scholarly journals Prevalence, awareness, treatment, control and risk factors associated with hypertension in Lebanese adults: A cross sectional study

2018 ◽  
Vol 2018 (1) ◽  
Author(s):  
Bouchra Bakr Mouhtadi ◽  
Reem Mohamad Najib Kanaan ◽  
Mohammad Iskandarani ◽  
Mohamad Khaled Rahal ◽  
Dalal Hammoud Halat

Background: The prevention and control of hypertension is an essential component for reducing cardiovascular disease burden. Hypertension is an important public health issue, yet few studies have examined its current status among the Lebanese population. Objective: To examine the prevalence, awareness, treatment and control of hypertension and its associated risk factors among Lebanese adults. Methods: A cross-sectional study was conducted between December 2014, and May 2015, on adults from the five districts of Lebanon. Multistage sampling was used to enroll participants. Hypertension was defined as an average of two blood pressure (BP) measurements with systolic/diastolic blood pressure of at least 140/90 mm Hg, using an automated digital device, or the use of antihypertensive medication. A questionnaire was used to assess hypertension risk factors, awareness, treatment and control. Results: Of the 1362 Lebanese adults interviewed, 399 (29.3%) had hypertension. Of these, 106 (26.5%) were aware of their condition. Sixty-nine patients (65%) of those aware, were receiving treatment, and 38 (55%) participants from those treated were controlled. The significant risk factors were sex, gender, age, family history of hypertension, obesity, and a low level of education. Conclusions: Hypertension is prevalent among the Lebanese adult population and is multifactorial, but remains incompletely recognized, leading to insufficient control. Hypertension was highly prevalent in males in the age category 18-29 years. These findings show that improvements in detection, treatment, and control of hypertension among Lebanese adults, is much needed. 

2020 ◽  
Vol 77 (6) ◽  
pp. 590-600
Author(s):  
Sandra Sipetic-Grujicic ◽  
Dragan Miljus ◽  
Ivan Soldatovic ◽  
Aleksandra Nikolic ◽  
Isidora Vujcic

Background/Aim. Prehypertension and hypertension are an important public health problem worldwide and although they can be modified, they are often a risk for cardiovascular diseases. The aim of this study was to determine the prevalence of prehypertension and hypertension and associated risk factors in the adult population (15+ years) of Serbia. Methods. The cross-sectional study covered 14,623 adult respondents, but 14,422 volunteered to measure their blood pressure according to a pre-defined protocol. A stratified two-stage national representative random sampling approach was used for the selection of the survey sample. Results. In 2013, 17.7% of Serbian population, aged 15 and over, was normotensive, every third (33.1%) person had prehypertension, and every second (49.3%) had hypertension. The standardized prevalence of prehypertension and hypertension was 40.6% and 34.5%, respectively; 57.8% of the hypertensive population were receiving medical treatment. Among those receiving medical treatment, 35.2% (36.4% males and 33.2% females) had a blood pressure within the normal range. According to the results of multivariate logistic regression analysis, independently significant risk factors for hypertension compared to persons with normotension were older age (50 and more) (p < 0.001), overweight (p < 0.001) and obesity (p < 0.001), moderate (p < 0.001) and large (p < 0.001) waist circumference in both sexes, and nonurban place of residence in females (p = 0.006). In females, independently significant risk factors for prehypertension compared to persons with normotension were older age (50 and more) (p < 0.001), overweight (p < 0.001) and obesity (p < 0.001), moderate (p < 0.001) and large (p < 0.001) waist circumference, but high level of physical activity was significantly protective (p = 0.014). In males, overweight (p < 0.001) and obesity (p < 0.001) were independently significant risk factors for prehypertension. Conclusion. Serbia belongs to countries with a high prevalence of prehypertension and hypertension. Our results emphasize the need for a new public health strategy for the prevention, detection and treatment of prehypertension and hypertension.


Author(s):  
Muhammad Fawad Rasool ◽  
Saira Akhtar ◽  
Iltaf Hussain ◽  
Abdul Majeed ◽  
Imran Imran ◽  
...  

The increasing frequency of cesarean section (CS) is a major public health issue, and it is on the rise in Pakistan. A cross-sectional study approach was used to assess the frequency of CS and its contributing factors, along with the assessment of knowledge in mothers who had undergone CS in one of the under-developed regions of Pakistan. Data collection was done by using a self-developed study questionnaire. The statistical package for social sciences (SPSS) was utilized for the statistical analysis. During the study period, a total of 173 (69.7%) women have given births by CS; among those, 104 (60.1%) were elective/planned CSs while 69 (39.8%) were emergency CSs. The higher CS frequency was significantly associated with younger age (p = 0.03) and pre-term gestational age (p < 0.001). Pregnancy complications, such as gestational diabetes, hypertension, preeclampsia/eclampsia, and vaginal bleeding, were the significant risk factors for CS (p < 0.001). The highlighted contributing factors to CS in the current study were preterm of gestational age, mothers of a younger age (20–24 years), and mothers that belong to urban populations. These risk factors can be addressed by implementing community-focused educational interventions during the gestational period. The sample size in this study was small; therefore, the results cannot be generalized to the whole population.


