scholarly journals Prevalence and Associated Factors of Anemia Among Adolescent Girls and Boys at 10-14 Years in Rural Western China

2020 ◽  
Author(s):  
Zhonghai Zhu ◽  
Christopher R. Sudfeld ◽  
Yue Cheng ◽  
Qi Qi ◽  
Shaoru Li ◽  
...  

Abstract Background:Evidence on the prevalence and associated factors of anemia among young adolescentgirls and boys in rural western Chinais limited.Methods: We used data from a follow-up study of adolescents (10-14 years) born to women who participated in a randomized trial of antenatal micronutrient supplementation in western China. Anemia was defined by World Health Organization standards. Logistic regression was used to examine the riskfactors for anemia.Results: The overall prevalence of anemia was 11.7% (178/1517). Female adolescents were 1.73 (95% CI 1.21, 2.48) times more likely to have anemia as compared to males. Adolescents whose mothers had completed high school were 65% (95%CI 7%, 87%) less likely to be anemic, compared with those of whom had <3 years. Household wealth was also inversely associated with anemia. The association of puberty status with anemia was modified by adolescent sex (p-value for interaction was 0.04): males with greater than mild puberty development had 65% (95% CI 17%, 85%) reduced odds of anemia while there was no association among females (OR:0.72, 95% CI 0.29, 1.78). Consumption of flesh foods, eggs,and having a meal frequency of three times or more per day wereassociated with 42% (95% CI 11%, 62%), 40% (95% CI 7%, 62%) and 32% (95% CI 4%, 52%) reduced odds of anemia, respectively.Conclusions: Anemia is a public health problem among adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group.

2020 ◽  
Author(s):  
Zhonghai Zhu ◽  
Christopher R. Sudfeld ◽  
Yue Cheng ◽  
Qi Qi ◽  
Shaoru Li ◽  
...  

Abstract Background: Evidence on the prevalence and associated factors of anemia among young adolescent girls and boys in rural western China is limited. Methods: We used data from a follow-up study of adolescents (10-14 years) born to women who participated in a randomized trial of antenatal micronutrient supplementation in western China. Anemia was defined by World Health Organization standards. Logistic regression was used to examine the risk factors for anemia. Results: The overall prevalence of anemia was 11.7% (178/1517). Female adolescents were 1.73 (95% CI 1.21, 2.48) times more likely to have anemia as compared to males. Adolescents whose mothers had completed high school were 65% (95% CI 7%, 87%) less likely to be anemic, compared with those of whom had <3 years. Household wealth was also inversely associated with anemia. The association of puberty status with anemia was modified by adolescent sex (p-value for interaction was 0.04): males with greater than mild puberty development had 65% (95% CI 17%, 85%) reduced odds of anemia while there was no association among females (OR: 0.72, 95% CI 0.29, 1.78). Consumption of flesh foods, eggs, and having a meal frequency of three times or more per day were associated with 42% (95% CI 11%, 62%), 40% (95% CI 7%, 62%) and 32% (95% CI 4%, 52%) reduced odds of anemia, respectively. Conclusions: Anemia is a public health problem among adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group.


2020 ◽  
Author(s):  
Zhonghai Zhu ◽  
Christopher R. Sudfeld ◽  
Yue Cheng ◽  
Qi Qi ◽  
Shaoru Li ◽  
...  

Abstract Background: Evidence on the anemia and associated factors among young adolescent girls and boys in rural western China is limited.Methods: We used data from a follow-up study of adolescents (10-14 years) born to women who participated in a randomized trial of antenatal micronutrient supplementation in western China. Anemia was defined by World Health Organization standards. Logistic regression was used to examine the associated factors with anemia.Results: The overall prevalence of anemia was 11.7% (178/1517). Female adolescents were 1.73 (95% CI 1.21, 2.48) times more likely to have anemia as compared to males. Adolescents whose mothers had completed high school were 65% (95% CI 7%, 87%) less likely to be anemic, compared with those of whom had <3 years. Household wealth was also inversely associated with anemia. The association of puberty status with anemia was modified by adolescent sex (p-value for interaction was 0.04): males with greater than mild puberty development had 65% (95% CI 17%, 85%) reduced odds of anemia while there was no association among females (OR: 0.72, 95% CI 0.29, 1.78). Consumption of flesh foods, eggs, and having a meal frequency of three times or more per day were associated with 42% (95% CI 11%, 62%), 40% (95% CI 7%, 62%) and 32% (95% CI 4%, 52%) reduced odds of anemia, respectively.Conclusions: Anemia is a mild public health problem among young adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhonghai Zhu ◽  
Christopher R. Sudfeld ◽  
Yue Cheng ◽  
Qi Qi ◽  
Shaoru Li ◽  
...  

