scholarly journals Housing Quality and Risk Factors Associated with Respiratory Health Conditions in Nigeria

Housing ◽  
2018 ◽  
Author(s):  
Adekunle Fakunle ◽  
Johnson Ogundare ◽  
Linda Olayinka-Alli ◽  
Mayowa Aridegbe ◽  
Temilade Bello ◽  
...  
Author(s):  
José Martim Marques Simas ◽  
Líria Yuri Yamauchi ◽  
Maria do Carmo Baracho de Alencar

Author(s):  
Nipuni Nilakshini Wimalasena ◽  
Alice Chang-Richards ◽  
Kevin I-Kai Wang ◽  
Kim N. Dirks

Cold, damp and mouldy housing arises from the degradation of the housing stock over time due to weathering and a lack of maintenance. Living in such houses is associated with many adverse impacts on human health, especially for those with existing health issues. This paper presents a systematic review, using the PRISMA protocol, consisting of an exploratory analysis of housing-related risk factors associated with respiratory disease. The review consisted of 360 studies investigating 19 risk factors associated with respiratory conditions. Each fall into one of four categories, namely, (1) outdoor environment-related factors; (2) indoor air pollution-related factors; (3) housing non-structure-related factors; or (4) housing structure-related factors. The results show that effects of poor housing conditions on occupants’ respiratory health is a growing research field, where poor indoor air quality, mainly due to a lack of adequate ventilation, was found to be the most influential risk factor. Usage of solid fuel and living in an urban area without a pollutant-free air filtration system are the main risk factors related to inadequate ventilation. Therefore, an adequate and reliable ventilation system with air-infiltration was considered to be the main mitigation solution to improve indoor air quality. It is suggested that government organisations and health practitioners could use the identified risk factors to measure the healthiness of existing dwellings and take measures to improve existing conditions and develop regulations for new housing construction to promote the healthy home concept. Further research is needed for risk mitigation strategies to reduce the respiratory health burden attributed to housing.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mohamad Adam Brooks ◽  
Melissa Meinhart ◽  
Luma Samawi ◽  
Trena Mukherjee ◽  
Ruba Jaber ◽  
...  

Abstract Background The mental health of refugee women is often affected by multiple risk factors in their social ecology. Assessing these risk factors is foundational in determining potential areas for intervention. We used the social ecological model to examine risk factors associated with self-reported mental health symptoms among clinic-attending Syrian refugee women in Jordan. We hypothesize that individual (older age, unmarried, have more children under 18, difficulty reading/writing with ease), interpersonal (intimate partner violence [IPV]), community and societal level risk factors (greater number of postmigration stressors), will be associated with depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms. Methods We surveyed 507 women using a cross-sectional clinic-based systematic sampling approach between April and November 2018. We used multivariable regressions to examine associations between different risk factors in the social ecology on depression, anxiety, and PTSD. Additional multivariable regressions explored associations between specific postmigration stressors and mental health conditions. Results We found rates of depression among our sample to be 62.92%; anxiety 57.46%; and PTSD 66.21%. Our hypothesis was partially supported. At the individual level, age was directly associated with anxiety (aOR 1.04, 95% CI [1.02, 1.06]) and PTSD (aOR 1.03, 95% CI [1.01, 1.06]), while marriage decreased odds for depression (aOR 0.41, 95% CI [0.19, 0.92]) and PTSD (aOR 0.36, 95% CI [0.15, 0.87]). IPV was associated with depression (aOR 2.78, 95% CI [1.72, 4.47]); anxiety (aOR 3.30, 95% CI [2.06, 5.27]); and PTSD (aOR 5.49, 95% CI [3.09, 9.76]). Each additional community and societal risk factor (postmigration stressor) increased the odds for depression (aOR 1.32, 95% CI [1.22, 1.42]), anxiety (aOR 1.28, 95% CI [1.19, 1.39]), and PTSD (aOR 1.46, 95% CI [1.33, 1.60]). Conclusion Understanding social ecological risk factors associated with mental health conditions of Syrian refugee women is vital to addressing their mental health needs. IPV and postmigration stressors are consistently impactful with all mental health conditions. IPV resulted in the largest odds increase for all mental health conditions. Multilevel interventions are needed to address mental health risk factors at multiple levels of the social ecology.


