scholarly journals Disability Burden of Diabetes Mellitus and its Complications

1970 ◽  
pp. 22-26 ◽  
Author(s):  
Md Ziaul Islam

This specific analytical cross-sectional study was conducted at the Out Patient Department (OPD) of BIRDEM hospital to estimate and compare disability burden of Diabetes Mellitus (DM) and its complications during the period of January-June 2003. Data was collected by face-to-face interview with a semi-structured questionnaire and a checklist. To estimate disability burden, Years lived with Disability (YLD) was calculated. Out of total 154 patients, 53% were female while 47% were male and their mean age was 47.02 (± 8.42) years. Around 48% patients claimed the onset age of 40-49 years. Average monthly family income of the patients was TK.16,488.27±6042.40 and 27% of them were illiterate. Out of all, 72% patients had diabetes with complications while the rest 28% had diabetes without complications. With regard to disability burden, total 473.43 YLDs was shared by the patients of which only 20.46% YLD was shared by diabetes itself while major part of YLD (79.54%) was shared by its complications and the discrepancy was statistically significant (‘t'(152) =11.34, p < 0.01). It was revealed that the highest YLD was incurred by DM with cardiovascular diseases (37.56%) followed by DM with retinopathy (19.82%) and DM with nephropathy (12.98%). More YLD (52.65%) was shared by the patients with poor compliance with therapy while 34.27% and 13.08% YLD were incurred by the patients with moderate and good compliance with therapy respectively. Older patients shared more YLD than the younger patients and the disparity was statistically significant (‘t'(152)=9.53, p < 0.01). More YLD was shared by the patients with long duration of the disease than the patients with short duration and this divergence was statistically significant (‘t'(152)=8.71, p < 0.01). The study outcome will recommend for reduction of burden of DM by averting its major complications. Key Words: YLD, DM and Complications   doi:10.3329/jom.v10i3.2012 J Medicine 2009; 10 (Supplement 1): 22-26

2016 ◽  
Vol 15 (1) ◽  
pp. 31-34
Author(s):  
Nadira Parvin ◽  
Bonita Parvin ◽  
Md Monoarul Haque ◽  
Mohammad Shahinoor Islam

Background: Menstruation is one of the natural changes that occur in female in her normal life. Though it is a natural phenomenon, most of the adolescent girls have some wrong beliefs and behavior regarding menstruation.Objective: To assess knowledge on menstruation among adolescence school girls in a selected area of Dhaka City.Methods: A descriptive cross sectional study was conducted among conveniently selected 240 adolescent girls. A pre-tested modified questionnaire was used to get data by face to face interview. Knowledge level was determined by predefined scoring.Results: Mean age of respondents was 15.46 + 1.17 years. Mean monthly family income of respondents was 22500±4256 BDT. Majority of the respondents (88%) did not have knowledge about menstruation before the onset of their menarche. Most of the respondents (88%) were not mentally prepared for the first period. About 5.6% of the respondents felt good or normal during menstruation followed by 51%, 39.4% and 4% had uncomfortable, afraid and disgusting feeling respectively. Majority of the respondents (44%) knew about menstruation from TV.Conclusion: Most of the respondents had poor knowledge/no knowledge about menstruation.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 31-34


2021 ◽  
Vol 15 (4) ◽  
pp. 1-9
Author(s):  
Doreen Macherera Mukona ◽  
Maxwell Mhlanga ◽  
Mathilda Zvinavashe

Background/aims Vaginal candidiasis is commonly experienced by women with diabetes, but its prevalence is not well documented in Zimbabwe. This study aimed to assess the prevalence of vaginal candidiasis and factors associated with diabetic treatment adherence in pregnant women with diabetes. Methods This cross-sectional study was conducted on a consecutive sample of 157 participants from a central hospital in Harare, Zimbabwe. A structured questionnaire and physical examination of the perineum were used to collect data. All procedures were conducted in privacy. Diagnosis of vaginal candidiasis was made clinically. Data were analysed using the Chi-squared test, with P<0.05 being significant. Results The prevalence of vaginal candidiasis was 19.7%. There was a significant association between monthly family income (P=0.041), parity (P=0.029) and number of living children (P=0.049) and the presence of vaginal candidiasis. Women with poor adherence to diabetic therapy were 3.95 times more likely to have vaginal candidiasis (P=0.002). Conclusions Individualised health education on glycaemic control and good perineal hygiene remains key in the prevention of vaginal candidiasis among diabetic pregnant women.


