Analysis of Factors Associated with the Risk of Suicide in a Brazilian Capital: Cross-Sectional Study

Suicide and suicide attempts are considered global health problems. With regard to the main causes of unnatural deaths, Brazil ranks as the eighth country with the highest absolute number of suicides. The aim of this study was to analyze the factors associated with the risk of suicide in a metropolitan city in Brazil. This was a cross-sectional study carried out in Recife, in the northeast region of Brazil. Epidemiological surveillance was conducted on the information systems regarding attempted suicide, suicide, and undetermined deaths in the period from 2007 to 2017. A record linkage between the information systems was performed. Descriptive statistics, bivariate analysis, and logistic regression were performed with an adopted a significance level of 5%. In the city of Recife, there were 4495 suicide attempts in the period, and the most frequent suicide attempts were by single females, aged between 20 and 39 years old, and who used either medication or poison to die by suicide. A total of 141 individuals died by suicide, and exogenous intoxication was the most common method. Knowing the common characteristics and associated factors of those who attempt and die by suicide is key for the development of prevention policies and intervention strategies for suicide.

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Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160086 ◽

2017 ◽

Vol 20 (1) ◽

pp. 138-148 ◽

Cited By ~ 2

Author(s):

Natália Araujo de Almeida ◽

Annelita Almeida Oliveira Reiners ◽

Rosemeiry Capriata de Souza Azevedo ◽

Ageo Mário Cândido da Silva ◽

Joana Darc Chaves Cardoso ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Health Condition ◽

Bivariate Analysis ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

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Sociodemographic and Clinical Factors Associated with Postpartum Hemorrhage in a Maternity Ward

Aquichan ◽

10.5294/aqui.2021.21.2.7 ◽

2021 ◽

Vol 21 (2) ◽

pp. 1-13

Author(s):

Daianne Teixeira ◽

Telmara Menezes Couto ◽

Ridalva Dias Martins ◽

Jules Ramon Brito Teixeira ◽

Jaqueline Alves Pires ◽

...

Keyword(s):

Multivariate Analysis ◽

Postpartum Hemorrhage ◽

Maternity Hospital ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Clinical Factors ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Multiparous Women

Objective: Checking the sociodemographic and clinical factors associated with the prevalence of postpartum hemorrhage (PPH) in a maternity school. Materials and methods: A quantitative cross-sectional study in a maternity hospital in Salvador, Bahia, Brazil. In data collection, we used a standardized form that contained sociodemographic and clinical data from the medical records of 83 women for the period of 2018. Stata version 14 software was used in the analyses. Bivariate analysis was conducted using Pearson’s or Fisher’s exact tests. Poisson regression was performed with robust variation in multivariate analysis. Prevalence ratios (PR) and respective 95 % confidence intervals were estimated. The significance level of the tests was 5 %. Results: The prevalence of PPH was 38.6 % and 25.6 % for atony as the cause. In the bivariate analysis, there was an association between PPH and non-breastfeeding in the first hour of life (p = 0.039). In the multivariate analysis, it was identified that multiparous women had an increase in the prevalence of PPH by almost twice (PR = 1.97). Not breastfeeding in the first hour of life increased this prevalence more than four times (PR = 4.16). Conclusions: Monitoring multiparous women during birth care and encouraging breastfeeding in the first hour of life may decrease the prevalence of PPH.

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Prevalence and risk factors associated with urinary incontinence in climate women

International Journal of Development Research ◽

10.37118/ijdr.21903.05.2021 ◽

2021 ◽

pp. 47146-47151

Keyword(s):

Urinary Incontinence ◽

Family Health ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Multiple Model ◽

Obese Women ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Modifiable Factors

To investigate the prevalence and factors associated with urinary incontinence (IU) in climacteric women attending the Family Health Strategies. Cross-sectional study with 874 climacteric women, selected by probabilistic sampling. The variables were investigated by a structured/pre-tested questionnaire. Bivariate analysis was performed using the chi-square test for variable selection for the multiple model adopting p≤0.25. In multivariate analysis, binary logistic regression was used to obtain adjusted odds ratios. After the analysis, the final model was constructed, adopting a significance level of p ≤ 0.05. The prevalence of urinary tract infection was 22.5%. After adjustments, the odds of urinary incontinence referred to these variables: single, sedentary/irregularly active women, smokers, overweight, obese women with severe climacteric symptoms, having episiotomy and presenting ovarian cysts. It was concluded that the presence of modifiable factors were associated with urinary incontinence.

