Medications adherence level and its associated factors among hypertensive patients at a major referral hospital, in Riyadh, KSA

Aims and Objectives: To quantify the level of medications adherence among hypertensive patients and to identify factors of poor adherence.Materials and Methods: A cross sectional study was conducted during October 2013 to March 2014 in King Khalid University Hospital, Riyadh, KSA. Self-administrative questionnaires were used among 310 randomly selected hypertensive patients. Morisky adherence questionnaire was used to quantify adherence level of medications. Adherence scores were categorized as poor and high adherence. Bi-variate and multivariate analysis were used to identity factors associated with poor adherence.Results: Out of 287 patients who had responded, 124(44%) were of less than 50 years of age. Prevalence of poor adherence to medications was 55%. Age, educational status, monthly income, time of diagnosis, self-perception of health status, regular checkup at clinics, & regular blood pressure checkup were significantly associated with ‘level of adherence (poor and high) to medications. The independent associated factors of poor adherence were: age (<50 years): 2.30 (95% confidence interval(CI): 1.29,4.10), monthly income (<5000 Saudi Riyals): 6.58(1.67,25.97), self-perception of health status (uncontrolled): 2.66 (1.20,5.90), and regular checkup at clinics (No): 5.57(2.83,10.97).Conclusion: Level of adherence was low among hypertensive patients. Associated factors of poor adherence could be used to identity patients for counselling in improving level of adherence to medications.Asian Journal of Medical Sciences Vol.7(4) 2016 24-30

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Undernutrition and associated factors in a Portuguese older adult community

Revista de Nutrição ◽

10.1590/1415-52732015000300001 ◽

2015 ◽

Vol 28 (3) ◽

pp. 231-240 ◽

Cited By ~ 7

Author(s):

Ana Luísa Moreira dos Santos ◽

Teresa Maria de Serpa Pinto Freitas do Amaral ◽

Nuno Pedro Garcia Fernandes Bento Borges

Keyword(s):

Older Adults ◽

Associated Factors ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cross Sectional Study ◽

Self Perception ◽

Cross Sectional ◽

Major Factors ◽

Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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A community based cross-sectional study on self-perception of health status and health seeking behaviour among elderly population in Haldwani block, Uttarakhand

International Journal of Medical Science and Public Health ◽

10.5455/ijmsph.2016.30122015324 ◽

2016 ◽

Vol 5 (9) ◽

pp. 1798 ◽

Cited By ~ 1

Author(s):

Janki Bartwal ◽

Chandra Rawat ◽

Sadhana Awasthi

Keyword(s):

Health Status ◽

Elderly Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Health Seeking Behaviour ◽

Self Perception ◽

Health Seeking ◽

Community Based ◽

Cross Sectional ◽

Perception Of Health

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Sociodemographic and Clinical Characteristics of Centenarians in Mexico City

BioMed Research International ◽

10.1155/2017/7195801 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Valdés-Corchado Pedro ◽

Ruiz-Hernández Arturo ◽

Pérez-Moreno Alejandro ◽

Rosas-Carrasco Oscar

Keyword(s):

