scholarly journals UPAYA PENINGKATAN KESEHATAN USIA DIATAS 15 TAHUN DAN USIA LANJUT DI POSBINDU KELURAHAN KEMBANGAN SELATAN, JAKARTA BARAT (KEGIATAN LANJUTAN)

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ernawati Ernawati ◽  
Rebekah Malik ◽  
Yoanita Widjaja
Keyword(s):  
Blood Pressure ◽  
Uric Acid ◽  
Blood Sugar ◽  
High Blood Pressure ◽  
Health Workers ◽  
Blood Pressure Measurement ◽  
Health Sector ◽  
Communicable Diseases ◽  
Alcoholic Beverages ◽  
Non Communicable Diseases

Increased life expectancy is an advantage but at the same time becomes a condition that can be a source of problems in the health sector, especially non-communicable diseases. Currently non-communicable diseases that are often found are cardiovascular diseases such as high blood pressure, coronary heart disease, metabolic disorders such as diabetes, dyslipidemia, muscle and joint diseases such as arthritis, gout, osteoarthritis, nutritional disorders: obesity or malnutrition. The prevalence of various non-communicable diseases from 2013-2016 strokes increased from 7% to 10.9%; and chronic kidney disease rose from 2% to 3.8%. Based on blood sugar tests, diabetes mellitus rose from 6.9% to 8.5%; and blood pressure measurement results, hypertension rose from 25.8% to 34.1%. The increase in the prevalence of non-communicable diseases is related to lifestyle, including smoking, consumption of alcoholic beverages, physical activity, and consumption of fruits and vegetables. Problems require comprehensive handling and reach as broad as possible. One form of expansion of service coverage is posbindu. Posbindu in Kelurahan Kembangan Selatan is one of the posbindu that aims to provide comprehensive services to the age group> 15 years to make efforts to prevent non-communicable diseases and prevent complications for participants who have experienced interference so that no further complications occur. Activities are carried out routinely every month on Saturdays in the form of weighing, height, blood pressure, blood sugar levels, cholesterol and gout for every visitor of Posbindu. In addition to health checks, counseling activities are also carried out both individuals and groups and health consultations for visitors posbindu both experiencing health problems or not. This activity was carried out for 1 year from August 2018 to July 2019 (June Eid holidays) with the number of Posbindu visitors between 28-45 people with an average visitor 38. The average cases of high blood pressure were 33.45% (12), high cholesterol 27.24% (10), high blood sugar 24.74 (9), and high uric acid 19.87 (8). The results obtained for 1 year showed that the control of blood pressure, blood sugar, cholesterol and uric acid was still fluctuating even though counseling and consultation had been given based on the results of the examination. The conclusion from this activity shows that blood pressure, blood sugar, cholesterol and gout are not only influenced by regularity of control and knowledge but also diet, activity and environment. The advantage of this postbindu activity is that the health condition of visitors is monitored and health information