Journal of Family Medicine and Primary Care最新文献

{"title":"Factors influencing adherence to dietary recommendations for type 2 diabetes mellitus and their impact on disease control: A cross-sectional study.","authors":"Harsh K Patel, Sumit V Unadkat, Bela A Patel, Dipesh V Parmar","doi":"10.4103/jfmpc.jfmpc_776_24","DOIUrl":"10.4103/jfmpc.jfmpc_776_24","url":null,"abstract":"<p><strong>Background and objectives: </strong>Diabetes is a chronic metabolic disease, with current estimates by the IDF (International Diabetes Federation) suggesting nationwide prevalence rates of 9.2% among Indians aged 20-79 years. An appropriate dietary pattern is widely accepted as a cornerstone of treatment among diabetes patients. However, motivating patients to achieve dietary self-care behaviors is challenging and requires ongoing efforts between patients and multidisciplinary teams. Therefore, the objectives of this study were to assess the level of adherence to the diet, to find out the association between dietary practices and disease profile, and to explore the reasons behind not adhering to the recommended diet.</p><p><strong>Methodology: </strong>The present cross-sectional study was conducted among type 2 diabetic patients visiting the NCD clinic in a tertiary care hospital and three CHCs in Jamnagar district. The final sample size was 450. A structured interview schedule containing sociodemographic profiles, details regarding diabetes mellitus, and dietary details was developed. Dietary assessment was done using the UKDDQ.</p><p><strong>Result: </strong>In a study of 450 participants, 44.88% were aged 61-70 years. The majority were Hindu (88%), with 69.3% residing in urban areas and 30.7% in rural areas. Using the UKDDQ dietary score, 71.55% had a healthy diet. This score was negatively correlated with BMI, HbA1c, and RBS. Factors such as family type, area of residence, family history of diabetes mellitus, duration of diabetes, mode of treatment, HbA1c, and complications of diabetes were significantly associated with the dietary score.</p><p><strong>Conclusion: </strong>The study found that poor dietary scores were linked to worse disease outcomes in type 2 diabetes. Identifying and addressing barriers to dietary adherence is crucial for improving outcomes and modifying recommendations accordingly.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5648-5654"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decoding morbidity patterns in ASHA workers of Vadodara, Gujarat - A cross-sectional study.","authors":"Grishma Chauhan, Neelabh Pankaj, Bhavna Dhakate, Kinjal Gadhavi, Niraj Pandit","doi":"10.4103/jfmpc.jfmpc_119_24","DOIUrl":"10.4103/jfmpc.jfmpc_119_24","url":null,"abstract":"<p><strong>Introduction: </strong>Accredited Social Health Activists (ASHA) play a pivotal role as village-level functionaries under the National Health Mission, driving community transformation, facilitating health planning, and ensuring access to healthcare services.</p><p><strong>Objectives: </strong>To assess the physical health status of ASHA workers and to investigate the prevalence of morbidities among ASHA workers.</p><p><strong>Material and methods: </strong>This is a cross-sectional study, conducted in Vadodara's east zone, and involves 123 ASHA workers. A questionnaire focusing on health profiles, encompassing age, weight, height, body mass index, and blood pressure, as well as histories of acute and chronic illnesses, was employed for data collection. Descriptive statistics were employed to summarize demographic and professional characteristics, and inferential statistics, such as Chi-square tests, were applied to assess associations and factors influencing the morbidity profile of the ASHA workers.</p><p><strong>Results: </strong>The participant's mean age was 38.9 ± 6.85 years. The majority, 74 (60.2%), of them reported no morbidity, whereas 40 (32.52%) had a chronic illness and 9 (7.32%) had acute morbidity at the time of visit. Among the chronic morbidity, 50% of ASHA had poly morbidity. Anemia was found among most ASHAs, 32 (26.02%), followed by diabetes, 19 (15.45%), and hypertension, musculoskeletal problems, thyroid disorders, and obesity were the other major diseases found among the ASHAs in 14.63%, 13.82%, 13.01%, and 11.38%, respectively. Skin problems like fungal infection and rashes were found among 5.69%. Based on body mass index, 27 (21.95%) were found overweight and 14 (11.38%) were obese.</p><p><strong>Conclusion: </strong>The study revealed a 32% chronic morbidity prevalence among ASHA workers who are taking care of citizens' health. It is high time to take care of our health team. First, they should be healthy as they are the role models of the community.