services because of the fear of payment for the service at the time of service delivery. From the agenda of transformation and the current situation of urbanization as well as to ensure universal health coverage implementing this program to the urban resident is mandatory. The aim of this study is to assess the willingness of community-based health insurance (CBHI) uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, 2018. Methods A community-based cross-sectional study was conducted. From the total of eighteen towns; six towns which account for 33% of the total were selected randomly for the study. One population proportion formula was employed to get a total of 845 households. A pre-tested, semi-structured interviewer-administered questionnaire was used to collect the required data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the scheme, and a multiple logistic regression model was used to determine the effect of various factors on the willingness to join and willingness to pay for the households. Result About 839 (99.3%) of the respondents participated. The mean ages of the respondents were 40.44(SD ± 11.12) years. 621 (74.1%) ever heard about CBHI with 473 (56.3%) knowing the benefits package. Out of 839, 724 (86.3%) were willing to uptake CBHI of which 704 (83.9%) were willing to pay if CBHI established in their town. Conclusion If CBHI established about 86.3% of the households would enroll in the scheme. Having education, with a family size between 3 & 6, having difficulty in paying for health care and less than 20mins it took to reach the nearest health facility were the independent predictors of the willingness of CBHI uptake. The Oromia and Towns Health Bureau should consider the availability of health facilities near to the community and establishing CBHI in the urban towns.

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Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17197341 ◽

2020 ◽

Vol 17 (19) ◽

pp. 7341

Author(s):

Jianjian Liu ◽

Ying Yang ◽

Jiayi Zhou ◽

Tianyu Liu ◽

Wenjie Zhang ◽

...

Keyword(s):

Blood Pressure ◽

Longitudinal Study ◽

Urban Areas ◽

Associated Factors ◽

Medication Compliance ◽

Blood Pressure Monitoring ◽

Pressure Monitoring ◽

Middle Aged ◽

Hypertensive Patients ◽

Overweight Or Obesity

Partial or total non-adherence has been recognized as major issues in the long-term management of hypertension. This study aims to investigate the prevalence and associated factors of compliance behaviors among Chinese middle-aged and older hypertensive patients. A sample of 6308 hypertensive patients aged ≥45 years was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS) data. Two compliance behaviors were involved including medication and blood pressure monitoring. Stratified binary logistic regression analysis was employed to examine the associated factors. 77.2% of the participants reported medication compliance, and 40.7% complied with blood pressure monitoring. Better medication compliance associated with older age, overweight or obesity, one or ≥3 complications, no drinking, living in urban areas, and health education. Better blood pressure monitoring compliance associated with older age, overweight or obesity, ≥3 complications, normal activities of daily living (ADL), no smoking, sleep duration of 6–8 h, better cognitive function, living in urban areas, education level of middle school or above, and health education. Chinese middle-aged and older hypertensive patients experienced unoptimistic compliance behaviors, especially for blood pressure monitoring. Special attention and targeted interventions are urgent for the high-risk population of poor compliance behaviors, such as rural individuals, low educational population, and younger hypertensive patients.

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