can be conveyed on an ongoing basis. Suggestions for the future harmonious cooperation between health workers, patients and families / closest people of the patient must always be maintained through this posbindu activityABSTRAK:Peningkatan usia harapan hidup merupakan suatu keuntungan tetapi sekaligus menjadi suatu kondisi yang dapat menjadi sumber permasalahan di bidang kesehatan terutama penyakit tidak menular. Saat ini penyakit tidak menular yang banyak dijumpai adalah penyakit kardiovaskular seperti darah tinggi, jantung koroner, penyakit kelainan metabolik seperti kencing manis, dislipidemia, penyakit otot dan persendian seperti radang sendi, gout, osteoartritis, gangguan gizi: obesitas atau gizi kurang. Prevalensi berbagai penyakit tidak menular dari tahun 2013-2016 stroke naik dari 7% menjadi 10,9%; dan penyakit ginjal kronik naik dari 2% menjadi 3,8%. Berdasarkan pemeriksaan gula darah, diabetes melitus naik dari 6,9% menjadi 8,5%; dan hasil pengukuran tekanan darah, hipertensi naik dari 25,8% menjadi 34,1%. Kenaikan prevalensi penyakit tidak menular ini berhubungan dengan pola hidup, antara lain merokok, konsumsi minuman beralkohol, aktivitas fisik, serta konsumsi buah dan sayur. Permasalahan membutuhkan penanganan yang bersifat menyeluruh dan menjangkau seluas mungkin. Salah satu bentuk perluasan jangkauan pelayanan adalah posbindu. Posbindu di Kelurahan Kembangan Selatan merupakan salah satu posbindu yang bertujuan memberikan pelayanan yang secara menyeluruh pada kelompok usia > 15 tahun untuk melakukan upaya pencegahan penyakit tidak menular dan mencegah komplikasi bagi peserta yang sudah mengalami gangguan agar tidak terjadi komplikasi lebih lanjut. Kegiatan dilakukan rutin setiap bulan pada hari Sabtu berupa penimbangan berat badan, tinggi badan, tekanan darah, kadar gula darah, kolesterol dan asam urat bagi setiap pengunjung posbindu. Selain pemeriksaan kesehatan, juga dilakukan kegiatan penyuluhan baik perorangan maupun kelompok dan konsultasi kesehatan bagi pengunjung posbindu baik yang mengalami gangguan kesehatan maupun tidak. Kegiatan ini dilakukan selama 1 tahun dari Agustus 2018 sampai Juli 2019 (Juni libur lebaran) dengan jumlah pengunjung posbindu antara 28-45 orang dengan rata-rata pengunjung 38. Rata-rata kasus tekanan darah tinggi 33,45% (12), kolesterol tinggi 27.24% (10), gula darah tinggi 24,74 (9), dan asam urat tinggi 19,87 (8). Hasil yang didapat selama 1 tahun ini menunjukkan bahwa pengendalian tekanan darah, gula darah, kolesterol dan asam urat masih naik turun walaupun sudah diberikan penyuluhan maupun konsultasi berdasarkan hasil pemeriksaan. Simpulan dari kegiatan ini menunjukkan bahwa tekanan darah, gula darah, kolesterol dan asam urat tidak hanya dipengaruhi oleh keteraturan kontrol dan pengetahuan tetapi juga pola makan, aktivitas dan lingkungan. Keuntungan dari kegiatan posbindu ini adalah termonitornya kondisi kesehatan pengunjung dan informasi kesehatan dapat tersampaikan secara berkelanjutan. Saran ke depannya kerjasama yang harmonis antara petugas kesehatan, pasien dan keluarga/orang terdekat pasien harus selalu dijaga lewat kegiatan posbindu ini

