scholarly journals Knowledge, Attitude and Practice of Antibiotics Usage among patients attending OPD of a Dental College Hospital in Dhaka, Bangladesh

2018 ◽  
Vol 19 (2) ◽  
pp. 84-90
Author(s):  
Rubina Yasmin ◽  
Tshewang Gyeltshen ◽  
Rubiyat E Islam

Background: Antibiotics Resistance has been in the limelight of medical developments for long. The patient factor, mainly social aspect of it is overshadowed by ever growing new potent drugs and medical technologies. Bangladesh is no exception to the rest of the world. However, relatively fewer works have been published on the relationship between Knowledge, Attitude and Practice (KAP) and Antibiotics Resistance within Bangladesh. This study was done to assess the present status of knowledge, attitude and practice on the use of antibiotics among the people visiting a tertiary care dental hospital in Dhaka; Bangladesh. This will further assess the current status of knowledge on antibiotics and its resistance, attitude towards its use and practices pertaining to it among Bangladeshi general public. It is also aimed at evaluating the behavioral pattern towards use of antibiotics among these group within wide range of income groups and different educational backgrounds.Materials & Methods: A cross-sectional observational study was conducted among patients attending OPD of Dhaka Dental College & Hospital. Patients from all the social background participated in this study. Sample sizes of 562 patients were surveyed. Structured self–administered assessment questionnaire was used to collect the data. SPSS version 24 software was used for data analysis.Results: Of 562 respondents; 64% were female while male constituted 36%. Majority of them fell in the age group of 18-47 consisting of 84.4%. 62.4% of the respondents were married and majority 94% belonged to Muslim faith.93.2% of the respondents had at least primary level educational status. 52% of the respondents belonged to the low income group while 48% constituted high income group. 86.1% of the total respondents knew that indiscriminate use of antibiotics leads to certain harm to the body, while the majority, almost 97.5% have never heard of the term antibiotics resistance. There appears to be statistically significant relationship between the level of education and higher income group with that of KAP on antibiotics usage.Conclusions: The study population had variable understandings on antibiotics and its resistance. This study provides the need to educate people to make them change their mindset towards antibiotics. Most of the people don’t take antibiotics after their infections are subsided or after they become alright. A better and revised strategy of awareness campaign might be needed among the public to educate them on it.J MEDICINE JUL 2018; 19 (2) : 84-90

1970 ◽  
Vol 5 (2) ◽  
pp. 37-41 ◽  
Author(s):  
Farzana Saleh ◽  
Shirin Jahan Mumu ◽  
Fadia Afnan ◽  
Liaquat Ali ◽  
Habib Sadat Chaudhury ◽  
...  

This study was undertaken to assess the knowledge, attitude and practice (KAP) of hypercholesterolemic type 2 diabetic subjects on dyslipidemia and to analyze the influence of some demographic and socioeconomic factors on the level of KAP.It was a descriptive cross-sectional survey. One hundred eleven newly diagnosed type 2 diabetic subjects (male 61%, female 39%, age 45±9 years, BMI 24±4.8 Kg/m2) with hypercholesterolemia (fasting plasma total cholesterol >200 mg/dl) were selected from the out patient department of BIRDEM by purposive sampling method. Data were collected by a pre-designed, pretested, interviewer-administered questionnaire. Three categories were defined on the basis of the score obtained by each subject namely low, medium and high as follows: knowledge-score <50%, 50-60% and >60%; attitude-score <60%, 60-80% and >80%; and practice-score <50%, 50-70% and >70% respectively. The levels of knowledge were low in 42%, medium in 35% and high in 23% of the study subjects. The corresponding attitude levels were low in 1%, medium in 31% and high in 68%, and the levels of practice were low in 80%, medium in 14% and high in 6% of the subjects. The knowledge score was higher in secondary and graduate (53.4±8.9%, and 54.9±10.1%) groups compared to illiterate-primary group (48.9±9.9%). Practice score of illiterate-primary group (34.5±16.8%) was lower than secondary and graduate (43.1±13.9% and 46.7±18.1%) groups, but they did not differ on attitude. The various income groups did not differ on knowledge. Attitude score of high-income group (78.7±8.4%) was better than low-income group (70.9±11.8%). Practice score in high-income group (44.7±16.0%) was better than medium income and low-income groups (31.3±14.5% and 28.6±15.0%). Knowledge and practice score in Bangladeshi hypercholesterolemic type 2 diabetic subjects are not satisfactory although they have fairly good attitude levels. Education and income status are the major determinants of knowledge, attitude and practice regarding dyslipidemia in diabetes. A coordinated policy is required to promote knowledge and attitude on healthy lifestyle and to translate those into practice.DOI: http://dx.doi.org/10.3329/imcj.v5i2.10096 IMCJ 2011; 5(2): 37-41