2021 ◽  
Vol 11 ◽  
Author(s):  
Liwen Peng ◽  
Lok Sum Yang ◽  
Perri Yam ◽  
Chun Sing Lam ◽  
Agnes Sui-yin Chan ◽  
...  

BackgroundIncreasing attention has been dedicated to investigate modifiable risk factors of late effects in survivors of childhood cancer. This study aims to evaluate neurocognitive and behavioral functioning in a relatively young cohort of survivors of childhood acute lymphoblastic leukemia (ALL) in Hong Kong, and to identify clinical and socio-environmental factors associated with these outcomes.MethodsThis analysis included 152 survivors of childhood ALL who were ≥5 years post-diagnosis (52% male, mean [SD] age 23.5[7.2] years at evaluation, 17.2[7.6] years post-diagnosis). Survivors completed performance-based neurocognitive tests, and reported their emotional and behavioral symptoms using the Child/Adult Behavior Checklist. Socio-environmental variables (living space, fatigue, physical activity, family functioning, and academic stress) were self-reported using validated questionnaires. Clinical variables and chronic health conditions were extracted from medical charts. Multivariable linear modeling was conducted to test identify factors associated with neurocognitive/behavioral outcomes, adjusting for current age, sex, age at diagnosis and cranial radiation. An exploratory mediation analysis was performed to examine the mediating effects of risk factors on neurocognitive and behavioral outcomes.ResultsAs compared to population norms, a minority of survivors developed mild-moderate impairment in motor processing speed (36.2%), memory (9.2%) and attention measures (4.0%-10.5%). Survivors also reported attention problems (12.5%), sluggish cognitive tempo (23.7%) and internalizing (depressive, anxiety and somatic symptoms) problems (17.1%). A minority of survivors developed mild-moderate treatment-related chronic conditions (n=37, 24.3%). As compared to survivors without chronic conditions, survivors with chronic conditions had more executive dysfunction (B=5.09, standard error [SE]=2.05; P=0.014) and reported more attention problems (B=5.73, SE=1.43; P<0.0001). Fatigue and poor family functioning was associated with multiple measures of behavior problems (all P<0.001). A lower level of physical activity was correlated with more self-reported symptoms of inattention (B= -1.12, SE=0.38, P=0.004) and sluggish cognitive tempo (B=-1.22, SE=0.41, P=0.003). Exploratory analysis showed that chronic health conditions were associated with behavioral measures through fatigue as the mediator.ConclusionThe majority of young Chinese survivors of ALL had normal cognitive and behavioral function. Regular monitoring of behavioral function should be performed on survivors who develop treatment-related chronic conditions. Health behavior and socio-environment factors may be potentially modifiable risk factors associated with health outcomes in survivors.


Author(s):  
Jennifer E. Ideh ◽  
Adepoju T.J. Ogunkunle

Background: Being natural, herbal products are often perceived as safe but studies have shown that they may not be free of pathogenic microorganisms. The extent of microbial contaminants of traditional oral powdered herbal formulations (TOPHFs) in Ogbomoso, Nigeria, is not known, while the frequency of users of these drugs in the study area has not been reported.Aim: To evaluate the microbial contaminants of TOPHFs marketed in Ogbomoso Nigeria, identify the risk factors associated with their production and handling, and determine the frequency of users of the drugs.Setting: Ogbomoso, Nigeria.Methods: Fifteen manufacturers of TOPHFs listed the health conditions that are indicated for their drugs, while 125 residents provided information on their preference for those drugs. The questionnaires were analysed using descriptive statistics (frequency counts and percentages). Packaging and/or handling and level of personal and environmental hygiene of the manufacturers were examined and analysed for significance of their influence on contamination of drugs using chi-square test. Using pour plate method and following standard procedures, 12 samples of TOPHFs were analysed to quantify their bacterial and fungal contaminants.Results: The TOPHFs were indicated for 17 different types of health conditions with 60% of the sampled population being prolonged and regular users. The personal and environmental hygiene levels of the manufacturers fell short of acceptable standard. Ten out of the 12 samples analysed were heavily contaminated (i.e. above WHO limits) with yeasts/moulds and faecal coliforms such as Enterobacteria, 9 with Streptococcus and 6 with pathogenic bacterial species such as Staphylococcus and Salmonella. There was a significant association of TOPHFs contamination with manufacturers’ level of formal education (p = 0.001), solid waste management (p = 0.015) and methods of updating knowledge and expertise (p = 0.004), thus making these 3 the risk factors associated with contamination of the drugs.Conclusion: Use of TOPHFs is popular among the residents of Ogbomoso, but there is a high rate of contamination of these drugs with some potentially pathogenic organisms because of insufficient quality control in their production and handling.