scholarly journals OVERVIEW OF HEALTH CHARACTERISTICS OF BLOOD PRESSURE, CHOLESTEROL, URIC ACID AND BLOOD SUGAR LEVELS IN AN-NUR WOMEN'S MARINDAL VILLAGE 1 KEC. PATUMBAK KAB. DELI SERDANG

2019 ◽  
Vol 4 (1) ◽  
pp. 45-54
Author(s):  
Diah Lestari ◽  
Fatwa Imelda ◽  
Febrina Oktavinola Kaban
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Uric Acid ◽  
Health Status ◽  
Blood Sugar ◽  
Community Service ◽  
Communicable Diseases ◽  
Normal Blood ◽  
Non Communicable Diseases ◽  
Sugar Levels

Non-communicable diseases are quite serious public health problems and require more comprehensive and multidisciplinary care. The high mortality rate caused by heart disease, stroke, gout and diabetes mellitus is caused by unhealthy eating patterns, unhealthy habits, lack of physical activity and stress. Indonesia is the 4th country with people with diabetes mellitus after China, India and the USA. Hypertension or high blood pressure is a cause of increased risk of stroke, heart and kidney. The number of Majelis Taklim assemblies and Pengajian can be used maximally by health workers to socialize health programs in improving community health status. Perwiritan An-Nur, Marindal Village 1 Kec. Patumbak Kab. Deli Serdang is thought to have a high risk of non-communicable diseases such as hypertension, stroke, gout and diabetes mellitus. Observation of the habits of the community has an unhealthy lifestyle. This community service carried out 2 activities namely promotion and prevention with 30 samples. Educational activities are education about hypertension, stroke, gout and diabetes mellitus as well as activities. Preventive activities include checking cholesterol, uric acid and blood sugar levels. From the results of the implementation of community service found the majority of respondents aged> 50 years as many as 22 people (27%), the majority of low levels of education 17 people (57%), the majority do not work 27 people (90%), the majority of Javanese 20 people (67% ), the majority of married women 28 people (93%) and the majority with a history of passive smoking as many as 20 people (67%), the majority of normal blood pressure as many as 21 people (70%), the majority of normal cholesterol levels as many as 27 people 27 (90%) , the majority of normal uric acid levels were 26 people (87%), the majority of normal blood sugar levels were 28 people (93%). To improve health status and reduce the incidence of non-communicable diseases by conducting counseling and health checks.

scholarly journals Manajemen Deteksi Dini Faktor Resiko Penyakit Tidak Menular (PTM)

2020 ◽  
Vol 3 (2) ◽  
pp. 48
Author(s):  
Isnaeni Rofiqoch
Keyword(s):  
Blood Pressure ◽  
Early Detection ◽  
Community Service ◽  
Blood Pressure Measurement ◽  
Clinical Signs ◽  
The Elderly ◽  
Communicable Diseases ◽  
Double Burden ◽  
Non Communicable Diseases ◽  
Average Value

Non-Communicable Diseases (NCD) is one of the causes of death in the world. Indonesia is a developing country that is facing a double burden of diseases, namely infectious diseases and non-communicable diseases. NCD can appear without symptoms and show no clinical signs, so many people are not aware of the dangers of NCD disease. The purpose of this comunity service is to provide counseling about NCD and measure blood pressure in an effort to detect NCD Early.This community service uses counseling as a method to increases partner knowledge in early detection of NCD. The average of partners knowledge increase by 42.6%. This is calculated by comparing the pre test average value of 5.70 and the post test average value of 8.20. Implementation of community service can increase the knowledge of the elderly posyandu group of Sokaraja Kulon Village so that the participants have the desire to prevent NCD and find out blood pressure from blood pressure measurement results in order to reduce the causes of non-communicable diseases (NCD) and have the intention to inform knowledge about Non-Communicable Diseases (NCD) to Family, Relatives and Communities.Keywords :Early Detection,Non-Communicable Diseases

scholarly journals Study protocol: a prospective cohort on non-communicable diseases among primary healthcare users living in Kosovo (KOSCO)

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038889
Author(s):  
Katrina Ann Obas ◽  
Jana Gerold ◽  
Ariana Bytyçi-Katanolli ◽  
Naim Jerliu ◽  
Marek Kwiatkowski ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Healthcare ◽  
Health Sector ◽  
Chronic Respiratory Disease ◽  
Communicable Diseases ◽  
Lifestyle Changes ◽  
Epidemiological Evidence ◽  
Non Communicable Diseases ◽  
The Balkans ◽  
Central Switzerland

IntroductionWith the lowest life expectancy in the Balkans, underlying causes of morbidity in Kosovo remain unclear due to limited epidemiological evidence. The goal of this cohort is to contribute epidemiological evidence for the prevention and control of non-communicable diseases such as depression, hypertension, diabetes and chronic respiratory disease in Kosovo as the basis for policy and decision-making, with a spotlight on the relationships between non-experimental primary healthcare (PHC) interventions and lifestyle changes as well as between depression and the course of blood pressure.Methods and analysisPHC users aged 40 years and above were recruited consecutively between March and October 2019 from 12 main family medicine centres across Kosovo. The data collected through interviews and health examinations included: sociodemographic characteristics, social and environmental factors, comorbidities, health system, lifestyle, psychological factors and clinical attributes (blood pressure, height, weight, waist/hip/neck circumferences, peak expiratory flow and HbA1c measurements). Cohort data were collected annually in two phases, approximately 6 months apart, with an expected total follow-up time of 5 years.Ethics and disseminationEthical approvals were obtained from the Ethics Committee Northwest and Central Switzerland (Ref. 2018-00994) and the Kosovo Doctors Chamber (Ref. 11/2019). Cohort results will provide novel epidemiological evidence on non-communicable diseases in Kosovo, which will be published in scientific journals. The study will also examine the health needs of the people of Kosovo and provide evidence for health sector decision-makers to improve service responsiveness, which will be shared with stakeholders through reports and presentations.

