scholarly journals Disease Pattern of Geriatric People of the Host Community in Cox's Bazar, Bangladesh

2021 ◽  
Vol 2 (6) ◽  
pp. 1-4
Author(s):  
Iffat Ara Begum ◽  
Zannatul Raiyana ◽  
Md Abdul Mazid Azad ◽  
Mohammad Shamsul Huda ◽  
Afsana Anwar ◽  
...  

Introduction: Diseases of elder people are a global problem. The prevalence of disease in elderly people is increasing day by day as old people often have limited regenerative abilities and are more susceptible to disease, syndromes, injuries, and sickness than younger adults. Objective: This study was conducted to identify the disease pattern of geriatric people of the host community in Cox's Bazar, Bangladesh. Method: A descriptive type of cross-sectional study was conducted among 381 geriatric persons in 5 selected hospitals of Cox's Bazar. The sample size was calculated in a 95% confidence interval and with a 5% level of significance. Data collection was done by using a semi-structured pre-tested questionnaire. Data quality was ensured through multiple procedures of review and cross-checking. Results: The findings revealed that a total of 32.0% had heart disease and 31% had arthritis. More than one-fifth (22.0%) of the respondents had diabetes and 18% of the total respondents had different types of communicable diseases. The occurrence of non-communicable diseases in geriatric people is significantly associated with their age and sex. Conclusion: The findings from this study illustrate that non-communicable disease is very much prevalent among the geriatric population as well as a threat to public health. The hospitals and health service providers should emphasize the management and prevention of these diseases. Also, lifestyle modification can play a vital role in preventing non-communicable diseases.

2021 ◽  
Vol 33 (1) ◽  
pp. 75-81
Author(s):  
Tushar Prabhakar ◽  
Manish Kumar Goel ◽  
Anita Shankar Acharya ◽  
Sanjeev Kumar Rasania

Background: With increasing proportion of geriatric population across societies, the occurrence and prevalence of non-communicable diseases has been steadily increasing as well. The study tries to showcase the pattern and proportion of NCDs among the elderly population in a sub-urban part of Delhi. Aim & Objective: To assess the prevalence and study the morbidity profile of NCDs among geriatric population of Delhi. Materials & Methods: A community based cross sectional study was done in 350 elderly participants in Mehrauli, Delhi. Data was collected using a semi-structured questionnaire. Detailed general and systemic examination was also done. Results: A total of 87.4% of the study population was suffering from at least one NCD; 68% were having an already known NCD(s) while 19.4% were newly diagnosed during the study. 2.41 NCDs were found per patient. The prevalence of hypertension was 58%, 49.4% suffered from senile cataract, 32.9% had osteoarthritis, 30.3% had diabetes mellitus, and 26.9% had obesity. Hypertension and diabetes mellitus together were present in 18.3% while the combination of hypertension, diabetes mellitus and obesity was seen in 9.4% of the study participants. Conclusion: Burden of NCDs among the elderly was notably high with a large proportion of them having multimorbidity. It gets important to focus on preventive measures to delay the onset and stem the progression of NCDs to facilitate healthy ageing.


Author(s):  
Yohanes Firmansyah ◽  
Desi Natalia Ginting ◽  
Ernawati Su ◽  
Yana Sylvana ◽  
Welhan Chau ◽  
...  