Abstract Background Evidence on anemia and associated factors among young adolescent girls and boys in rural western China is limited. Methods We used data from a follow-up study of adolescents (10–14 years) born to women who participated in a randomized trial of antenatal micronutrient supplementation in western China. Anemia was defined by World Health Organization standards. Logistic regression was used to examine the factors associated with anemia. Results The overall prevalence of anemia was 11.7% (178/1517). Female adolescents were 1.73 (95% CI 1.21, 2.48) times more likely to have anemia as compared to males. Adolescents whose mothers had completed high school were 0.35 (95% CI 0.13, 0.93) times less likely to be anemic, compared to those of whom had < 3 years of formal education. Household wealth was also inversely associated with anemia. The association of puberty status with anemia was modified by adolescent sex (P-value for interaction was 0.04); males with greater than mild pubertal development had reduced odds (OR 0.35, 95% CI 0.15, 0.83) of anemia while there was no association among females (OR 0.72, 95% CI 0.29, 1.78). Consumption of flesh foods (OR 0.58, 95% CI 0.38, 0.89), eggs (OR 0.60, 95% CI 0.38, 0.93), and having a meal frequency of three times or more per day (OR 0.68, 95% CI 0.48, 0.96) were also associated with a lower likelihood of anemia. Conclusions Anemia was a mild public health problem among young adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group.


2018 ◽  
Vol 15 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Manisha Pandey ◽  
Tulsi Ram Bhandari ◽  
Ganesh Dangal

Background: Workplace violence among nurses is prevalent worldwide. If nurses become aware of the workplace violence and its risk factors then only they can protect themselves. This study assessed the prevalence of workplace violence and its associated factors among nurses in Pokhara, Nepal. Methods: A hospital-based descriptive cross-sectional study was conducted in Pokhara. The required sample size of the study was 200 nurses. We adopted self-administered questionnaire developed by International Labor Office, International Council of Nurses, World Health Organization (WHO), and Public Services International. Out of 21 hospitals of Pokhara, we selected five hospitals using simple random sampling method. The number of nurses in each hospital was fixed proportionately considering the total number of employed nurses. Individual nurses were selected on the first meet first basis to gain the required number. Results: Two-thirds (64.5%) nurses experienced some type of violence in the last six months at their workplace. The proportion of verbal violence was higher (61.5%) compared to the physical (15.5%) and sexual violence (9%). Most perpetrators of the violence were the relatives of patients and hospital employees. Age of nurses and working stations had statistically significant association with workplace violence (p-value < 0.05). Conclusions: Workplace violence among nurses is a noteworthy problem in Pokhara whereas nearly two-thirds of nurses faced some type of violence in last six months. It is an urge to widen awareness level of nurses on the violence thus, they can take precaution themselves and ask hospital administration and other stakeholders to address the workplace violence.


2019 ◽  
Author(s):  
Anteneh Tesfaye ◽  
Desta Hiko ◽  
Teshome Kabeta

Abstract Background Recent estimates from the World Health Organization suggest that pneumonia is responsible for 20% of deaths in the under-five age group, leading to 3 million deaths per year. Out of fifteen countries that have the highest death rate from clinical pneumonia in children younger than five-year-old, Ethiopia ranks as number four in the world. Objective To determine the prevalence and identify the associated factors of pneumonia among 2 -59 months old children in Gumay district, Jimma zone, 2017. Methods Community based cross sectional study was conducted in Gumay district from March 1- 26 /2017. Multi-stage sampling technique was used to proportionally draw 347 households from 5 selected kebeles. Pre-tested Interviewer administered structured questionnaire was employed to collect data from households. Health professionals were recruited in the survey as data collectors and supervisors. The data was entered to Epi-Data version 3 and then exported to SPSS version 20 for analysis. Result The prevalence of pneumonia in 2 to 59 months old children found to be 7.5%. a child 2-11 months of age(AOR = 3.17;95%CI 1.6,6.3; p-value= 0.024), Cooking place (AOR=5.7; 95% CI 1.83,18; p-value=0.004), living in houses with less than two windows (AOR= 3.18; 95% CI 1.07, 9.5; p-value =0.034), location of the child during cooking (AOR=5.15; 95%CI 1.6, 16.7; p-value= 0.008) and being not vaccinated (AOR=4.76, 95% CI;1.69, 13.37; p-value=0.003) were found to be significant associated with pneumonia among children 2 to 59 months of age in this study.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243022
Author(s):  
Simegnew Kibret ◽  
Diriba Teshome ◽  
Efrem Fenta ◽  
Metages Hunie ◽  
Tadese Tamire

