scholarly journals Tuberculosis non-communicable disease comorbidity and multimorbidity in public primary care patients in South Africa

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Karl Peltzer
Keyword(s):  
Primary Care ◽  
Common Mental Disorders ◽  
Communicable Disease ◽  
Economic Status ◽  
Malignant Neoplasms ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adverse Health Outcomes ◽  
Non Communicable Disease

Background: Little is known about the prevalence of non-communicable disease (NCD) multimorbidity among tuberculosis (TB) patients in Africa.Aim and setting: The aim of this study was to assess the prevalence of NCD multimorbidity, its pattern and impact on adverse health outcomes among patients with TB in public primary care in three selected districts of South Africa.Methods: In a cross-sectional survey, new TB and TB retreatment patients were interviewed, and medical records assessed in consecutive sampling within 1 month of anti-TB treatment. The sample included 4207 (54.5% men and 45.5% women) TB patients from 42 primary care clinics in three districts. Multimorbidity was measured as the simultaneous presence of two or more of 10 chronic conditions, including myocardial infarction or angina pectoris, arthritis, asthma, chronic lung disease, diabetes mellitus, hypertension, dyslipidaemia, malignant neoplasms, tobacco and alcohol-use disorder.Results: The prevalence of comorbidity (with one NCD) was 26.9% and multimorbidity (with two or more NCDs) was 25.3%. We identified three patterns of multimorbidity: (1) cardio-metabolic disorders; (2) respiratory disorders, arthritis and cancer; and (3) substance-use disorders. The likelihood of multimorbidity was higher in older age, among men, and was lower in those with higher education and socio-economic status. The prevalence of physical health decreased, and common mental disorders and post-traumatic stress disorder increased with an increase in the number of chronic conditions.Conclusion: High NCD comorbidity and multimorbidity were found among TB patients predicted by socio-economic disparity.

scholarly journals Nurse preparedness for the non-communicable disease escalation in Thailand: A cross-sectional survey of nurses

2012 ◽  
Vol 14 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Nicholas D. Kaufman ◽  
Benjaporn Rajataramya ◽  
Saengchom Tanomsingh ◽  
David L. Ronis ◽  
Kathleen Potempa
Keyword(s):  
Communicable Disease ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Communicable Disease

scholarly journals You can treat my HIV – But can you treat my blood pressure? Availability of integrated HIV and non-communicable disease care in northern Malawi

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Colin Pfaff ◽  
Vera Scott ◽  
Risa Hoffman ◽  
Beatrice Mwagomba
Keyword(s):  
Blood Pressure ◽  
Communicable Disease ◽  
Qualitative Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Districts ◽  
Health Centres ◽  
Treatment Of Hypertension ◽  
The Status ◽  
Non Communicable Disease

Background: Many patients on antiretroviral therapy (ART) in Malawi have or will develop non-communicable diseases (NCDs). The current capacity of ART sites to provide care for NCDs is not known.Aim: This study aimed to assess the capacity of ART sites to provide care for hypertension and diabetes in rural Malawi.Setting: Twenty-five health centres and five hospitals in two rural districts in northern Malawi.Methods: A cross-sectional survey was performed between March and May 2014 at all facilities. Qualitative interviews were held with three NCD coordinators.Results: Treatment of hypertension and diabetes was predominantly hospital-based. Sixty percent of hospitals had at least one clinician and one nurse trained in NCD care, whereas 5% of health centres had a clinician and 8% had a nurse trained in NCD care. Hundred percent of hospitals and 92% of health centres had uninterrupted supply of hydrochlorothiazide in the previous 6 months, but only 40% of hospitals and no health centres had uninterrupted supply of metformin. Hundred percent of hospitals and 80% of health centres had at least one blood pressure machine, and 80% of hospitals and 32% of health centres had one glucometer. Screening for hypertension amongst ART patients was only conducted at one hospital and no health centres. At health centres, integrated NCD and ART care was more common, with 48% (12/25) providing ART and NCD treatment in the same consultation.Conclusions: The results reflect the status of the initial stages of the Malawi NCD programme at sites currently providing ART care. 