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5484-5490"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution of extrapulmonary tuberculosis in CBNAAT samples received in a tertiary care hospital - A record-based study.","authors":"Soumyya Mondal, Anwesha Mandal, Sipra Saha, Partha Sarathi Chakrabarty, Piyali Datta, Debalina Das","doi":"10.4103/jfmpc.jfmpc_519_24","DOIUrl":"10.4103/jfmpc.jfmpc_519_24","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary tuberculosis (PTB) accounts for 85% of all reported tuberculosis cases globally. Extrapulmonary involvement can occur in isolation or along with a pulmonary focus as in the case of patients with disseminated tuberculosis (TB). EPTB can occur through hematogenous, lymphatic, or localized bacillary dissemination from a primary source, such as PTB and affects the brain, eye, mouth, tongue, lymph nodes of neck, spine, bones, muscles, skin, pleura, pericardium, gastrointestinal, peritoneum and the genitourinary system as primary and/or disseminated disease. Although pulmonary TB is the most common presentation, EPTB is also an important problem clinically. Cartridge-based nucleic acid amplification (CBNAAT) test has a well-documented role in diagnosing pulmonary tuberculosis.</p><p><strong>Aim: </strong>To determine the distribution of EPTB in various samples received for CBNAAT testing in our Institution.</p><p><strong>Methods: </strong>In this retrospective cross-sectional study, data of suspected EPTB patients were retrieved and analyzed from January 2020 to December 2022.</p><p><strong>Statistical analysis: </strong>All the statistical analyses were carried out using the Excel spreadsheet and Open-epi version 3.01 platform.</p><p><strong>Results: </strong>A total number of 1118(n) extrapulmonary samples were processed using GeneXpert MTB/RIF assay. Out of the 1118 received samples, (22%) were positive. Among the 249 positive samples, 55% samples were received from the female patients and 45% samples received from the male patients. We found that most MTB positive samples were from this age group (i.e. 21-30). Most common sample received for processing was Lymph node aspirate accounting to 37% followed by pleural fluid (30%), pus (8%) and gastric lavage amounting for 4% along with other miscellaneous samples making up the others to 21%. Out of 249 MTB detected samples, 47% were from lymph node aspirate, 13% from pleural fluid, 12% from pus, 3% from gastric lavage and 25% from other samples. We noted that the majority of the positive cases were rifampicin sensitive (97.68%).</p><p><strong>Conclusion: </strong>Results of our study suggest that younger age (third decade of life) and female gender may be independent risk factors for EPTB. In developing countries, the prevalence of EPTB is relatively lower than PTB but still it is an important cause of morbidity and mortality. Thus, early diagnosis and initiation of appropriate treatment are important for reducing the case load. Women especially should be investigated thoroughly for EPTB and BCG vaccination should be encouraged.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5704-5707"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An analysis on role of iron deficiency in febrile seizure among children in 6 months to 5 years: A case-control study.","authors":"Haridev Sankar, Vanishree Shriram, Sivaprakasam Elayaraja","doi":"10.4103/jfmpc.jfmpc_520_24","DOIUrl":"10.4103/jfmpc.jfmpc_520_24","url":null,"abstract":"<p><strong>Background for the study: </strong>This study looks into the relationship between febrile seizures in children between the ages of 6 months to 5 years who suffer from iron insufficiency. Febrile seizures, which are common in early life, are associated with abrupt temperature increases, and iron deficiency impacts neurological development in young infants. Understanding this relationship would lead to interventions that mitigate febrile seizure impact.</p><p><strong>Aim: </strong>To investigate the link between iron deficiency and febrile seizures in children between the ages of 6 months and 5 years.</p><p><strong>Method: </strong>A \"retrospective case-control study\" of 300 cases and 300 controls, including demographic, seizure, and laboratory data, was conducted. Descriptive statistics were computed using \"Chi-square tests for proportions\" and \"<i>t</i>-tests for means\" with <i>P</i> ≤ 0.05 as the level of significance.</p><p><strong>Result: </strong>Significant findings emerged, including a notably younger mean age among cases (1.75 years) compared to controls (2.93 years). Cases showed higher rates of upper respiratory tract infections (3.7% vs. 0.3% in controls) and lower occurrences of viral febrile illnesses. Notably, cases had a lower prevalence of non-vegetarian diets and a higher incidence of family histories related to seizures. \"Iron deficiency anemia\" was more common in these instances, evident in blood parameters, alongside increased WBC counts. Recurrent seizures correlated with a lower mean RBC count (<i>P</i> = 0.01).</p><p><strong>Conclusion: </strong>The study confirms the link between \"iron deficiency anemia\" and \"febrile seizures\" among young children. Addressing iron deficiency emerges as a critical modifiable factor in potentially reducing the occurrence and impact of severe seizures, emphasizing the necessity of proactive efforts in pediatric treatment programs.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5562-5569"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis and trends of caesarean sections using Robson's classification over 7-year period at a rural teaching hospital.","authors":"Mahathi Nadella, Shyam S Maila, Indira Nagelli, Kalpana Basany","doi":"10.4103/jfmpc.jfmpc_516_24","DOIUrl":"10.4103/jfmpc.jfmpc_516_24","url":null,"abstract":"<p><strong>Background: </strong>A ten-group classification system of caesarean section was proposed by Michael Robson in 2001. It is helpful in comparing the rates of caesarean section between hospitals. The objective of this study was to determine the caesarean section rates to analyse trends of caesarean section and classify according to Robson's categories.