Background The World Health Organization declared the outbreak of COVID-19 as a pandemic on 11 March 2020. Healthcare workers are directly involved in the prevention, diagnosis, treatment, and care of patients with COVID-19.This study aims to assess the prevalence of anxiety and its associated factors towards the COVID-19 outbreak among healthcare workers in a Hospital of Ethiopia. Methods A Hospital-based survey study was conducted on a total of 305 Healthcare workers in a Hospital of Ethiopia. Bivariable and multivariable logistic regression were used to analyze data between independent variables with anxiety. Variables with a p-value of <0.2 were transformed into multivariate analysis. Crude and adjusted odds ratios with 95% CI, p-values of <0.05 were used to show the strength of association and level of significance. Results The prevalence of CVID-19 anxiety was 63%. In multivariate logistic regression, age of 30–39 (AOR, 3.05; 95% CI, (1.70, 5.47) and age of ≥40 (AOR, 11.32; 95% CI (3.37, 37.98), being married (AOR, 3.56; 95% CI, (2.30, 6.38), having chronic illness (AOR, 3.43; 95% CI, (1.59,7.43), having suspected COVID-19 family members (AOR, 5.20; 95% CI, (2.11, 12.78), and not having an access to PPEs (AOR, 2.55; 95% CI, (1.43, 4.56) were statistically significantly associated with anxiety. Conclusion Being married, having a chronic illness, having suspected COVID-19 family members, not having access to PPEs, and age greater than or equal to 30 years were identified as risk factors for anxiety of Healthcare Workers towards COVID-19.


2019 ◽  
Vol 30 (14) ◽  
pp. 1436-1439
Author(s):  
Sofía Martina Ramis Fernández ◽  
Miguel Alsina-Casanova ◽  
Ana Herranz-Barbero ◽  
Victoria Aldecoa-Bilbao ◽  
Cristina Borràs-Novell ◽  
...  

Syphilis is currently an emerging health problem, especially in high-income countries. Infection rates have increased significantly in European countries such as the United Kingdom and Spain in the last 20 years. As a result we are now seeing an increase in maternal infection, acquired during pregnancy, with a high risk of transmission to the developing fetus, which is associated with adverse neonatal outcomes. Although the Spanish incidence of congenital syphilis is below the World Health Organization (WHO) elimination threshold (50/100,000) and health measures recommended by WHO have been achieved, congenital syphilis is still a social and public health problem. Antenatal care follow-up protocols are sometimes not accurate enough to uncover the infection during pregnancy and therefore to avoid consequences in the newborn. Infection during pregnancy may be missed if it occurs after the screening period. We report a case of severe congenital syphilis in order to emphasize that in the 21st century, fetal infection still occurs in developed countries, although it is easily preventable and treatable.


2021 ◽  
Author(s):  
Melkamu Senbeta Jimma ◽  
Fisha Alebel GebreEyesus ◽  
Ermias Chanie ◽  
Demek Mesfin Belay ◽  
Habtamu Bekele ◽  
...  

Abstract Introduction: Low birth weight (LBW) is birth weight less than 2.5 kg regardless of gestational age. The prevalence of low birth weight in developing countries is 16.5%. And it will help policy makers, health system planners, health care managers, and clinicians to perform evidence-based work and also help to contribute its own role to the achievement of World Health Organization goals by 2025. This study aims to assess low birth weight and its associated factors during the era of COVID 19 at Assosa General Hospital.Method: A hospital-based cross-sectional study was conducted from December 01, 2020 to February 01, 2021 at Assosa General Hospital. A total of 335 samples were selected. Allocation was performed using the systematic random sampling technique. Data were collected using a structured questionnaire through interview and chart reviewing. It’s checked for completeness and consistency. Then entered into Epi-Info and analyzed by using SPSS software version 22. First, descriptive analysis was carried out then, bivariate analysis was used to identify variables with p value of less than 0.25. Variables with p value < 0.25 were entered into multivariate logistic regression analysis was used and confounding effect was controlled. Finally, those variables with p-value < 0.05 were identified as significant determinants of LBW.Result: The response rate of this research was 100%. Based on this study, the prevalence of LBW was 11%. Variables like no antenatal care [(AOR = 9; 95% CI 1.2 –66)], fear of COVID19 is reason for Missed ANC follow up [(AOR = 9; 95% CI 1.2 –66)] and type of pregnancy [(AOR = 6.35; 95% CI 1.7 – 23)] were identified as significant factors for this study.Conclusion and Recommendations: The prevalence of LBW in the era of COVID 19 was 11%. The associated factors of low birth weight are no antenatal care visit (ANC) during pregnancy and pregnancy type. So, concerned bodies were recommended to do more and more on ANC follow-up.


