scholarly journals Diabetes Mellitus Among Adults in Herat, Afghanistan: A Cross-Sectional Study

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Khwaja Mir Islam Saeed
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Undiagnosed Diabetes ◽  
Cluster Sampling ◽  
Sectional Study ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Factors Associated ◽  
Modifiable Factors ◽  
Study Participants

Introduction: Diabetes is reaching epidemic levels in Afghanistan. This study identifies the risk factors associated with diabetes in Herat City, Afghanistan, and explores the prevalence of previously undiagnosed diabetes.Methods: A cross-sectional study was conducted using multistage cluster sampling by adopting the World Health Organization’s (WHO) STEPwise approach to Surveillance (STEPS). We enrolled 1129 participants aged 25-70 years between May and June of 2015 (47.4% males, 52.6% females). A structured questionnaire was used for data collection of demographic, socioeconomic, and behavioral factors. Investigators collected anthropometric measurements and blood samples from study participants. A multivariable logistic regression model was used to identify factors associated with diabetes prevalence.Results: We found that the prevalence of diabetes in Herat City was 9.9% (9.8% in males and 10.1% in females). Of the 1129 respondents, only 3.3% were previously diagnosed with diabetes or were under treatment, whereas 6.6% of respondents were previously undiagnosed. The multivariable analyses showed that age, frequency of rice consumption, type of cooking oil, and systolic blood pressure were associated with diabetes. Conclusions: This is one of the first studies to discuss the high prevalence of undiagnosed diabetes in Herat, Afghanistan. This study found several modifiable factors that were associated with diabetes in Herat, Afghanistan. Future reduction of disease burden should focus on these factors in the development of the most optimal diabetes prevention programs.

scholarly journals Determinants of person-centered maternity care at the selected health facilities of Dessie town, Northeastern, Ethiopia: community-based cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fentaw Teshome Dagnaw ◽  
Sofonyas Abebaw Tiruneh ◽  
Melkalem Mamuye Azanaw ◽  
Aragaw Tesfaw Desale ◽  
Melaku Tadege Engdaw
Keyword(s):  
Health Care ◽  
Linear Regression ◽  
Maternity Care ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Modifiable Factors ◽  
Study Participants

Abstract Background Person-centered maternity care is providing care that is respectful and responsive to individual women’s preferences, needs, and values and ensuring that their values guide all clinical decisions during childbirth. Although person-centered health care is one of the factors that increase client satisfaction and increased health service utilization in Ethiopia, little is known about predictors of person-centered maternity care. Therefore, the aim of this study was to identify the determinant factors of person-centered maternity care among mothers who gave birth in selected health facilities in Dessie town, Northeastern, Ethiopia. Methods A community-based cross-sectional study was conducted with a total of 317 study participants at Dessie town selected by a simple random sampling technique. The data was coded and entered Epi-data version 4.4 and analyzed using SPSS version 23. Descriptive statistics was presented using tables and figures. Multivariable linear regression analysis was used to identify factors associated with Person-Centered Maternity Care. Two sides P-value < 0.05 was taken to declare statistically significant. Results Overall, 310 study participants participated with a response rate of 97.8%. In multivariable linear regression, rural residence (β = -4.12; 95% CI: -7.60, -0.67), family average monthly income ≤ 3000 birr (β = -6.20, 95% CI: -9.40, -3.04), night time delivery(β = -2.98, 95%CI: -5.90, -0.06), dead fetus outcome during delivery (β = -12.7; 95% CI: -21.80, -3.50), and 2–7 days health facility length of stay (β = -5.07, 95% CI: -9.20, -0.92) were significantly decreased Person Center Maternity Care score, whereas private health institution delivery (β = 14.13, 95% CI: 7.70, 20.60) is significantly increased Person centered maternity care score. Conclusions This study revealed that most of the factors that affect person-centered maternity care are modifiable factors. Therefore, Primary attention should be given to improve the quality of care through effective communication between clients and providers at each level of the health care delivery system to increase the uptake of high-quality facility-based births.