2010 ◽  
Vol 15 (Number 2) ◽  
pp. 15-18
Author(s):  
S S Chowdhury ◽  
T Mehdi ◽  
F Alam ◽  
R Ishrat ◽  
S Parveen ◽  
...  

Stroke is Me third common cause of death in developed countries. Ischaernic stroke accounts for about 83 percent of all cases. For ischaemic stroke, besides modifiable and nononodifiable risk factors. there are some potential nosy risk factors which include mieroalbuminuria. Site objective of this study was to observe the association of microalbuminuria with isehaemic stroke and as well as consequent neurological deficits. This cross sectional study was done among 100 diagnosed patients of ischaeoric stroke of both sexes. A structured questionnaire and checklist was used to collect data through face to face interview. Urinary microalbuminuria was mesured in all study subjects and assessment of necrological defects was done by modified Ranakin scale. The study revealed that the frequency of presence of microallmminteria was significantly high in ischaernic stroke. Higher the level of mieroalburninuria higher was the necrological deficit. So, microalbunrinuria may be a marker for the process to develop the ischamnic stroke.


2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Baran Serdar Kizilyildiz ◽  
Bülent Sönmez ◽  
Kamuran Karaman ◽  
Burhan Beger ◽  
Adnan Mercen ◽  
...  

Malnutrition in childhood is a dramatic indicator of poor socio-economical status worldwide. To recognize and reveal the socio-demographic features is crucial, especially for developing countries. Our aim was to investigate the prevalence and association with sociodemographic variables of malnutrition in 0-5 years old children in Van, Turkey. A total of 702 children are included in this cross-sectional study. Demographic features of subject including age, gender, family characteristics and other data were obtained. Nutritional assessment was done using anthropometric indices including weight-for-age, height-for-age, weight-for-height, head circumference and body mass index-for-age. Multivariate logistic regressions were carried out to assess malnutrition- associated factors. Prevalence of underweight, stunting and wasting were 19.7, 17.7 and 16.2%, respectively. Socio-demographic variables that statistical significantly in association with malnutrition were low monthly family income, educational level and employment status of father, parental consanguinity, number of pregnancies, regular intake of vitamin D and history of prematurity. The prevalence of children with head circumference-z score ≤−2SD and body mass index-for-age ≤−2SD were 9.8 and 16.3%, respectively. Multivariate analysis detected following risk factors for these indices; low monthly family income, history of prematurity, unemployed father and the period between pregnancies (1- 2 years). We found that prevalence of malnutrition in the city of Van, was still higher than more developed regions of Turkey. The associated risk factors of malnutrition should be specifically interpreted by health professionals and also by government authorities that are responsible for making practical politics of public health.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
AL-abed Ali AL-abed ◽  
Rosnah Sutan ◽  
Sami Abdo Radman Al-Dubai ◽  
Syed Mohamed Aljunid

Khat chewing is associated with unfavourable health outcomes and family dysfunction. Few studies have addressed the factors associated with khat chewing among Yemeni women. However, the family and husband effects on chewing khat by women have not been addressed. This study aimed to determine the prevalence of khat chewing among Yemeni women and its associated factors, particularly husbands and family factors. A cross-sectional study was conducted among 692 adult Yemeni women in the city of Sana’a in Yemen using structured “face to face” interviews. Mean (±SD) age of women was 27.3 years (±6.10). The prevalence of chewing khat by women was 29.6%. Factors associated with chewing khat among women were chewing khat by husbands (OR=1.8; 95% CI: 1.26, 2.53), being married (OR=2.0; 95% CI: 1.20, 3.37), frequent family social gatherings (OR=1.5; 95% CI: 1.06, 2.10), high family income (OR=1.57; 95% CI: 1.12, 2.21), larger house (OR=1.63; 95% CI: 1.16, 2.31), and age of women (OR=0.64; 95% CI: 0.44, 0.92). It is concluded that khat chewing by women in this study was significantly associated with family factors and with khat chewing by their husbands. Urgent action is needed to control khat chewing particularly among women.