scholarly journals Deteksi Dini Faktor Risiko Penyakit Tidak Menular Pada Masyarakat Desa Andepali Kecamatan Sampara Kabupaten Konawe

2020 ◽  
Vol 4 (2) ◽  
pp. 16
Author(s):  
I Putu Sudayasa ◽  
Muhammad Fathur Rahman ◽  
Amiruddin Eso ◽  
Jamaluddin Jamaluddin ◽  
Parawansah Parawansah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Early Detection ◽  
Blood Sugar ◽  
Disease Risk ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Normal Range ◽  
Non Communicable Diseases ◽  
Chronic Respiratory Diseases

ABSTRAKPenyakit tidak menular (PTM) merupakan penyakit yang tidak ditularkan dan tidak ditransmisikan kepada orang lain dengan bentuk kontak apapun, menyebabkan kematian dan membunuh sekitar 35 juta manusia setiap tahunnya, atau 60% dari seluruh kematian secara global, dengan 80% pervalensi pada negara berkembang. Penyakit tidak menular, khususnya penyakit kardiovaskuler, kanker, penyakit pernapasan kronis, dan diabetes merupakan ancaman utama bagi kesehatan dan perkembangan manusia saat ini. Tujuan pengabdian masyarakat yang terintegrasi kuliah kerja nyata (KKN) Tematik, untuk mendeteksi faktor risiko penyakit tidak menular, pada masyarakat Kecamatan Sampara, Kabupaten Konawe. Metode kegiatan berupa penyuluhan kesehatan, pemeriksaan tekanan darah, kadar kolesterol, gula darah sewaktu dan asam urat. Telah dilakukan skrining dan deteksi dini fator risiko penyakit tidak menular terhadap 67 orang responden, meliputi 14 laki–laki dan 53 perempuan. Pada hasil pemeriksaan tekanan darah, didapatkan jumlah yang mengalami hipertensi 28,35 %, normotensi 67,16, dan hipotensi 4,47 %. Pada pemeriksaan Kolesterol Total, didapatkan  kolesterol dalam batas normal 2,38 % dan tinggi 37,31 %.  Hasil pemeriksaan gula darah sewaktu (GDS), didapatkan kadar GDS dalam batas normal 85,07 % dan kadar GDS tinggi 14,92 %. Pada pemeriksaan Asam Urat didapatkan dalam batas normal adalah 91,04 % dan tinggi 8,95 %.Kata kunci: Faktor Risiko; Penyakit Tidak Menular Early Detection of Non-communicable Disease Risk Factors in Andepali Village Community, Sampara District, Konawe RegencyABSTRACTNon-communicable disease (PTM) is a disease that is not transmitted and is not transmitted to others by any form of contact, causing death and killing around 35 million people each year, or 60% of all deaths globally, with 80% prevalence in developing countries. PTM, especially cardiovascular disease, cancer, chronic respiratory diseases, and diabetes are the main threats to human health and development today. The purpose of integrated community service is the Thematic Real Work Study (KKN), to detect risk factors for non-communicable diseases, in the community of Sampara District, Konawe Regency. The method of activity in the form of health education, blood pressure, cholesterol levels, blood sugar and uric acid. Screening and early detection of risk factors for non-communicable diseases have been carried out on 67 respondents, including 14 men and 53 women. On the results of blood pressure examination, it was found that the amount of hypertension was 28.35%, normotension 67.16% and hypotension 4.47%. In the examination of Total Cholesterol, cholesterol was found to be within the normal limit of 2.38% and 37.31% high. Examination results of Blood Sugar (GDS), obtained levels of GDS in the normal range of 85.07% and high GDS levels of 14.92%. In the examination of Gout found in the normal range is 91.04% and high 8.95%.Keywords: gout; blood sugar; cholesterol; non-communicable diseases; blood pressure 

scholarly journals Experience of a health day at the university of Namibia: A community service

