scholarly journals Prevalence of Soil Transmitted Helminthes (STH) Infection among Children Aged 2-17 Years in Urban and Rural Areas of Dhaka District in Bangladesh

2013 ◽  
Vol 5 (2) ◽  
pp. 16-22 ◽  
Author(s):  
Sultana Shahana Banu ◽  
Be-Nazir Ahmed ◽  
Shamim Jubayer ◽  
Sultana Gulshana Banu ◽  
Khorsed Ara ◽  
...  

A multi-staged cross sectional study was conducted among children aged 2 -17 years to assess the level of soil transmitted helminthes (ST H) infections and its relation to socio-demographic characteristics among them. Two thousand children were randomly selected from two rural and four different communities of urban areas of Dhaka district since November 2009 to June 2010. Four different communities classified as higher, medium, poorer and slum/ low socio-economic groups from urban areas were selected on the basis of their place of residence with different socio-economic status. Urban study subjects were again sub grouped into upper (higher and medium socio-economic) and lower (poorer and slum/low socio-economic) classes. Stool specimens of the respondents were collected and tested at the Parasitology department of I E DCR , using the Kato-katz faecal technique for identification of helminthes eggs following their morphology (A. lumbricoides, Ttrichiura, and A. duodenale), and larval stage (S. stercoralis). About 32.15% study population harbored at least one of the four helminthes species. Baseline prevalence of infections and mean parasite loads for Ascaris lumbricoides were 40.61% and 600.80 e/g, for Trichuris trichiura 30.42% and 206.11e/g, and for A. duodenale 6.80% and 78.75 e/g. Three children (0.49%) were positive for Strongyloides stercoralis. Single infection of 78.32 % and double infection of 21.68 % were recorded. Single infection of A. lumbricoides (40.61%) and T trichiura (30.42%) and double infection of A. lumbricoides - T trichiura (18.61%) were more prevalent. T he prevalence of ST H infection was 25.47 % and 38.68 % for rural and urban areas respectively (P<.001). Among urban study subjects, the distribution of ST H infection was 0.0 % in the higher (living in higher socioeconomic areas) (only 3 samples could be collected), 26.75 % in medium (living in medium socio-economic areas), 45.95 % in poorer and 50.54 % in slum/low socio-economic groups. Significantly higher number of ST H infection was observed among lower than that in upper socio-economic classes (P <.001). These results suggest that ST H infections remain a serious health problem among children in Bangladesh and need appropriate prevention and control measures.DOI: http://dx.doi.org/10.3329/bjmm.v5i2.16933 Bangladesh J Med Microbiol 2011; 05 (02): 16-22

2022 ◽  
Vol 14 (1) ◽  
pp. 33-42
Author(s):  
Suyanto Suyanto ◽  
Shashi Kandel ◽  
Rahmat Azhari Kemal ◽  
Arfianti Arfianti

This study assesses the status of health-related quality of life (HRQOL) among coronavirus survivors living in rural and urban districts in Riau province, Indonesia. The cross-sectional study was conducted among 468 and 285 Coronavirus disease (COVID-19) survivors living in rural and urban areas, respectively in August 2021. The St. George Respiratory Questionnaire (SGRQ) was used to measure the HRQOL of COVID-19 survivors. A higher total score domain corresponds to worse quality of life status. Quantile regression with the respect to 50th percentile found a significant association for the factors living in rural areas, being female, having comorbidities, and being hospitalized during treatment, with total score of 4.77, 2.43, 7.22, and 21.27 higher than in their contra parts, respectively. Moreover, having received full vaccination had the score 3.96 in total score. The HRQOL of COVID-19 survivors living in rural areas was significantly lower than in urban areas. Factors such as living in rural areas, female sex, having comorbidities, and history of symptomatic COVID-19 infection were identified as significant predictors for lower quality of life. Meanwhile, having full vaccination is a significant predictor for a better quality of life. The results of this study can provide the targeted recommendations for improvement of HRQOL of COVID-19 survivors.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
S. M. Seck ◽  
D. G. Dia ◽  
D. Doupa ◽  
A. Diop-Dia ◽  
I. Thiam ◽  
...  