Author(s):  
Amina Ehsan ◽  
Farwa Iqbal ◽  
Muhammad Azeem Rao

Abstract Objectives: The objectives of the study were to find out the prevalence of internet addiction and to determine the risk factors associated with internet addiction in medical students. Methods: This descriptive cross-sectional study was carried out at Rawalpindi Medical University, Rawalpindi from July 2018 to August 2019. Our study population included medical students from all the years of MBBS aged 18-25 years, who have been using the internet for the past two years or more. A Stratified random sampling technique was used. Seventy-six self-administered questionnaires were distributed in each year. Data was entered and analyzed using the Statistical Package for Social Sciences (SPSS version 25). Results: Out of the total sample of 380, the prevalence came out to be 90% (n=342). Two hundred and twenty-two 222 (58.4%) had mild, 115 (30.3%) had moderate, six (1.6%) had severe and 37 (9.7%) had no addiction. Out of the risk factors online friendships (p= 0.007), online relationships (P=0.035), online chatting (p= 0.009), online shopping (p= 0.009), online games (p=0.023) and online series/movies (p< 0.000) were statistically significant. Conclusion: The prevalence of internet addiction is high among medical students, which is mostly of a mild type. Internet addiction is more common in males and non-hostel residents. Other significant risk factors are online relationships, online gaming, and online series/movies. Keywords: Prevalence, internet, medical students, risk factors. Continuous...


BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e022184 ◽  
Author(s):  
Josefine Atzendorf ◽  
Christian Apfelbacher ◽  
Elena Gomes de Matos ◽  
Ludwig Kraus ◽  
Daniela Piontek

ObjectivesLifestyle risk factors, such as drinking or unhealthy diet, can expotentiate detrimental health effects. Therefore, it is important to investigate multiple lifestyle risk factors instead of single ones. The study aims at: (1) identifying patterns of lifestyle risk factors within the adult general population in Germany and (2) examining associations between the extracted patterns and external factors.DesignCross-sectional study.SettingGeneral German adult population (aged 18–64 years).ParticipantsParticipants of the 2015 Epidemiological Survey of Substance Abuse (n=9204).Primary outcome measuresLifestyle risk factors (daily smoking, at-risk alcohol consumption, unhealthy diet, low physical activity, weekly use of pharmaceuticals, as well as consumption of cannabis and other illicit drugs).ResultsA latent class analysis was applied to identify patterns of lifestyle risk factors, and a multinomial logistic regression was carried out to examine associations between the extracted classes and external factors. A total of four classes were extracted which can be described as healthy lifestyle (58.5%), drinking lifestyle (24.4%), smoking lifestyle (15.4%) and a cumulate risk factors lifestyle (1.7%). Individuals who were male, at younger age and single as well as individuals with various mental health problems were more likely to show multiple lifestyle risk factors.ConclusionsHealthcare professionals should be aware of correlations between different lifestyle risk factors as well as between lifestyle risk groups and mental health. Health promotion strategies should further focus especially on younger and single men.


2020 ◽  
Author(s):  
A. G. Ibrahim ◽  
M.K. Tijani ◽  
R. I. Nwuba

AbstractBackgroundIn developing countries, infections caused by soil-transmitted helminthes (STH), such as Ascaris, Trichuris and hookworm, pose major public health problems among the school-age children, resulting in impaired physical growth such as stunting and thinness, and cognitive development. The aim of this study is to determine the prevalence of STH infections, stunting and thinness, and risk factors among school-age-children in Ibadan. This becomes highly imperative in order to serve as a guide on the prevention and control.MethodA cross-sectional study was carried out in 8 primary schools at Ibadan, Oyo State Nigeria, between May and November 2018. All the school-age-children between the ages 5 and 18 years old (mean 10.4 ± 1.7 years), from primary one to six took part in the study. Demographic data were obtained and STH infections was analysed in single-stool samples by Kato-Katz. Anthropometric parameters were taken to calculate Height for-age Z score (HAZ) and Body-Mass-Index (BMI) for-age Z score (BAZ), in order to determine among school-aged-children stunting and thinness respectively.ResultsIn overall, 458 school-age-children partook in the study. The prevalence of STH was 9.0%, out of which 7.6%, 2.8% and 1.5% were recorded for Ascaris, Trichuris and multiparasitism respectively. The overall prevalence obtained revealed that the results of stunting and thinness (HAZ < -2SD, BAZ < -2SD) were 24.7% and 27.3% respectively based on the WHO Child Growth Standards (2007). Notably, ages of the children (P< 0.01), their classes (P=0.05), different schools (P=0.003), washing of hands after toileting (P = 0.05) were important risk factors determining STH infection, HAZ and BAZ.ConclusionThe study showed that specific risk factors among school children in the studied area will make them vulnerable with high risk of STH infection, HAZ and BAZ. Effective prevention and control strategies can be well planned when risk factors and dynamics of transmission in vulnerable groups have been painstakingly identified.SummaryAscaris, Trichuris and hookworm are responsible for major public health problems among the school-age children (SAC); this has led to stunting and thinness, and impaired cognitive development. With the aim to determine prevalence of STH infections, stunting, thinness and associated risk factors, a cross-sectional study of STH infection in 8 primary schools at Ibadan, Oyo State Nigeria was conducted in 2018. School-aged children between the ages of 5 and 18 were enrolled, demographic data, stool samples and anthropometric parameters were obtained in order to determine STH infection and nutritional status. 9.0% was the prevalence of STH, the prevalence of 7.6%, 2.8% and 1.5% were recorded for Ascaris, Trichuris and multiparasitism respectively, while 24.7% and 27.3% were obtained for stunting and thinness respectively. The children’s age, hand washing after toileting and locations of the different schools were significantly correlated with STH infection, HAZ and BAZ. This study is highly imperative because its shows some risk factors associated with STH infection, HAZ and BAZ among SAC, this can serve as a guide on the prevention and control among SAC.


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