Latin America ◽

Health Status ◽

Mexico City ◽

Clinical Characteristics ◽

Low Frequency ◽

Cross Sectional Study ◽

Community Dwelling ◽

Self Perception ◽

Cross Sectional ◽

Perception Of Health

Background. There is little evidence about the demography and health status of adults aged 100 years and over in Latin America and there are no studies in Mexico. Objectives. To describe the demographic characteristics and health status of centenarians residing in Mexico City. Methods. This is a cross-sectional study using a population base of 393 community-dwelling centenarians in Mexico City. A comprehensive geriatric assessment was performed, including demographic information and health status. Results. The mean age of centenarians was 101.82 ± 2.02 years, of whom 44 (9.1%) were semisupercentenarians (105–109 years old) and 5 (0.2%) were supercentenarians (≥110 years old). The female/male ratio was 3.2 : 1. Twelve (4.5%) reside in nursing homes. Women versus men have unfavorable conditions given their criteria: being without a partner, dependence in 1 or more basic activities, dependence in 1 or more instrumental activities, hypertension, cancer, and Parkinson’s disease. Nevertheless, as compared to other populations, Mexican centenarians report having good self-perception of health (78.9%), polypharmacy (17.8%), low rate of pain (11.4%), diabetes (4.8%), and dyslipidemia (1.8%). Conclusions. This is the first study in Latin America that describes the social and clinical characteristics of centenarians in Mexico City. This population has a high percentage of malnutrition and osteoarthrosis, a high self-perception of health, low frequency of diabetes, dyslipidemia, cardiovascular disease, and a high frequency of “escapers” (24%).

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Suicide attempt and its associated factors amongst women who were pregnant as adolescents in Bangladesh: a cross-sectional study

Reproductive Health ◽

10.1186/s12978-021-01127-6 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Jie Li ◽

Syeda Zerin Imam ◽

Zhengyue Jing ◽

Yi Wang ◽

Chengchao Zhou

Keyword(s):

Social Support ◽

Health Status ◽

Adolescent Pregnancy ◽

Young Women ◽

Associated Factors ◽

Suicide Attempts ◽

Perceived Social Support ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Abstract Background Adolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Methods In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts. Results Of the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide. Conclusions Women with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.

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The Associated Factors of Prolonged Screen Time and Using Electronic Devices before Sleep among Elderly People in Shaanxi Province of China: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18137020 ◽

2021 ◽

Vol 18 (13) ◽

pp. 7020

Author(s):

Yaxuan Zhang ◽

Jiwei Wang ◽

Xinyuan Lu ◽

Beibei Che ◽

Jinming Yu

Keyword(s):

Sleep Quality ◽

Screen Time ◽

Odds Ratio ◽

Associated Factors ◽

Electronic Devices ◽

Cross Sectional Study ◽

Shaanxi Province ◽

Sectional Study ◽

Monthly Income ◽

Cross Sectional

This study aimed to investigate prolonged screen time and using electronic devices before sleep and their associated factors in elderly people in Shaanxi province of China. We conducted a cross-sectional study among 2647 elderly participants aged 60–88 years. Data were collected through questionnaires. Demographic characteristics, screen time, using electronic devices before sleep, health status, lifestyles, sleep quality, and other associated factors were investigated. Logistic regression analysis was used to analyze the relationship between the associated factors of screen time and using electronic devices before sleep. The crude odds ratio (cOR) and adjusted odds ratio (aOR) and their 95% confidence intervals (CI) were calculated. A total of 1784 subjects completed the questionnaire. There were 6.89% participants with prolonged screen time and 13.45% using electronic devices before sleep frequently. Prolonged screen time was associated with personal monthly income (aOR = 1.205, p = 0.001), number of household residents (aOR = 0.860, p = 0.010), rural residents (aOR = 0.617, p = 0.038), and regular drinkers (aOR = 2.889, p < 0.001). Using electronic devices before sleep was associated with being female (aOR = 0.657, p = 0.007), family monthly income (aOR = 0.866, p = 0.002), being an occasional drinker (aOR = 1.891, p = 0.005), and self-reported sleep quality (aOR = 1.593, p = 0.007). In conclusion, several factors related to screen time or using electronic devices before sleep were identified. Only being a drinker was a common associated factor for both screen time and using electronic devices before sleep.