A mixed-method study of quality, availability and timeliness of non-communicable disease (NCD) related data and its link to NCD prevention: Perceptions of health care workers in Ethiopia

2018 ◽  
Vol 48 (3) ◽  
pp. 135-143
Author(s):  
Melkamu Dugassa Kassa ◽  
Jeanne Martin Grace
Keyword(s):  
Developing Countries ◽  
Data Collection ◽  
Healthcare System ◽  
Mixed Method ◽  
Communicable Disease ◽  
Phase 1 ◽  
Mixed Method Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Communicable Disease

Background: Three-quarters of non-communicable disease (NCD) mortality occurs in low- and middle-income countries. However, in most developing countries, quality and reliable data on morbidity, mortality and risk factors for NCD to predict its burden and prevalence are less well understood and availability of these data is limited. To better inform policymakers and improve healthcare systems in developing countries, it is also important that these factors be understood within the context of the particular country in question. Objective: The aim of this study is to further inform practitioners in Ethiopia about the availability and status of NCD information within the Ethiopian healthcare system. Method: A mixed method research design was used with data collected from 13 public referral hospitals in Ethiopia. In phase 1 quantitative data were collected from 312 health professionals (99 physicians; 213 nurses) using a cross-sectional survey. In phase 2, qualitative data were collected using: interviews ( n = 13 physician hospital managers); and one focus group ( n = 6 national health bureau officers). Results: Results highlighted the lack of NCD morbidity, mortality and risk factor data, periodic evaluation of NCD data and standardised protocols for NCD data collection in hospitals. The study also identified similar discrepancies in the availability of NCD data and standardised protocols for NCD data collection among the regions of Ethiopia. Conclusion: This study highlighted important deficiencies in NCD data and standardised protocols for data collection in the Ethiopian healthcare system. These deficiencies were also observed among regions of Ethiopia, indicating the need to strengthen both the healthcare system and health information systems to improve evidence-based decision-making. Implications: Identifying the status of NCD data in the Ethiopian healthcare system could assist policymakers, healthcare organisations, healthcare providers and health beneficiaries to reform and strengthen the existing healthcare system.

scholarly journals Translation and Psychometric Testing of the Indonesian Version of the Preparedness for Caregiving Scale

2021 ◽  
Vol 6 (1) ◽  
pp. 36
Author(s):  
Ike Wuri Winahyu Sari ◽  
Novita Nirmalasari
Keyword(s):  
Content Validity ◽  
Communicable Disease ◽  
Psychometric Testing ◽  
Cronbach’S Alpha ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Valid Conclusion ◽  
Cronbach's Alpha ◽  
Sum Score ◽  
Non Communicable Disease

Background: Although many previous studies have used the Preparedness for Caregiving Scale (PCS), it has not been translated and validated in Indonesia. Purpose: This study aimed to translate and evaluate the PCS’s psychometric adequacy among family caregiver of non-communicable disease (NCD) patients in Indonesia. Methods: The linguistic of the PCS was validated using a standard forward-backward process. The Indonesian version was approved with Content Validity Index (CVI). Then a cross-sectional survey was conducted to establish the construct validity of the PCS to measure caregiver preparedness. A purposive sampling approach was used to recruit 40 consenting family caregivers of NCD patients. The PCS sum score was correlated with each item using Pearson product-moment. The internal consistency of the Indonesian version of the PCS (I-PCS) was assessed using Cronbach’s alpha. Results: The Item-CVI (I-CVI) and Scale-level CVI (S-CVI) of the I-PCS were 1.00. It showed the high content validity of the I-PCS. The I-PCS  revealed a Cronbach’s alpha of 0.933 for the total score. The Pearson-r was more than 0.320 indicated that the item valid. Conclusion: The I-PCS is appeared to be valid and reliable for measuring the caregiver preparedness of NCD patients in Indonesia.