Author(s):  
Sunitha T. ◽  
Prabhat G. ◽  
Kiran Kishore ◽  
Venu Madhavi L.

Background: Depression is a significant public health problem. It is estimated by the World Health Organization that more than 300 million people suffer from depression globally. Micronutrient deficiencies have been constantly linked to depression. The currently used drugs in treatment of depression modulate the excitatory and/or the inhibitory neurotransmission pathways through different mechanisms. The aim of the present study was to compare the antidepressant effect of the micronutrients, zinc and vitamin B6, as adjuvants to Fluoxetine in Albino Wistar rats.Methods: Eighteen albino wistar rats of 180-280grams of either sex were used in the study to evaluate the anti-depressant activity after approval from the Institutional Animal Ethics Committee. They were divided into three groups of six rats each (3 groups). Group 1 was control group which received only distilled water, group 2 was standard group which received fluoxetine and group 3 was test group which received zinc, vitamin B6 and fluoxetine. The anti-depressant activity was measured using the forced swimming test (FST) which works on the principles of behavioral despair. Data analysis was done using IBM SPSS software, version 25.0 and p value <0.05 was considered statistically significant.Results: The rats of the standard and test groups had latency periods’ means of 268.83±30.16, 126.17±22.33 and 125.33±11.86 on 254.83±13.00, 118.67±8.16 and 127.17±6.68 seconds on days 1, 7 and 14 respectively (p <0.001) and the rats of the standard and test groups had despair periods’ means of 177.00±7.46, 95.17±10.65, 93.17±7.47and 167.17±14.82, 97.33±7.63 and 87.50±4.1 seconds on days 1, 7 and 14 respectively (p <0.001).Conclusions: Supplementation of zinc and vitamin B6 to the standard treatment fluoxetine yielded better anti-depressant activity than fluoxetine alone in rats subjected to stress.


2020 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Fera Riswidautami Herwandar ◽  
Russiska Russiska ◽  
Intan Maharani Fakhrudin

Permasalahan kesehatan pada remaja yang menduduki persentasi terbesar dibanding yang lainnya adalah gangguan menstruasi. Gangguan pada siklus menstruasi (durasi perdarahan yang lebih lama dan ketidakteraturan siklus) disebabkan oleh beberapa faktor, salah satunya ialah stres. Stres diketahui sebagai faktor-faktor penyebab (etiologi) terjadinya gangguan siklus menstruasi. Stres akan memicu pelepasan hormon kortisol dimana hormon kortisol ini dijadikan tolak ukur untuk melihat derajat stres seseorang. Hormon kortisol diatur oleh hipotalamus otak dan kelenjar pituitari, dengan dimulainya aktivitas hipotalamus, hipofisis mengeluarkan FSH dan proses stimulus ovarium akan menghasilkan estrogen. Penelitian yang dilakukan oleh Pelayanan Kesehatan Peduli Remaja (PKPR) dibawah naungan World Health Organization (WHO) menyebutkan bahwa permasalahan remaja di Indonesia adalah seputar permasalahan yang mengenai gangguan menstruasi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019 sebanyak 41 responden. Analisis yang digunakan analisis univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil penelitian menunjukkan adanya hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan, dari 41 responden terdapat 18 (44%) responden yang mengalami stres sedang, pada siklus menstruasi yang tidak teratur terdapat 25 (61%) responden. Hasil uji rank spearman,  yakni p value = 0,01 (<0,05) yang ada hubungan antara tingkat stres dengan siklus menstruasi. Berdasarkan hasil penelitian penulis dapat menyimpulkan bahwa terdapat hubungan yang signifikan antara tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Bagi institusi Pendidikan khususnya Program Studi Diploma III Kebidanan diharapkan dapat membuat sebuah program edukasi mengenai manajemen stres pada remaja yang bisa dilakukan secara rutin di luar jadwal perkuliahan.  


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