scholarly journals Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Cesar I. Fernandez-Lazaro ◽  
Juan M. García-González ◽  
David P. Adams ◽  
Diego Fernandez-Lazaro ◽  
Juan Mielgo-Ayuso ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Cross Sectional Study ◽  
World Health ◽  
Healthcare Team ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47–0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.

scholarly journals Perceived Stress Levels and Associated Factors Among SARS-CoV-2-Affected Young Adults Under Home Isolation—A Cross-Sectional Study From Kerala, India

2022 ◽  
pp. 263394472110586
Author(s):  
Anjana Nalina Kumari Kesavan Nair ◽  
Jisharaj Vijayakumari Rajasekharan Nair ◽  
Siji Vincent Swarnabai ◽  
Reshma Rajan Sudha ◽  
Alice Metilda Mendez ◽  
...  
Keyword(s):  
Young Adults ◽  
Perceived Stress ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stress Levels ◽  
The Mean ◽  
Study Participants ◽  
The Impact

Introduction The impact of SARS-CoV-2 is not only on physical health but also on mental health. This pandemic raised concerns of fear, anxiety, and stress among patients affected with the disease. Quarantine and home isolation might have created psychological distress and helplessness in patients due to social and economic reasons. This study aimed in assessing the level of perceived stress and factors associated with it among SARS-CoV-2-affected young adults who were under home isolation. Methodology A cross-sectional study was conducted among 147 SARS-CoV-2-affected young adults who were under home isolation during June 2021 to August 2021. A semi-structured proforma was created using KoBo Toolbox for humanitarian response for data collection. Perceived Stress Scale (PSS-10) was used for measurement of stress among COVID-19 patients. The questionnaire was shared in online platform. Data was analyzed using Statistical Package for Social Sciences version 23.0. Significance of association was tested using chi square test and independent sample t test. Logistic regression was done to predict the factors associated with perceived stress. Results Out of the 147 study participants, 56.5% were females and 43.5% were males. Symptoms were present in 94 (63.9%) of patients. The mean age of the study participants was 26 (10.5) years. The mean PSS score was 17.5 (6.4). Among the cases under home isolation, 24.5% had low stress levels, 68% had moderate stress levels, and 7.5% had severe stress levels. Feeling of loneliness during home isolation (odds ratio [OR]: 4.7, 95% confidence interval [CI] [1.9-11.63], P = .008), presence of elderly or under-5 children in the same house (OR: 15.45, 95% CI [2.03-117.5], P = .001), and presence of cough ( P = .05) were found to be significantly associated with higher PSS scores. Age and sleep were negatively correlated with stress score. Conclusion One-third of the study participants had moderate to severe levels of perceived stress. Age, sleep hours, presence of cough, presence of under-5 children or elderly in the same house, and feeling of loneliness during home isolation were found to be significantly associated with high perceived stress level scores.

scholarly journals The Association of Legume Consumption and Psychological Health among Women: A Cross-Sectional Study

2021 ◽  
Author(s):  
Manije Darooghegi Mofrad ◽  
Fereydoun Siassi ◽  
Bijan Guilani ◽  
Leila Azadbakht
Keyword(s):  
Psychological Health ◽  
Psychological Disorders ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Sectional Study ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Independent Association ◽  
Study Participants