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Prevalence of anxiety in patients admitted to a university hospital in southern Brazil and associated factors

Revista Brasileira de Epidemiologia ◽

10.1590/s1415-790x2013000300009 ◽

2013 ◽

Vol 16 (3) ◽

pp. 644-657 ◽

Cited By ~ 7

Author(s):

Inês Gullich ◽

Andrews Barcellos Ramos ◽

Tiago Rafael Anschau Zan ◽

Cíntia Scherer ◽

Raúl Andrés Mendoza-Sassi

Keyword(s):

Health Care ◽

Associated Factors ◽

Depression Scale ◽

Female Gender ◽

Cross Sectional Study ◽

University Hospital ◽

Cross Sectional ◽

Clinical Ward ◽

Long Time ◽

Prevalence Ratios

Objective: To identify the prevalence of anxiety in adults hospitalized in the clinical ward of a university hospital and to analyze the possible associated factors. Method: A cross-sectional study was performed in a university hospital. All interviewees answered a specific questionnaire and the Hospital Anxiety and Depression Scale. A Poisson regression was used to calculate prevalence ratios with 95% confidence intervals. Results: 282 patients were enrolled. The prevalence of anxiety was 33.7% (95%CI 28.2 - 39.3). Characteristics associated with the outcome were female gender (RP 2.44), age ≥ 60 years (PR 0.65), consultation in primary health care (PR 2.37), estimated time of contact between patient and student > 30 min (RP 1.36), high blood pressure (PR 1.57), diabetes mellitus (PR 1.43), and obesity (RP 1.43). Conclusion: This study found prevalence of high anxiety. It may be associated with certain characteristics of the patients (gender, age, chronic diseases); the medical appointment in primary care and time (estimated by the patient) that the student remained with this patient. The need for a focused approach to mental health care within the hospital has been discussed for a long time. The particularity of this study refers to the environment of a university hospital and to what extent the environment and the patient's relationship with the student are associated with higher prevalence of anxiety.

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Abstract P303: Association of Overweight/Obesity and Self Reported Health Status in Hispanics: A Comparison with Non Hispanic Whites

Circulation ◽

10.1161/circ.127.suppl_12.ap303 ◽

2013 ◽

Vol 127 (suppl_12) ◽

Author(s):

Connie Ingram ◽

Maria Canossa-Terris ◽

Mary Comerford ◽

Paul Kurlansky

Keyword(s):

Logistic Regression ◽

Health Status ◽

Good Health ◽

Overweight And Obesity ◽

Poor Health ◽

Self Perception ◽

Heart Research ◽

Major Health Problem ◽

Perception Of Health ◽

The Impact

Introduction The growing global prevalence of obesity is recognized as an important risk for cardiovascular disease. Understanding self perception of weight as it pertains to health is critical to the success of weight reduction programs. The impact of ethnicity on this association has not been examined. Methods The sample included 927 Hispanic (H) and 72 Non-Hispanics white (NHW) adults who received free cardiovascular screening from Florida Heart Research Institute. Overweight and obesity were measured by Body Mass Index. Self-perceived health status was characterized as excellent, very good, good, fair or poor health. Logistic regression was used to determine independent risk factors for perceived fair-poor health, as well as for excellent, very good health. Odds ratios and 95% Confidence Intervals were calculated. Results Both H and NHW overweight/obese subjects tended to view their health as good, very good or excellent: H (overweight 81.1%/obese 73%) and NHW (89.3%/66.7%). Logistic regression revealed the following independent correlates of self-perceived very good or excellent health: NHW (OR 3.618, CI 2.126, 6.157, p<0.001) and exercise (OR 1.640;CI 1.186, 2.268; p=0.003). Hypertension (OR 0.392; CI 0.246, 0.625; p<0.001), overweight (OR 0.551, CI0.386, 0.785, p=0.001) and obesity (OR 0.431, CI 0.288, 0.644; p<0.001) were all negatively associated with very good/excellent status. Conclusions Although it is not surprising that participation in regular exercise is associated with a better self-perception of health status, or that hypertension and obesity is correlated with a worse self-assessed health status, there are two striking findings that emerge from this data: 1. The vast majority of both H and NHW subjects do not perceive either overweight or obesity to be a major health problem. 2. Hispanics have a significantly worse self-perception of health status even after controlling for associated factors.This information provides a critical foundation for overcoming fundamental barriers to effective patient education_a critical first step in addressing the current epidemic of obesity in ethnically diverse populations.