Diabetes represents a challenging global health issue in the 21st century. Data from sub-Saharan African populations are scarce and are usually restricted to urban settings. The objective of this study was to compare prevalence and risk factors of diabetes in rural and urban areas in Senegal.Methods.In a community-based survey between January and May 2012, we included 1027 adults aged≥18 years living in northern Senegal. Sociodemographic, clinical, and biological data were collected during household visits. Multivariate logistic regression was performed to identify factors associated with diabetes.Results.Mean age of participants was48.0±16.9years and 65.7% were female. Participants from urban area represented 55.7%. The age-standardized prevalence of diabetes was 7.6% (6.0% in men versus 9.0% in women). Prevalence of diabetes was higher in urban areas (8.1%) compared to rural areas (4.6%). Disease awareness rate was 43%. After multivariate analysis, age (OR = 1.63,p=0.001), familial history of diabetes (OR = 1.42,p=0.001), and abdominal obesity (OR = 1.17,p=0.05) were associated with diabetes.Conclusion.Diabetes is frequent in urban and rural areas in Senegal. Awareness rate is very low among populations. Age, family history of diabetes, and abdominal obesity are the main risk factors identified.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e023033 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Xiao Wang ◽  
Xin Lan ◽  
...  

ObjectiveDespite the latest wave of China’s healthcare reform initiated in 2009 has achieved unprecedented progress in rural areas, little is known for specific vulnerable groups’ catastrophic health expenditure (CHE) in urban China. This study aims to estimate the trend of incidence, intensity and inequality of CHE in hypertension households (households with one or more than one hypertension patient) in urban Shaanxi, China from 2008 to 2013.MethodsBased on the fourth and the fifth National Health Service Surveys of Shaanxi, we identified 460 and 1289 households with hypertension in 2008 and 2013, respectively for our analysis. We classified hypertension households into two groups: simplex households (with hypertension only) and mixed households (with hypertension plus other non-communicable diseases). CHE would be identified if out-of-pocket healthcare expenditure was equal to or higher than 40% of a household’s capacity to pay. Concentration index and its decomposition based on Probit regressions were employed to measure the income-related inequality of CHE.ResultsWe find that CHE occurred in 11.2% of the simplex households and 22.1% of the mixed households in 2008, and the 21.5% of the simplex households and the 46.9% of mixed households incurred CHE in 2013. Furthermore, there were strong pro-poor inequalities in CHE in the simplex households (−0.279 and −0.283) and mixed households (−0.362 and −0.262) both in 2008 and 2013. The majority of observed inequalities in CHE could be associated with household economic status, household head’s health status and having elderly members.ConclusionWe find a sharp increase of CHE occurrence and the sustained strong pro-poor inequalities for simplex and mixed households in urban Shaanxi Province of China from 2008 to 2013. Our study suggests that more concerns are needed for the vulnerable groups such as hypertension households in urban areas of China.


Author(s):  
M. Vijay Kumar ◽  
Indranil Acharya ◽  
Jayanti P. Acharya ◽  
Puligila Raj Shravani ◽  
Sabbineni Ramya

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. Methods: A community based cross sectional study was conducted among 800 mothers from urban and rural areas of Rangareddy District. A pre designed pre tested questionnaire was used to interview the mothers. Questionnaire contained questions related to demographic factors and breast feeding practices. Institutional Ethical clearance was taken. Results: The overall prevalence of exclusive breast feeding was 65%, being comparatively more in rural area (68%) which was statistically significant. Colostrum was discarded by 15% mothers in urban and 9% in rural area. Breast feeding was initiated within 1 hour in 184 (46%) in urban area and in 148 (37%) in rural area. Conclusions: Though mothers from rural area had certain favorable breast feeding practices such as demand feeding, colostrum being given but still various inappropriate practices were prevalent in both rural and urban areas. 


2021 ◽  
Vol 66 ◽  
Author(s):  
Anna Marzà-Florensa ◽  
Daniel Boateng ◽  
Charles Agyemang ◽  
Erik Beune ◽  
Karlijn A. C. Meeks ◽  
...  