Non-communicable diseases (NCD) especially hypertension and cardiovascular diseases have become the highest cause of death in the world with a mortality rate of nine million deaths (44% of all non-communicable disease deaths and 31% of all global causes of death). The purpose of this study was to determine the effectiveness of the Mobilization in Utilization Of Community Participation (Mobilization POSBINDU) activities to detect risk factor and early diagnosis of non-communicable diseases (NCD) especially hypertension. Methods: Cross-sectional method was applied to the society in Sector 5th Kedaung Kaliangke District, the variables in this research were tested using the chi-square test, Independent T-test, and Mann Whitney test. Results: 40 respondents who met the study criteria. There were no differences in the incidence of hypertension (55% vs 60%; p-value: 1,000), average of SBP (138.25 (24.36) vs 144.45 (20.24); p-value: 0.394) and average of DBP (85 (68 -132) vs 83 (58 - 105) mmHg; p-value: 0.369) between 2 groups of people who have never been to Posbindu with those who are routinely to Posbindu. There are still many people who have not been screened from Posbindu activities and still urgently need to Mobilization in Utilization Of Community Participation Program (Posbindu Linpung) to get  more people for early detection of NCD. Conclusion: Posbindu Linpung has proven effective in finding new cases of hypertension in the community. This is proven by the fact that there is no difference in the mean blood pressure of a population group that has never been screened with a group that routinely does a screening. Keywords: mobilization posbindu ; routinely ; hypertension AbstrakPenyakit tidak menular (PTM) khususnya hipertensi dan penyakit kardiovaskuler telah menjadi penyebab kematian tertinggi di dunia dengan angka mortalitas sembilan juta kematian (44% dari semua kematian penyakit tidak menular dan 31% dari semua penyebab kematian global). Tujuan penelitian untuk mengetahui efektivitas dari kegiatan Posbindu PTM Keliling Kampung dalam surveilans faktor risiko dan deteksi dini PTM. Metode: Potong lintang pada masyarakat RW 05 Kelurahan Kedaung Kaliangke, serta data penelitian di uji dengan uji Chi-square , Independent T-Test, dan Mann Whitney. Hasil Penelitian: 40 responden yang memenuhi kriteria penelitian. Tidak didapatkan perbedaan kejadian hipertensi (55% vs 60% ; p-value : 1,000), rata-rata TDS (138,25 (24,36) mmHg vs 144,45 (20,24) mmHg ; p-value : 0,394) dan rata-rata TDD (85 (68  - 132) mmHg vs 83 (58 - 105) mmHg ; p-value : 0,369) yang tidak bermakna antar 2 kelompok masyarakat yang tidak pernah ke posbindu dengan yang rutin ke posbindu. Hal ini membuktikan bahwa masih banyak masyarakat yang belum terskrining dari kegiatan Posbindu dan masih sangat memerlukan Posbindu Linpung untuk menjaring lebih banyak masyarakat untuk deteksi dini PTM. Kesimpulan: Posbindu Linpung terbukti efektif dalam menjaring kasus baru penyakit tidak menular (hipertensi dan obesitas) yang berada dalam masyarakat. Hal ini terbukti dari tidak terdapat perbedaan rerata tekanan darah dari kelompok populasi yang tidak pernah melakukan skrining dengan kelompok yang rutin melakukan skrining. 


2021 ◽  
Vol 71 (5) ◽  
pp. 1534-38
Author(s):  
Syed Fawad Mashhadi ◽  
Saira Maroof ◽  
Aliya Hisam ◽  
Sumaira Masood ◽  
Sonia Riaz ◽  
...  

Objective: To examine the impact of 30-day hospital readmission for non-communicable diseases on limited health-care resources of a low-income country like Pakistan in the light of available data from Pakistan’s Sehat Sahulat Program. Study Design: Retrospective analytical cross-sectional study. Place and Duration of Study: Health Services Academy, Islamabad Pakistan, from Jan 2016 to Jul 2020. Methodology: Secondary data of patients readmitted with non-communicable diseases in Sehat Sahulat Program, Islamabad, Pakistan. Universal sampling technique was utilized. Data was analyzed using SPSS version 27. Results: Islamabad (ICT) stands second highest for readmissions (n=1270) in which the 30-days readmission rate was 13.69%. Maximum number of readmissions were found in 50-59 years (344, 27.12%). Of 1270 ICT readmissions, 559 (44%) cases were readmitted with non-communicable diseases while rest of 711 (56%) cases were readmitted for acute infectious diseases or surgical procedures. Of 559 non-communicable diseases cases, 236 (42.21%) readmissions were having one non-communicable disease, 63 (11.27%) readmissions exhibited two or more non-communicable diseases and 260 (46.51%) were readmitted because of cancers (CA). Among males, the most common malignancy was CA lungs/ bronchus 24 (19.8%) while among females, CA Breast 80 (56.3%). Conclusion: Non-communicable diseases represent a significant burden on resource constrained, low-income countries. In view of the recurrent admissions that these chronic diseases inevitably incur, better resource allocation may help lessen this burden on fragile health systems creating better clinical outcomes for the penurious strata of Pakistan’s population.