2019 ◽  
Vol 18 (1) ◽  
pp. 14-20
Author(s):  
Sajama Nepali ◽  
Manodhara Shakya

Background: Continuing breastfeeding after three months of the postpartum period has been a challenge to mothers rather than their choice. The engagement of husbands in breastfeeding serves both as physical and mental support to their wives. This study aimed to assess the breastfeeding self-efficacy of mothers, identify their husbands’ support for breastfeeding and examine the association between breastfeeding self-efficacy of mothers and the husbands’ support for breastfeeding. Methods: This descriptive, cross sectional study recruited 110 mothers of infants, visiting Bungmati Health Post for immunization from July 2015 to November 2015. Mothers were interviewed face to face with semi structured questionnaire. Data entry and analysis was carried out using SPSS version 23. Descriptive analysis was performed on the socio-demographic characteristics, delivery characteristics, breastfeeding self-efficacy and husbands’ support scale. Bivariate analysis was used to examine the association between breastfeeding self-efficacy and husbands’ support scale and other outcomes. Results: Majority (94%) of the mothers reported to be confident on the breastfeeding self-efficacy, while 95 percent of their husbands were supportive towards breastfeeding. A significant association was seen between the breastfeeding self-efficacy and the husbands’ support scale (p<0.04). Mothers who received support from husbands were 10 times more likely to report confidence on breastfeeding than those who did not. Conclusions: The results suggested that husbands’ support increases the breastfeeding self-efficacy of mothers. Based on this finding, it is recommended that involvement of husband is crucial for encouraging mother to breastfeed child. Tweetable Abstract: Mothers who received support from their husbands were 10 times significantly more likely to breastfeed.


2019 ◽  
Author(s):  
Oumer Kemal ◽  
Yawen Liu ◽  
Qiong Yu ◽  
Fan Wu ◽  
Shuman Yang

Abstract Background: Studies on osteoporosis awareness among general population in China are still limited. We examined the level of osteoporosis awareness among residents in China, determined the risk factors associated with lower level of osteoporosis awareness, and assessed the sources of their knowledge about osteoporosis. Methods: We conducted a cross-sectional study among 368 general residents aged 30 years or older from 19 provinces during January-March 2018 in China. All participants were identified and interviewed face-to-face by medical students in Jilin University using a structured questionnaire. Osteoporosis awareness scores (percent of correct answer) was determined across several domains, including definition, diagnosis, risk factors, and prevention of osteoporosis. We used multiple linear regression models to test the relationship between risk factors and overall awareness scores. Results: The mean age of participants was 52.9 ± 10.2 years, and 53% of them were male. Osteoporosis awareness score for definition was 77.7%, diagnosis 49.6%, risk factors 49.2%, treatment 60.5%, and prevention 69.9%. The overall awareness score was 67.8%. Lower family income and education level were significantly associated with lower overall awareness score (all p <0.05). Television or radio health program was reported to be their main source of knowledge about osteoporosis. Conclusion: The awareness level for osteoporosis is moderate; lower family income and education level were risk factors for lower awareness. Television or radio health program had the greatest contribution to osteoporosis awareness.


Author(s):  
Amna Rizwan ◽  
Abu Sufyan ◽  
Asfandyar Asghar ◽  
Haamid Khan ◽  
Bilal Ahmad ◽  
...  

