scholarly journals Factors Associated with Migration in Individuals Affected by Leprosy, Maranhão, Brazil: An Exploratory Cross-Sectional Study

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
C. Murto ◽  
C. Kaplan ◽  
L. Ariza ◽  
K. Schwarz ◽  
C. H. Alencar ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Health Sector ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Future Research ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Factors Associated

In Brazil, leprosy is endemic and concentrated in high-risk clusters. Internal migration is common in the country and may influence leprosy transmission and hamper control efforts. We performed a cross-sectional study with two separate analyses evaluating factors associated with migration in Brazil’s Northeast: one among individuals newly diagnosed with leprosy and the other among a clinically unapparent population with no symptoms of leprosy for comparison. We included 394 individuals newly diagnosed with leprosy and 391 from the clinically unapparent population. Of those with leprosy, 258 (65.5%) were birth migrants, 105 (26.6%) were past five-year migrants, and 43 (10.9%) were circular migrants. In multivariate logistic regression, three independent factors were found to be significantly associated with migration among those with leprosy: (1) alcohol consumption, (2) separation from family/friends, and (3) difficulty reaching the healthcare facility. Separation from family/friends was also associated with migration in the clinically unapparent population. The health sector may consider adapting services to meet the needs of migrating populations. Future research is needed to explore risks associated with leprosy susceptibility from life stressors, such as separation from family and friends, access to healthcare facilities, and alcohol consumption to establish causal relationships.

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

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.

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

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.

scholarly journals Factors associated with virtual care access in older adults: a cross-sectional study

2021 ◽  
Author(s):  
Laura Liu ◽  
Zahra Goodarzi ◽  
Aaron Jones ◽  
Ron Posno ◽  
Sharon E Straus ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Medicine ◽  
Cross Sectional Study ◽  
Patient Specific ◽  
Future Research ◽  
Sectional Study ◽  
Clinical Frailty Scale ◽  
Cross Sectional ◽  
Factors Associated ◽  
Virtual Care

Abstract Background virtual care has been critical during the COVID-19 pandemic, but there may be inequities in accessing different virtual modalities (i.e. telephone or videoconference). Objective to describe patient-specific factors associated with receiving different virtual care modalities. Design cross-sectional study. Setting and Subjects we reviewed medical records of all patients assessed virtually in the geriatric medicine clinic at St. Michael’s Hospital, Toronto, Canada, between 17 March and 13 July 2020. Methods we derived adjusted odds ratios (OR), risk differences (RDs) and marginal and predicted probabilities, with 95% confidence intervals, from a multivariable logistic regression model, which tested the association between having a videoconference assessment (vs. telephone) and patient age, sex, computer ability, education, frailty (Clinical Frailty Scale score), history of cognitive impairment and immigration history; language of assessment and caregiver involvement in assessment. Results our study included 330 patients (227 telephone and 103 videoconference assessments). The median population age was 83 (Q1–Q3, 76–88) and 45.2% were male. Frailty (adjusted OR 0.62, 0.45–0.85; adjusted RD −0.08, −0.09 to −0.06) and absence of a caregiver (adjusted OR 0.12, 0.06–0.24; adjusted RD −0.35, −0.43 to −0.26) were associated with lower odds of videoconference assessment. Only 32 of 98 (32.7%) patients who independently use a computer participated in videoconference assessments. Conclusions older adults who are frail or lack a caregiver to attend assessments with them may not have equitable access to videoconference-based virtual care. Future research should evaluate interventions that support older adults in accessing videoconference assessments.

Factors associated with cognitive impairment in patients with newly diagnosed type 2 diabetes: a cross-sectional study

2015 ◽  
Vol 20 (8) ◽  
pp. 840-847 ◽  
Author(s):  
Calum D. Moulton ◽  
Robert Stewart ◽  
Stephanie A. Amiel ◽  
Jean-Pierre Laake ◽  
Khalida Ismail
Keyword(s):  
Type 2 Diabetes ◽  
Cognitive Impairment ◽  
Cross Sectional Study ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Assessment of prevalence of hypertension in an urban population: a cross sectional study in Indore city

2018 ◽  
Vol 5 (6) ◽  
pp. 2368
Author(s):  
Ashfaq Modiwala ◽  
Ajit Deshpande ◽  
R. R. Wavare ◽  
S. L. Kantharia
Keyword(s):  
Risk Factors ◽  
Urban Population ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Modifiable Risk Factors ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated

Background: Hypertension is growing rapidly to epidemic levels in the developing countries, that’s why described by some clinicians as a ‘silent killer’. The objective of the study was to study the prevalence of hypertension among adults in urban area of Indore city.Methods: A community based survey was conducted among the 375 residents of urban population of Indore.Results: In our study 157 subjects were found to be hypertensive with the prevalence of 41.9%. Where; new cases of hypertension were found to be with prevalence of 15.7%. Out of which males were 44 (20.3%). Whereas, previously diagnosed 98 (62.4%) subjects were on anti-hypertensive medication and 59 (37.6%) newly diagnosed subjects who did not know they were having hypertension.Conclusions: The prevalence of hypertension in study subjects was 41.9%. 15.7% subjects didn’t know that they were having hypertension. 31.6% of hypertensive subjects were on irregular medication. It was found that lack of awareness, negative attitude of people for practicing modifiable risk factors associated with hypertension.

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