Author(s):  
Vijayakarthikeyan M. ◽  
Krishnakumar J. ◽  
Umadevi R.

Background: Currently, non-communicable diseases (NCDs) are in the limelight replacing communicable diseases, which were the leading cause of death in most countries. Non communicable disease is the leading cause of death globally. Non communicable diseases (NCDs) kill 38 million people each year. This study aims to estimate the prevalence rate of NCD risk factors among adult population and to determine the association between behavioural and metabolic risk factors. Methods: This is a cross sectional descriptive study carried out in the rural field practice area attached to a Medical college in Kancheepuram district. The study group were 370 adults (20-60 years). The data was collected using a structured questionnaire with the help of WHO steps approach containing socio-demographic particulars, details regarding NCD risk factors and physical measurements. Data was analysed using SPSS 15 software. Prevalence of NCD risk factors was calculated using percentages and strength of association was tested between behavioural and metabolic risk factors. Results: Prevalence of risk factors for non-communicable disease are tobacco use (17.8%), alcohol use (17.3%), physical inactivity (50.2%), unhealthy diet (62%), overweight (38.1%), obesity (11.4%), hypertension (15.7%), diabetes (21.9%) respectively. There was strong statistical significant association between obesity (odds ratio-3.057, p=0.020 at 95% confidence interval (0.915-10.211)), hypertension (odds ratio-23.062, p=0.001 at 95% confidence interval (3.147-168.989)), diabetes (odds ratio-6.837, p=0.001 at 95% confidence interval (2.085-22.417)) and alcohol use and also between obesity (odds ratio-2.637, p=0.004 at 95% confidence interval (0.787-8.83)), hypertension (odds ratio-2.773, p=0.019 at 95% confidence interval (1.145-6.714)) and tobacco use. Conclusions: The prevalence of non-communicable diseases risk factors is high in this study. It is necessary to minimize the burden of growing non-communicable disease epidemic in the society, by curbing the rates of the risky behaviours at a very early stage by lifestyle modification.  


2019 ◽  
pp. 80-86
Author(s):  
Phuoc Thuoc Doan ◽  
Thi Huong Nguyen ◽  
Thi Thanh Nhan Tran ◽  
Thi Phuong Thao Nguyen ◽  
Thi Thuy Hang Nguyen ◽  
...  

Background: Non-communicable diseases seriously affect public health and socio-economic development of the country due to the high number of people suffering from diseases, being disabled and mortal. However, the proportion of people who recognized themselves a suffering from non-communicable diseases such as hypertension, diabetes and dyslipidemia is not high. For cases that their disease situations have been identified, there are not appropriate treatment and preventive behaviors. Objectives: 1) To determine the proportion of 25 - 84 years old peoplewho identified themselves as suffering from hypertension, diabetes and dyslipidemia. 2) To learn treatment and preventive behaviors in the group of people who identified themselves as suffering from diseases. Methods: A cross-sectional study was conducted with a randomly selected sample of 1600 residents in Thua Thien Hue province. Results: The proportion of people knowing that they are suffering from hypertension, diabetes and dyslipidemia was 29.4%; 3.2% and 7.8% respectively. Among them, the proportion of people who did not treat and treated irregularly accounted for 42.7%; 13.7% and 75.2% respectively; the proportion of people who did not change their lifestyles and dietary habits accounted for 50.1%; 5.9% and 56.8% respectively. Conclusions: The proportion of people who identified themselves as suffering from some non-communicable diseases without appropriate treatment and preventive behaviors is alarming. Interventions are needed to help people realize the importance of treatment and prevention effectively. Key words: Non-communicable diseases, hypertension, diabetes, dyslipidemia


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Vareda ◽  
T Garcia ◽  
J Rachadell

