Relation between primary care physician supply and diabetes care and outcomes: a cross-sectional study

Background: Obesity is one of the important challenge in primary care. Abdominal obesity is associated with future cardiovascular disease when compared to non-obese individuals. The objective was to study the prevalence of abdominal obesity in patients attending primary care physician and to analyse abdominal obesity across different age groups and gender.Methods: The study was done as cross-sectional study at primary care centres in and around Pondicherry. Patients visiting primary care physician were included in the study. All adult patients of age more than 18 years, of both sexes visiting the primary care physician were included in study. Pregnant women, patients with abdomen diseases and patients those who are not willing to give written consent for participation in the study were excluded from the study. Demographic profile, anthropometric measurements were recorded. Abdominal circumference of all patients were recorded using a standard measuring tape. Abdominal obesity was diagnosed when the abdominal circumference was more than 90 centimetres in male and more than 80 centimetres in female.Results: A total number of 1030 patients were included in the study. There were 189 patients in age group 60-69. Females 535 outnumbered males 484. In the age group 50-59, 33 (40%) of males and 45 (44%) of females had increased abdominal circumference more than 90 centimetres in males and 80 centimetres in females. Across all age groups 121 (24%) males had abdominal circumference more than 90 centimetres in the study and 147 (28%) females had abdominal circumference more than 80 centimetres.Conclusions: Abdominal obesity is common at primary care level. The prevalence of abdominal obesity is more in females when compared with males. Hence all primary care physicians have to be stressed about the importance of abdominal obesity.

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Association between suicidal ideation and causes of primary care visits: A cross-sectional study to identify patients with suspected suicidal ideation

10.21203/rs.2.10353/v1 ◽

2019 ◽

Author(s):

Gyeongsil Lee ◽

Jung-Ha Kim

Keyword(s):

Primary Care ◽

Suicidal Ideation ◽

Primary Care Providers ◽

Cross Sectional Study ◽

Care Physician ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional ◽

Patients At Risk ◽

Primary Care Patients

Abstract Background: Evidence increasingly suggests that suicide victims are highly likely to visit a primary care provider within one month of the suicide event. However, it would be impossible for primary care providers to act as gatekeepers and thus screen all patients for suicidal ideation or attempts. Therefore, we aimed to investigate potential differences in the chief diagnoses received by primary care patients with and without suicidal ideation, as this information may provide clues and predict patients at risk of committing suicide. Methods: This cross-sectional study included 1,211 Korean adults aged ≥20 years who had participated in the Korea National Health and Nutrition Examination Survey during 2014 and provided information about their histories of suicidal ideation and visits to primary care providers. Multiple logistic regression analyses were used to examine whether suicidal ideation was associated with specific diseases after controlling for age, household income, education, occupation, marital status, smoking, alcohol consumption and physical activity. Results: Among primary care patients, the sample-weighted percentage of suicidal ideation was 11.8%. The diagnoses of neoplasm and mental disorder were associated with a higher likelihood of suicidal ideation (odds ratio; OR [95% confidence interval, CI]: 8.32 [1.01–68.56] and 6.19 [1.72–22.33], respectively). Notably, diseases of the musculoskeletal system and connective tissue were also associated with suicidal ideation (OR [95% CI]: 1.93 [1.09–3.43]). Conclusions: The observed visit patterns and correlations of certain diagnoses with suicidal ideation suggest that primary care physician should pay careful attention to their patients with mood or musculoskeletal disorders and consider screening to determine the risk of suicide.

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