RISK FACTORS ASSOCIATED WITH PULMONARY TB INCIDENCE IN CHILDREN IN BANDA ACEH

2021 ◽  
Vol 7 (1) ◽  
pp. 49-58
Author(s):  
Riska Novita ◽  
Asnawi Abdullah ◽  
Hermasnyah Hermasnyah
Keyword(s):  
Risk Factors ◽  
Cigarette Smoke ◽  
Low Income ◽  
Public Health Problem ◽  
Cigarette Smoke Exposure ◽  
Pulmonary Tb ◽  
Factors Associated ◽  
Aceh Province ◽  
The City ◽  
Banda Aceh

Background: Pulmonary TB in children is still a serious public health problem in Aceh Province, this can be seen from the increase in cases in the last three years that are suspected to be related to immunization status, nutritional status, income, knowledge, the presence of TB sufferers, occupancy density and exposure to cigarette smoke. This study aims to determine the risk factors associated with pulmonary TB incidence in children in Banda Aceh. Method: This research is an analytic observational study using a case control design. The population in this study was children suffering from pulmonary TB in Banda Aceh as many as 30 respondents. Using a ratio of 1:2 comparison, the research sample of 90 respondents consisted of 30 cases and 60 controls.  Data collection was conducted from 15 October to 15 December, conducted in the respondent's home. Data analysis using conditional multiple logistic regression test. Results: Risk factors associated with pulmonary TB in childrenare: the employment of self-employed fathers (p=0.046; OR=2.7; 95% CI: 1.01-7.50), low income (p=0.046; OR=2.7; 95% CI: 1.01-7.50), the presence of TB patients in home (p=0.001; OR=31; 95% CI: 4.11-234), cigarette smoke exposure (p=0.004; OR=4; 95% CI: 1.54-10.3), no BCG immunization (p=0.023; OR=4.6; 95% CI: 1.23-17.2), malnutrition status with the occurrence of pulmonary TB in children in Banda Aceh (p=0.002; OR=5.9; 95% CI: 1.93-18.5). The results of the multivariate analysis concluded that the tendency of pulmonary TB in children in the city of Banda Aceh to occur in the presence of TB patients at home was almost 4 times more dominant than other variables. Recommendation: To Banda Aceh Health Office in order to increase the number of pulmonary TB screening in children, especially in children with parents who suffer from pulmonary TB.

Risk Factors for Recurrences of Pulmonary TB among Patients in Denpasar: A Case-Control Study

2016 ◽  
pp. 20
Author(s):  
N.L.P. Karminiasih ◽  
I.W.G. Artawan Eka Putra ◽  
Dyah Pradnyaparamita Duarsa
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cigarette Smoke ◽  
Case Control ◽  
Cigarette Smoke Exposure ◽  
Bivariate Analysis ◽  
Pulmonary Tb ◽  
Home Ventilation ◽  
Co Morbidity ◽  
Risk Factors For Recurrence

Background and purpose: The incidence of recurrence in patients with pulmonary tuberculosis (TB) in Denpasar in 2014 was relatively high, around 3.5% of 1082 patients. This study aimed to determine the risk factors for recurrence of pulmonary TB patients in Denpasar.Methods: The study design was a case control with 46 patients with pulmonary TB recurrence aged over 15 years as cases, and 92 patients who had recovered as control. Respondents were selected using systematic random sampling from the TB register from 2013 to 2015 in public health centers in Denpasar. Data were collected by a search of documents, observations, measurements and interviews conducted using questionnaires. Bivariate analysis was conducted (chi square test) and multivariate using logistic regression.Results: Risk factors that associated with recurrence of pulmonary TB were co-morbidity of diabetes mellitus (AOR=9.6; 95%CI: 2.17-43.08), adherence (AOR=7.6; 95%CI: 2.85-20.17), exposure to cigarette smoke during treatment (AOR=3.6; 95%CI: 1.41-9.16), home ventilation <10% (AOR=3.4; 95%CI: 1.27-9.47), house contact with pulmonary TB patients (AOR=3.1; 95%CI: 1.31-7.46) and malnutrition (AOR=2.8; 95%CI: 1.02-7.72).Conclusion: Risk factors for recurrence of pulmonary TB among patients were co-morbidity of diabetes mellitus adherence, cigarette smoke exposure during the treatment period, home ventilation <10%, house contact with pulmonary TB patients and malnutrition.

