Background:Congenital heart disease(CHD)remains a significant global health concern,with considerable heterogeneity across age groups,genders,and regions.Objective:This study aimed to investigate the global epidemiolo...Background:Congenital heart disease(CHD)remains a significant global health concern,with considerable heterogeneity across age groups,genders,and regions.Objective:This study aimed to investigate the global epidemiological patterns,inequalities,and socio-demographic determinants of CHD burden from 1990 to 2021 to inform targeted interventions.Methods:We utilized data from the Global Burden of Disease 2021 study to assess CHD prevalence,incidence,and mortality rates.Trends were analyzed using Joinpoint regression,age-period-cohort models and autoregressive integrated moving average(ARIMA)forecasting.Health inequality was quantified using the slope index of inequality(SII)and the concentration index(CI),and associations with the Socio-Demographic Index(SDI)were explored.Results:CHD burden increased with age,peaking among individuals aged 70 years and older.This does not reflect new-onset disease,but rather the accumulation of late diagnoses,long-term complications,and healthcare encounters in aging individuals with CHD.Males consistently exhibited higher incidence and mortality rates than females.From 1990 to 2010,global age-standardized prevalence and incidence rates increased steadily and declined slightly thereafter.Joinpoint and age-period-cohort analyses revealed inflection points post-2010 and suggested cohort-related effects.Although SII trends indicated rising inequality over time,that disease burden has become more concentrated in low-SDI regions.ARIMA projections estimated a stable or marginally declining CHD burden by 2030.Regional analyses showed that high-SDI countries experienced significant reductions in CHD mortality,whereas low-SDI regions continued to bear a disproportionate burden.Conclusions:CHD burden has shifted in recent decades,influenced by demographic transitions,healthcare access,and socio-economic development.Despite progress,persistent health inequalities remain.Continued investment in early detection,maternal care,and public health infrastructure is essential to reduce CHD disparities globally.展开更多
The probiotic dairy products have become the fastest growing in functional foods market in response to the increasing numbers of consumers interested in improving their health.Therefore,data collected from 314 partici...The probiotic dairy products have become the fastest growing in functional foods market in response to the increasing numbers of consumers interested in improving their health.Therefore,data collected from 314 participants in the city of Bursa,Turkey,were analyzed with the aim to assess the socio-demographic characteristics and health status as well as the consumer’s knowledge and awareness of probiotic dairy products in order to gain a better understanding of consumers’attitudes.It was observed that sociodemographic characteristics of the participants were not significantly associated with the degree of knowledge or awareness and purchasing frequencies of probiotic dairy products.Having a higher educational level,higher income level and being a woman indicated an increased the awareness,knowledge and purchase probability of probiotic dairy products.This study emphasized that consumers should be more informed about the positive relationship between a healthier life and the consumption of probiotic dairy products.展开更多
Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications ...Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse’s occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher’s = 8.363, p = 0.028*), religion (Fisher’s = 5.77, p = 0.048*) and parity (Fisher’s 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073 - 0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There’s a need for government to strengthen health promotion targeting women in rural communities.展开更多
<strong>Background:</strong> Sexually transmitted diseases are one of the several major public health concerns, the burden of which is borne by low- and middle-income countries like India.<strong> Pu...<strong>Background:</strong> Sexually transmitted diseases are one of the several major public health concerns, the burden of which is borne by low- and middle-income countries like India.<strong> Purpose:</strong> The purpose is to evaluate the relationship between menstrual and sanitary hygiene and sexually transmitted diseases (STD) based on syndromic diagnosis<strong> Methods:</strong> An out-patient department (OPD) based cross sectional survey to determine these associations, if any exist, which would help critically analyze syndromic management. STD was reported by the presence of vaginal/cervical/urethral discharge with or without irritation and itching, lower abdominal pain and ulcer. <strong>Results:</strong> The prevalence of STD was 66.84% with the most commonly reported symptoms being discharged (31.18%), followed by abdominal pain (17.92%) and itching/irritation (12.90%), with ulcer (4.83%) being the least reported symptom. Perimenopausal age ((AOR: 0.420 [CI: 0.189 - 0.915];p = 0.030), higher grades of education ((AOR: 0.228 [CI: 0.119 - 0.424];p < 0.001) for secondary), urban residency (AOR: 0.435 [CI: 0.686 - 2.733];p < 0.001), and contraception use (AOR: 0.531 [CI: 0.308 - 0.887];p = 0.018) were associated with lesser odds of presenting with an STD symptom. Belonging to a minority religious community (AOR: 7.20 [CI: 1.866 - 48.251];p < 0.012) or backward castes (AOR: 3.753 [CI: 1.587 - 10.144];p < 0.001), having similar illness (AOR: 4.205 [CI: 2.795 - 6.439];p < 0.001) or having an invasive gynecological procedure done in the past one year (AOR: 1.953 [CI: 1.184 - 3.295];p = 0.010) and washing the reusable sanitary material only with water (AOR: 4.900 [CI: 2.701 - 9.116];p < 0.001) as compared to washing it with water and soap, had a higher association with presenting with STD symptoms. Stratified analysis also showed that women presenting discharge (AOR: 2.049 [CI: 1.343 - 3.146] for vaginal and cervical;AOR: 1.426 [CI: 0.826 - 2.482] for urethral) were more likely to not have a toilet facility in an accessible condition. Women with sanitary napkin use had lesser odds (AOR: 0.780 [CI: 0.516 - 1.180];p = 0.293) of presentation for STD in OPD than women who used other material.<strong> Conclusion:</strong> To better manage the group of diseases that may present with symptoms of STD under syndromic approach, we propose interventions such as menstrual hygiene education and promotion of the use of sanitary napkins among women especially those belonging to lower socio-economic sections of the society.展开更多
Introduction: Dental caries is the most prevalent chronic disease among schoolchildren. We aimed to investigate the association between dental caries index and socio-demographic status in schoolchildren by using a mul...Introduction: Dental caries is the most prevalent chronic disease among schoolchildren. We aimed to investigate the association between dental caries index and socio-demographic status in schoolchildren by using a multilevel hurdle model. Materials and Methods: A cross-sectional epidemiological study was carried out on 906 primary school pupils in Kerman, Iran in 2012. The subjects were selected through a stratified cluster random sampling. At first, the whole target area was stratified according to two geographic areas, the north and south area. Then each area was stratified according to gender. In the next step, several schools were considered as clusters, which were selected randomly in each geographic area and gender strata. All the schoolchildren in these schools were included in this study as samples. Twelve-year-old pupils were examined for dental caries. The dependent variable in this study was the dmft/DMFT index. Eight variables, including socio-demographic information, were collected. Multilevel negative binomial hurdle model was employed for data analysis. Results: The prevalence of caries-free pupils was 30.1% and the mean dmft/DMFT was 3.6 ± 2.2. Negative binomial part of the adjusted model showed that the dmft/DMFT adjusted rate for females was 1.36 (95% CI: 1.10-1.79) times higher than males. Also, the dmft/DMFT adjusted rate for overweight pupils was 0.86 (95% CI: 0.74-0.98) times lower than those with normal weight. Logistic part of the adjusted model showed that the posibility of caries-free state in overweight pupils was 1.95 (95% CI: 1.22-3.11) times higher than those with normal weight. In addition, pupils whose fathers and mothers were workers and housewives, respectively, and those with a high maternal age were at a greater risk for caries experience than others (p < 0.05). Conclusion: BMI, gender, parent’s job and mother’s age at delivery were factors effecting on dental caries in schoolchildren. These pupils need more attention to dental care.展开更多
Host factors, environmental factors, genetic diversity and distinct phylogeographic distribution of Mycobacterium tuberculosis (MTB) contribute to regional differences in drug resistance. Bangladesh remains among the ...Host factors, environmental factors, genetic diversity and distinct phylogeographic distribution of Mycobacterium tuberculosis (MTB) contribute to regional differences in drug resistance. Bangladesh remains among the top 20 high Multi drug resistant tuberculosis (MDR-TB) burden countries of the world. This cross sectional study was conducted to identify the socio demographic characteristics and the risk factors contributing Pulmonary tuberculosis (PTB) infection. These characteristics and risk factors were further investigated among the clustered isolates. Total 60 culture isolates consist of 40 RR and 20 rifampicin sensitive (RS) isolates were enrolled in this study. Laboratory works were done in National Tuberculosis Reference Laboratory (NTRL) and Department of Microbiology, Bangabandhu Sheikh Mujib Medical University (B中央人民政府), Dhaka, Bangladesh. All 60 samples were confirmed as MTB by MPT 64 antigen detection. Two samples were excluded for possible cross contamination and two for failing to give PCR product for most of the locus. So, finally 56 samples were further analyzed for results. Four isolates were distributed within two clusters which were belonged to Beijing lineage. Socio demographic data and risk factors analysis of this study found significant male predominance (p = 0.04) with history of smoking (p = 0.01) and previous anti-TB treatment (p = 0.012) as the significant risk factors for RR TB.展开更多