2015 ◽  
Vol 3 (2) ◽  
pp. 108
Author(s):  
J.M. Kloppers ◽  
L.N. Nelumbu ◽  
T. Nauiseb ◽  
P. Angula. M.B. Tibinyane ◽  
N.G. Sumpi
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Health Education ◽  
High Blood Pressure ◽  
Heart Diseases ◽  
Communicable Diseases ◽  
World Health ◽  
High Blood Glucose ◽  
Non Communicable Diseases ◽  
The People

<p>The School of Nursing and Public Health conducted an annual health day at the main campus in Windhoek. The clinic on campus was not operational, at this time. This service is much appreciated by students and staff. The Community Health Nursing lecturers and second year diploma students participated in the Health day. The services that were rendered included blood pressure; weight and height and body mass index; blood-glucose test; eye test; neck massage. Health education on HIV/AIDS and cancer prevention was given to those who took part. The health day targeted non-communicable diseases (NCD) in order to promote prevention strategies. NCD is a medical condition or disease that can be defined as non-infectious and non-transmissible among people. It is further described as chronic diseases which last for long periods of time and progress slowly. Sometimes, NCDs result in rapid deaths as seen in certain types of diseases such as autoimmune diseases, heart diseases, stroke, most cancers, asthma, diabetes, chronic kidney disease, osteoporosis, Alzheimer's disease, cataracts, and many more (World Health Organization (WHO).</p><p><strong>Aim:</strong> The health day was done to promote and to provide necessary information and to raise awareness to students and staff on their health and on how to prevent non –communicable diseases.</p><p><strong>Method:</strong> No actual research was done.</p><p><strong>Results:</strong> Data analysis was done based on the findings from the users of the service. The total number of the people who used the blood pressure service were 161. Of which 38 were found to have high blood pressure while 10 were found with low blood pressure and were advised to visit the hospital or clinic and 113 had normal blood pressure. Many people, who were detected with high blood pressure, or hypertension, had no idea of having it. The people who came for weight were 130 out of which 63 had normal weight, 32 were overweight, 16 were obese, and 15 were underweight. Health education was given on nutrition, specifically on balance diet. 20 people were found with high blood-glucose level ranging between 7-21.8 mml. Total number of people who attend eye test were 63 of which 4 had poor vision and were referred to eye clinic. Neck massage attracted many people, and they enjoyed it.</p><p><strong>Conclusion:</strong> The results of health day indicated the need of such services in order to detect abnormalities and to improve the knowledge and understanding of the community members on non-communicable diseases and how to prevent them.</p>

scholarly journals PENGEMBANGAN POSBINDU LANSIA DI POSBINDU JERUK DESA CIPAYUNG KECAMATAN CIPUTAT KOTA TANGERANG SELATAN PROPINSI BANTEN

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Nunuk Nugrohowati ◽  
Gatot Soeryo Koesoemo ◽  
Kristin Simanjuntak
Keyword(s):  
Life Expectancy ◽  
Health Workers ◽  
Health Sector ◽  
The Elderly ◽  
Communicable Diseases ◽  
Health Promotion Program ◽  
Public And Private ◽  
Non Communicable Diseases ◽  
Negative Impacts ◽  
Integrated Counseling