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AVALIAÇÃO DOS FATORES DETERMINANTES À REALIZAÇÃO DA EPISIOTOMIA NO PARTO VAGINAL

Enfermagem em Foco ◽

10.21675/2357-707x.2019.v10.n1.1399 ◽

2019 ◽

Vol 10 (1) ◽

Author(s):

Rodrigo Dias Nunes ◽

Amanda De Vasconcelos Mapelli ◽

Nazaré Otília Nazário ◽

Eliane Traebert ◽

Mayara Seemann ◽

...

Keyword(s):

Confidence Intervals ◽

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

The Mean ◽

Las Mujeres ◽

Prevalence Ratios

Objetivo: O estudo objetiva conhecer os fatores associados à realização da episiotomia no parto vaginal. Metodologia: Estudo transversal envolvendo 330 partos, de janeiro/2012 a dezembro/2013. Estudou-se a associação das variáveis independentes com a realização da episiotomia por meio de cálculo de razões de prevalência e seus respectivos intervalos de confiança, com nível de significância p < 0,05. Resultados: Na amostra estudada, 224 (67,9%) pacientes não realizaram episiotomia e 106 (32,1%) realizaram o procedimento. A idade média foi de 22,9 (± 5,9) anos e a episiotomia foi mais realizada naquelas com idade inferior a 20 anos [RP 1,61 (IC 95% 1,15; 2,25)] (p = 0,005). As mulheres com mais de 8 anos completos de estudo foram significativamente mais submetidas à episiotomia que as demais [RP 2,34 (IC 95% 1,70; 3,22)] (p < 0,001). Conclusão: A realização da episiotomia nesta população ocorreu com maior prevalência nas parturientes mais jovens e com maior escolaridade.Descritores: Episiotomia; Fatores associados; Parto vaginalEVALUATION OF THE DETERMINANT FACTORS TO EPISIOTOMY IN VAGINAL DELIVERYObjective: This study aims to evaluate the factors associated with its performance in vaginal delivery. Methodology: This is a cross-sectional study carried out with 330 births, from January / 2012 to December / 2013. The association of the independente variables with episiotomy was calculated by prevalence ratios and their respective confidence intervals, with significance level p < 0.05. Results: In the studied sample, 224 (67.9%) patients did not undergo episiotomy and 106 (32.1%) had the procedure. The mean age was 22.9 ± 5.9 years and the episiotomy was more frequently performed in those younger than 20 years old [PR 1.61 (95% CI 1.15; 2.25)] (p = 0.005). Women with more than 8 years of education were significantly more likely to undergo episiotomy than the others [PR 2.34 (95% CI 1.70; 3.22)] (p < 0.001). Conclusion: The episiotomy, in this population, occured more likely in younger and more educated parturients.Descriptors: Episiotomy; Associated factors; Vaginal birthEVALUACIÓN DE LOS FACTORES DETERMINANTES A LA REALIZACIÓN DE LA EPISIOTOMÍA EN EL PARTO VAGINALObjetivo: El estudio tiene como objetivo conocer los factores asociados a la realización de la episiotomía en el parto vaginal. Metodología: Estudio transversal que involucra 330 partos, de enero/2012 a diciembre/2013, para la asociación de las variables independientes con la episiotomía por razones de prevalencia y sus respectivos intervalos de confianza, con p <0,05. Resultados: En la muestra, 224 (67,9%) pacientes no realizaron episiotomía y 106 (32,1%) realizaron el procedimiento. La edad media fue de 22,9 (± 5,9) años y la episiotomía fue más realizada en aquellas con edad inferior a 20 años [RP 1,61 (IC 95% 1,15, 2,25)] (p = 0,005) ). Las mujeres con más de 8 años completos de estudio fueron significativamente más sometidas a la episiotomía que las demás [RP 2,34 (IC 95% 1,70; 3,22)] (p <0,001). Conclusión: La realización de la episiotomía ocurrió con mayor prevalencia en las parturientas más jóvenes y con mayor escolaridad.Descriptores: Episiotomía; Factores asociados; Parto vaginal