Climate change (CC) impedes smallholder dairy industry in Kenya. Consequently, farmers’ adaptation to CC effects would greatly determine their resilience, profitability, and sustainable contribution to the economy. S...Climate change (CC) impedes smallholder dairy industry in Kenya. Consequently, farmers’ adaptation to CC effects would greatly determine their resilience, profitability, and sustainable contribution to the economy. Socio-demography among other factors, determine smallholder farmers’ adaptive strategies to CC effects. This study sought to understand how smallholder dairy farmers in South Western Kenya adapt to climate changes and determine the relationship between famers’ adaptive strategies and their socio-demographics of sex, age, marital status, highest educational level, household size, and experience in dairying. Concurrent Fixed Mixed Methods were used to collect primary and secondary data. Reports and papers were reviewed for temperature and precipitation data, dairy population, production trends, and farmers’ socio-demographics. A survey questionnaire was administered to 367 smallholder dairy household heads with 10 years’ experience obtained through multi-stage sampling of respondents from 4 sub counties of Migori county. The data collected included the respondents’ socio-demographics, climate changes and adaptability to CC effects. Key informant interviews (KIIs) were conducted with heads of government departments of Livestock Production, Cooperative Development, Meteorology, Environment and Agriculture Sector Development Support Programme (ASDSP) in Migori County. Others included the leadership of Rongo Dairy Farmers’ Cooperative Society, Lichota Livestock Development Farm, and a Research Officer for Livestock Production Systems with Kenya Agriculture and Livestock Research Organization (KALRO). Focus group discussions (FGDs), on the other hand, were conducted with old men and women (aged 60 years and above), and farmer groups from Rongo Dairy Farmers Cooperative Society, Cham Gi Wadu Dairy and Multipurpose Cooperative Society, and East Sakwa Farmers’ Development Group. These were obtained purposively based on dairying experience. Descriptive statistics (percentages) were used to describe climate change effect on smallholder dairying and farmers’ adaptation. Percentages, minimum and maximum values, means, range, and standard deviations were used to describe respondents’ socio-demographics. Binary logistic regression analysis was used to determine the effect of farmers’ socio-demographics on their adaptive strategies to CC effects. Results indicated that individually, male farmers were more likely to adopt mixed crop and livestock farming (Odds = 3.97;p = 0.02) and experience an increasing trend in income earning from milk sales (Odds = 0.63;p = 0.04). Individually, older farmers were significantly more likely to establish own fodder (Odds = 0.96;p = 0.03), keep non-Friesians and their crosses (Odds = 0.97;p = 0.02), and experience increasing trends in income earned from milk sales (odds = 1.02;p = 0.02). Individually, household size significantly influenced establishment of own fodder (Odds = 0.69;p = 0.00) and jointly with the other 5 socio-demographic factors (Odds = 0.70;p = 0.00). With other socio-demographic factors, male farmers were more likely to rely mainly on household labour (Odds = 0.32;p = 0.05). Thus, gender, age and household size were found to have significant effects on smallholder dairy farmers’ adaptation to climate change effects in the study area.展开更多
Objective: Genetic and neurobiological factors are considered to be the major causes of major depressive disorder (MDD). However, over last few years study results revealed that socio-demographic factors contribute a ...Objective: Genetic and neurobiological factors are considered to be the major causes of major depressive disorder (MDD). However, over last few years study results revealed that socio-demographic factors contribute a significant role in abnormal functional activity and recognized as major causative factors to the pathogenesis and severity of MDD. The aim of this study was to assess the socio-demographic characteristics of Bangladeshi MDD patients and to discover their role on the severity of disease. Material and Methods: A retrospective review of the case notes of psychiatry outpatients at Bangabandhu Sheikh Mujib Medical University (B中央人民政府) was carried out between Sep-Nov 2016. A total of 234 MDD patients (aged 18 to 60 years) were randomly recruited. Relevant information was obtained by collection of prescription details from the patients or their relatives by face to face interview. Results: Mean age and body mass index (BMI) were found 34.734 years (SEM ± 0.842) and 22.014 kg/m2 respectively. Among all respondents, 56% (133) were male and 44% (106) were female where mean income was 26.84 KBDT (Kilo Bangladeshi Taka) (SEM ± 0.749). Roughly 46% (111) patients were found to be below secondary level of education. Married people (56%) had a tendency to develop depression compare to unmarried people (36%). Urban residents (64%) are more prone to suffer from depression than rural residents (36%). There was mild depression in 28% (68), moderate in 37% (157), and severe in 14% (34) patients. Correlation analysis shows that age, sex, marital status, education, family income, and area of residence (p-values 0.004, 0.001, 0.000, 0.011, 0.000 and 0.000, respectively) are associated with the severity of disease. Moreover, among all significant correlations age, marital status and area of residence were positively correlated with the severity of MDD (r = 0.184, r = 0.238 and r = 0.256) while sex, education and family income were negatively correlated with the severity of depression (r = ﹣0.207, r = ﹣0.164 and r = ﹣0.722). Conclusion: Current study shows that age, gender, marital status, education, family income, and area of residence are associated with the severity of depression. Age, marital status and residence of MDD patients are positively correlated with the severity of disease while gender, education and family income are negatively correlated with the severity of depression. It is predicted that this study will be helpful for the management and assortment of MDD patients with more accuracy based on their socio-demographic features.展开更多
Background: The aim of the current study was to evaluate the anthropometric and demographic factors and their correlation with type 2 diabetes mellitus (T2DM) in Bangladesh. Methods: One hundred fourteen patients (70 ...Background: The aim of the current study was to evaluate the anthropometric and demographic factors and their correlation with type 2 diabetes mellitus (T2DM) in Bangladesh. Methods: One hundred fourteen patients (70 males and 44 females) between 30 and 75 years of age from various areas of Bangladesh were screened for T2DM. Fasting blood sugar (FBS) was analyzed by using laboratory kits and spectrophotometric technique. Anthropometric and socio-demographic data were collected using a structured questionnaire. Body mass index (BMI) was calculated from weight (kg) and height (m) of the individual respondents. Physical activity was categorized based on activity during daily work. Economic condition is defined by respective family income and education level is categorized into 3 levels: illiterate, 0 - 12 years of education and graduate or above. Results: According to the current study results, half of the patients were from the middle-class family with low physical activity and their age was within the range of 30 - 45 years. The male and female ratio of the study population was 60:40. Most of the patients were found to be obese and educated. Urban populations were more prone to have DM than the rural population. Age, education, the area of residence (urban and rural), physical activity and co-morbid diseases were significantly correlated with T2DM in Bangladesh (P Conclusion: Our study shows that different socio-demographic factors have a significant correlation with T2DM in Bangladesh. Diabetes awareness, early diagnosis, patient education and life-style modification can be initiated to manage T2DM efficiently.展开更多
Background: Despite the rising burden of parasitic infections among young schooling adolescents in sub-Saharan Africa, insufficient attention has been paid to school-health. This study examined the self-reported preva...Background: Despite the rising burden of parasitic infections among young schooling adolescents in sub-Saharan Africa, insufficient attention has been paid to school-health. This study examined the self-reported prevalence of major parasitic infections and its association with key socio-demographic factors among young schooling adolescents in Southern Nigeria. Methods: An interviewer-administered school-based survey of students attending schools in Southern Nigeria was conducted in 2013. The study sample involved 585 students (60.9% male, 39.2% female and overall mean age of 15 years). The outcome variable was the self-reported presence of parasitic infection suffered within the past twelve months. The exposure variables were socio-demographic characteristics: age, sex, geolocality, school ownership, parents’ level of education and occupation. Association between the number of parasitic infections and socio-demographic factors were examined, and multivariate logistic regression was used to determine socio-demographic factors predictive of the presence of parasitic infections. Results: The most prevalent parasitic diseases reported across the sample were malaria (46.9%) and helminthiasis (27.7%). Over a quarter (38.5%) had one infectious disease, while about half (40.3%) reported had more than two infectious diseases. In the study sample, the number of parasitic diseases differed significantly by sex (p = 0.0344), age (p = 0.0483), geolocality (p = 0.0001), school ownership (p = 0.0012) and parents’ occupation (p = 0.0199). Multivariate logistic regression analysis showed that attending private school was negatively associated with the presence of parasitic diseases (β = ?0.9129, p = 0.0022). Conclusion: The high prevalence of multiple parasitic infections among the study population is worrisome and should be considered as a school-health concern. Concerted efforts are highly needed to develop school-health intervention programs for addressing the high prevalence of parasitic infection among students. Such programs should be tailored for specific socio-demographic groups. Although there was strong proportionality between self-reported symptoms and parasitic diseases reported, laboratory-based investigation is needed to validate our findings.展开更多
Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Young maternal age at delivery has been proposed as risk factor for adverse pregnancy outcome, it occurs in all races, faiths, soc...Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Young maternal age at delivery has been proposed as risk factor for adverse pregnancy outcome, it occurs in all races, faiths, socioeconomic statuses, and regions. Teenage mothers are likely to be unmarried, poor and to sacrifice education. Isolation, unstable marriages, stress, and guilt are among many social and psychological problems. The aim of this study is to determine the socio-demographic factors associated with teenage pregnancy in our environment, in order to proffer measures that can help curtail this continuing socio-medical problem. The records of all teenage mothers (aged 13 - 19) who had delivery at the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria, over a period of 4 Years (January 1 2007 to December 31 2010) were retrospectively reviewed. There were a total of 1341 deliveries during the study period, out which 83 were teenagers giving an incidence of 6.2%. The age of the patients ranged from 14% to 19 years with a mean age of (28.1 ± 5.7) years. Their parity ranged from zero to three, with a mean of 2.4 ± 1.9. About a third (20%/24.1%) were primigravidae, 33%/39.9% had at least secondary education and majority (48/57.8%) were unbooked, unmarried (60%/ 72.3%), unemployed (62%/74.7%) and of low social class. Majority 71 (85.5%) of the teenage mothers had never used any form of modern contraceptive method and 45 (54.2%) of them had terminated at least one pregnancy in the past. 26 (31.3%) had Caesarean sections, majority of which were emergencies 22 (84.6%). It was concluded that teenage mothers in the Niger Delta tend to have unfavorable socio-demographic and obstetric factors. Concrete measures must be put in place to address these.展开更多
<strong>Introduction:</strong> Oral lesions observed in Chewing Tobacco (CT) consumers are histological alterations caused by direct contact with the tissues of the oral cavity. The objectives of this stud...<strong>Introduction:</strong> Oral lesions observed in Chewing Tobacco (CT) consumers are histological alterations caused by direct contact with the tissues of the oral cavity. The objectives of this study were to determine the socio-demographic status of consumers and describe the clinical characteristics of the oral lesions observed. <strong>Material and Method: </strong>It was a descriptive cross-sectional study lasting 12 months (January 2017 to January 2018), in the prefectures of Kankan and Siguiri as a framework. Individuals who use chewing tobacco and whose oral examination revealed oral lesions were included in this study. <strong>Results:</strong> The frequency of oral lesions induced by the consumption of chewing tobacco was 90%. Dental pain was the most cited reason for using CT by respondents, i.e., 25.41%. The most concerned age group was that of 50 - 64 years or 23.81 with a male predominance of 84.13% (n = 53). A number of 61 respondents came from rural areas. Farmers were the predominant socio-professional group, i.e., 63.49% (n = 40). In 60.32% (n = 38) of respondents, the duration of CT consumption was greater than 10 years. Black villous tongues followed by neoplastic ulcerations were the most common oral lesions with 32 (50.79%) and 14 (22.22%) cases, respectively. The site of the lesion was the tongue in 47 consumers (74.61%) and in the lower vestibule in 15 users (23.80%). Among the oral diseases, mylolysis was the most common, i.e., 95.24% (n = 60). In 82.54% of cases (n = 52), Simplified Oral Hygiene Index (SOHI) was low and in 12.70% (n = 8) of respondents, SOHI was good. <strong>Conclusion: </strong>Chewing tobacco predisposes to a high risk of damage to the oral cavity and the development of potentially malignant lesions. In addition, it exerts some detrimental effects on the teeth and adjacent structures.展开更多
Introduction: It is estimated that more than 330 million persons are living with HIV-infection globally and in Nigeria about 3.4 million persons are living with the infection, with an annual death rate of 180,000. Psy...Introduction: It is estimated that more than 330 million persons are living with HIV-infection globally and in Nigeria about 3.4 million persons are living with the infection, with an annual death rate of 180,000. Psychological morbidity often accompanies chronic illnesses and may be associated with substance abuse, poor health seeking behaviour and adherence to treatment program;it may worsen existing health problems and the overall quality of life. Until the burden is effectively identified, intervention cannot be planned. Until there is cure, the goal is to manage and cope effectively with HIV-infection. Little if any studies have been done in this area in the North West geopolitical zone of Nigeria, the study would help to identify high risk groups and prevent the progression and spread of the infection. Objectives: To identify HIV-infected persons with psychological morbidity, accessing HIV-clinic at Shika Hospital, Zaria, Kaduna State;and analyze their socio-demographic profile. Methodology: A cross sectional descriptive study was carried out to assess and analyze the socio-demographic characteristics of HIV-infected persons attending Shika hospital Zaria Nigeria, who screened positive for psychological morbidity. A total of 109 HIV-infected persons receiving HAART at Shika clinic, Zaria, Kaduna State, Nigeria, were administered questionnaires;the General Health Questionnaire (GHQ-12) measuring psychological morbidity and socio-demographic data. The participants ranged in age between 18 and 75 years. Results: Data were analyzed using SPSS software 15. Both descriptive and inferential Statistics were performed on the data. Results indicate a total prevalence rate of psychological morbidity of 78 percent among participants. Of this, about 16.2 percent were severely distressed, 25.1 percent moderately distressed and 36.7 percent were mildly distressed. The females were more likely to be distressed than men (65 percent vs. 35 percent of those with psychological morbidity, OR = 3.5 CI 95 percent). It was (57 percent) for patients whose HIV-infection was of relatively shorter duration (less than 4years) than (43 percent) those of longer duration (5 years and above;OR = 1.7, CI 95 percent = 1.1 - 3.5). The age group (18 - 40 years) was more likely to screen positive for psychological morbidity (58.3 percent vs. 41.7 percent, OR = 2.4, CI 95 percent), than the age group (41 - 75 years). On the other hand, Christians were more likely than Muslims (55 percent vs. 45 percent, OR = 1.5, CI 95 percent = 1.1 - 3) to be distressed. For married patients with partners it was 20 percent and for singles 30 percent;for the widowed (12 percent) and divorced (38 percent). At the level of tribal/ethnic groups, it was 13 percent for Ibos, 22 percent for Yorubas, 27 percent for Hausas and 38 percent for all the other minority tribes put together. Conclusion and recommendations: The study has been able to identify the presence of psychological morbidity among HIV-infected persons as high and analyze the socio-demographic factors associated with it as significant. Periodic screening of HIV-infected persons for psychological morbidity and psychosocial intervention was recommended.展开更多
<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Gastroesophageal Reflux Disease (GERD) is a common benign condition w...<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Gastroesophageal Reflux Disease (GERD) is a common benign condition with a worldwide prevalence of between 5</span><span style="font-family:Verdana;">%</span><span style="font-family:""><span style="font-family:Verdana;"> and 45% in the adult population. Its prevalence in the general population is little known in Africa. The aim of this work was to study the prevalence of typical GERD in the general adult population of a large city and the associated socio-demographic factors.</span><b><span style="font-family:Verdana;"> Patients and Methods:</span></b><span style="font-family:Verdana;"> This was a prospectively collected, descriptive and analytical cross-sectional study that was conducted over a one-month period (June 2018). We included any person residing in the city of Cotonou for at least 6 months, aged 15 years or older, who had given consent for the study. The two-stage cluster sampling technique was used. The dependent variable was the typical gastroesophageal reflux defined by the heatburn-regurgitation association. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> We had included 728 su</span></span><span style="font-family:Verdana;">b</span><span style="font-family:""><span style="font-family:Verdana;">jects. Of these, 255 had a typical GERD, </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> a prevalence of 35%. The mean age of the respondents was 31.9 ± 13.2 years with extremes of 15 and 88 years. There were 379 men (52.1%) with a sex ratio of 1.08. The study population was represented respectively by artisans (29.3%), students (26.6%) and traders/dealers (20.3%). In terms of marital status, there were as many married and single subjects (48.2%). In addition, 47% of the study population had a body mass index of less than 25 kg/m</span><sup><span style="font-family:Verdana;">2</span></sup><span style="font-family:Verdana;">. In univariate analysis, the sociodemo</span><span style="font-family:Verdana;">graphic factors associated with typical GERD were: age (60 years and older)</span><span style="font-family:Verdana;">: OR: 0.220 [95% CI 07</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.63], p</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">005</span><span style="font-family:""> </span><span style="font-family:Verdana;">and marital status divorced/separated/widowed: OR: 0.32 [0.11</span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.97], p</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:""><span style="font-family:Verdana;">04. Older age and divorced/separated/widowed status appear to be protective of the occurrence of GERD.</span><b><span style="font-family:Verdana;"> Conclusion:</span></b><span style="font-family:Verdana;"> Typical GERD was common in the adult population of Cotonou. It readily affected young (under 60 years of age), single or married subjects</span></span><span style="font-family:Verdana;">.展开更多