The increasing life expectancy of increasing the number of elderly people in Indonesia can have positive and negative impacts. The need for empowerment and enhancing the role of the community as well as empowering the public and private partnerships, for example, Elderly integrated counseling post (Posbindu) who conducts early detection and monitoring of risk factors for non-communicable diseases in an integrated, routine and periodic manner. The development of the Elderly Posbindu in the village of Cipayung, Ciputat sub-district according to the Guidelines, needs to be developed. The formulation and management of the development of the Elderly Posbindu program in Cipayung village, Ciputat District, South Tangerang City. The incomplete Elderly Posbindu Cadre and the completeness of the Posbindu facilities according to the Ministry of Health's instructions encouraged us to develop the elderly Posbindu in Cipayung village, Ciputa District by comparing with the instructions from the Ministry of Health. After discovering the potentials, problems, and challenges in the development of the Posbindu Elderly in this region, we implemented a plan for the development of the elderly Posbindu Jeruk in the form of meeting the limited posbindu facilities, conducting non-communicable diseases counseling and training cadres in blood sugar level checks. The provision of health service facilities encourages the community to raise awareness of healthy lifestyles, invites the involvement of the elderly community in the health promotion program independently so that they become eager to live a healthy life and life expectancy is increased. Improving the quality of health workers in the context of prevention and increasing counseling in the health sector in the context of handling non-communicable diseases.ABSTRAK:Meningkatnya angka harapan hidup menambah jumlah lansia di Indonesia dapat berdampak positif dan negatif. Perlunya pemberdayaan dan peningkatan peran masyarakat serta pemberdayaan kemitraan pemerintah dan swasta, misalnya Posbindu Lansia yang melakukan kegiatan deteksi dini dan pemantauan faktor risiko Penyakit Tidak Menular secara terpadu, rutin, dan periodik. Masih belum terselenggarakannya Posbindu Lansia di desa Cipayung, kecamatan Ciputat sesuai Petunjuk, perlu dibuat pengembangannya. Terumuskannya dan menata laksana pengembangan program  Posbindu Lansia di desa Cipayung Kecamatan Ciputat Kota Tangerang Selatan. Belum lengkapnya Kader Posbindu Lansia dan kelengkapan fasilitas posbindu sesuai petunjuk kemenkes mendorong kami melakukan pengembangan posbindu lansia di desa Cipayung Kecamatan Ciputa dengan cara membandingkan dengan syarat petunjuk dari Kemenkes.  Setelah ditemukan potensi, permasalahan dan tantangan dalam pengembangan Posbindu Lansia di wilayah ini, kami menerapkan rencana pengembangan posbindu lansia Jeruk berupa pemenuhan fasilitas posbindu yang masih terbatas, mengadakan penyuluhan penyakit tidak menular dan melatih kader dalam pemeriksaan kadar gula darah. Penyediaan sarana pelayanan kesehatan mendorong masyarakat meningkatkan kepedulian pola hidup sehat, mengajak keterlibatan masyarakat lansia pada program sosialisasi kesehatan secara mandiri sehingga kembali bersemangat untuk hidup sehat dan angka harapan hidup menjadi meningkat. Meningkatkan kualitas tenaga kesehatan dalam rangka pencegahan serta peningkatan penyuluhan di bidang kesehatan dalam rangka penanggulangan penyakit tidak menular

scholarly journals An Epidemiological Study for Assessment of Selected Lifestyle Disorders among University Students at Central Gujarat, India

Healthline ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 21-27
Author(s):  
Geetika Madan Patel ◽  
Dhara I Zalavadiya ◽  
Ankita Parmar
Keyword(s):  
Blood Pressure ◽  
University Students ◽  
Blood Sugar ◽  
High Blood Pressure ◽  
Blood Pressure Measurement ◽  
Overweight And Obesity ◽  
Metabolic Complications ◽  
High Systolic Blood Pressure ◽  
Case Record ◽  
Increased Risk