Abstract Objectives: To assess the awareness of diabetic patients about diabetic retinopathy. Method: The cross-sectional study was conducted at the Ophthalmology Department, Fauji Foundation Hospital, Rawalpindi, Pakistan, from April 2018 to April 2019, and comprised diabetic patients of either gender aged 21-80 years. A pre-tested semi-structured questionnaire was used to collect data on socio-demographic, diabetes and diabetic retinopathy characteristics. Fundoscopic examination was done, and the presence and stage of diabetic retinopathy were documented. Data was analysed using SPSS 20. Results: Of the 132 subjects, 9(6.8%) were male and 123(93.2%) were females. The majority 64(48.5%) was aged 61-80 years. Overall, 74(56.1%) patients were aware that diabetes could affect their eyes, 57(43.2%) were never diagnosed with diabetic retinopathy, 76(57.6%)  had gained information about diabetic retinopathyfrom ophthalmologists, 61(46.2%) and 29(22%) respondents reported that eyes should be examined ‘only when vision is affected’ and ‘every 6 months’ respectively, 98(74.2%) said the biggest barrier in getting eyes examined earlier was ‘lack of knowledge’, 23(17.4%) believed surgery was done for diabetic retinopathy treatment and 33(25%) believed that surgery, laser and injections all can be used.  Significant relationship of diabetic retinopathy was found with duration of diabetes and the general health status (p<0.05). Conclusion: Though more than half the patients were aware that diabetes could affect the eyes, awareness of diabetic retinopathy and its consequences was low. Key Words: Awareness, Diabetes mellitus, Diabetic retinopathy, Continuous...


2019 ◽  
Vol 1 (Number 1) ◽  
pp. 18-22
Author(s):  
Nasreen Akther

This descriptive type of cross-sectional study was conducted at Gazipur,Bangladesh to assess the dietary habits of women in antenatal period in rural area of Bangladesh. A sample of 160 respondents was selected purposively and a semi structured questionnaire was used to collect data by face to face interviews. Data were tabulated, checked and finalized manually and analyzed in Microsoft Word & Excel.The studies revealed that, majority of the respondents 60 (37.5%) were within the age group of 15-24 years. The mean age of the respondents was 29 years. Their monthly family income was more than 10000taka.Regarding duration of pregnancy, majority of the respondents 155(96.875) were full term pregnant andamong them, 110(68.75%) took their meal with family members. Majority of the respondents 87(54.375%) used to eat 3 times daily during their antenatal period. Most of them 147(91.88%) took rice followed by vegetables 114(71.25%) daily. Most of them 95(59.375%) discarded rice ban during cooking. Majority of the respondents 101(63.125%) used to wash vegetables after cutting, more than half of them 90 (56.25%) took advice from health center during antenatal period. Most of them were advised to take nutritious food and eat frequently. So counseling programs may be taken to counsel the women about dietary habits during antenatal period and government should be more concerned about this.


2020 ◽  
Author(s):  
Kemal Sherefa Oumer ◽  
Yawen Liu ◽  
Qiong Yu ◽  
Fan Wu ◽  
Shuman Yang

Abstract Background: Studies on osteoporosis awareness among general population in China are still limited. We examined the level of osteoporosis awareness among residents in China, determined the risk factors associated with lower level of osteoporosis awareness, and assessed the sources of their knowledge about osteoporosis.Methods: We conducted a cross-sectional study among 368 general residents aged 30 years or older from 19 provinces during January-March 2018 in China. All participants were identified and interviewed face-to-face by medical students in Jilin University using a structured questionnaire. Osteoporosis awareness scores (percent of correct answer) was determined across several domains, including definition, diagnosis, risk factors, and prevention of osteoporosis. We used multiple linear regression models to test the relationship between risk factors and overall awareness scores.Results: The mean age of participants was 52.9 ± 10.2 years, and 53% of them were male. Osteoporosis awareness score for definition was 77.7%, diagnosis 49.6%, risk factors 49.2%, treatment 60.5%, and prevention 69.9%. The overall awareness score was 67.8%. Lower family income and education level were significantly associated with lower overall awareness score (all p <0.05). Television or radio health program was reported to be their main source of knowledge about osteoporosis.Conclusion: The awareness level for osteoporosis is moderate; lower family income and education level were risk factors for lower awareness. Television or radio health program had the greatest contribution to osteoporosis awareness.


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