scholarly journals Socio-demographic factors and suicidal behavior among the patients with psychiatric disorder attending outpatient department of a tertiary level hospital

2020 ◽  
Vol 32 (1) ◽  
pp. 14-18
Author(s):  
Shahana Parveen ◽  
Avro Das Bhowmik ◽  
Mekhala Sarkar ◽  
Mohammad Tariqul Alam ◽  
Mohammad Akteruzzaman ◽  
...  

The majority of suicides worldwide are related to psychiatric disorders. Overall, suicide rates vary concerning the age, gender, and socioeconomic status of the individual and the method of suicide. The objectives of the study were to find the socio-demographic factors and suicidal behavior associated with suicidal attempts in patients with psychiatric disorders. A cross-sectional, hospital-based, descriptive study was conducted among the patients attending the psychiatry outpatient departments (OPD) of the National Institute of Mental Health, Dhaka, Bangladesh. A total of 98 consecutive cases were included those who were at and above18year, have a definite psychiatric disorder and history of suicidal attempt. The data were collected by face-to face interview using semi structured questionnaire. The study identified that most of the patients were in the age group 21-30 years (53.1%), mean age± SD was 27.02±8.42, more in female (66.2%), housewives (35.7%), 57.1% were from an urban background and 35.7% of them studied up to SSC. The vast majority (73.5%) came from a nuclear family. Suicidal behavior revealed that mean suicidal attempt was 2.63±2.84, Communication intent was 20.4%, Suicidal note was put by10.2%, at home (90.8%),59.2%, sample choose day time and common method were hanging (25.5%) and medicine (22.4%). Help nearby in 72.4%, precaution against rescue was 18.4%, intent to die was 65.3% and hospitalization needed for 34.7% cases. Suicides can be prevented by early identification, diagnosis and proper intervention of psychiatric disorder among risk groups. Restricting access to means of suicide, by training caregivers, provide adequate follow-up care may reduce impulsive suicidal attempts. Bang J Psychiatry June 2018; 32(1): 14-18

Author(s):  
Tagaram Ramchandra ◽  
N. Pragathi Kumar ◽  
Niharika Lakkoju

Background: Tuberculosis has existed for millennia and remains a major global health problem. It causes ill-health in millions of people each year and in 2015 it was one of the top 10 causes of death worldwide. Understanding the specific reasons for unsuccessful outcomes is important to improve the treatment system. This present study was carried out to find out the effects of socio-demographic factors on TB defaulters under DOTS centre in Warangal District, Telangana state.Methods: A cross sectional study was carried among 103 defaulters of TB patients in 3 TB units (TU) Warangal (urban), Ragunathapally (rural) and Eturunagaram (tribal) out of 7 TB units in Warangal district, attached to District Tuberculosis Centre (DTC) from January 2016 to June 2016 by interview technique utilising a pretested and structured questionnaire to collect the data. Statistical analysis: Percentages, proportions and chi-square test were applied whenever necessary.Results: In present study, males (35%) were more than females (7.8%) and 42.8% were in the age group of 40-55 years, followed by 28.1% were 26-39 years age group. Majority of defaulters were in nuclear family (77.7%) followed by joint family (21.3%). Cost of travel as a reason for default of treatment was seen more in tribal area (16.5%) than rural (12.6%) and urban (4.8%) TUs. The TB patients residing in tribal areas are more prone to default, an important reason being the distance needed to travel to the closest health facility, availability and the need to travel by public transport.Conclusions: Tuberculosis is an infectious disease which has a devastating impact on the economic wellbeing of individual and their families. Most of the defaulters were illiterates residing in tribal area. Cost of travel as a reason for default of treatment was seen more in tribal TU 17(16.5%) than urban and rural TUs.