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Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda: A cross sectional study

10.21203/rs.3.rs-127159/v1 ◽

2020 ◽

Author(s):

MAKI SIFA ◽

JONH BOSCO ISUNJU ◽

DAVID KAISHUSHA ◽

FISTON MUNEZA ◽

SYLVESTER SSEMANDA ◽

...

Keyword(s):

Alcohol Consumption ◽

Low Income ◽

Cross Sectional Study ◽

World Health ◽

Low Income Countries ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated

Abstract BackgroundThe prevalence of Diabetes has been rising more rapidly in middle and low-income countries. In Africa, World Health Organization projections anticipate Diabetes Mellitus to be the seventh leading cause of death in 2030. Alcohol consumption intervene mainly in diabetes evolution, in such a way that it can interfere with self-care behaviors which are important determinants of diabetes prognosis. In this study, we evaluate factors associated with alcohol consumption among persons with Diabetes in Kampala so as to inform management policies and improve comprehensive diabetes care.MethodologyA cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral hospital and St Francis hospital Nsambya. Data was entered and analyzed in the EPI-INFO version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all the analyses was set to p < 0.05.Results23.45% of persons with Diabetes are taking alcohol [95%CI: 18.9–28.7%]. Of these, 11.3% [95%CI: 8.1–15.6%] consumed alcohol hazardously last year due to stress (58.8%). Divorced, separated and Widow patients (Adj PR: 0.42, 95% CI: 0.21–0.83), Protestant (Adj PR: 0.44, 95%CI: 0.24–0.82); Muslim (Adj PR: 0.30%CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95%CI: 0.15–0.65) were less likely to consume alcohol. Diabetic patients who spend more than five years with diabetes were more likely to consume alcohol (Adj PR: 1.90, 95%CI: 1.25–2.88)ConclusionThe prevalence of alcohol consumption among persons with Diabetes in Kampala is high. The majority of persons with Diabetes consume alcohol hazardously due to stress. Having spent less than five years with diabetes, being widow, Protestant, Muslim and Pentecostal are associated with less consumption of alcohol. Regular screening for stress must be done among persons with Diabetes and affected individuals should be supported to reduce their stress. Sensitization message regarding alcohol consumption among persons with Diabetes should be targeting never married patients and patients who have spent more than five years with diabetes; also religion should be considered as an important avenue for health education in the community.

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Clinical Features and Outcome of Birth Asphyxia in Hôpital du Cinquantenaire of Kisangani: A Cross-Sectional Study

Asian Journal of Pediatric Research ◽

10.9734/ajpr/2018/v1i124572 ◽

2018 ◽

pp. 1-6

Author(s):

B. G. Mande ◽

K. V. Muyobela ◽

V. E. Hasivirwe ◽

L. B. Batoko

Keyword(s):