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from 2016 to 2022. A total of 3176 women who underwent caesarean section were grouped under Robson's ten-group classification system.</p><p><strong>Results: </strong>The most common group was Group 5 (All multiparous women with at least one previous uterine scar, with single cephalic pregnancy, ≥37 weeks gestation) followed by Group 2 (Nulliparous women, with single cephalic pregnancy, >37 weeks gestation who either had labour induced or were delivered by caesarean section before labour). Results were obtained for the specified period (from 2016 to 2022), and Group 5 contributes more to the total CS rates (45% in 2016, 46% in 2017, 46% in 2018, 57% in 2019, 49% in 2020, 52% in 2021, 54% in 2022), followed by Group 2 (20% in 2016, 17% in 2017, 18% in 2018, 19% in 2019, 26% in 2020, 24% in 2021, 24% in 2022).</p><p><strong>Conclusion: </strong>Pregnant women with prior uterine scars contribute more to caesarean section rates according to Robson's categories. Hence, strategies must be implemented to lower the primary caesarean section rates.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5550-5554"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The elderly population's social networks and HIV perceptions: Evidence from China.","authors":"Jie Shen, Junfang Xu","doi":"10.4103/jfmpc.jfmpc_651_24","DOIUrl":"10.4103/jfmpc.jfmpc_651_24","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Previous studies have found that people with low participation in social activities and living alone were prone to have risky sexual behaviors, while people with high participation in social activities were less prone to have risky sexual behaviors. Based on the above assumptions, we conducted an analysis on elderly population's social networks and human immunodeficiency virus (HIV) risky behaviors in China. In the survey study, considering the sensitivity of sexual behavior, HIV risk behavior of the elderly population is more difficult to measure, so the intermediate variable of HIV perceptions was used instead of the sexual behavioral variable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional study was conducted in July to September 2023 among the elderly aged ≥ 50 years in China to measure the social networks with the Social Support Rate Scale (SSRS) and to measure the HIV perceptions of the elderly with the degree of knowledge of acquired immunodeficiency syndrome (AIDS) prevention and treatment and the degree of discrimination of HIV/AIDS patients, and the data were statistically analyzed with SPSS 27.0 software. Statistical analysis methods included descriptive analyses such as frequency, percentage, mean ± standard deviation, and median, two independent samples &lt;i&gt;t&lt;/i&gt;-test analysis, and multivariate logistic regression model analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among the 1022 elderly people surveyed, the proportion of those with weak and strong levels of social support was 46.9% and 53.1%, respectively; the proportion of those with low, medium, and high levels of HIV knowledge perceptions was 4.8%, 5.9%, and 89.3%, respectively; and the proportion of those with low, medium, and high levels of attitudinal perceptions was 24.7%, 35.0%, and 40.3%, respectively. Based on the Goodman-Kruskal Gamma test, it was found that there was a positive correlation between social support and HIV knowledge perceptions in the elderly population, and there was a negative correlation between social support and HIV attitudinal perceptions in the elderly population. Ethnicity, current occupation or pre-retirement occupation, personal average after-tax monthly income, attitudinal perceptions, and social support were the influencing factors for the knowledge perceptions in the elderly population (&lt;i&gt;P&lt;/i&gt; &lt; 0.05); literacy, number of children, mode of residence, personal average monthly income after tax, knowledge perceptions, and social support were the influencing factors of attitudinal perceptions in the elderly population (&lt;i&gt;P&lt;/i&gt; &lt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;There is a correlation between social networks and HIV perceptions in China's elderly population, which is positively correlated with HIV knowledge perceptions and negatively correlated with HIV attitudinal perceptions, and it is important to improve the HIV prevention and knowledge of the elderly population and reduce their HIV-related discriminati","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5575-5583"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child.","authors":"Dinkar Yadav, Geeta Gathwala, Anita Saxena, Kapil Bhalla","doi":"10.4103/jfmpc.jfmpc_548_24","DOIUrl":"10.4103/jfmpc.jfmpc_548_24","url":null,"abstract":"<p><p>Involvement of the heart in children with tuberculosis (TB) generally affects the pericardium; however, the myocardium of a child being affected alone and leading to systolic heart dysfunction has rarely ever been reported. We report a case of a 12-year-old child who presented to Pediatric Emergency Services with severe hypotension (BP <5^th percentile for the age) and was subsequently diagnosed with severe left ventricular (LV) dysfunction, with an ejection fraction of less than 15%. During the hospital stay, after an exhaustive workup, the child was diagnosed with pulmonary TB with tubercular myocarditis. The child was managed with anti-tubercular treatment (ATT) and was followed up regularly for monitoring of ejection fraction with echocardiography. The LV systolic function improved, with the ejection fraction increasing to 55%-60% at 3 months. The child is still on regular follow-up, has completed 6-month course of ATT, and is doing well.