2021 ◽  
Vol 39 (1) ◽  
pp. 67-72
Author(s):  
Ashekur Rahman Mullick ◽  
Md Shafiur Rahman ◽  
Manzurul Haque Khan ◽  
Irin Hossain ◽  
SK Akhtar Ahmad

Background: This study aimed to assess the extent of socio-demographic factors that affect food insecurity among rural school going children. Methods: A school based cross-sectional study was conducted among 460  rural  school  going children  (class 4  to class I 0) in Saltha upaziila of Faridpur district, Bangladesh  from  January-December,  2019.  Children  providing assent after getting consent from their parents were inducted as study participants. Semi-structured questionnaire was used to collect data on the food insecurity and socio-demographic variables. The study was conducted in  Saltha upaziila of Faridpur district, Bangladesh from January-December, 2019 Results: Among the participants about 59.3% were moderately food insecure which means they were deprived of psychological and physical access to food. 53.7% were female and 88.3% of them were Muslims , 30.7% were from class 8, 70.7% were from nuclear family, 93% had siblings , 92% resided into house on their own land , 78.5% had own agricultural land and in 52.7% cases participant's father were farmer and their mean income was 98208.18 ± 13618.196 Taka per. 35.2% lived in both Semi Pucca house and Tin Shade house and 7 I% had domestic animal in their hou se, such as goat, sheep, cow, duck, hen etc., 41.5% had television in their house but 52% didn't have refrigerator in their house. There was a statistically significant relationship between food insecurity and age of participants (p- 0.000),educational status (p- 0.000),head of family (p- 0.008),occupation of father (p- 0.0IO). yearly ineome of family member (p-0.000), house type (p-0.000). Conclusion: National policies and programs need to stress on how to improve family income earning capacity and socioeconomic status to handle food insecurity. JOPSOM 2020; 39(1): 67-72


2021 ◽  
Author(s):  
◽  
Ellen Nagaddya Kisembo

Abstract Background: Depression is a major cause of the global disease burden, affecting an estimated 350-400 million people worldwide. This makes it the largest contributor to Years Lived with Disability (YLDs) globally Methodology: It was a descriptive cross sectional study with an analytic component in which 82 patients already diagnosed with TB were recruited for the study using stratified sampling technique and convenient sampling technique. PHQ-9 was used to assess for presence and severity of depression, a score above 9 was considered to be depressed. Socio-demographic questionnaire was used to obtain the socio-demographic characteristics. Data entry and analysis was done using SPSS 23rd version, Chi-square test and T-test were used to find associations of socio-demographic factors to depression. Results: The prevalence of depression was 54.9%, out of whom 22.2%, 66.7% and 11.1% had mild, moderate and severe depression respectively. Depression was more prevalent in patients from a nuclear family (34.1%), in age group of 31 to 60 years (32.9%), treatment duration of 1 month (31.7%), among the females (29.3%), and patients who were unemployed 28%. Conclusion: In conclusion, the prevalence of depression (54.9%) in TB patients is high, with most patients moderately depressed and this could be associated with multiple socio-demographic factors like being female, age of 30-60 years, unemployment, low education level, being in the intensive phase of TB treatment, HIV and TB co-morbidity. Recommendations: There is need for integration of mental health services into TB treatment to ensure routine screening, early diagnosis and treatment of mental disorders like depression to prevent their co-morbidity with TB, which often has negative treatment outcomes. There is need to carry out more research on depression in patients with TB to widen knowledge about this problem.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Lutango D. Simangwa ◽  
Anne N. Åstrøm ◽  
Anders Johansson ◽  
Irene K. Minja ◽  
Ann-Katrin Johansson

2016 ◽  
Vol 6 (2) ◽  
pp. 146 ◽  
Author(s):  
Jhunu Shamsun Nahar ◽  
Monami Haque ◽  
Nafia Farzana Chowdhury ◽  
M. M. A. Shalauddin Qusar ◽  
Wasima Rahman ◽  
...  

<p><strong>Background:</strong> Psychiatric disorders are more prevalent among women than men worldwide. The lifetime risk of depres­sion and dysthymia are twice as common in women as men. Rural women usually undergoes more stressful situations and also scores more on stress scale than that of urban and slum population. <strong></strong></p><p><strong>Objectives:</strong> The research objectives of this study are: 1) To find out the prevalence of psychiatric disorders among the study population. 2) To compare the disorders among the rural and slum female population. 3) To find out the influence of existing socio-demographic factors on psychiatric disorders. <strong></strong></p><p><strong>Method:</strong> This is a community-based study, which is also cross sectional and descriptive in nature. The sample for the main study constituted 366 randomly selected respondents. A two-staged screening procedure was carried in the study. First, the total population was studied by screening test-Self Reporting Questionnaire (SRQ) to divide the sample into 'screen positive' and 'screen negative' subjects. In the second stage, full assessment of a mixture of all 'screen positive' and 25% 'screen negative' was carried out by structured clinical interview for diagnosis (SCID-NP). Later SCID filled by the respondents was assessed by consultant psychiatrists by using DSMIV in order to put exact clinical diagnosis. Stress was scored according to Presumptive Stressful Life Events Scale (PSLE). The total duration of the study was from July 2010 to June 2011. <strong></strong></p><p><strong>Results:</strong> Higher prevalence of psychiatric morbidity was found among rural sample (22.8%) than slum (10.90%) population. Regarding pattern of psychiatric disorders among rural sample (22.8%) than slum (10.9%) population.</p><p>See the PDF for the rest of the abstract.</p>