Risk Factors ◽

Clinical Features ◽

Low Birthweight ◽

Perinatal Asphyxia ◽

Birth Asphyxia ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Aims: There paucity of studies on asphyxia, one of the three main reasons for newborn deaths in Democratic Republic of Congo (DRC). In this country, newborn mortality is among the highest in Africa. This study was conducted to identify the clinical features and outcome of perinatal asphyxia. Risk factors associated with asphyxia were also determined. Study Design: A cross-sectional study. Place and Duration of Study: It was conducted in the pediatric department of Hôpital du Cinquantenaire of Kisangani (HCK), from March 2013 to March 2017. Methodology: Clinical and biologic parameters (prenatal, perinatal and postnatal) of term newborns, hospitalised for perinatal asphyxia in the HCK were retrospectively collected and analysed. Data of dead newborns were compared to those who survived to determine risk factors associated with asphyxia mortality. One case matched three controls of the same sex. Results: During the period above, 612 newborns were received in the HCK, and 146 died. One hundred and nineteen out of 612 had perinatal asphyxia (19.4%), and 26 out of 119 died (17.8% of all newborn deaths and 21.8% of all asphyxia cases). The most frequent perinatal antecedents were premature rupture of the membranes, meconium-stained amniotic liquid, pre-eclampsia and eclampsia. In bivariate analysis, factors associated with asphyxia lethality were low birthweight (P=.02), reference from another hospital (P =.01), age more than 24 hours (P =.02), associated sepsis (P =.003), asphyxia severity (P<.001) and the Stage 3 of Sarnat (P<.001). Conclusion: The frequency of the asphyxia is high in the HCK and its mortality associated with avoidable factors. Networking newborn referral, improving skills of nurses about obstetrical and neonatal emergency cares, and making available equipment for newborn resuscitation can reduce that mortality.

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Wealth, Social Protection Programs, and Child Labor in Colombia: A Cross-sectional Study

International Journal of Health Services ◽

10.1177/0020731417747421 ◽

2018 ◽

Vol 48 (3) ◽

pp. 535-548 ◽

Cited By ~ 1

Author(s):

Ángela María Pinzón-Rondón ◽

Liseth B. Cifuentes ◽

Catalina Zuluaga ◽

Juan Carlos Botero ◽

Mariana Pinzon-Caicedo

Keyword(s):

Child Labor ◽

Social Protection ◽

Indigenous Communities ◽

Cross Sectional Study ◽

Descriptive Statistics ◽

Bivariate Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Household Chores ◽

Factors Associated

This article has 3 main objectives: (1) to assess the prevalence of child labor in Colombia, (2) to identify factors associated with child labor, and (3) to determine whether social protection programs have an association with the prevalence of child labor in the country. Using a cross-sectional study with data from the Colombian Demographic and Health Survey 2010, a working child was defined as a child who worked during the week prior to the survey in an activity other than household chores. Through descriptive statistics, bivariate analysis, and multivariate regressions, it was found that child labor was associated with gender (boys were more likely to work), older age, ethnicity (children from indigenous communities were more likely to be workers), school dropout, disability (children with disabilities were less likely to be working), subsidized health social security system membership, and lower number of years of mother’s schooling. Furthermore, the results of this study suggest that children beneficiaries of the subsidy Familias en Acción were less likely to be working and that social protection programs were more effective to reduce child labor when targeting the lowest wealth quintiles of the Colombian population.

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Factors associated with the use and reuse of face masks among Brazilian individuals during the COVID-19 pandemic

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.4604.3360 ◽

2020 ◽

Vol 28 ◽

Author(s):

Fernanda Maria Vieira Pereira-Ávila ◽

Simon Ching Lam ◽

Fernanda Garcia Bezerra Góes ◽

Elucir Gir ◽

Natalia Maria Vieira Pereira-Caldeira ◽

...

Keyword(s):

Respiratory Symptoms ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

General Information ◽

Bivariate Analysis ◽

Sectional Study ◽

Educational Strategies ◽

Cross Sectional ◽

Factors Associated ◽

Surgical Masks

Objective to identify the factors associated with the use and reuse of masks among Brazilian individuals in the context of the COVID-19 pandemic. Method cross-sectional study conducted in the five Brazilian regions, among adult individuals, via an electronic form disseminated in social media, addressing general information and the use of masks. Bivariate analysis and binary logistic regression were used to identify the factors associated with the use and reuse of masks. Results 3,981 (100%) individuals participated in the study. In total, 95.5% (CI 95%: 94.8-96.1) reported using masks. Fabric masks were more frequently reported (72.7%; CI 95%: 71.3-74.1), followed by surgical masks (27.8%; CI 95%: 26.5-29.2). The percentage of reuse was 71.1% (CI 95%: 69.7-72.5). Most (55.8%; CI 95%: 51.7-60.0) of those exclusively wearing surgical masks reported its reuse. Being a woman and having had contact with individuals presenting respiratory symptoms increased the likelihood of wearing masks (p≤0.001). Additionally, being a woman decreased the likelihood of reusing surgical masks (p≤0.001). Conclusion virtually all the participants reported the use of masks, most frequently fabric masks. The findings draw attention to a risky practice, that of reusing surgical and paper masks. Therefore, guidelines, public policies, and educational strategies are needed to promote the correct use of masks to control and prevent COVID-19.