Background: Independent association between legume intake and psychological disorders is not well documented. This study was carried out to examine legume consumption in relation todepression, anxiety, and stress in women in Tehran city of Iran. Methods: In this cross-sectional study, 458 women aged 20-50 years who referred to the health centers of Tehran University of Medical Sciences were selected by multistage cluster sampling method. The usual dietary intake in the past year was evaluated using a 168-item semi-quantitative food frequency questionnaire with confirmed validity and reliability. Legume intake was calculated by summing up the consumption of lentils, peas, chickpeas, and different kinds of beans including broad beans and chickling vetch. Psychological disorders were assessed using a validated depression, anxiety, stress scales questionnaires with 21items. In the logistic regression analysis, the results were adjusted to the confounding factors. Results: The mean age of the study participants was 31.85 ± 7.67 years. The prevalence of depressive symptoms, anxiety, and psychological distress among study participants was 34.6%, 40.6%, and 42.4%, respectively. After adjustment of the confounding variables, legume consumption had no significant association with depression (P = 0.72), anxiety (P = 0.17), and stress (P = 0.89). However, a significant association was found between moderate legume consumption and depression (OR: 0.52; 95% CI: 0.30–0.90; P = 0.01). Conclusion: Higher legume consumption has no significant relationship with depression, anxiety, and anxiety in women. However, a significant association was observed between moderate legume consumption and depression. Prospective studies are needed to confirm these findings.

scholarly journals Factors Associated With Well-being and Confidence in Providing Compassionate Care

2014 ◽  
Vol 19 (4) ◽  
pp. 292-296 ◽  
Author(s):  
Kayloni Olson ◽  
Kathi J. Kemper
Keyword(s):  
Perceived Stress ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Compassionate Care ◽  
Cross Sectional ◽  
Factors Associated ◽  
Self Compassion ◽  
Modifiable Factors ◽  
Positive Correlations

We explored the relationships between potentially modifiable factors (mindfulness and self-compassion), intermediate factors (resilience and stress), and outcomes of interest in a cross-sectional study of medical trainees (compassionate care and clinician well-being). Among the 12 participants, the average age was 27.6 years. Mindfulness and self-compassion were positively associated with confidence in providing calm, compassionate care ( r = 0.91 and 0.81, respectively; P < .01); they were also positively correlated with clinician resilience ( P < .01), which was correlated with clinician mental health ( r = 0.83; P < .01). Perceived stress was strongly and significantly negatively correlated with all measures ( rs ranging from –0.62 for flourishing to –0.92 for confidence in delivering calm, compassionate care; P < .05 for all correlations). Given the positive correlations between mindfulness and self-compassion with both clinician well-being and confidence in providing calm, compassionate care, interventional studies are warranted to determine what kind of training most efficiently and effectively improves trainee mindfulness and self-compassion.

scholarly journals Prevalence and socio-demographic factors associated with physical inactivity among primary health care users in Tirana, Albania: A cross-sectional study

2021 ◽  
Author(s):  
Aldo Shpuza ◽  
Xhesika Xhetani
Keyword(s):  
Physical Inactivity ◽  
Demographic Factors ◽  
Cross Sectional Study ◽  
The Body ◽  
World Health ◽  
Inverse Association ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Socio Demographic Factors

Introduction: The World Health Organization (WHO) defines physical activity (PA) as any movement of the body produced by skeletal muscle that requires expenditure of energy. The aim of research is to assess the prevalence of and socio-demographic characteristics associated with physical inactivity (PI) among adult primary healthcare (PHC) users in Tirana, the capital of Albania.Methods: This was a cross-sectional study carried out in Tirana from November 2020 to January 2021. During this period 500 consecutively approached individuals aged ≥18 years exiting PHC centers were interviewed face-to-face about the presence of some of the risk factors for non-communicable disease. A structured WHO STEPS questionnaire, an integrated part of which is the instrument required for this study, “Global PA Questionnaire,” was used. In addition to demographic and socioeconomic data, we obtained data on the performance of PA in terms of domains, duration, and intensity. Logistic regression was used to assess socio-demographic factors associated with PI.Results: Prevalence of PI in the study population was 31.6%. Following multivariable adjustment for all covariates, significant positive correlates of PI were female gender, rural residence, retiree status, and unemployment. Conversely, there was an inverse association with moderate level of education.Conclusions: Similar to that of other European populations, the population of Tirana has a high rate of PI showing an upward tendency. The population groups at the highest risk of PI who may be targeted for intervention programs to address this risk factor are women, rural residents, unemployed persons, and retirees.

scholarly journals Trachoma prevention practice among mothers with child age of under-9 years and factors associated in rural district of Oromia Region, Ethiopia: Community based cross-sectional study