Author(s):  
Tanveer Bano ◽  
Abhishek Agarwal ◽  
Sunil Kumar Garg ◽  
Harivansh Chopra ◽  
Seema Jain ◽  
...  

Background: Iron deficiency anaemia constitutes more than half of the anaemia burden among the under 5 children. In addition to socio-demographic factors, the maternal factors plays an important role in determining childhood anaemia. The objective of the study was to determine the prevalence of anaemia among 1-3 year old children and to find their association with maternal factors.Methods: The present cross sectional study was conducted in a sub centre village under Machhra CHC. Sample size was calculated as 182 by taking the prevalence of anaemia as 79% with 7.5% relative precision and 95% confidence interval. From the list of 404 children obtained from MCTS data, 200 children were selected randomly. Detailed information regarding socio demographic factors and maternal factors was obtained on a pre tested and pre designed questionnaire. Hemoglobin levels were estimated using haemo check rapid diagnostic kit. The data was collected and analyzed on epi info 3.7.2 using appropriate statistical tests.Results: Out of 200 children 77.5% of them were suffering from mild to severe anaemia. Among all the maternal factors studied maternal education, iron folic acid consumption during pregnancy, birth order of the index case and history of exclusive breast feeding were found to be significantly associated with prevalence of anaemia among the children.Conclusions: The present study revealed a high prevalence of anaemia in children and maternal factors plays an important role in determining the disease. 


Author(s):  
Reza Bidaki ◽  
Parvin Agha Mohamad Hasani ◽  
Maryam Alireza Zade ◽  
Rezvan Sadr Mohammadi ◽  
Reza Bidaki ◽  
...  

Objective: To determine prevalence rates, associated features, and risk factors for psychiatric disorders subsequent to the diagnosis of IDDM. Methods: In this cross-sectional study were been selected 100 randomly who referred to Rafsanjan Diabetes Center. The data of this study is gathered demographic questionnaire and Minnesota Multi-phasic Personality Inventory (MMPI). Data was analysed with software SPSS-17. Results: 76% of the patients were female and 24% were men 45.4% of the illiterate population. The results showed hypochondriasis (22%) and schizophrenia (19%) and depression (11%) are three psychiatric disorders that patients with diabetes in high-risk groups have reported. Conclusion: The present study demonstrated that about 30-45% of patients with diabetes suffered from common mental disorders. The prevalence of some psychiatric disorders is considerable in diabetic patients in Rafsanjan.


2021 ◽  
pp. 22-24
Author(s):  
Vijay Kumar Yadawa ◽  
Kumari Sushma Saroj ◽  
Ravindra Prasad

Hypertension is a major contributor to the cardiovascular morbidity and mortality in industrialized countries. The recent reports suggest that hypertension is rapidly increasing in developing countries like India. Non-communicable diseases (NCDs) are the leading causes of death globally and also the leading cause of adult mortality and morbidity worldwide now days. The NCD like hypertension is emerging as a major health problem in India with increasing prevalence signicantly in both urban and rural population. The objectives of the study were to nd out the prevalence of hypertension and its association with socio-demographic factors among the study subjects, if any. A community-based cross-sectional study was conducted in rural communities of Kanti block, Muzaffarpur, Bihar from May, 2020 to April, 2021. We studied among 671 individuals, aged 21 years or above of both sexes except pregnant and seriously ill subjects. The data were collected about education, type of family, family history of hypertension, income etc. The overall prevalence of hypertension was 25.7% (male 21.7% and female 29.8%). Prevalence increased with increase in age group. Muslim religion, less education and sedentary life styles were found to be signicantly associated with hypertension; while socio-economic status had no association with hypertension. Summary: The prevalence of hypertension in the rural population was found to be on the higher side compared to previous reports from India. Strong public health measures need to be seriously implemented to combat hypertension and its consequences.


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