2021 ◽  
Author(s):  
Ebrahim Jemal ◽  
Tekle Olbamo ◽  
Getinet Cherinet ◽  
Moi Topo

Abstract Introduction: Coronavirus disease 2019 (abbreviated “COVID- 19”) is an emerging respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The main clinical symptoms of the virus include fever, dry cough, fatigue, myalgia, and dyspnea. Ethiopia is one of African countries that confirmed the virus and working on the condition. This study was aimed to investigate Knowledge, Attitude and Practice towards COVID-19 among the people of South Omo Zone and specifically, the study was aimed to find out the Knowledge, Attitude and Practice score reported by respondents related to COVID-19. Methodology: this study used cross sectional survey method to identify factors that determine Knowledge, Attitude and Practice towards COVID-19 and to compare Knowledge scores of different social and demographic groups. A total of 400 respondents were taken from two woreds of the Zone namely Hammer and Nyangatom woreda by using multi-stage sampling technique. Descriptive statistics and econometric model were used to analyze data. Descriptive statistics include average, t-test and chi-square test were used end binary logit model was used to identify the factors that determine the knowledge, attitude and practice of respondents towards COVID-19. Result: It was found that majority of the respondent have no knowledge, have no optimistic attitude and have no safe practice towards COVID-19. From the total sampled respondents, 53.5% have good knowledge, 55.75% have optimistic attitude and 44.25% respondents have safe practice towards COVID-19. Demographic characteristics, socio-economic factors and infrastructure barriers were found determining knowledge, attitude and practice of the respondents.Conclusion: most of the respondents in the study area have no knowledge towards COVID-19, have no optimistic attitude towards the final success in controlling the virus and they have no safe practice concerning the prevention methods of COVID-19. Demographic characteristics of the respondents and socio-economic factors are the most common factors which determined the knowledge, attitude and practice of the respondents towards COVID-19. From the economic status and having access to information perspective, those respondents that have high income and access to information have knowledge, optimistic attitude and good practice towards COVID-19 than those respondents that have low income and have no access to information. Health education programs, by targeting the lower knowledge individuals regarding COVID19, are essential for creating awareness, building positive attitude and maintain safe practices, supporting the low income groups could help the respondents to practice the prevention methods.


Author(s):  
Suwarna Dangore-Khasbage

Background: Oral cancer is one of the easily diagnosed cancer as compared to the cancers of other parts of the body as the mouth is easily accessible for self or clinical examination. But, it is frequently diagnosed in advanced stage as the population lack the knowledge about the causes and signs & symptoms of oral cancer. Though many studies are there describing this issue, scanty literature is available relevant to knowledge, attitude and practice regarding oral cancer especially in rural areas which needs attention. Aim: To assess knowledge, attitude and practice of rural population of Wardha district regarding Oral cancer. Methodology: This questionnaire based prospective study will include 1000 subjects who will be able to read and understand the questionnaire. Self-administered questionnaire prepared in local language (Marathi / Hindi) of the rural population of Wardha district will be administered. Questionnaire will be comprised of two parts. First part request demographic information and the second section contain 18 questions regarding knowledge, attitude and practice regarding oral cancer. All the questionnaire responses will be recorded in tabular format and subjected to statistical analysis. Expected Results: In rural area of Wardha District in the Indian state of Maharashtra, there may be majority of the people, still having minimal knowledge regarding oral cancer and its causes marking a high percentage when compared to the urban. Thus, this study will be an attempt to evaluate the awareness and access the knowledge of the rural public regarding oral cancer. Conclusion: The knowledge about the risk factors, sign and symptoms of oral cancer amongst the rural population can be useful for the prevention and early diagnosis of oral cancer, and thus reducing the oral cancer burden of the society.