Background: Hypertensive disease in pregnancy is an important cause of morbidity, long-term disability, and maternal and neonatal mortality. The aim is to determine the socio-demographic characteristics and maternal p...Background: Hypertensive disease in pregnancy is an important cause of morbidity, long-term disability, and maternal and neonatal mortality. The aim is to determine the socio-demographic characteristics and maternal prognosis of these women with Hypertension during pregnancy. Material and Method: We conducted a cross-sectional study, we interview patients and after discussion we transcripts in a database in Excel software before analysis with SPSS version 20.0 and Stata 14.0 The qualitative variables have been summarised by the Percentage and the quantitative variables will be summarised by Means and Standard Deviation. The associations of the variables were calculated by Pearson’s chi-square test with a significance level set at a p-value Result: The average age of the patients was 30.33 ± 7.020 years, 92.1% were married, 79.8% lived in urban areas, most of the patients were overweight (43%), 92.1% of them had monofetal pregnancies, 36% were multiparous, 34.2% had a previous history of preeclampsia in pregnancy and 14% were known to have hypertension. Pre-eclampsia was the most frequent form of hypertension in pregnancy with 73.68% of cases and represents 84.8% of severe forms of hypertension in pregnancy, 53.4% of the patients delivered vaginally. Eclampsia was the most frequent complication in our patients with 31.7% frequency and among the socio-demographic parameters, age and body mass index were significantly associated with maternal complications. Conclusion: Maternal age and body mass index are important socio-demographic factors associated with the occurrence of maternal complications in women with hypertensive disorders in pregnancy.展开更多
As a result of the two major earthquakes that struck Nepal at 11:56 am on 25 April, and 12 May 2015, nearly 9,000 lives and over half a million homes have been destroyed. In this connection, the paper tries to assess ...As a result of the two major earthquakes that struck Nepal at 11:56 am on 25 April, and 12 May 2015, nearly 9,000 lives and over half a million homes have been destroyed. In this connection, the paper tries to assess the socio- demographic impact of Nepal earthquake 2015 with reference to Sindhuli district. The Sindhuli district of Nepal was one of the highly affected districts among the fourteen severely destructed districts of the central part of Nepal, was purposively selected among them for the study purpose. The paper utilized the both primary and secondary data. The survey found that the earthquakes had unevenly affected the age, gender, poorer, rural locations relative to the urban and less poor areas. It also found that women and children had comparatively fallen victim to anxiety, trauma, depression, feeling helpless, loss of interest (passive) and irrational fear. During the survey, the study found that the NGOs, INGOs, Private and Personal support agencies/actors had played significant role in distribution of relief package at Sindhuli district of Nepal. The distributions of relief materials were challenging because of lack of road connectivity to reach at many earthquake affected villages in Sindhuli district.展开更多
The trophy hunting industry in Tanzania plays a significant role in wildlife conservation as well as economic and community development. Trophy hunting has been conducted in Rungwa Game Reserve (RGR) for several decad...The trophy hunting industry in Tanzania plays a significant role in wildlife conservation as well as economic and community development. Trophy hunting has been conducted in Rungwa Game Reserve (RGR) for several decades;however, the trophy hunting opinions from the local communities living adjacent to the reserve are not well documented. This study aimed to assess the awareness and attitudes of local communities living adjacent to Rungwa Game Reserves toward trophy hunting. Furthermore, the study assessed factors that influenced the opinions of participants by using structural equation modeling. We used semi-structured interviews and key informant interviews in the three villages adjacent to RGR. The local communities are aware of existing hunting operations around the game reserves. The study found positive attitudes among local communities toward trophy hunting, only if local people accrue benefits from hunting operations. The community’s attitudes towards trophy hunting varied across household size and occupation. Education and household position had an indirect influence on the community’s attitude. Our findings suggest that socio-demographic variables are important to consider when assessing awareness and attitudes toward trophy hunting. Local communities are willing to support trophy hunting operations if the benefits obtained from hunting are significant and it can improve wildlife conservation and their livelihood. In conclusion, trophy hunting is important to local communities living adjacent to protected areas, and banning them may have a significant impact on their livelihood and wildlife conservation. Therefore, it is recommended that conservation policies and interventions consider the dual significance of trophy hunting, fostering strategies that balance socio-economic benefits for communities and wildlife conservation.展开更多
Background: The prevalence of obesity among adolescent has been on the increase worldwide. This is probably a result of increase in the sedentary life style and the increasing shift to western diet. Obesity in childre...Background: The prevalence of obesity among adolescent has been on the increase worldwide. This is probably a result of increase in the sedentary life style and the increasing shift to western diet. Obesity in children and adolescents has adverse consequences. These include increase in the rate of Diabetes Mellitus, hypertension, dyslipidemia, cardiovascular diseases, etc with resultant increase in premature deaths. Objectives: To determine the socio-demographic and behavioral factors associated with overweight and obesity in apparently healthy secondary school adolescents. Methods: This was a cross-sectional study of secondary school adolescents aged 10 - 19 years randomly selected from two public schools and three private schools. The weight and heights of study subjects were measured using standard equipment. Body mass index (BMI) was appropriately calculated and the WHO growth reference standard for age and gender, specific percentile for BMI was used to define overweight 85<sup>th</sup> to 97<sup>th</sup> and obese (97<sup>th</sup> percentile and above). Results: Data were initially collected from 1250 participants, but 52 were excluded due to improperly completed questionnaires. Thus, a total of 1198 students were ultimately included in the study, giving a response rate of 95.8%. These included 621 females (51.8%) and 577 males (48.2%) aged 10 - 19 years giving a F:M ratio of 1:0.9. The mean age of the students was 15.07 ± 1.96 years overall, 15.13 ± 2.08 years for males and 15.03 ± 1.83 years for females. There was no statistically significant difference between male and female in the distribution of age groups (p = 0.12). The mean BMI was 21.51 ± 3.57 kg/m<sup>2</sup> for females and 20.22 ± 3.16 kg/m<sup>2</sup> for males. The BMI was significantly higher in females in all age groups (p < 0.001) except those aged 10 - p = 0.13). The prevalence rates of overweight and obesity were higher in females than males (17.7% vs 10.7%, 5.6% vs 4.5% respectively;p ≤ 12 yrs;p = 0.04). The frequent consumption of sugar based beverages (p p p = 0.03) were significantly associated with both overweight and obesity (p p p < 0.001) were also significantly associated with obesity. Conclusion: Sociodemographic factors such as gender, socioeconomic status and behavioral patterns were major contributors to obesity. Behavioral interventions including regulating the intake of sugar based beverages and reducing the time spent on sedentary activities could be useful strategies in reducing the high prevalence of overweight and obesity among adolescents.展开更多
The major objective of the study is to apply Conservation of Resource (COR) theory for examining the influence of farmers’ socio-demographic and economic correlates upon their adoption of agricultural, economic and e...The major objective of the study is to apply Conservation of Resource (COR) theory for examining the influence of farmers’ socio-demographic and economic correlates upon their adoption of agricultural, economic and emotion-focused coping and adaptation strategies of climate change. An interview schedule developed from the COR theory was utilized for data collection. Using multistage cluster sampling technique, a total of 384 farmers were chosen from Agailjhara Upazila of Barisal District and interviewed through a predesigned structured questionnaire. For triangulation of the quantitative findings, the study employed case study technique to collect qualitative data from the respondents. The findings of the study demonstrate that the most common emotion- focused, agricultural and economic coping and adaptation strategies of climate change were social support seeking (79.69%), planting trees (71.35%), homestead gardening (52.08%), hydroponic farming/floating garden (46.88%), duck rearing (30.73%), saving (20.83%), self-insurance (18.75%), etc. Bivariate results indicate that age, ownership of land, income and ownership of television or mobile phone were found significantly correlated with the three variables, including economic, agricultural and emotion-focused coping and adaptation strategies of COR theory. Again, access to microcredit has relationship with economic and agricultural adaptation strategies. Furthermore, education has significant relationship with agricultural adaptation strategies. The study suggests that continuous researches by policy makers, researchers, GOs and NGOs are very essential to exploring and enhancing farmers’ coping and adaptation strategies which may relegate the adverse impacts and vulnerabilities of climate change in the study area.展开更多