Introduction: The prevalence of overweight and obesity among children and adolescents has risen dramatically from just 4% in 1975 to over 18% in 2016. The risk for the non-communicable diseases increases, with increase in BMI. Objectives: To provide epidemiological insights into proportion of malnutrition in form of underweight/ overweight, hypertension and high blood sugar and to analyse the relation between anthropometric measures with Blood Pressure and Blood Sugar level among University students. Method: A cross sectional study was conducted among newly admitted college students of the university during 2018. Total 3311 students’ data were collected using case-record form. Data collection included information on socio-demographic profile from students, anthropometric measurements, Blood pressure measurement and Random blood sugar (RBS) check-up. Results:The mean age was 18.7±1.2 and 19.17±1.6 years among male and female students, respectively. Out of 3311 students, 30.90% were in underweight category and 18.76% were in overweight or obesity category according to BMI. According to waist-Hip ratio (WHR), 20.6% males and 18.9% females had substantially increased risk for metabolic complications. Around 139 (5.99%) males and 16 (1.61%) females were found to have high systolic blood pressure while 365 (15.7%) males and 44 (4.4%) females were in high diastolic blood pressure category. Around 1.06% had RBS > 140 mg/dl. There was positive correlation and statistically significant association between BMI and WHR with high blood pressure. Conclusions: High prevalence of underweight, overweight and obesity, high WHR, high blood pressure among youth population demands early screening and intervention to prevent morbidity and mortality in later life.

scholarly journals Respiratory and other illnesses among the jute-mill workers in an industrial unit of Bangladesh

2019 ◽  
Vol 13 (1) ◽  
pp. 007
Author(s):  
Mir Masudur Rhaman ◽  
M Abu Hana Golam Morshed ◽  
M Abu Sayeed
Keyword(s):  
Blood Pressure ◽  
Health Status ◽  
Blood Pressure Measurement ◽  
Fasting Blood Glucose ◽  
Communicable Diseases ◽  
Cardiovascular Risks ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Respiratory Illnesses ◽  
Undiagnosed Hypertension

Background and aims: Bangladesh produces 33% of the world’s jute and about 40 million people in Bangladesh are directly or indirectly involved in the jute sector. The jute (organic) dust inhalation causes byssinosis and other respiratory illnesses. However, no study has yet addressed the health status of the jute handlers/workers in Bangladesh. This study aimed to determine the prevalence of respiratory illnesses among the Jute Mill Workers (JMWs). Additionally, this study tried to find out the overall health status of the JMWs which included presence of non-communicable diseases (NCD) and its related risk, which are usually ignored. Study design: A cross-sectional study conducted in a purposively selected jute mill - 40km off from Dhaka City. Of the 5500 workers, a list of 600 workers was provided by the mill authority for enrollment in the study. The investigations included – a) interviewing on socio-demography and clinical history; b) anthropometry (height, weight, waist- and hip-circumference); c) blood pressure measurement; d) estimation of fasting blood glucose and lipids; e) peak flow meter test; f) spirometry; g) high resolution computerized tomography (HRCT) and electrocardiography. Results: Of the enlisted 600 jute mill workers, 514 (men / women = 478 / 36) took part in the study. The response rate was 85%. For overall estimate of bio-physical characteristics (n = 514), the means (95% confidence interval) of age, body mass index (BMI), waist-hip ratio (WHR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 44.19 (43.34 – 45.04) years, 24.44 (24.16 – 24.73), 0.90 (0.90 – 0.91), 118.9 (117.4 – 120.4), 79.69 (78.81 – 8/0.54), respectively. Regarding social class and education, 84.4% were from non-affluent (poor) class and 50% were illiterate. About 88% of the JMWs had been working for ≥42 hours a week and 91.6% were exposed to moderate or heavy work (equivalent to ≥60 min walk). The prevalence of breathlessness, tightness of chest and chronic cough were 16.5%, 25.7% and 16.3%, respectively. The restrictive and obstructive pulmonary functions were detected in 7.0% and 0.8% of study population respectively. The prevalence of systolic hypertension was 16.5%, diastolic hypertension was 7.2% and diabetes (IFG+DM) was 13.3%. They had increased cardiovascular risks – hypertriglyceridemia (23.9%) and hypercholesterolemia (24.3%). Conclusions: JMWs have been suffering mostly from respiratory illnesses and a substantial number of them suffer from undiagnosed hypertension, diabetes and other non-communicable diseases. Dyslipidemia was also prevalent as a potential risk factor. The study could not assess ocular, auditory, musculoskeletal and mental health and it suggests that a well designed study should address these health related problems of JMWs. IMC J Med Sci 2019; 13(1): 007

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