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Fatores relacionados à autopercepção do estado de saúde em idosos residentes no meio rural do Brasil

Scientia Medica ◽

10.15448/1980-6108.2018.3.29698 ◽

2018 ◽

Vol 28 (3) ◽

pp. 29698 ◽

Cited By ~ 1

Author(s):

Eleia De Macedo ◽

Vivian Ulrich ◽

Antonio Miguel Gonçalves Bós ◽

Ângelo José Gonçalves Bós

Keyword(s):

Health Status ◽

Family Health ◽

Rural Elderly ◽

Urban Elderly ◽

Self Perception ◽

Rural And Urban ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Perception Of Health

AIMS: To compare the self-perception of health status between rural and urban elderly and their possible associated factors.METHODS: The study consisted of a secondary analysis of data from the National Health Survey of 2013, conducted by the National Institute of Geography and Statistics, which included elderly who lived in rural and urban environments. The dependent variable was the self-perception of health status (evaluated as very good, good, fair, bad and very bad); and the independent variables were socio-demographic factors, clinical data, functionality of the elderly and household data. Relationships between the variables were tested by the chi-square test, and adjusted by self-perception of health status. The analysis were performed through the Epi InfoTM program version 7.2.1, accepting p<0.05 as significant.RESULTS: Rural elderly people were predominantly males, brown, married, illiterate and gainfully employed, despite having a low economic class. Among the rural elderly, self-perceived health status was more often regular or poor, the household was more often enrolled in the Family Health Strategy and most had no complementary health plan. Rural elderly also had better performance in the Basic Activities of Daily Living and worse performance in the Instrumental Activities of Daily Living, had less depressive symptoms and less multimorbidity. Rural elderly presented lower chances of self-perception of good or very good health, even adjusting for gender, race, marital status, occupation, socioeconomic class, coverage by the Family Health Strategy, depressive symptoms, multimorbidity, and performance in the Basic Activities of Daily Living.CONCLUSIONS: The rural elderly have worse self-perception of health status than the urban elderly, even controlling socio-demographic, economic, clinical and health access characteristics.

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Perception of mucormycosis infection among Bangladeshi healthcare workers: an exploratory cross-sectional study in the year following the COVID-19 pandemic

Bulletin of the National Research Centre ◽

10.1186/s42269-022-00696-1 ◽

2022 ◽

Vol 46 (1) ◽

Author(s):

Humayun Kabir ◽

Md. Kamrul Hasan ◽

Mamunur Rahman ◽

Shimpi Akter ◽

Golam Ishraque Chowdhury ◽

...

Keyword(s):

Public Health ◽

Fungal Infection ◽

Healthcare Workers ◽

Associated Factors ◽

Cross Sectional Study ◽

Health Concern ◽

Sectional Study ◽

Monthly Income ◽

Public Health Concern ◽

Cross Sectional

Abstract Background Mucormycosis, a severe fungal infection, is an emerging public health concern during the COVID-19 pandemic. This study aimed to investigate the perception of mucormycosis among Bangladeshi healthcare workers. Results An exploratory cross-sectional study was carried out among the Bangladeshi healthcare workers from May 25, 2021, to June 5, 2021. The study found 422 responses from the healthcare workers of Bangladesh. Among the respondents, nearly half of them (45.26%) were doctors (n = 191). This study explored that the healthcare workers’ mucormycosis perception scores were significantly associated with their age, gender, profession, monthly income, marital status, job type, and death of friends and family members due to COVID-19. Conclusions This study emphasized the healthcare workers’ mucormycosis perception along with other associated factors. The findings could help policymakers to mitigate mucormycosis and related infectious diseases emergencies in the post-COVID-19 situation.

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