2020 ◽  
Vol 10 (2) ◽  
pp. 80-89 ◽  
Author(s):  
Bruna Rinaldi ◽  
João Pedro S. N. Rinaldi

Objectives: Analyse availability and quality of existing evidence on COVID-19's risk factors and underlying health conditions that are associated with poorer outcomes, worldwide and in Brazil. Methods: EBMR (Ovid), Google Scholar, MEDLINE (OvidSP), PubMed, CINAHL (EBSCO) and Cochrane Library databases were screened, plus Brazilian government epidemiological reports. A body of 25 articles plus 1 report met the inclusion criteria. Results: Available data are still disconnected and several biases exist throughout literature, mainly due to COVID-19 novelty aspect. Hypertension was the most analysed risk factor, followed by diabetes and chronic obstructive pulmonary disease. Availability of Brazilian data is significantly scarce and only governmental reports are readily available. Conclusion: Further studies, with good methodological designs, are needed to provide good levels of evidence in order to provide solid background to help the pandemic’s mitigation strategies.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Ivi R. Back ◽  
Rosana R. Oliveira ◽  
Eraldo S. Silva ◽  
Sonia S. Marcon

Objective. To estimate which risk factors (sociodemographic, lifestyle, and health conditions) are associated with overweight and obesity in Japanese-Brazilians. Methods. This was a cross-sectional study carried out with Japanese-Brazilians living in the southern region of Brazil. Data were collected between March and December of 2016 through a household survey addressing sociodemographic characteristics, lifestyle, and health conditions. Data were analyzed by means of logistic regression considering 95% level of significance. Results. A total of 542 Japanese-Brazilians with a mean age of 47.75 years were evaluated; 52.8% were eutrophic, 36.9% were overweight, and 10.3% were people with obesity. The following variables remained associated with overweight after adjustments; male gender (ORaj = 1.85, CI = 1.24–2.76), age range of 40–49 years (ORaj = 2.27, CI = 1.10–4.68), and 50 to 59 years (ORaj = 2.17, CI = 1.004–4.72), alcohol consumption (ORaj = 2.11, CI = 1.07–4.16), and presence of chronic disease (ORaj = 1.59, CI = 1.02–2.46). The following were independent factors associated with obesity: male gender (ORaj = 3.63, CI = 1.78–7.40), the presence of chronic disease (ORaj = 4.13, CI = 1.96–8.71), the age range of 30 to 39 years (ORaj = 4.74, CI = 1.65–13.64) and 40 to 49 years (ORaj = 2.89, CI = 1.05–7.95), and irregularly active lifestyle (ORaj = 2.73, CI = 1.12–6.69). Conclusion. The results of this study show that being a male in the age range of 30–49 years old, alcohol consumption, and presence of chronic disease are associated with overweight and obesity in Japanese-Brazilians.


2014 ◽  
Author(s):  
Ariel M. Barber ◽  
Alexandra Crouch ◽  
Stephen Campbell

1992 ◽  
Vol 68 (03) ◽  
pp. 261-263 ◽  
Author(s):  
A K Banerjee ◽  
J Pearson ◽  
E L Gilliland ◽  
D Goss ◽  
J D Lewis ◽  
...  

SummaryA total of 333 patients with stable intermittent claudication at recruitment were followed up for 6 years to determine risk factors associated with subsequent mortality. Cardiovascular diseases were the underlying cause of death in 78% of the 114 patients who died. The strongest independent predictor of death during the follow-up period was the plasma fibrinogen level, an increase of 1 g/l being associated with a nearly two-fold increase in the probability of death within the next 6 years. Age, low ankle/brachial pressure index and a past history of myocardial infarction also increased the probability of death during the study period. The plasma fibrinogen level is a valuable index of those patients with stable intermittent claudication at high risk of early mortality. The results also provide further evidence for the involvement of fibrinogen in the pathogenesis of arterial disease.


2013 ◽  
Author(s):  
Giovanni Corona ◽  
Giulia Rastrelli ◽  
Emmanuele Jannini ◽  
Linda Vignozzi ◽  
Edoardo Mannucci ◽  
...  

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