scholarly journals The wound severity of animal bite victims visiting rabies prevention clinics and the influencing factors in Central China: a cross-sectional investigation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dandan Li ◽  
Hanlin Liao ◽  
Fan Chen ◽  
Qingqing Jiang ◽  
Tiantian Wang ◽  
...  
Keyword(s):  
Influencing Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Public Health Problem ◽  
Central China ◽  
Major Public Health Problem ◽  
Bite Wound ◽  
Cross Sectional ◽  
Factors Associated ◽  
Animal Bites ◽  
Rabies Prevention

Abstract Background Animal bites are a major public health problem. The more serious the bite wound is, the higher the risk of developing rabies is. This study aimed to investigate the severity of wounds among animal bite victims and identify the influencing factors in Wuhan, China. Methods A cross-sectional study was conducted among 1015 animal bite victims visiting rabies prevention clinics. We performed a face-to-face interview to collect information on the exposure category of the bite wound, the type of the offending animal, exposure-to-risk situations, etc. Factors associated with exposure categories were identified by multivariate logistic regression analysis. Results Five hundred and sixty-four (55.57%) cases were category III exposures, 418 (41.18%) were category II exposures, and 33 (3.25%) were category I exposures. People who were hurt by their own domestic animals (odds ratio [OR] = 1.55, 95% confidence interval [CI]: 1.14–2.10), and those exposed to animals unvaccinated against rabies (OR = 1.45, 95% CI: 1.08–1.95) had a higher risk for category III exposures. Respondents who did not know the fatality of rabies were more likely to be injured seriously compared to those who knew that rabies is fatal, and the OR was 1.40 (95% CI, 1.05–1.86). Conclusions This study showed that factors associated with the severity of bite wounds mainly included types of the offending animal, vaccination status of the animal, and knowledge of rabies fatality. Educational programs and awareness-raising campaigns should be provided to decrease severe animal bites, especially targeting pet owners and those with limited rabies knowledge.

scholarly journals Factors Associated with Anemia among People Living with HIV/AIDS Taking ART in Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Ketema Bizuwork Gebremedhin ◽  
Tadesse Bedada Haye
Keyword(s):  
Addis Ababa ◽  
Clinical Stage ◽  
Public Health Problem ◽  
People Living With Hiv ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Factors Associated ◽  
Living With Hiv ◽  
Hiv Aids

Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.

Factors associated with deliberate self-harm among Irish adolescents

2010 ◽  
Vol 40 (11) ◽  
pp. 1811-1819 ◽  
Author(s):  
E. M. McMahon ◽  
U. Reulbach ◽  
P. Corcoran ◽  
H. S. Keeley ◽  
I. J. Perry ◽  
...  
Keyword(s):  
Life Style ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Life Event ◽  
Deliberate Self Harm ◽  
Factors Associated ◽  
Related Risk ◽  
Self Harm

BackgroundDeliberate self-harm (DSH) is a major public health problem, with young people most at risk. Lifetime prevalence of DSH in Irish adolescents is between 8% and 12%, and it is three times more prevalent among girls than boys. The aim of the study was to identify the psychological, life-style and life event factors associated with self-harm in Irish adolescents.MethodA cross-sectional study was conducted, with 3881 adolescents in 39 schools completing an anonymous questionnaire as part of the Child and Adolescent Self-harm in Europe (CASE) study. There was an equal gender balance and 53.1% of students were 16 years old. Information was obtained on history of self-harm life events, and demographic, psychological and life-style factors.ResultsBased on multivariate analyses, important factors associated with DSH among both genders were drug use and knowing a friend who had engaged in self-harm. Among girls, poor self-esteem, forced sexual activity, self-harm of a family member, fights with parents and problems with friendships also remained in the final model. For boys, experiencing bullying, problems with schoolwork, impulsivity and anxiety remained.ConclusionsDistinct profiles of boys and girls who engage in self-harm were identified. Associations between DSH and some life-style and life event factors suggest that mental health factors are not the sole indicators of risk of self-harm. The importance of school-related risk factors underlines the need to develop gender-specific initiatives in schools to reduce the prevalence of self-harm.

scholarly journals Factors Associated with Gastrointestinal Parasitic Infections among Young Population in Northeast Brazil

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Juliana Vasconcelos Lyra da Silva ◽  
Gilberto Fontes ◽  
Célia Dias dos Santos ◽  
Rafael Vital dos Santos ◽  
Eliana Maria Mauricio da Rocha
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Family Income ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Blood Analysis ◽  
Parasitic Infections ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Associated

Background. Intestinal parasitic infections constitute a major public health problem that is frequently associated with poverty, inadequate sanitation, and the nutritional status of the population.Objective. The aim of the present study is to investigate the possible association of parasitic infections, sanitary conditions, hygiene practices, and the nutritional and socioeconomic status of a poor youth population.Methods. A cross-sectional study was conducted with 367 children and adolescents inhabiting a substandard settlement in the urban area of Maceió (Alagoas State, Brazil). Data collection included socioeconomic status, anthropometric measurements, fecal sample examinations, and laboratory blood analysis. The identification of factors associated with gastrointestinal parasitic infections was undertaken through bi- and multivariate analyses.Results. Stool sample analysis obtained from 300 individuals revealed that 204 (68%) were infected with at least one parasite species and of these 130 (63.7%) were polyparasitized. No significant associations were identified between low height for age (stunted), parasitic infections, and polyparasitism. There was also no association between family income and parasitosis. However, low socioeconomic status proved to be a potential risk factor for parasitic infections.Conclusion. Actions must be taken to improve sanitation, housing, and environmental conditions in order to eliminate the risk factors for parasitic infections, and thereby guarantee a better quality of life for this population.