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Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda: a cross sectional study

BMC Public Health ◽

10.1186/s12889-021-10761-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maki Sifa Salama ◽

Jonh Bosco Isunju ◽

Salama Kaishusha David ◽

Fiston Muneza ◽

Sylvester Ssemanda ◽

...

Keyword(s):

Alcohol Consumption ◽

Low Income ◽

Cross Sectional Study ◽

World Health ◽

Low Income Countries ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated

Abstract Background The prevalence of diabetes has been rising increasing rapidly in middle- and low-income countries. In Africa, the World Health Organization projections anticipate diabetes mellitus to be the seventh leading cause of death in by 2030. Alcohol consumption influences diabetes evolution, in such a way that it can interfere with self-care behaviours which are important determinants of diabetes prognosis. In this study, we evaluated factors associated with alcohol consumption among persons with diabetes in Kampala to inform management policies and improve comprehensive diabetes care. Methodology A cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral Hospital and St Francis Hospital Nsambya. Data were entered and analysed in Epi-Info version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all analyses was set to p < 0.05. Results The prevalence of alcohol consumption among persons with diabetes was 23.45% [95% CI: 18.9–28.7%]. Divorced, separated and widowed patients (Adj PR: 0.42, 95% CI: 0.21–0.83); and Protestant (Adj PR: 0.44, 95% CI: 0.24–0.82); Muslim (Adj PR: 0.30, 95% CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95% CI: 0.15–0.65) patients were less likely to consume alcohol. Diabetic patients who had a diabetes duration greater than 5 years were more likely to consume alcohol (Adj PR: 1.90, 95% CI: 1.25–2.88). Conclusion Approximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important venue for health education in the community.

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Factors associated with depression anxiety and stress in the context of covid-19 pandemic in police officers of metropolitan lima, Peru

Revista de la Facultad de Medicina Humana ◽

10.25176/rfmh.v21i4.4227 ◽

2021 ◽

Vol 21 (4) ◽

pp. 787-796

Author(s):

Katherine D. Apaza Llantoy ◽

Lucy Cedillo Ramirez ◽

Lucy E. Correa-López

Keyword(s):

Multivariate Analysis ◽

Police Officers ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Number Of Children ◽

History Of Disease ◽

History Of

Objective: To determine the factors associated with the development of depression, anxiety and stress in the context of the COVID-19 pandemic in police officers in Lima, Peru. Methods: Analytical cross-sectional study conducted in 210 police officers who were administered the Depression Anxiety and Stress Scale-21 (DASS-21) in October 2020, as well as a form, via Google Forms, to obtain sociodemographic and clinical data. A bivariate and a multivariate analysis were performed using crude and adjusted prevalence ratios, with a confidence interval >95% and a significance level of p≤0.05. Results: Depression, anxiety and stress prevalence rates were 11.43%, 10% and 7.62%, respectively. In the bivariate analysis, anxiety was associated with the number of children (cPR:3.18; 95% CI [1.10-9.17]; p:0.032) and history of disease (cPR:2.50; 95%CI[1.08-5.75]; p:0.031). For depression and stress, no significantly associated factors were found. In the multivariate analysis, an association between depression and age (aPR:2.50; 95%CI[1.02-6.10]; p:0.044) was found, as well as an association between stress and emotional situation (aPR:3.10; 95%CI[1.08-8.95]; p:0.034), COVID-19 diagnosis (aPR:3.18; 95%CI[1.02-9.92]; p:0.045) and history of disease (aPR:4.19; 95%CI[1.22-14.36]; p:0.022). Conclusions: A low prevalence of depression, anxiety and stress was observed in the study population. In addition, according to the multivariate analysis, the risk factors for stress were being single, having been diagnosed with COVID-19 and having a history of disease, while being 40 years old or younger was a risk factor for depression.

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