Abstract Background From disease prevention to health promotion, communication is key for Public Health (PH) practice and, according to the 9th Essential Public Health Operation its goal is to improve populations health literacy and capacity to access, understand and use information. Though social media is frequently presented as a potentially useful tool for PH communication, there is a lack of evidence about its effectiveness and impact on PH outcomes. This study researches Instagram® as a PH tool and aims to know who is using it, what content is shared on the platform and how much engagement there is. Methods This cross-sectional study regards information on 1000 Instagram® posts with the hashtags publichealth, publichealthpromotion, healthpromotion, publichealthmatters and publichealtheducation. Authors categorized post content and creators, and reviewed the number of likes and comments per post to determine engagement. Data analysis was performed on IBM SPSS® Statistics. Results The most common content categories were communicable diseases (n = 383), non-communicable diseases (n = 258) and healthy lifestyles (n = 143). Health professionals post more about communicable diseases (43,6%) and non-professionals about healthy lifestyles (36,1%). Non-professionals (n = 191) post about PH issues almost as much as health professionals (n = 220) and PH associations (n = 201). Most don't reference their sources (n = 821). Posts on communicable diseases have the most likes and comments per post (mean of 172 likes and 3,1 comments). Conclusions Half the Instagram® posts analysed in this study were made by health professionals or organizations. Communicable diseases, non-communicable diseases and healthy lifestyles were the most frequent content categories and had the most engagement. The majority of posts didn't reference their sources. Though Instagram® seems to be a potential PH communication tool, further research is needed to confirm its benefits for PH. Key messages Social media platforms like Instagram® are potentially powerful tools for PH communication. There is a need to understand the efficacy of social media as health promotion tools.


2016 ◽  
Vol 7 (2) ◽  
pp. 1-13 ◽  
Author(s):  
Mohammad Rashemdul Islam ◽  
Shamima Parvin Laskar ◽  
Darryl Macer

Non-communicable diseases (NCDs) disproportionately affect low and middle-income countries where nearly three quarters of NCD deaths occur. Bangladesh is also in NCD burden. This cross-sectional study was done on 50 health facilities centres at Gazipur district in Bangladesh from July 2015 to December 2015 to introduce SARA for better monitoring and evaluation of non-communicable diseases health service delivery. The General Service readiness index score was 61.52% refers to the fact that about 62% of all the facilities were ready to provide general services like basic amenities, basic equipment, standard precautions for infection prevention, and diagnostic capacity and essential medicines to the patients. But in case of non-communicable diseases, among all the health facilities 40% had chronic respiratory disease and cardiovascular diseases diagnosis/ management and only 32% had availability of diabetes diagnosis/management. Overall readiness score was 52% in chronic respiratory disease, 73% in cardiovascular disease and 70% in diabetes. Therefore, service availability and readiness of the health facilities to provide NCD related health services were not up to the mark for facing future targets.  A full-scale census survey of all the facilities of the study area would give a better understanding of the availability and service readiness.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erfan Taherifard ◽  
Mohammad Javad Moradian ◽  
Ehsan Taherifard ◽  
Abdolrasool Hemmati ◽  
Behnaz Rastegarfar ◽  
...  

Abstract Background Refugees are highly vulnerable to many health-related risks. Monitoring non-communicable diseases (NCDs) is of overriding importance in these populations. This study aimed to investigate the prevalence of risk factors for NCDs amongst Afghan refugees in a refugee camp located in southern Iran. Methods This cross-sectional sturdy was conducted in 2018. Risk factors such as inadequate nutrition, physical inactivity, tobacco smoking, obesity and overweight, hypertension (HTN), elevated fasting plasma glucose (FPG), and dyslipidaemia were assessed. Data were gathered with a modified WHO STEPS procedure. Prevalence and age-standardized prevalence and their 95% confidence intervals (CI) were estimated. Results The estimated prevalence were 94% for inadequate fruit/vegetable consumption, 18% for physical inactivity, 9% for tobacco smoking, 3% for FPG, 20% for HTN, 51% for central obesity, 24% for overweight, 19% for obesity, and 69% for dyslipidaemia. Conclusions Except for inadequate fruit and vegetable intake and dyslipidaemia, the prevalence of other NCD risk factors was low among Afghan refugees in Iran. Raising awareness about healthy diet and its importance and the provision of more affordable fruit and vegetables are two effective measures toward improving the health of refugees in Iran.


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