2021 ◽  
Vol 13 (10) ◽  
pp. 5549
Author(s):  
Lei Kang ◽  
Zhaoping Yang ◽  
Fang Han

Rapid urbanization promotes the expansion of urban tourism and recreation functions, but it also brings many problems, which affect residents’ happiness. Previous studies have emphasized the direct impact of urban recreation environment on happiness, and few have explored the indirect impact of urban recreation environment on happiness through subjective evaluation. Based on the survey data of nearly 10,000 permanent residents in 40 key tourism cities in China, this paper establishes a theoretical framework of the direct and indirect impact of urban recreation environment on happiness. The objective evaluation of natural recreation environment and sociocultural recreation environment has an important influence on happiness, but the influence of natural recreation environment is greater than that of sociocultural recreation environment. Individual subjective satisfaction with urban recreation environment mediates the relationship between urban objective environment and happiness. Urban parks have a positive effect on happiness, while tourist attractions have a negative effect. The influence of urban location on happiness is nonlinear. The high-income group is more sensitive to the recreation environment, while the low-income group is less sensitive to the recreation environment. These findings provide insights for further improving citizens’ quality of life and designing urban construction in developing countries under the conditions of rapid urbanization.


Author(s):  
SHAKEEL AHMAD MIR

Objective: The aim is to study the effect of various sociodemographic factors on patient compliance in long-term therapies. Methods: This is a questionnaire-based study of 195 adult outdoor patients suffering from chronic illnesses and receiving long-term drug therapy. Various sociodemographic factors were noted in a validated questionnaire. Questions about drugs being taken were asked. The compliance was measured by General Medication Adherence Scale. Results: The study population consists of 51.3% of males and 48.7% of females. About 39.0% of participants were literate and 61.0% were illiterate. About 72.3% belonged to the rural area, 13.3% urban, and 14.4% to the main city. About 33.3% were self-employed or unemployed, 17.4% government employees, and 49.3% were private employees. About 20.0% belonged to high-income group, and 40.0% to middle- and 40.0% to low-income group. Statistically significant correlation was found between compliance and age, gender, area of residence, education, and marital status (p<0.05). Better compliance was observed in men, unmarried,middle-aged, literate, and urban populations. Conclusions: We conclude that some sociodemographic factors correlate with compliance to long-term therapies.


2021 ◽  
Vol 8 (Special Issue) ◽  
pp. 339-353
Author(s):  
Nur Harena Redzuan ◽  
Amir Abidin Bashir

A microfinance scheme was introduced in Malaysia in the year 1987 as one of the alternatives to poverty eradication strategies in the country by the government. Since then, several institutions have created to carry out the agenda of providing small loans to the low-income group to start up their small-scale business to generate more sources of income to support their household consumption. However, for a certain reason, the people still do not find microfinance an important tool to uplift their economic positions. Most of the low-income groups are still unaware of this golden opportunity tailored for them. Besides, the sustainability of these subsidized microfinance systems implemented by Malaysia had not been appropriately studied. This study explores the attractiveness of the products offered by microfinance institutions and emphasizes the option that the participants must start utilizing the product. This research also explores microfinance facilities that contain conventional finance element which is prohibited in Islamic trade. The study also discusses the measures and actions taken by microfinance institutions in serving the low-income group in Malaysia. This paper employs a qualitative method through interviews and content analysis. The report, journal publications, and other related documents were also analyzed in achieving the objectives. The study provides the impact that it may pave the way to an indistinct understanding of how Islamic microfinance institutions sustain their operations.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e033613
Author(s):  
Yi-Ching Lin ◽  
Yi-Fan Li ◽  
Tung-liang Chiang