scholarly journals The rural Uganda non-communicable disease (RUNCD) study: prevalence and risk factors of self-reported NCDs from a cross sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Trishul Siddharthan ◽  
Robert Kalyesubula ◽  
Brooks Morgan ◽  
Theresa Ermer ◽  
Tracy L. Rabin ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Rural Communities ◽  
Communicable Disease ◽  
Population Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Disease Information ◽  
Rural Africa ◽  
Non Communicable Disease

Abstract Background Non-communicable diseases (NCDs) are an increasing global concern, with morbidity and mortality largely occurring in low- and middle-income settings. We established the prospective Rural Uganda Non-Communicable Disease (RUNCD) cohort to longitudinally characterize the NCD prevalence, progression, and complications in rural Africa. Methods We conducted a population-based census for NCD research. We systematically enrolled adults in each household among three sub-counties of the larger Nakaseke Health district and collected baseline demographic, health status, and self-reported chronic disease information. We present our data on self-reported chronic disease, as stratified by age, sex, educational attainment, and sub-county. Results A total of 16,694 adults were surveyed with 10,563 (63%) respondents enrolled in the self-reported study. Average age was 37.8 years (SD = 16.5) and 45% (7481) were male. Among self-reported diseases, hypertension (HTN) was most prevalent (6.3%). 1.1% of participants reported a diagnosis of diabetes, 1.1% asthma, 0.7% COPD, and 0.4% kidney disease. 2.4% of the population described more than one NCD. Self-reported HTN was significantly higher in the peri-urban subcounty than in the other two rural sub-counties (p < 0.001); diagnoses for all other diseases did not differ significantly between sub-counties. Odds for self-reported HTN increased significantly with age (OR = 1.87 per 10 years of age, 95% CI 1.78–1.96). Male sex was associated with lower odds of reporting asthma (OR = 0.53, 95% CI 0.34–0.82) or HTN (OR = 0.31, 95% CI 0.26–0.40). Conclusions The RUNCD will establish one of the largest NCD patient cohorts in rural Africa. First analysis highlights the feasibility of systematically enrolling large numbers of adults living in a rural Ugandan district. In addition, our study demonstrates low levels of self-reported NCDs compared to the nation-wide established levels, emphasizing the need to better educate, characterize, and care for the majority of rural communities.

scholarly journals Common mental disorders and ethnicity in England: the EMPIRIC Study

2004 ◽  
Vol 34 (8) ◽  
pp. 1543-1551 ◽  
Author(s):  
SCOTT WEICH ◽  
JAMES NAZROO ◽  
KERRY SPROSTON ◽  
SALLY McMANUS ◽  
MARTIN BLANCHARD ◽  
...  
Keyword(s):  
Mental Disorders ◽  
White Women ◽  
Common Mental Disorders ◽  
Economic Status ◽  
Significant Degree ◽  
Clinical Interview ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Black Caribbean ◽  
Pakistani Women

Background. There is little population-based evidence on ethnic variation in the most common mental disorders (CMD), anxiety and depression. We compared the prevalence of CMD among representative samples of White, Irish, Black Caribbean, Bangladeshi, Indian and Pakistani individuals living in England using a standardized clinical interview.Method. Cross-sectional survey of 4281 adults aged 16–74 years living in private households in England. CMD were assessed using the Revised Clinical Interview Schedule (CIS-R), a standardized clinical interview.Results. Ethnic differences in the prevalence of CMD were modest, and some variation with age and sex was noted. Compared to White counterparts, the prevalence of CMD was higher to a statistically significant degree among Irish [adjusted rate ratios (RR) 2·09, 95% CI 1·16–2·95, p=0·02] and Pakistani (adjusted RR 2·38, 95% CI 1·25–3·53, p=0·02) men aged 35–54 years, even after adjusting for differences in socio-economic status. Higher rates of CMD were also observed among Indian and Pakistani women aged 55–74 years, compared to White women of similar age. The prevalence of CMD among Bangladeshi women was lower than among White women, although this was restricted to those not interviewed in English. There were no differences in rates between Black Caribbean and White samples.Conclusions. Middle-aged Irish and Pakistani men, and older Indian and Pakistani women, had significantly higher rates of CMD than their White counterparts. The very low prevalence of CMD among Bangladeshi women contrasted with high levels of socio-economic deprivation among this group. Further study is needed to explore reasons for this variation.