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye
Keyword(s):  
Risk Factors ◽  
Stroke Unit ◽  
Medical Center ◽  
Data Entry ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

scholarly journals Regional Differences in the Prevalence of Anaemia and Associated Risk Factors among Infants Aged 0–23 Months in China: China Nutrition and Health Surveillance

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1293
Author(s):  
Shujuan Li ◽  
Yacong Bo ◽  
Hongyan Ren ◽  
Chen Zhou ◽  
Xiangqian Lao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Regional Differences ◽  
Haemoglobin Concentration ◽  
Public Health Problem ◽  
Health Surveillance ◽  
Western China ◽  
World Health ◽  
Nutrition And Health ◽  
Factors Associated ◽  
Potential Risk Factors

Infantile anaemia has been a severe public health problem in China for decades. However, it is unclear whether there are regional differences in the prevalence of anaemia. In this study, we used data from the China Nutrition and Health Surveillance (CNHS) to assess the prevalence of anaemia and the risk factors associated with its prevalence in different regions. We included 9596 infants aged 0–23 months from the CNHS 2013 database. An infant was diagnosed with anaemia if he/she had a haemoglobin concentration of <110 g/L. We used multivariate logistic regression to investigate the potential risk factors associated with the development of anaemia. We found that anaemia was present in 2126 (22.15%) of the infants assessed. Approximately 95% of these cases were classified as mild anaemia. Based on the guidelines laid out by the World Health Organization, 5.5% and 43.6% of the surveillance sites were categorized as having severe and moderate epidemic levels of anaemia, respectively. The prevalence of infantile anaemia in Eastern, Central and Western China was 16.67%, 22.25% and 27.44%, respectively. Premature birth, low birth weight, breastfeeding and residence in Western China were significantly associated with higher odds of developing anaemia. Female sex and having mothers with high levels of education and maternal birth age >25 years were associated with lower odds of developing anaemia. In conclusion, we observed significant regional disparities in the prevalence of infantile anaemia in China. Western China had the highest prevalence of infantile anaemia, and rural regions showed a higher prevalence of anaemia than urban regions.

scholarly journals Clinical Risk Factors Associated with Mortality Among Burn Patients Admitted to Jinnah Burn and Reconstructive Surgery Center, Lahore

2020 ◽  
Vol 34 (3) ◽  
pp. 46-50
Author(s):  
Fatima Sakhawat
Keyword(s):  
Risk Factors ◽  
Mechanical Ventilation ◽  
Reconstructive Surgery ◽  
Low Income ◽  
Burn Injuries ◽  
Clinical Risk Factors ◽  
Burn Patients ◽  
Factors Associated ◽  
Clinical Risk ◽  
Surgery Center

Introduction: Burn injuries being highly devastating in nature, are associated with extensive morbidity and mortality. Although the incidence of burn injuries is less in developed countries but it is increasing in developing and low income countries. Aims & Objectives: The aim of this study was to determine clinical risk factors associated with mortality among burn patients. Place and duration of study: Jinnah Burn and Reconstructive Surgery Center, Lahore from August 2018 till January 2019. Material & Methods: Data was collected by researchers themselves by studying files of patients. Data analysis was done by using SPSS and Pearson Chi Square test was used to determine association of clinical risk factors with mortality among burn patients. Results: Out of 200 patients, 137 were males. The Mortality rate was 12.50 %. Cardiopulmonary arrest was the most common cause of death. Sepsis was the most common complication among burn patients. Higher mortality rates were observed among patients with arterial/venous and urinary catheterization done. Higher survival rates were seen in those patients who were treated with debridement, grafting surgeries, Colistin Use and aided by mechanical ventilation. Conclusion: Aid through mechanical ventilation, grafting surgeries, wound debridement, use of colistin are associated with improved survival outcomes among burn patients. Whereas inhalational injury, arterial/venous catheterization, urinary catheter and sepsis are seen as major predictors of mortality among burn patients

scholarly journals CORRELATION OF EXCLUSIVE BREASTFEEDING AND CIGARETTE SMOKE EXPOSURE WITH PNEUMONIA IN CHILDREN UNDER TWO YEARS

2020 ◽  
Vol 8 (3) ◽  
pp. 228
Author(s):  
Denisca Vanya Almeida ◽  
Fariani Syahrul
Keyword(s):  
Risk Factors ◽  
Cigarette Smoke ◽  
Exclusive Breastfeeding ◽  
Simple Random Sampling ◽  
Observational Research ◽  
Cigarette Smoke Exposure ◽  
Chi Square ◽  
Prevention Education ◽  
Control Research ◽  
Chi Square Analysis