Objectives: Multimorbidity is a growing public health concern due to the increasing burden of non-communicable diseases, yet information about multimorbidity in low- and middle-income countries and migrant populations is scarce. We aimed to investigate the distribution and patterns of multimorbidity in rural and urban areas in Ghana and Ghanaian migrants in Europe.Methods: The RODAM cross-sectional study included 4,833 participants. Multimorbidity was defined as presence of multiple non-communicable chronic conditions. Patterns were determined from frequent combination of conditions. Prevalence ratios were estimated by logistic regression.Results: Prevalence of multimorbidity was higher in women and in urban Ghana and Europe. We observed a cardiometabolic pattern in all sites as well as circulatory-musculoskeletal and metabolic-musculoskeletal combinations in Ghana. Multimorbidity prevalence ratios were higher in Europe (men 1.47, 95% CI 1.34–1.59, women 1.18, 1.10–1.26) and urban Ghana (men 1.46, 1.31–1.59, women 1.27, 1.19–1.34).Conclusion: Distribution and patterns of multimorbidity differed by sex and site. With a higher burden of multimorbidity in urban areas, prevention strategies should focus on forestalling its increase in rapidly growing rural areas.


Author(s):  
Jagruti Prajapati ◽  
Jaydip Oza ◽  
B. B. Patel ◽  
Sunil R. Avashia

Background: Sociodemographic determinants of diabetes such as age, sex and socioeconomic status play a major role in diabetes outcome. It was necessary to design a research project to address this. The aim of this study is to determine the prevalence of diabetes and its sociodemographic factors such as age, gender, residential area, economic status and a level of education in the project districts. Methods: The cross sectional study was carried out in the project districts named Ahmedabad, Dahod and Valsad. Urban, rural and tribal population are above 30 years of age from different districts were covered to collect data on socio economic back ground and status of diabetes. Random blood sugar was measured by glucometer and glycosylated haemoglobin (HbA1c) by the HbA1c analyzer. Results: Proportion of male and female participants were near to equal. Percentage of self reported cases of diabetes (including controlled and uncontrolled) was 14.07% in urban areas while it was 5.24% in rural areas. Pre diabetes detection rate was more in rural area. During screening 11.83% of pre diabetes cases were identified. Difference between controlled and uncontrolled diabetes among illiterate and literate groups was statistically not significant. Conclusions: This preliminary observational study included more than 51000 participants visiting primary and community health centres from three districts of Gujarat. The public private partnership model helped in systematic approach towards screening and data collection. The study reported prediabetes cases higher than global prevalence. More controlled studies are required to define the mandatory screening protocol in resource constrained settings. 


2021 ◽  
Vol 6 (2) ◽  
pp. 22-27
Author(s):  
Dr. Chimata Triveni ◽  
◽  
Dr. Tirumuru Divya ◽  
Dr. Ponna Rama Devi ◽  
Dr. N. Lakshmi Chowdary ◽  
...  

Introduction: Visual impairment affects students’ routine schoolwork and day-to-day activities.Hence, the aim is to study the prevalence of various refractive errors and their comparison amongschool children of 5-15 years in rural and urban areas. Methods: This cross-sectional studyexamined 998 students from both rural and urban schools. After obtaining ethical clearance andinformed consent, students were examined for refractive errors. The students with the refractiveerror were given a socio-demographic questionnaire and questionnaire regarding their usage oftelevision, computer, and family history of refractive errors. A Chi-square test was used to test thestatistical significance of proportions. P-value < 0.05 was considered statistically significant, anddata were analyzed by using coGuide software, V.1.03 Results: The prevalence of refractive errorwas found to be 6.41 %, with a prevalence of 7.61% in urban and 5.21% in rural areas. Thedifference in the type of refractive error between the study groups was found to be insignificant,with P= 0.897. Conclusion: Prevalence of refractive errors was more in urban school children thanrural. Refractive error was more prevalent in 13-15 years age group in both rural and urban schoolchildren. The most common refractive error was myopia, followed by astigmatism andhypermetropia.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Ahmad Ayaz Sabri ◽  
Muhammad Ahad Qayyum ◽  
Naif Usman Saigol ◽  
Khurram Zafar ◽  
Fawad Aslam