2021 ◽  
Vol 10 (1) ◽  
pp. 245-257
Author(s):  
Tadesse Abera ◽  
Wendimagegn Tilahun ◽  
Imiru Waqjira
Keyword(s):  
Household Wealth ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Wealth Status ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated ◽  
Preventive Practice ◽  
Study District

Background: Worldwide, 2.2 million people are visually impaired, and nearly 1.2 million people are irreversibly blind because of Trachoma. Women and girls are particularly vulnerable to infection, as they are often the primary caregivers of children, and children are the greatest source of infection with Trachoma. As prevention option to Trachoma, World Health Organization recommends Facial cleanliness (F), Environmental Improvement (E), Antibiotics (A) and Surgery (S), which abbreviated as “SAFE”. Though research findings show that Trachoma found in communities with poor hygiene and unimproved environmental condition of a community, there is a research gap talking about the root cause for poor hygiene and unimproved environment related to Trachoma occurrence. Therefore, the objective of this study is to assess Trachoma preventive practice among mothers and factors associated in the study area. Method and Materials: Community based cross-sectional study design with interview questions was used from Dec 06-26/2017. The study was done on 845 mothers sampled using two stages stratified sampling technique followed by systematic random sampling from 10 Kebeles. To identify association between independent and dependent variables, multiple logistic regressions was applied using SPSS version 20 data analysis software. AOR with 95% CI at a p-of 0.05 was used to ascertain the association between dependent and independent variables. Results: Based on the study result, households with overall good Trachoma preventive practice were found to be 412 (51.5%). Residence (AOR= 1.8; p-0.01), household wealth (AOR= 1.8; p-0.01), mother trachoma preventive knowledge (AOR= 1.6; p-0.02) water getting frequency (AOR, = 0.6; p-0.01) and time taken to water point (AOR= 0.3; p-0.01) were factors significantly and independently associated to good preventive practice at p-0.05 in the study District. Conclusion: The overall Trachoma preventive practice of the study district was 51.5%. Improving HH wealth status, mother’s capacity building, special attention to urban sanitation and improving water supply status are recommended factors to improve the overall level of Trachoma preventive practice of study population to protect children of age under 9 years.

scholarly journals Factors associated with risky sexual behaviour among secondary and preparatory students in Wolaita Sodo town, Southern Ethiopia; Institution based cross-sectional study

2021 ◽  
Vol 21 (4) ◽  
pp. 1830-41
Author(s):  
Gedion Asnake Azeze ◽  
Natnael Atnafu Gebeyehu ◽  
Addisu Yeshambel Wassie ◽  
Taklu Marama Mokonnon
Keyword(s):  
Sexual Behavior ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Wolaita Sodo ◽  
Study Participants

Background: Young people in Ethiopia aged between 18 and 24 who have had sex before age 18 has increased from 35% in 2005 to 40% in 2016 among women and from 9% to 12% among men.Objectives: This study aimed to assess the prevalence and factors associated with risky sexual behavior among secondary and preparatory students in Wolaita Sodo town, Wolaita zone, Southern Ethiopia; 2020.Methods: A school-based cross-sectional study was conducted from February 4 to 25, 2020. Multistage sampling was employed to select a random sample of 830 study participants from 2 randomly selected secondary and preparatory schools. Bivariate and multivariate logistic regression analysis was used to examine the relationship between the outcome variables and independent variables.Result: Among the 306 participants who reported ever having sex, 196 (24.7%) engaged in risky sexual behaviors. Factors significantly associated with risky sexual behavior were; ever used alcohol, ever smoked cigarettes, parent monitoring, and having sexually active close friend/s.Conclusion: Substantial proportion of study participants engaged in risky sexual behavior calling for more interventions on school student’s addictive behaviors. Parents should have frequent, open and informative discussions about substance use and the associated problems with their adolescents. Keywords: Students; risky sexual behavior; factors; Ethiopia.

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.

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