Psychiatric Morbidity in Primary Health Care in Santiago, Chile Preliminary Findings

1994 ◽  
Vol 165 (4) ◽  
pp. 530-533 ◽  
Author(s):  
Ricardo Araya ◽  
Robert Wynn ◽  
Richard Leonard ◽  
Glyn Lewis
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Service Use ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Primary Care Clinic ◽  
Developed Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Clinic

BackgroundThe aims were to determine the prevalence of psychiatric morbidity among primary care attenders in a poor suburb of Santiago and to study the relationship with health service use.MethodA cross-sectional survey was made of 163 consecutive attenders to a primary care clinic.ResultsEleven per cent of the sample gave a psychological reason for consultation and the prevalence of psychiatric morbidity was 53%, defined using the revised Clinical Interview Schedule. Women and those of lower socio-economic status were at higher risk. Physicians recognised 14% of the psychiatric morbidity. Attenders with psychiatric morbidity consulted more frequently.ConclusionsThere is a need to improve the recognition and management of psychiatric morbidity in primary care in Chile and other less developed countries. This could lead to the more efficient use of scarce health care resources in primary care.

AWARENESS ABOUT INDOOR AIR POLLUTION IN GENERAL POPULATION OF RAWALPINDI AND ISLAMABAD

2018 ◽  
Vol 8 (2) ◽  
pp. 80-83
Author(s):  
Nadia Tariq ◽  
Tamkeen Jaffry ◽  
Rahma Fiaz ◽  
Abdul Majid Rajput ◽  
Sadaf Khalid
Keyword(s):  
Air Pollution ◽  
General Population ◽  
Indoor Air ◽  
Indoor Air Pollution ◽  
Economic Status ◽  
Educational Status ◽  
Epidemiological Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference

Background: Indoor air pollutants are increasingly being associated with respiratory illnesses leading to high degree of morbidity and mortality. There are not sufficient epidemiological studies from Pakistan which assess level of awareness of indoor air pollution resulting in respiratory diseases in population. Methods: This cross sectional survey was carried out on general population of Rawalpindi/Islamabad. Sample size was 223 study subjects selected by non-probability convenient sampling. Knowledge of the study subjects was determined with regard to indoor air pollution, its effects on health and different sources of indoor air pollution with the help of a questionnaire. The influence of age, gender, educational status and socio economic status on the level of awareness was also analyzed. Results: Out of total 223 participants, 115 were males and108 females. Participants aware of indoor air pollution were 91.5% and adequate awareness about its sources was 80.7%. Those who knew indoor air pollution is detrimental to health were 95.1%. Awareness about building construction dust as source of indoor air pollution was maximum (84.8%). There was significant difference in awareness among participants with different monthly incomes and educational status and also between males and females. Conclusion: This study concludes that general population of Rawalpindi/Islamabad has fairly good awareness about sources of indoor air pollution. Use of harmful material causing indoor air pollution should be limited or substituted with better ones where possible.

scholarly journals Prepared and highly committed despite the risk of COVID-19 infection: a cross-sectional survey of primary care physicians’ concerns and coping strategies in Singapore

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  
Keyword(s):  
Primary Care ◽  
Coping Strategies ◽  
Stress Management ◽  
Primary Care Physicians ◽  
Well Being ◽  
Pandemic Preparedness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Accessible Information ◽  
And Coping

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.

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