ObjectivesWe have previously developed the Child Healthy Living Practices in Family (CHLPF) Index and found that the CHLPF Index was concurrently associated with the health of children at age 3. In this follow-up study, we aimed to examine whether healthy living practices in family at age 3 predicted health of children at school age.Design and settingData came from the Taiwan Birth Cohort Study designed to assess the development and health of 24 200 children born in 2005.ParticipantsA total of 18 553 cohort members whose mothers or primary caregivers had completed 6-month, 3-year, 5-year and 8-year surveys were included for analysis, representing a response rate of 87.3%.Outcome measuresA multiple logistic regression model was used to test the relationship between mother-rated children’s health at age 8 and the CHLPF Index level, after controlling for sex, birth outcomes, family structure, parental education, residential area, family income and mother-rated child’s health at age 3.ResultsThe percentage of mother-rated good health at age 8 was 79.7%. Compared with the low CHLPF level, the adjusted OR of mother-rated good health was 1.38 (95% CI 1.19 to 1.60), 1.21 (95% CI 1.10 to 1.35) and 1.17 (95% CI 1.07 to 1.29), respectively, for high, high–low and mid-low CHLPF levels. Moreover, the prevalence of mother-rated good health at age 8 with high-level CHLPF Index in the low-income group was similar to that of the high-income group (83.72% vs 84.18%); the prevalence with low-level CHLPF Index in the low-income group was much lower than that of the high-income group (70.21% vs 78.98%).ConclusionsOur study underscores that high level of healthy living practices in early childhood is positively associated with good health at school age, particularly for children from disadvantaged families.


2019 ◽  
Vol 11 (1) ◽  
pp. 191 ◽  
Author(s):  
Mohammad Masudur Rahman ◽  
Guan Fuquan ◽  
Laila Arjuman Ara

This paper empirically investigates the effects of financial development on incomes of Chinese residents particularly within various income groups using data from six provinces by applying the Quantile Regression model. The Greenwood and Jovanovich hypothesis that illustrates the inverted U shaped relationship between financial development and income inequality is tested. This empirical study demonstrates that financial development has a positive but non-linear effect on the annual income of individuals from various income groups at different quantiles. The effect is an inverted U or Kuznets effect indicating an increase at first and then a drop. As for the distribution of the impact on various income groups, the low-income group is under the most dominant influence followed by the high-income group with the middle-income groups receiving relatively smaller influence. Findings indicate that promoting balanced financial development would help to ease the income gap between Chinese residents.


Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 131 ◽  
Author(s):  
Fang ◽  
He ◽  
Rozelle ◽  
Shi ◽  
Sun ◽  
...  

This paper examines the effects of China’s New Cooperative Medical Scheme (NCMS) on medical expenditure. Utilizing the quasi-random rollout of the NCMS for a difference-in-difference analysis, we find that the NCMS increased medical expenditure by 12.3%. Most significantly, the good-health group witnessed a 22.1% rise in medical expenditure, and the high-income group saw a rise of 20.6%. The effects, however, were not significant among the poor-health or low-income groups. The findings are suggestive of the need for more help for the very poor and less healthy.


Author(s):  
Seungmin Jeong ◽  
Sung-il Cho ◽  
So Yeon Kong

We investigated whether income level has long-term effects on mortality rate in stroke patients and whether this varies with time after the first stroke event, using the National Health Insurance Service National Sample Cohort data from 2002 to 2015 in South Korea. The study population was new-onset stroke patients ≥18 years of age. Patients were categorized into Category (1) insured employees and Category (2) insured self-employed/Medical Aid beneficiaries. Each category was divided into three and four income level groups, retrospectively. The study population comprised of 11,668 patients. Among the Category 1 patients (n = 7720), the low-income group’s post-stroke mortality was 1.15-fold higher than the high-income group. Among the Category 2 patients (n = 3948), the lower income groups had higher post-stroke mortality than the high-income group (middle-income, aOR (adjusted odds ratio) 1.29; low-income, aOR 1.70; Medical Aid beneficiaries, aOR 2.19). In this category, the lower income groups’ post-stroke mortality risks compared to the high-income group were highest at 13–36 months after the first stroke event(middle-income, aOR 1.52; low-income, aOR 2.31; Medical Aid beneficiaries, aOR 2.53). Medical Aid beneficiaries had a significantly higher post-stroke mortality risk than the high-income group at all time points.


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