Background: Pneumonia is one of the leading causes of death for children and is caused by pneumococcus, staphylococcus, and streptococcus bacteria. Exclusive breastfeeding and exposure to cigarette smoke are risk factors for pneumonia in children less than two years old. Purpose: The aim of this research was to analyze the relationship between exclusive breastfeeding or exposure to cigarette smoke and pneumonia in children aged less than two years at Public Health Center (PHC) of Wates, Kediri District. Methods: This research employed analytic observational research using a case–control research design. The number of research samples used was 60, consisting of 30 case respondents and 30 control respondents. The samples were taken in the PHC of Wates, Kediri District’s working area in July 2019. The determination of the samples was carried out through simple random sampling. The data were analyzed using chi-square analysis. Results: The research variables related to pneumonia in children less than two years old at PHC of Wates, Kediri District were exclusive breastfeeding with Odds Ratio (OR) = 3.50 (95% Confidence Interval (CI) = 1.20–10.19), the age of the mothers of the two-year-old infants with OR = 0.19 (95% CI = 0.04–0.78), and the education of the mothers of children less than two years old with OR = 3.14 (95% CI = 1.07–9.27). Conclusion: Exclusive breastfeeding, maternal age, and mothers’ level of education are some of the risk factors for pneumonia. The suggestion from this research is to hold socialization in the form of pneumonia prevention, education on exclusive breastfeeding for mothers who have children under two years of age, and the dangers of smoking for children's health.

scholarly journals Prevalence and risk factors associated with birth asphyxia among neonates delivered in Ethiopia: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255488
Author(s):  
Ritbano Ahmed ◽  
Hassen Mosa ◽  
Mohammed Sultan ◽  
Shamill Eanga Helill ◽  
Biruk Assefa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Meta Analysis ◽  
Grey Literature ◽  
Birth Asphyxia ◽  
Public Health Problem ◽  
Cochrane Library ◽  
Chronic Hypertension ◽  
Factors Associated ◽  
Pooled Prevalence

Background A number of primary studies in Ethiopia address the prevalence of birth asphyxia and the factors associated with it. However, variations were seen among those studies. The main aim of this systematic review and meta-analysis was carried out to estimate the pooled prevalence and explore the factors that contribute to birth asphyxia in Ethiopia. Methods Different search engines were used to search online databases. The databases include PubMed, HINARI, Cochrane Library and Google Scholar. Relevant grey literature was obtained through online searches. The funnel plot and Egger’s regression test were used to see publication bias, and the I-squared was applied to check the heterogeneity of the studies. Cross-sectional, case-control and cohort studies that were conducted in Ethiopia were also be included. The Joanna Briggs Institute checklist was used to assess the quality of the studies and was included in this systematic review. Data entry and statistical analysis were carried out using RevMan 5.4 software and Stata 14. Result After reviewing 1,125 studies, 26 studies fulfilling the inclusion criteria were included in the meta-analysis. The pooled prevalence of birth asphyxia in Ethiopia was 19.3%. In the Ethiopian context, the following risk factors were identified: Antepartum hemorrhage(OR: 4.7; 95% CI: 3.5, 6.1), premature rupture of membrane(OR: 4.0; 95% CI: 12.4, 6.6), primiparas(OR: 2.8; 95% CI: 1.9, 4.1), prolonged labor(OR: 4.2; 95% CI: 2.8, 6.6), maternal anaemia(OR: 5.1; 95% CI: 2.59, 9.94), low birth weight(OR = 5.6; 95%CI: 4.7,6.7), meconium stained amniotic fluid(OR: 5.6; 95% CI: 4.1, 7.5), abnormal presentation(OR = 5.7; 95% CI: 3.8, 8.3), preterm birth(OR = 4.1; 95% CI: 2.9, 5.8), residing in a rural area (OR: 2.7; 95% CI: 2.0, 3.5), caesarean delivery(OR = 4.4; 95% CI:3.1, 6.2), operative vaginal delivery(OR: 4.9; 95% CI: 3.5, 6.7), preeclampsia(OR = 3.9; 95% CI: 2.1, 7.4), tight nuchal cord OR: 3.43; 95% CI: 2.1, 5.6), chronic hypertension(OR = 2.5; 95% CI: 1.7, 3.8), and unable to write and read (OR = 4.2;95%CI: 1.7, 10.6). Conclusion According to the findings of this study, birth asphyxia is an unresolved public health problem in the Ethiopia. Therefore, the concerned body needs to pay attention to the above risk factors in order to decrease the country’s birth asphyxia. Review registration PROSPERO International prospective register of systematic reviews (CRD42020165283).