Self reported fall and associated factors among adult people with visual impairment in Gondar, Ethiopia.

2019 ◽  
Author(s):  
Moges Gashaw Getnet ◽  
Balamurugan Janakiraman ◽  
Amare Minyihun ◽  
Gashaw Jember Belay ◽  
Kedir Sany
Keyword(s):  
Visual Impairment ◽  
Associated Factors ◽  
Public Health Problem ◽  
High Rate ◽  
Major Public Health Problem ◽  
Hospital Data ◽  
Binary Logistic Regression Model ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background Fall is one of the most common and potentially disabling issues among people with visual impairment. Fall is a major public health problem and the leading cause of unintentional injury, disability and premature death worldwide. Several population based studies have reported poor vision as a frequent risk factor for falls yet large number of studies failed clarify the role of visual impairment in falls. Ethiopia lacked estimates of falls among both normal sighted and visual impaired persons. Therefore, this study aims to determine the prevalence of and visual related factors, other factors associated with falls among adult people with medically diagnosed visual impairment.Methods An institutional based cross-sectional study was conducted among visually impaired adults who were attended ophthalmology clinic in University of Gondar comprehensive specialized hospital. Data was collected by interview methods using structured questionnaire, patient record review and physical measurement. A bivariate and multivariable binary logistic regression model analysis was used to identify factors associated with fall. Adjusted Odds Ratio with corresponding 95% Confidence Interval was computed to show the strength of association.Results A total of 328 adults with visual impairment participated in the study (97.3% response rate). The age of the participants ranged from 25 to 89 years with mean age of (56.46±14.2 years). The overall cumulative prevalence of self-reported fall among adults with visual impairment was 26.8% with 95%CI (22.0-31.4). The major associated factors of fall identified by multivariate analysis were fear of falling; some concerned: (AOR, 4.12; 95%CI, 1.44-11.76), very concerned fear (AOR, 10.03; 95% CI, 3.03-33.21), medication: (AOR, 4.63; 95% CI 2.14-10.00) and self reported depression: (AOR, 3.46; 95%CI 1.11-10.79).Conclusion A moderate self-reported prevalence with high rate of fall related injuries was reported adult people with visual impairment participants in this study. The results indicate that strategies to provide fall prevention environment should be developed to reduce this impact of visual impairment and reduce fall and fall related injuries.

Prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia

2016 ◽  
Vol 30 (3) ◽  
Author(s):  
Ying Ying Chan ◽  
Kuang Hock Lim ◽  
Chien Huey Teh ◽  
Chee Cheong Kee ◽  
Sumarni Mohd Ghazali ◽  
...  
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Suicidal Ideation ◽  
Health Risk ◽  
Public Health Problem ◽  
Peninsular Malaysia ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Associated ◽  
Malaysian Adolescents

Abstract Background: Suicidal ideation, defined as thoughts, ideas and the desire to commit suicide, is becoming a major public health problem among adolescents. Indeed, suicidal ideation is known as a key predictor of future suicide risk. Objective: This study aims to determine the prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia. Methods: This study used data from the 2013 Malaysian adolescent health risk behavior (MyAHRB) study, a cross-sectional school survey conducted in Peninsular Malaysia among school-going adolescents aged 16–17 years (n=2789). Logistic regression analysis was used to determine the risk factors associated with suicidal ideation among Malaysian adolescents. Results: The overall prevalence of suicidal ideation among the adolescents was 6.2%. The prevalence was significantly higher among females than males (7.6% vs. 4.7%; p=0.002). Multivariate regression analysis revealed that adolescents who were females [odds ratio (OR)=2.02; 95% confidence interval (CI): 1.40–2.92] or of Indian ethnicity (OR=2.32; 95% CI: 1.35–3.98) were more likely to report suicidal ideation. Loneliness (OR=2.54; 95% CI: 1.57–4.11), anxiety or worry (OR=2.70; 95% CI: 1.70–4.31), no close friends (OR=2.71; 95% CI: 1.43–5.14), and lack of supportive peers (OR=1.69; 95% CI: 1.15–2.47) were identified as risk factors for adolescents’ suicidal ideation. Adolescents who ever had sexual intercourse (OR=2.70; 95% CI: 1.48–4.92) and had been in a physical fight (OR=2.45; 95% CI: 1.62–3.70) were also reported to have higher risks of suicidal ideation. Conclusion: This study provides evidence on risk factors associated with suicidal ideation among Malaysian adolescents. Targeted mental health and health risk behavioral interventions for high-risk adolescents are recommended.