Objective:Intimate partner violence(IPV)among people living with the human immune deficiency virus(PLHIV)poses a significant threat to efforts to reduce the spread of human immune deficiency virus(HIV)and achieve the ...Objective:Intimate partner violence(IPV)among people living with the human immune deficiency virus(PLHIV)poses a significant threat to efforts to reduce the spread of human immune deficiency virus(HIV)and achieve the sustainable development goals.In Ghana,scholarly research on the forms and prevalence of IPV is available,however knowledge of the prevalence of IPV among PLHIV is limited.To understand the prevalence of IPV among PLHIV and the intersectional factors that contribute to it,this study examined the overall prevalence of IPV among PLHIV and the associated sociodemographic factors across ten regions of Ghana.Methods:We administered face-to-face survey questionnaires to 661 randomly selected antiretroviral therapy(ART)clients using Research Electronic Data Capture tools.We used descriptive statistics(mean,standard deviation,minimum,and maximum),pairwise correlation,and multivariate regression analysis to look at the data.Results:The clients of ART experienced various forms of IPV,including sexual,physical,emotional,and economic violence and controlling behaviour.The overall prevalence of IPV among PLHIV was 27.5%.This result,although on par with the global IPV average(27%),is 1.5%higher than the national rate(26%).The Upper West Region had the highest prevalence in all the categories of IPV analysed,followed by Oti Region in second place and the Upper East Region in third,except for the prevalence of sexual violence,where Greater Accra Region ranks second.In specific regions of Ghana,sociodemographic factors shaped by patriarchal and economic considerations contribute to a higher prevalence of IPV among people living with HIV.Conclusion:The findings have implications for developing policies and interventions that address the specific factors associated with HIV-induced IPV in different regions of Ghana.These interventions should also include screening PLHIV receiving ART for their IPV status regardless of gender and deploying culturally appropriate education at the community level to foster empathy towards intimate partners living with HIV.展开更多
文摘Background:Congenital heart disease(CHD)remains a significant global health concern,with considerable heterogeneity across age groups,genders,and regions.Objective:This study aimed to investigate the global epidemiological patterns,inequalities,and socio-demographic determinants of CHD burden from 1990 to 2021 to inform targeted interventions.Methods:We utilized data from the Global Burden of Disease 2021 study to assess CHD prevalence,incidence,and mortality rates.Trends were analyzed using Joinpoint regression,age-period-cohort models and autoregressive integrated moving average(ARIMA)forecasting.Health inequality was quantified using the slope index of inequality(SII)and the concentration index(CI),and associations with the Socio-Demographic Index(SDI)were explored.Results:CHD burden increased with age,peaking among individuals aged 70 years and older.This does not reflect new-onset disease,but rather the accumulation of late diagnoses,long-term complications,and healthcare encounters in aging individuals with CHD.Males consistently exhibited higher incidence and mortality rates than females.From 1990 to 2010,global age-standardized prevalence and incidence rates increased steadily and declined slightly thereafter.Joinpoint and age-period-cohort analyses revealed inflection points post-2010 and suggested cohort-related effects.Although SII trends indicated rising inequality over time,that disease burden has become more concentrated in low-SDI regions.ARIMA projections estimated a stable or marginally declining CHD burden by 2030.Regional analyses showed that high-SDI countries experienced significant reductions in CHD mortality,whereas low-SDI regions continued to bear a disproportionate burden.Conclusions:CHD burden has shifted in recent decades,influenced by demographic transitions,healthcare access,and socio-economic development.Despite progress,persistent health inequalities remain.Continued investment in early detection,maternal care,and public health infrastructure is essential to reduce CHD disparities globally.
文摘The probiotic dairy products have become the fastest growing in functional foods market in response to the increasing numbers of consumers interested in improving their health.Therefore,data collected from 314 participants in the city of Bursa,Turkey,were analyzed with the aim to assess the socio-demographic characteristics and health status as well as the consumer’s knowledge and awareness of probiotic dairy products in order to gain a better understanding of consumers’attitudes.It was observed that sociodemographic characteristics of the participants were not significantly associated with the degree of knowledge or awareness and purchasing frequencies of probiotic dairy products.Having a higher educational level,higher income level and being a woman indicated an increased the awareness,knowledge and purchase probability of probiotic dairy products.This study emphasized that consumers should be more informed about the positive relationship between a healthier life and the consumption of probiotic dairy products.
文摘Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse’s occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher’s = 8.363, p = 0.028*), religion (Fisher’s = 5.77, p = 0.048*) and parity (Fisher’s 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073 - 0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There’s a need for government to strengthen health promotion targeting women in rural communities.
文摘<strong>Background:</strong> Sexually transmitted diseases are one of the several major public health concerns, the burden of which is borne by low- and middle-income countries like India.<strong> Purpose:</strong> The purpose is to evaluate the relationship between menstrual and sanitary hygiene and sexually transmitted diseases (STD) based on syndromic diagnosis<strong> Methods:</strong> An out-patient department (OPD) based cross sectional survey to determine these associations, if any exist, which would help critically analyze syndromic management. STD was reported by the presence of vaginal/cervical/urethral discharge with or without irritation and itching, lower abdominal pain and ulcer. <strong>Results:</strong> The prevalence of STD was 66.84% with the most commonly reported symptoms being discharged (31.18%), followed by abdominal pain (17.92%) and itching/irritation (12.90%), with ulcer (4.83%) being the least reported symptom. Perimenopausal age ((AOR: 0.420 [CI: 0.189 - 0.915];p = 0.030), higher grades of education ((AOR: 0.228 [CI: 0.119 - 0.424];p < 0.001) for secondary), urban residency (AOR: 0.435 [CI: 0.686 - 2.733];p < 0.001), and contraception use (AOR: 0.531 [CI: 0.308 - 0.887];p = 0.018) were associated with lesser odds of presenting with an STD symptom. Belonging to a minority religious community (AOR: 7.20 [CI: 1.866 - 48.251];p < 0.012) or backward castes (AOR: 3.753 [CI: 1.587 - 10.144];p < 0.001), having similar illness (AOR: 4.205 [CI: 2.795 - 6.439];p < 0.001) or having an invasive gynecological procedure done in the past one year (AOR: 1.953 [CI: 1.184 - 3.295];p = 0.010) and washing the reusable sanitary material only with water (AOR: 4.900 [CI: 2.701 - 9.116];p < 0.001) as compared to washing it with water and soap, had a higher association with presenting with STD symptoms. Stratified analysis also showed that women presenting discharge (AOR: 2.049 [CI: 1.343 - 3.146] for vaginal and cervical;AOR: 1.426 [CI: 0.826 - 2.482] for urethral) were more likely to not have a toilet facility in an accessible condition. Women with sanitary napkin use had lesser odds (AOR: 0.780 [CI: 0.516 - 1.180];p = 0.293) of presentation for STD in OPD than women who used other material.<strong> Conclusion:</strong> To better manage the group of diseases that may present with symptoms of STD under syndromic approach, we propose interventions such as menstrual hygiene education and promotion of the use of sanitary napkins among women especially those belonging to lower socio-economic sections of the society.
文摘Introduction: Dental caries is the most prevalent chronic disease among schoolchildren. We aimed to investigate the association between dental caries index and socio-demographic status in schoolchildren by using a multilevel hurdle model. Materials and Methods: A cross-sectional epidemiological study was carried out on 906 primary school pupils in Kerman, Iran in 2012. The subjects were selected through a stratified cluster random sampling. At first, the whole target area was stratified according to two geographic areas, the north and south area. Then each area was stratified according to gender. In the next step, several schools were considered as clusters, which were selected randomly in each geographic area and gender strata. All the schoolchildren in these schools were included in this study as samples. Twelve-year-old pupils were examined for dental caries. The dependent variable in this study was the dmft/DMFT index. Eight variables, including socio-demographic information, were collected. Multilevel negative binomial hurdle model was employed for data analysis. Results: The prevalence of caries-free pupils was 30.1% and the mean dmft/DMFT was 3.6 ± 2.2. Negative binomial part of the adjusted model showed that the dmft/DMFT adjusted rate for females was 1.36 (95% CI: 1.10-1.79) times higher than males. Also, the dmft/DMFT adjusted rate for overweight pupils was 0.86 (95% CI: 0.74-0.98) times lower than those with normal weight. Logistic part of the adjusted model showed that the posibility of caries-free state in overweight pupils was 1.95 (95% CI: 1.22-3.11) times higher than those with normal weight. In addition, pupils whose fathers and mothers were workers and housewives, respectively, and those with a high maternal age were at a greater risk for caries experience than others (p < 0.05). Conclusion: BMI, gender, parent’s job and mother’s age at delivery were factors effecting on dental caries in schoolchildren. These pupils need more attention to dental care.