Prevalence and Risk Factors Associated with First-Line Anti-Tuberculosis Induced Hepatotoxicity in Suratthani Hospital, Thailand

2021 ◽  
Vol 104 (2) ◽  
pp. 233-239
Keyword(s):  
Risk Factors ◽  
Serum Albumin ◽  
Clinical Symptoms ◽  
Significant Risk ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
First Line ◽  
Drug Induced ◽  
Factors Associated ◽  
Drug Risk

ackground: Tuberculosis (TB) is a major public health problem, including Thailand. Anti-TB drugs are very effective treatment, but they can cause hepatotoxicity. Data on the prevalence of anti-TB drug-induced hepatotoxicity (DIH), as well as the contributing risk factors, are scarce in Thailand. Objective: To measure the prevalence and identify risk factors associated with first-line drugs (FLD) induced hepatoxicity in TB patients. Materials and Methods: The present study was a retrospective study design in TB clinic of Suratthani Hospital, in Southern Thailand. All patients diagnosed with TB and received FLD between January and December 2017, were eligible for the study. Hepatoxicity defined as the following criteria: serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) levels >5x upper limit of normal (ULN) without symptoms, or AST or ALT >3x ULN with clinical symptoms. Results: Of all the 198 TB cases, 18 were identified as DIH. Prevalence of DIH was 9.1%. Hepatitis after FLD was independently associated with age>60 years (adjusted OR [aOR] 28.49, 95% CI 2.68 to 302.95, p=0.005) and serum albumin <3.5 g/dL (aOR 20.97, 95% CI 2.11 to 208.51, p=0.009). Conclusion: Age of more than 60 years and low serum albumin of less than 3.5 g/dL were significant risk factors associated with first-line anti-TB drugs induced hepatoxicity. Keywords: Hepatoxicity, Anti-tuberculosis drug, Risk factor, Thailand

scholarly journals Psychosocial risk factors associated with mental health of adolescents amidst the COVID-19 pandemic outbreak

2020 ◽  
pp. 002076402097100
Author(s):  
Muhammad Syawal Amran
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Low Income ◽  
Online Communication ◽  
Well Being ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Psychosocial Risks ◽  
Factors Associated ◽  
At Home

Background: An outbreak of global pandemic COVID-19 profoundly affects life around the globe. Prolonged isolation, contact restriction and economic shutdown impose a deeply change to the psychosocial environment. These indicate a tendency to threaten the mental health of adolescents’ significantly. Detecting adolescents’ psychosocial risk during Pandemic COVID-19, particularly when they stay at home, may be helpful to better understand their mental health well- being. Aims: The current study aimed to explore psychosocial risk factors associated with mental health of adolescents’ in the midst of the outbreak. Method: This research uses a qualitative approach which focuses on focus group discussions interviews. This research took 6 weeks via online communication platform involving ( n = 15) adolescents from the Low Income Household. Result: The participants adolescents’ psychosocial risk experience during amidst of Outbreak Covid-19 Pandemic are composed of (1) self- conflict (develop negative thought at home, unplanned of daily activities, changing sleep pattern and irregular wake up time and massively use internet) (2) Family Members (Conflict between parent and miscommunication between siblings) (3) School (Piling up on homework, Inadequate guidance for homework and Inability to comprehend online learning). These psychosocial risk factors have caused disruption to daily life adolescents’ during outbreaks and almost inevitably trigger a spike in mental health issues. Conclusion: Overall of study emphasized that psychosocial risks are important factors that can be addressed in order to reduce mental health problem.

scholarly journals Factors Associated with Anxiety and Depression among African American and White Women

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Kalycia Trishana Watson ◽  
Nehezi M. Roberts ◽  
Milda R. Saunders
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
White Women ◽  
General Health Questionnaire ◽  
Significant Risk ◽  
Depression And Anxiety ◽  
Neighborhood Poverty ◽  
Factors Associated ◽  
Self Rated Health ◽  
Multivariable Analyses

Background. We examined factors associated with depression and anxiety in a cohort of low-income Baltimore women. Methods. We used Pathways to Adulthood data, a cohort of adults aged 27 to 33 who were born in Baltimore between 1960 and 1965. Our outcomes were a score of >4 on the General Health Questionnaire (GHQ-28) across the depression or anxiety domains. Linear regression clustered on census tract was used for multivariate analysis. Results. In multivariable analyses, unmarried women, White women, those with lower self-rated health, and younger mothers had higher depression scores. Only lower self-rated health and White race were associated with a higher anxiety score. Neither neighborhood poverty nor racial composition was a predictor for anxiety or depression; however, the significant risk factors cluster in disadvantaged neighborhoods. Conclusion. Our work highlights the importance of universal screening for depression or anxiety with more in-depth surveillance based on risk factors rather than on race.

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