scholarly journals Factors Associated with Stroke: Evidence from Indonesian Family Life Surveys 2015

2020 ◽  
Author(s):  
Trisakti Halimah Delimasari ◽  
◽  
Vitri Widyaningsih ◽  
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Cholesterol Level ◽  
Family Life ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Associated ◽  
Central Java

ABSTRACT Background: Stroke is a major public health problem, affecting millions of people in both developed and developing countries. In Indonesia stroke prevalence in 2013 rose from 7% to 10.9%.The purpose of this study was to determine factors associated with stroke using the Indonesian family live survey 5 (IFLS-5) year 2015. Subjects and Method: This was a cross sectional study. A sample of 34,250 study subject aged ≥18 years old was selected for this study. The dependent variable was stroke. The independent variables were age, gender, body mass index (BMI), hypertension, cholesterol level, and diabetes mellitus. The data were analyzed by a multiple logistic regression. Results: The risk of stroke increased with age ≥40 years old (OR= 5.09; 95%CI= 3.13 to 8.26; p= 0.001), male (OR= 1.86; 95%CI= 1.36 to 2.52; p= 0.001), hypertension (OR= 8.71; 95%CI= 6.09 to 12,46; p= 0.001), diabetes mellitus (OR= 1.89; 95%CI= 1.22 to 2.95; p= 0.004), and cholesterol level (OR= 3.42; 95%CI= 2.35 to 4.99; p= 0.001). The risk of stroke decreased with normal BMI (OR= 0.75; 95%CI= 0.58 to 0.96; p= 0.026). Conclusion: The risk of stroke increases with age ≥40 years old, male, hypertension, cholesterol level, and diabetes mellitus. The risk of stroke decreases with normal BMI. Keywords: stroke, Indonesian family life survey 5 Correspondence: Trisakti Halimah Delimasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile:+6285293994629. DOI: https://doi.org/10.26911/the7thicph.01.34

Factors Associated with Quality of Life among Diabetes Mellitus Patients in Prolanis

2018 ◽  
Vol 05 (04) ◽  
pp. 1-6
Author(s):  
Rapitos Sidiq ◽  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Sector ◽  
Public Health Problem ◽  
Secondary Data ◽  
P Value ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Associated

Background: Diabetes mellitus is a major public health problem is approaching epidemic proportions in the world today, including Indonesia. Various types of government programs in the health sector were launched to overcome them, one of which was prolanis aimed at improving the quality of life of patients. Objectives: The objective of the study was to determine the factors associated with quality of life among diabetes mellitus patients in prolanis. Methods: This is a analytical study with a cross sectional study design. The data was collected on May 20 to June 3, 2018 by interviewing using the WHOQOL-BREF questionnaire and secondary data observation conducted on 52 respondents. Multivariate analysis using logistic regression. Results: The results showed that the patients activeness factor in prolanis was related to their quality of life among diabetes mellitus patients with p-value 0.003 <0.05, with the highest OR Exp (B) value of 0.863 and 95% CI = 0.782-0.9953. Conclusions: It was concluded that the patients activeness factor in prolanis was related to their quality of life among diabetes mellitus patients in Lambaro Meurasi General Clinic of Ingin Jaya District, Aceh Besar, Aceh Province.

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye
Keyword(s):  
Risk Factors ◽  
Stroke Unit ◽  
Medical Center ◽  
Data Entry ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

scholarly journals Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care

2021 ◽  
Vol 18 (15) ◽  
pp. 7843
Author(s):  
María Rodríguez-Barragán ◽  
María Isabel Fernández-San-Martín ◽  
Ana Clavería-Fontán ◽  
Susana Aldecoa-Landesa ◽  
Marc Casajuana-Closas ◽  
...  
Keyword(s):  
Primary Care ◽  
Psychometric Properties ◽  
Public Health Problem ◽  
Composite International Diagnostic Interview ◽  
Spanish Version ◽  
Major Public Health Problem ◽  
Symptom Checklist ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Hopkins Symptom Checklist

Depression constitutes a major public health problem due to its high prevalence and difficulty in diagnosis. The Hopkins Symptom Checklist-25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use in primary care (PC). The purpose of the study was to assess the psychometric properties of the HSCL-25 and validate its Spanish version. A multicenter cross-sectional study was carried out at six PC centers in Spain. Validity and reliability were assessed against the structured Composite International Diagnostic Interview (CIDI). Out of the 790 patients, 769 completed the HSCL-25; 738 answered all the items. Global Cronbach’s alpha was 0.92 (0.88 as calculated for the depression dimension and 0.83 for the anxiety one). Confirmatory factor analysis (CFA) showed one global factor and two correlated factors with a correlation of 0.84. Area under the curve (AUC) was 0.89 (CI 95%, 0.86–0.93%). For a 1.75 cutoff point, sensibility was 88.1% (CI 95%, 77.1–95.1%) and specificity was 76.7% (CI 95%, 73.3–79.8%). The Spanish version of the HSCL-25 has a high response percentage, validity, and reliability and is well-accepted by PC patients.

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