文摘Host factors, environmental factors, genetic diversity and distinct phylogeographic distribution of Mycobacterium tuberculosis (MTB) contribute to regional differences in drug resistance. Bangladesh remains among the top 20 high Multi drug resistant tuberculosis (MDR-TB) burden countries of the world. This cross sectional study was conducted to identify the socio demographic characteristics and the risk factors contributing Pulmonary tuberculosis (PTB) infection. These characteristics and risk factors were further investigated among the clustered isolates. Total 60 culture isolates consist of 40 RR and 20 rifampicin sensitive (RS) isolates were enrolled in this study. Laboratory works were done in National Tuberculosis Reference Laboratory (NTRL) and Department of Microbiology, Bangabandhu Sheikh Mujib Medical University (B中央人民政府), Dhaka, Bangladesh. All 60 samples were confirmed as MTB by MPT 64 antigen detection. Two samples were excluded for possible cross contamination and two for failing to give PCR product for most of the locus. So, finally 56 samples were further analyzed for results. Four isolates were distributed within two clusters which were belonged to Beijing lineage. Socio demographic data and risk factors analysis of this study found significant male predominance (p = 0.04) with history of smoking (p = 0.01) and previous anti-TB treatment (p = 0.012) as the significant risk factors for RR TB.
文摘Climate change (CC) impedes smallholder dairy industry in Kenya. Consequently, farmers’ adaptation to CC effects would greatly determine their resilience, profitability, and sustainable contribution to the economy. Socio-demography among other factors, determine smallholder farmers’ adaptive strategies to CC effects. This study sought to understand how smallholder dairy farmers in South Western Kenya adapt to climate changes and determine the relationship between famers’ adaptive strategies and their socio-demographics of sex, age, marital status, highest educational level, household size, and experience in dairying. Concurrent Fixed Mixed Methods were used to collect primary and secondary data. Reports and papers were reviewed for temperature and precipitation data, dairy population, production trends, and farmers’ socio-demographics. A survey questionnaire was administered to 367 smallholder dairy household heads with 10 years’ experience obtained through multi-stage sampling of respondents from 4 sub counties of Migori county. The data collected included the respondents’ socio-demographics, climate changes and adaptability to CC effects. Key informant interviews (KIIs) were conducted with heads of government departments of Livestock Production, Cooperative Development, Meteorology, Environment and Agriculture Sector Development Support Programme (ASDSP) in Migori County. Others included the leadership of Rongo Dairy Farmers’ Cooperative Society, Lichota Livestock Development Farm, and a Research Officer for Livestock Production Systems with Kenya Agriculture and Livestock Research Organization (KALRO). Focus group discussions (FGDs), on the other hand, were conducted with old men and women (aged 60 years and above), and farmer groups from Rongo Dairy Farmers Cooperative Society, Cham Gi Wadu Dairy and Multipurpose Cooperative Society, and East Sakwa Farmers’ Development Group. These were obtained purposively based on dairying experience. Descriptive statistics (percentages) were used to describe climate change effect on smallholder dairying and farmers’ adaptation. Percentages, minimum and maximum values, means, range, and standard deviations were used to describe respondents’ socio-demographics. Binary logistic regression analysis was used to determine the effect of farmers’ socio-demographics on their adaptive strategies to CC effects. Results indicated that individually, male farmers were more likely to adopt mixed crop and livestock farming (Odds = 3.97;p = 0.02) and experience an increasing trend in income earning from milk sales (Odds = 0.63;p = 0.04). Individually, older farmers were significantly more likely to establish own fodder (Odds = 0.96;p = 0.03), keep non-Friesians and their crosses (Odds = 0.97;p = 0.02), and experience increasing trends in income earned from milk sales (odds = 1.02;p = 0.02). Individually, household size significantly influenced establishment of own fodder (Odds = 0.69;p = 0.00) and jointly with the other 5 socio-demographic factors (Odds = 0.70;p = 0.00). With other socio-demographic factors, male farmers were more likely to rely mainly on household labour (Odds = 0.32;p = 0.05). Thus, gender, age and household size were found to have significant effects on smallholder dairy farmers’ adaptation to climate change effects in the study area.
文摘Objective: Genetic and neurobiological factors are considered to be the major causes of major depressive disorder (MDD). However, over last few years study results revealed that socio-demographic factors contribute a significant role in abnormal functional activity and recognized as major causative factors to the pathogenesis and severity of MDD. The aim of this study was to assess the socio-demographic characteristics of Bangladeshi MDD patients and to discover their role on the severity of disease. Material and Methods: A retrospective review of the case notes of psychiatry outpatients at Bangabandhu Sheikh Mujib Medical University (B中央人民政府) was carried out between Sep-Nov 2016. A total of 234 MDD patients (aged 18 to 60 years) were randomly recruited. Relevant information was obtained by collection of prescription details from the patients or their relatives by face to face interview. Results: Mean age and body mass index (BMI) were found 34.734 years (SEM ± 0.842) and 22.014 kg/m2 respectively. Among all respondents, 56% (133) were male and 44% (106) were female where mean income was 26.84 KBDT (Kilo Bangladeshi Taka) (SEM ± 0.749). Roughly 46% (111) patients were found to be below secondary level of education. Married people (56%) had a tendency to develop depression compare to unmarried people (36%). Urban residents (64%) are more prone to suffer from depression than rural residents (36%). There was mild depression in 28% (68), moderate in 37% (157), and severe in 14% (34) patients. Correlation analysis shows that age, sex, marital status, education, family income, and area of residence (p-values 0.004, 0.001, 0.000, 0.011, 0.000 and 0.000, respectively) are associated with the severity of disease. Moreover, among all significant correlations age, marital status and area of residence were positively correlated with the severity of MDD (r = 0.184, r = 0.238 and r = 0.256) while sex, education and family income were negatively correlated with the severity of depression (r = ﹣0.207, r = ﹣0.164 and r = ﹣0.722). Conclusion: Current study shows that age, gender, marital status, education, family income, and area of residence are associated with the severity of depression. Age, marital status and residence of MDD patients are positively correlated with the severity of disease while gender, education and family income are negatively correlated with the severity of depression. It is predicted that this study will be helpful for the management and assortment of MDD patients with more accuracy based on their socio-demographic features.
文摘Background: The aim of the current study was to evaluate the anthropometric and demographic factors and their correlation with type 2 diabetes mellitus (T2DM) in Bangladesh. Methods: One hundred fourteen patients (70 males and 44 females) between 30 and 75 years of age from various areas of Bangladesh were screened for T2DM. Fasting blood sugar (FBS) was analyzed by using laboratory kits and spectrophotometric technique. Anthropometric and socio-demographic data were collected using a structured questionnaire. Body mass index (BMI) was calculated from weight (kg) and height (m) of the individual respondents. Physical activity was categorized based on activity during daily work. Economic condition is defined by respective family income and education level is categorized into 3 levels: illiterate, 0 - 12 years of education and graduate or above. Results: According to the current study results, half of the patients were from the middle-class family with low physical activity and their age was within the range of 30 - 45 years. The male and female ratio of the study population was 60:40. Most of the patients were found to be obese and educated. Urban populations were more prone to have DM than the rural population. Age, education, the area of residence (urban and rural), physical activity and co-morbid diseases were significantly correlated with T2DM in Bangladesh (P Conclusion: Our study shows that different socio-demographic factors have a significant correlation with T2DM in Bangladesh. Diabetes awareness, early diagnosis, patient education and life-style modification can be initiated to manage T2DM efficiently.
文摘Background: Despite the rising burden of parasitic infections among young schooling adolescents in sub-Saharan Africa, insufficient attention has been paid to school-health. This study examined the self-reported prevalence of major parasitic infections and its association with key socio-demographic factors among young schooling adolescents in Southern Nigeria. Methods: An interviewer-administered school-based survey of students attending schools in Southern Nigeria was conducted in 2013. The study sample involved 585 students (60.9% male, 39.2% female and overall mean age of 15 years). The outcome variable was the self-reported presence of parasitic infection suffered within the past twelve months. The exposure variables were socio-demographic characteristics: age, sex, geolocality, school ownership, parents’ level of education and occupation. Association between the number of parasitic infections and socio-demographic factors were examined, and multivariate logistic regression was used to determine socio-demographic factors predictive of the presence of parasitic infections. Results: The most prevalent parasitic diseases reported across the sample were malaria (46.9%) and helminthiasis (27.7%). Over a quarter (38.5%) had one infectious disease, while about half (40.3%) reported had more than two infectious diseases. In the study sample, the number of parasitic diseases differed significantly by sex (p = 0.0344), age (p = 0.0483), geolocality (p = 0.0001), school ownership (p = 0.0012) and parents’ occupation (p = 0.0199). Multivariate logistic regression analysis showed that attending private school was negatively associated with the presence of parasitic diseases (β = ?0.9129, p = 0.0022). Conclusion: The high prevalence of multiple parasitic infections among the study population is worrisome and should be considered as a school-health concern. Concerted efforts are highly needed to develop school-health intervention programs for addressing the high prevalence of parasitic infection among students. Such programs should be tailored for specific socio-demographic groups. Although there was strong proportionality between self-reported symptoms and parasitic diseases reported, laboratory-based investigation is needed to validate our findings.