A questionnaire-based cross-sectional study was carried out to assess the awareness of diabetes mellitus among rural and urban diabetics. After analyzing the awareness level of both populations, the urban diabetics were found to be more educated about diabetes. A 25-question survey was used to judge the awareness level of diabetes mellitus. A total of 240 diabetics were surveyed, 120 each from rural and urban areas. The mean awareness among the rural population was 13 (SD± 2) correct answers out of a possible 25. Similarly, in the case of the urban diabetics the mean awareness was 18 (SD± 2) correct answers. The survey was conducted on randomly chosen diabetics belonging to Lahore and Faisalabad, (urban areas), as well as Habibabad, Haveli Koranga and Baba Kanwal (rural areas). The results emphasize the interrelation between demography and awareness of diabetes mellitus. The rural diabetics are far less knowledgeable about diabetes mellitus, its management and its complications. Thus, there is an urgent need to improve the awareness level of diabetes mellitus in rural areas. Doing so will give rise to a healthier workforce and a lessened economic burden on Pakistan.


2019 ◽  
Vol 9 (4) ◽  
pp. 285-290
Author(s):  
Hosein Rafiemanesh ◽  
Yousef Alimohamadi ◽  
Seyed Rasoul Hashemi Aghdam ◽  
Avaz Safarzadeh ◽  
Abolghasem Shokri ◽  
...  

Background: The epidemiology of human brucellosis has drastically changed in recent years. This study aims to assess trend in brucellosis in the Oskou county, East Azerbaijan, Iran. Methods: This cross-sectional study was conducted on all confirmed brucellosis cases over the period between 2007 and 2016 in Oskuo county. We use crude incidence rate (CIR) per100000 persons and carried out Joinpoint regression analysis to describe brucellosis trend over the study period. Also, we used ARIMA model to predict trend and number of new brucellosis cases for the coming years. Results: More than 90% (92.5%; 95% CI: 89.9-95.1) of brucellosis cases were in rural areas over the study period. In recorded cases, 60.5% (95% CI: 55.6-65.4) of total cases were men and 39.5% (95% CI: 34.6-44.4) of total cases were women. The mean age of men was 33.85(SD=19.72) years and the mean age of women was 35.88 (SD=17.26) years old. Majority of brucellosis cases occurred in spring. CIRs for the rural and urban areas were 47.62 to132.20 and zero to 18.55, respectively. The CIR for rural area had decreasing trend to 2011 and increasing for 2011-2017. Conclusion: Based-on time series analysis, the number of new cases in the future years has fixed trend and the most number of incident cases will be occurred between third to fifth months in each years.


Author(s):  
Basanagouda K. Patil ◽  
Vijay S. Patil ◽  
A. Nagrajachari ◽  
D. Kiran ◽  
Sunita B. Patil

Background: Tobacco use is the single, largest preventable cause of death and disability worldwide. Area-specific community-based epidemiological studies on tobacco use are required to quantify the problem, identify the determinants and their distribution. The objectives were to find out the prevalence, patterns and socio-demographic correlates of tobacco use in Davangere taluka, Karnataka, India.Methods: This was a community-based, cross-sectional study of 2008 subjects (>10 years of age) in urban and rural areas of Davangere taluka, Karnataka. Interviews were conducted by using a structured, pre-tested questionnaire by house-house visits.  Results are presented using percentages, chi-square test, odds ratio and multiple logistic regression analysis.Results: The prevalence of tobacco use was 30.7%. Among urban males it was 39.5%, rural males 39.6%, rural females 26% and urban females 18.5%. Tobacco use was significantly associated with sex, locality, religion, caste, marital status, family type, occupation, and tobacco use in family or friends. There was direct relationship of tobacco use with age and inverse relationship with education and socio-economic status. Mixed tobacco use was higher in rural areas compared to urban areas. About 73.9% of 10-29 years persons had started before the age of 18 years. Among older participants there was higher frequency of consumption and duration of use.Conclusions: Tobacco use is common and it is influenced by various local socio-demographic factors. Addressing these factors and providing tobacco cessation services should be included as key strategies in tobacco control.


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