scholarly journals Multimorbidity among Tuberculosis Cases’ Bangladesh Perspective

2019 ◽  
Vol 46 (3) ◽  
pp. 74-79 ◽  
Author(s):  
Atiya Tasnim Muna ◽  
Kazi Shafiqul Halim ◽  
Bushra E Zannat Khan ◽  
Kazi Fardana Mostary ◽  
Md Safikul Islam ◽  
...  

Globally tuberculosis (TB) has become the leading cause of death from infectious diseases. Tuberculosis is a chronic infection and a person may suffer from tuberculosis and other chronic medical conditions at the same time. Co-occurrence of multiple chronic conditions in the same individual, known as multimorbidity (MM) is increasing worldwide. This cross-sectional study was carried out from January 2017 to December 2017 to reveal the extent of multimorbidity among tuberculosis cases. A TB case with multimorbidity was defined as TB with multimorbidity (TB-MM) subject. By convenient sampling, 227 tuberculosis cases from 8 Directly Observed Treatment, Short Course (DOTS) centers from Dhaka, Mymensingh and Netrokona districts were enrolled in this study. Among 227 tuberculosis cases 29 (12.8%) cases had multimorbidity (TB-MM subjects). Prevalence of multimorbidity was significantly higher in age group ≥40 years (p<0.001), male cases (p=0.034) and cases who had family income >30000 BDT/month (p=0.001), were currently smoker (p=0.028) and whose BCG scars were not seen (p<0.001). This study recommends that each TB case should be investigated for other chronic conditions to reveal the actual national magnitude of multimorbidity. Bangladesh Med J. 2017 Sep; 46 (3): 74-79

Author(s):  
Manoj Kumar Yadav ◽  
Mohit Raghav ◽  
S. S. Chaudhary ◽  
Manisha .

Background: Tuberculosis was the first infectious disease declared by the WHO as a global health emergency. Men are more commonly affected than women. The case notifications were higher in males than in females most countries. The objective of the study was to assess socio-demographic determinants of tuberculosis patients attending directly observed treatment short course (DOTS) centre in Urban Ghaziabad.Methods: This was an observational cross-sectional study. The study was carried out in selected DOTS centres of district Ghaziabad. 850 study subjects age group more than 15 years were included.  Multistage sampling was done. Numbers and percentage were used. SPSS version 13 was used for statistical analysis.Results: Majority 41.17% of tuberculosis (TB) patients belonged to 15-25 years age group. 30.58% patients were in 26-35 years age group followed by 23.52% in 36-45 years age group and least 4.70% were in >45 years age group. Majority 54.1% of TB patients were females that compared to 45.9% were males. Among tuberculosis patients majority 58.82% were married as compared to 40% were unmarried and least 1.18% were widow. 75.29% tuberculosis patients were Hindus as compared to 22.35 were Muslims and least 2.35% were Sikh/Christian. Among tuberculosis patients majority 44.71% were from nuclear family. 31.76% had joint family and least 23.53% had 3rd generation family.Conclusions: It was concluded that socio-demographic determinants were low. It was recommended to raise socioeconomic standard of population, give health education to improve personal habit and stop TB transmission. 


PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0238353
Author(s):  
Xiao Wei Tan ◽  
Ying Xie ◽  
Jeremy Kaiwei Lew ◽  
Poay Sian Sabrina Lee ◽  
Eng Sing Lee

2020 ◽  
Vol 5 ◽  
pp. 233
Author(s):  
Rohini C ◽  
Panniyammakal Jeemon

Background: Multi-morbidity is the coexistence of multiple chronic conditions in individuals. With advancing epidemiological and demographic transitions, the burden of multi-morbidity is expected to increase India. Methods: A cross-sectional representative survey was conducted among 410 participants aged 30-69 years in Pathanamthitta District, Kerala to assess the prevalence of multi-morbidity. A multi-stage cluster sampling method was employed to identify households for the survey. We interviewed all eligible participants in the selected households. A structured interview schedule was used to assess socio-demographic variables, behavioral risk factors and prevailing clinical conditions. We used the PHQ-9 questionnaire for depression screening. Further, we conducted active measurements of both blood sugar and blood pressure. Multiple logistic regression was used to identify variables associated with multi-morbidity. Results: Overall, the prevalence of multi-morbidity was 45.4% (95% CI: 40.5-50.3%). Nearly a quarter of the study participants (25.4%) reported only one chronic condition (21.3-29.9%). Further, 30.7% (26.3-35.5), 10.7% (7.9-14.2), 3.7% (2.1-6.0) and 0.2% reported two, three, four and five chronic conditions, respectively. At least one person with multi-morbidity was present in around seven out of ten households (72%, 95% CI: 65-78%). Further, one in five households (22%, 95% CI: 16.7-28.9%) reported more than one person with multi-morbidity. Diabetes and hypertension was the most frequent dyad (30.9%, 95% CI: 26.5-35.7%), followed by hypertension and depression (7.8%, 95% CI: 5.5-10.9%). Diabetes, hypertension and ischemic heart disease was the common triad in males (8.5%, 95% CI: 4.8-14.1%), while it was diabetes, hypertension and depression (6.9%, 95% CI: 4.2-11.1%) in females. Age, sex, and employment status were associated with multi-morbidity. Conclusion: Multi-morbidity is prevalent in one of two participants in the productive age group of 30-69 years. Further, seven of ten households have at least one person with multi-morbidity. The high burden of multi-morbidity calls for integrated management strategies for multiple chronic conditions.


2014 ◽  
Vol 04 (02) ◽  
pp. 118-120
Author(s):  
Rohith Holla ◽  
Sachin Prabhu ◽  
Sanjana Shetty ◽  
Shreya Deshpande ◽  
Shwetha Balla K. ◽  
...  

Abstract: Introduction: India continues to be the diabetic capital of the world. According to the WHO report, India today heads the world with 32 million patients and this number is projected to increase to 79.4 million by the year 2030. Diabetes has become a great economic challenge as it drains between 5-25% of family income of an average Indian. Aims & Objectives: To study the awareness of diabetes among the adolescents. Materials and Method: Community based cross-sectional study. We collected data from 600 adolescents of age group 16-18years. A questionnaire consisting of questions that were based on the knowledge, awareness and practices regarding the risk factors of Diabetes were prepared. Students from 4 pre-university colleges in Mangalore, Dakshina Kannada district, were selected as the study group Results: 88.5% were aware of diabetes. According to 48.33% consumption of sweets only was a risk factor. 5.5% were aware that diabetes runs in families . 78.33 % were aware that diabetes can affect any age group and 73% knew about the increasing rate of diabetes in India. 72.16 % were sure that diabetes can be prevented and 25.5% said it was possible to completely cure .46% were under a misconception that a vaccine is present for diabetes and only 57.83%were aware of that diabetes can cause complications.


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