文摘Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Young maternal age at delivery has been proposed as risk factor for adverse pregnancy outcome, it occurs in all races, faiths, socioeconomic statuses, and regions. Teenage mothers are likely to be unmarried, poor and to sacrifice education. Isolation, unstable marriages, stress, and guilt are among many social and psychological problems. The aim of this study is to determine the socio-demographic factors associated with teenage pregnancy in our environment, in order to proffer measures that can help curtail this continuing socio-medical problem. The records of all teenage mothers (aged 13 - 19) who had delivery at the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria, over a period of 4 Years (January 1 2007 to December 31 2010) were retrospectively reviewed. There were a total of 1341 deliveries during the study period, out which 83 were teenagers giving an incidence of 6.2%. The age of the patients ranged from 14% to 19 years with a mean age of (28.1 ± 5.7) years. Their parity ranged from zero to three, with a mean of 2.4 ± 1.9. About a third (20%/24.1%) were primigravidae, 33%/39.9% had at least secondary education and majority (48/57.8%) were unbooked, unmarried (60%/ 72.3%), unemployed (62%/74.7%) and of low social class. Majority 71 (85.5%) of the teenage mothers had never used any form of modern contraceptive method and 45 (54.2%) of them had terminated at least one pregnancy in the past. 26 (31.3%) had Caesarean sections, majority of which were emergencies 22 (84.6%). It was concluded that teenage mothers in the Niger Delta tend to have unfavorable socio-demographic and obstetric factors. Concrete measures must be put in place to address these.
文摘<strong>Introduction:</strong> Oral lesions observed in Chewing Tobacco (CT) consumers are histological alterations caused by direct contact with the tissues of the oral cavity. The objectives of this study were to determine the socio-demographic status of consumers and describe the clinical characteristics of the oral lesions observed. <strong>Material and Method: </strong>It was a descriptive cross-sectional study lasting 12 months (January 2017 to January 2018), in the prefectures of Kankan and Siguiri as a framework. Individuals who use chewing tobacco and whose oral examination revealed oral lesions were included in this study. <strong>Results:</strong> The frequency of oral lesions induced by the consumption of chewing tobacco was 90%. Dental pain was the most cited reason for using CT by respondents, i.e., 25.41%. The most concerned age group was that of 50 - 64 years or 23.81 with a male predominance of 84.13% (n = 53). A number of 61 respondents came from rural areas. Farmers were the predominant socio-professional group, i.e., 63.49% (n = 40). In 60.32% (n = 38) of respondents, the duration of CT consumption was greater than 10 years. Black villous tongues followed by neoplastic ulcerations were the most common oral lesions with 32 (50.79%) and 14 (22.22%) cases, respectively. The site of the lesion was the tongue in 47 consumers (74.61%) and in the lower vestibule in 15 users (23.80%). Among the oral diseases, mylolysis was the most common, i.e., 95.24% (n = 60). In 82.54% of cases (n = 52), Simplified Oral Hygiene Index (SOHI) was low and in 12.70% (n = 8) of respondents, SOHI was good. <strong>Conclusion: </strong>Chewing tobacco predisposes to a high risk of damage to the oral cavity and the development of potentially malignant lesions. In addition, it exerts some detrimental effects on the teeth and adjacent structures.
文摘Introduction: It is estimated that more than 330 million persons are living with HIV-infection globally and in Nigeria about 3.4 million persons are living with the infection, with an annual death rate of 180,000. Psychological morbidity often accompanies chronic illnesses and may be associated with substance abuse, poor health seeking behaviour and adherence to treatment program;it may worsen existing health problems and the overall quality of life. Until the burden is effectively identified, intervention cannot be planned. Until there is cure, the goal is to manage and cope effectively with HIV-infection. Little if any studies have been done in this area in the North West geopolitical zone of Nigeria, the study would help to identify high risk groups and prevent the progression and spread of the infection. Objectives: To identify HIV-infected persons with psychological morbidity, accessing HIV-clinic at Shika Hospital, Zaria, Kaduna State;and analyze their socio-demographic profile. Methodology: A cross sectional descriptive study was carried out to assess and analyze the socio-demographic characteristics of HIV-infected persons attending Shika hospital Zaria Nigeria, who screened positive for psychological morbidity. A total of 109 HIV-infected persons receiving HAART at Shika clinic, Zaria, Kaduna State, Nigeria, were administered questionnaires;the General Health Questionnaire (GHQ-12) measuring psychological morbidity and socio-demographic data. The participants ranged in age between 18 and 75 years. Results: Data were analyzed using SPSS software 15. Both descriptive and inferential Statistics were performed on the data. Results indicate a total prevalence rate of psychological morbidity of 78 percent among participants. Of this, about 16.2 percent were severely distressed, 25.1 percent moderately distressed and 36.7 percent were mildly distressed. The females were more likely to be distressed than men (65 percent vs. 35 percent of those with psychological morbidity, OR = 3.5 CI 95 percent). It was (57 percent) for patients whose HIV-infection was of relatively shorter duration (less than 4years) than (43 percent) those of longer duration (5 years and above;OR = 1.7, CI 95 percent = 1.1 - 3.5). The age group (18 - 40 years) was more likely to screen positive for psychological morbidity (58.3 percent vs. 41.7 percent, OR = 2.4, CI 95 percent), than the age group (41 - 75 years). On the other hand, Christians were more likely than Muslims (55 percent vs. 45 percent, OR = 1.5, CI 95 percent = 1.1 - 3) to be distressed. For married patients with partners it was 20 percent and for singles 30 percent;for the widowed (12 percent) and divorced (38 percent). At the level of tribal/ethnic groups, it was 13 percent for Ibos, 22 percent for Yorubas, 27 percent for Hausas and 38 percent for all the other minority tribes put together. Conclusion and recommendations: The study has been able to identify the presence of psychological morbidity among HIV-infected persons as high and analyze the socio-demographic factors associated with it as significant. Periodic screening of HIV-infected persons for psychological morbidity and psychosocial intervention was recommended.
文摘<b><span style="font-family:Verdana;">Introduction:</span></b><span style="font-family:Verdana;"> Gastroesophageal Reflux Disease (GERD) is a common benign condition with a worldwide prevalence of between 5</span><span style="font-family:Verdana;">%</span><span style="font-family:""><span style="font-family:Verdana;"> and 45% in the adult population. Its prevalence in the general population is little known in Africa. The aim of this work was to study the prevalence of typical GERD in the general adult population of a large city and the associated socio-demographic factors.</span><b><span style="font-family:Verdana;"> Patients and Methods:</span></b><span style="font-family:Verdana;"> This was a prospectively collected, descriptive and analytical cross-sectional study that was conducted over a one-month period (June 2018). We included any person residing in the city of Cotonou for at least 6 months, aged 15 years or older, who had given consent for the study. The two-stage cluster sampling technique was used. The dependent variable was the typical gastroesophageal reflux defined by the heatburn-regurgitation association. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> We had included 728 su</span></span><span style="font-family:Verdana;">b</span><span style="font-family:""><span style="font-family:Verdana;">jects. Of these, 255 had a typical GERD, </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> a prevalence of 35%. The mean age of the respondents was 31.9 ± 13.2 years with extremes of 15 and 88 years. There were 379 men (52.1%) with a sex ratio of 1.08. The study population was represented respectively by artisans (29.3%), students (26.6%) and traders/dealers (20.3%). In terms of marital status, there were as many married and single subjects (48.2%). In addition, 47% of the study population had a body mass index of less than 25 kg/m</span><sup><span style="font-family:Verdana;">2</span></sup><span style="font-family:Verdana;">. In univariate analysis, the sociodemo</span><span style="font-family:Verdana;">graphic factors associated with typical GERD were: age (60 years and older)</span><span style="font-family:Verdana;">: OR: 0.220 [95% CI 07</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.63], p</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">005</span><span style="font-family:""> </span><span style="font-family:Verdana;">and marital status divorced/separated/widowed: OR: 0.32 [0.11</span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.97], p</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:""><span style="font-family:Verdana;">04. Older age and divorced/separated/widowed status appear to be protective of the occurrence of GERD.</span><b><span style="font-family:Verdana;"> Conclusion:</span></b><span style="font-family:Verdana;"> Typical GERD was common in the adult population of Cotonou. It readily affected young (under 60 years of age), single or married subjects</span></span><span style="font-family:Verdana;">.
文摘Background: Hypertensive disease in pregnancy is an important cause of morbidity, long-term disability, and maternal and neonatal mortality. The aim is to determine the socio-demographic characteristics and maternal prognosis of these women with Hypertension during pregnancy. Material and Method: We conducted a cross-sectional study, we interview patients and after discussion we transcripts in a database in Excel software before analysis with SPSS version 20.0 and Stata 14.0 The qualitative variables have been summarised by the Percentage and the quantitative variables will be summarised by Means and Standard Deviation. The associations of the variables were calculated by Pearson’s chi-square test with a significance level set at a p-value Result: The average age of the patients was 30.33 ± 7.020 years, 92.1% were married, 79.8% lived in urban areas, most of the patients were overweight (43%), 92.1% of them had monofetal pregnancies, 36% were multiparous, 34.2% had a previous history of preeclampsia in pregnancy and 14% were known to have hypertension. Pre-eclampsia was the most frequent form of hypertension in pregnancy with 73.68% of cases and represents 84.8% of severe forms of hypertension in pregnancy, 53.4% of the patients delivered vaginally. Eclampsia was the most frequent complication in our patients with 31.7% frequency and among the socio-demographic parameters, age and body mass index were significantly associated with maternal complications. Conclusion: Maternal age and body mass index are important socio-demographic factors associated with the occurrence of maternal complications in women with hypertensive disorders in pregnancy.
文摘As a result of the two major earthquakes that struck Nepal at 11:56 am on 25 April, and 12 May 2015, nearly 9,000 lives and over half a million homes have been destroyed. In this connection, the paper tries to assess the socio- demographic impact of Nepal earthquake 2015 with reference to Sindhuli district. The Sindhuli district of Nepal was one of the highly affected districts among the fourteen severely destructed districts of the central part of Nepal, was purposively selected among them for the study purpose. The paper utilized the both primary and secondary data. The survey found that the earthquakes had unevenly affected the age, gender, poorer, rural locations relative to the urban and less poor areas. It also found that women and children had comparatively fallen victim to anxiety, trauma, depression, feeling helpless, loss of interest (passive) and irrational fear. During the survey, the study found that the NGOs, INGOs, Private and Personal support agencies/actors had played significant role in distribution of relief package at Sindhuli district of Nepal. The distributions of relief materials were challenging because of lack of road connectivity to reach at many earthquake affected villages in Sindhuli district.
文摘The trophy hunting industry in Tanzania plays a significant role in wildlife conservation as well as economic and community development. Trophy hunting has been conducted in Rungwa Game Reserve (RGR) for several decades;however, the trophy hunting opinions from the local communities living adjacent to the reserve are not well documented. This study aimed to assess the awareness and attitudes of local communities living adjacent to Rungwa Game Reserves toward trophy hunting. Furthermore, the study assessed factors that influenced the opinions of participants by using structural equation modeling. We used semi-structured interviews and key informant interviews in the three villages adjacent to RGR. The local communities are aware of existing hunting operations around the game reserves. The study found positive attitudes among local communities toward trophy hunting, only if local people accrue benefits from hunting operations. The community’s attitudes towards trophy hunting varied across household size and occupation. Education and household position had an indirect influence on the community’s attitude. Our findings suggest that socio-demographic variables are important to consider when assessing awareness and attitudes toward trophy hunting. Local communities are willing to support trophy hunting operations if the benefits obtained from hunting are significant and it can improve wildlife conservation and their livelihood. In conclusion, trophy hunting is important to local communities living adjacent to protected areas, and banning them may have a significant impact on their livelihood and wildlife conservation. Therefore, it is recommended that conservation policies and interventions consider the dual significance of trophy hunting, fostering strategies that balance socio-economic benefits for communities and wildlife conservation.
文摘Background: The prevalence of obesity among adolescent has been on the increase worldwide. This is probably a result of increase in the sedentary life style and the increasing shift to western diet. Obesity in children and adolescents has adverse consequences. These include increase in the rate of Diabetes Mellitus, hypertension, dyslipidemia, cardiovascular diseases, etc with resultant increase in premature deaths. Objectives: To determine the socio-demographic and behavioral factors associated with overweight and obesity in apparently healthy secondary school adolescents. Methods: This was a cross-sectional study of secondary school adolescents aged 10 - 19 years randomly selected from two public schools and three private schools. The weight and heights of study subjects were measured using standard equipment. Body mass index (BMI) was appropriately calculated and the WHO growth reference standard for age and gender, specific percentile for BMI was used to define overweight 85<sup>th</sup> to 97<sup>th</sup> and obese (97<sup>th</sup> percentile and above). Results: Data were initially collected from 1250 participants, but 52 were excluded due to improperly completed questionnaires. Thus, a total of 1198 students were ultimately included in the study, giving a response rate of 95.8%. These included 621 females (51.8%) and 577 males (48.2%) aged 10 - 19 years giving a F:M ratio of 1:0.9. The mean age of the students was 15.07 ± 1.96 years overall, 15.13 ± 2.08 years for males and 15.03 ± 1.83 years for females. There was no statistically significant difference between male and female in the distribution of age groups (p = 0.12). The mean BMI was 21.51 ± 3.57 kg/m<sup>2</sup> for females and 20.22 ± 3.16 kg/m<sup>2</sup> for males. The BMI was significantly higher in females in all age groups (p < 0.001) except those aged 10 - p = 0.13). The prevalence rates of overweight and obesity were higher in females than males (17.7% vs 10.7%, 5.6% vs 4.5% respectively;p ≤ 12 yrs;p = 0.04). The frequent consumption of sugar based beverages (p p p = 0.03) were significantly associated with both overweight and obesity (p p p < 0.001) were also significantly associated with obesity. Conclusion: Sociodemographic factors such as gender, socioeconomic status and behavioral patterns were major contributors to obesity. Behavioral interventions including regulating the intake of sugar based beverages and reducing the time spent on sedentary activities could be useful strategies in reducing the high prevalence of overweight and obesity among adolescents.
文摘The major objective of the study is to apply Conservation of Resource (COR) theory for examining the influence of farmers’ socio-demographic and economic correlates upon their adoption of agricultural, economic and emotion-focused coping and adaptation strategies of climate change. An interview schedule developed from the COR theory was utilized for data collection. Using multistage cluster sampling technique, a total of 384 farmers were chosen from Agailjhara Upazila of Barisal District and interviewed through a predesigned structured questionnaire. For triangulation of the quantitative findings, the study employed case study technique to collect qualitative data from the respondents. The findings of the study demonstrate that the most common emotion- focused, agricultural and economic coping and adaptation strategies of climate change were social support seeking (79.69%), planting trees (71.35%), homestead gardening (52.08%), hydroponic farming/floating garden (46.88%), duck rearing (30.73%), saving (20.83%), self-insurance (18.75%), etc. Bivariate results indicate that age, ownership of land, income and ownership of television or mobile phone were found significantly correlated with the three variables, including economic, agricultural and emotion-focused coping and adaptation strategies of COR theory. Again, access to microcredit has relationship with economic and agricultural adaptation strategies. Furthermore, education has significant relationship with agricultural adaptation strategies. The study suggests that continuous researches by policy makers, researchers, GOs and NGOs are very essential to exploring and enhancing farmers’ coping and adaptation strategies which may relegate the adverse impacts and vulnerabilities of climate change in the study area.
基金supported by the Christian Health Association of Ghana under Global Fund New Funding Model 3(NFM 3)HIV/TB Community Systems Strengthening programme(CSS)。
文摘Objective:Intimate partner violence(IPV)among people living with the human immune deficiency virus(PLHIV)poses a significant threat to efforts to reduce the spread of human immune deficiency virus(HIV)and achieve the sustainable development goals.In Ghana,scholarly research on the forms and prevalence of IPV is available,however knowledge of the prevalence of IPV among PLHIV is limited.To understand the prevalence of IPV among PLHIV and the intersectional factors that contribute to it,this study examined the overall prevalence of IPV among PLHIV and the associated sociodemographic factors across ten regions of Ghana.Methods:We administered face-to-face survey questionnaires to 661 randomly selected antiretroviral therapy(ART)clients using Research Electronic Data Capture tools.We used descriptive statistics(mean,standard deviation,minimum,and maximum),pairwise correlation,and multivariate regression analysis to look at the data.Results:The clients of ART experienced various forms of IPV,including sexual,physical,emotional,and economic violence and controlling behaviour.The overall prevalence of IPV among PLHIV was 27.5%.This result,although on par with the global IPV average(27%),is 1.5%higher than the national rate(26%).The Upper West Region had the highest prevalence in all the categories of IPV analysed,followed by Oti Region in second place and the Upper East Region in third,except for the prevalence of sexual violence,where Greater Accra Region ranks second.In specific regions of Ghana,sociodemographic factors shaped by patriarchal and economic considerations contribute to a higher prevalence of IPV among people living with HIV.Conclusion:The findings have implications for developing policies and interventions that address the specific factors associated with HIV-induced IPV in different regions of Ghana.These interventions should also include screening PLHIV receiving ART for their IPV status regardless of gender and deploying culturally appropriate education at the community level to foster empathy towards intimate partners living with HIV.