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5924-5926"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception and attitude of the general population toward Alzheimer's disease in eastern region, Saudi Arabia.","authors":"Hassan Alradi, Hassan Mohammed Alturaiki, Mohammed Ameen Alali, Nora Almuslim","doi":"10.4103/jfmpc.jfmpc_1019_24","DOIUrl":"10.4103/jfmpc.jfmpc_1019_24","url":null,"abstract":"<p><strong>Objectives: </strong>To measure the awareness of AD among the general population of Eastern Province, Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the Eastern Province of Saudi Arabia from October to November 2023. The data was collected using an online questionnaire.</p><p><strong>Results: </strong>A total of 614 eligible participants completed the study questionnaire. Among those surveyed, 99.3% had heard about Alzheimer's disease (AD), while 96.1% associated it with memory loss. Additionally, 91.5% recognized that individuals with AD face risks when driving, 91.5% believed they could not independently handle their financial matters, 85.7% thought they could not make health-related decisions on their own, and 85.5% believed they could still participate in sports.</p><p><strong>Conclusion: </strong>The research results challenge our initial hypothesis by revealing significant AD awareness in Eastern Province, Saudi Arabia, largely attributed to internet-based health information. Despite this, there is a need to improve public attitudes toward Alzheimer's patients, highlighting the importance of enhanced education and better communication between healthcare professionals and the public.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5752-5757"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating herpes simplex encephalitis: Family medicine perspectives from Jharkhand, India.","authors":"Amit Kumar Patel, Ashok Kumar Sharma, Kumari Seema, Abhay Kumar, Manju Boipai, Rishi Tuhin Guria, Upendra Prasad Sahu, Manoj Kumar","doi":"10.4103/jfmpc.jfmpc_696_24","DOIUrl":"10.4103/jfmpc.jfmpc_696_24","url":null,"abstract":"<p><strong>Background: </strong>Herpes simplex encephalitis (HSE), caused by herpes simplex virus (HSV) is the most common cause of sporadic encephalitis that often presents as an emergency case of acute or sub-acute nature associated with poor prognosis. Early suspicion and prompt diagnostic testing with adequate antiviral therapy can only reduce morbidity and mortality associated with the disease. This study aims to evaluate the role of serological and molecular diagnosis of encephalitis caused by HSV 1 and 2 for timely detection of the disease.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at the Department of Microbiology, Rajendra Institute of Medical Science, Ranchi, from April 2021 to September 2022. Cerebrospinal fluid (CSF) samples were collected and processed for the detection of HSV DNA by polymerase chain reaction (PCR) as well as serum samples were collected from those patients and were processed for the detection of IgM by ELISA.</p><p><strong>Results: </strong>A total of 188 CSF samples were collected, out of which 4 HSV-1 and 1 HSV-2 samples were found to be positive by conventional PCR. 36 samples were positive for HSV-1 and 2 IgM ELISA. 26.06% of cases belonged to patients between 0 and 10 years of age followed by 17.06% in 51-60 years age groups.</p><p><strong>Conclusion: </strong>PCR is the optimal diagnostic test, but the sample must be collected in the early stages of the disease. Diagnosis by PCR assay of CSF samples targeting HSV DNA is the best confirmatory test at hand for early detection and also helps in estimating the incidence of herpes simplex virus encephalitis.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5604-5608"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating oral health status in elderly Irula tribes of Tamil Nadu by using the Geriatric Oral Health Assessment Index.","authors":"Margret Beaula Alocious Sukumar, Roshni Mary Peter, Alex Joseph","doi":"10.4103/jfmpc.jfmpc_1061_24","DOIUrl":"10.4103/jfmpc.jfmpc_1061_24","url":null,"abstract":"<p><strong>Introduction: </strong>Oral diseases are a significant global health issue, with over 3.5 billion cases worldwide. Caries and periodontitis are primary contributors to tooth loss, which not only incurs significant rehabilitation costs but also profoundly affects overall well-being. Tribal communities represent a notable indigenous segment, comprising 8.6% of India's total population, primarily concentrated in the central and western regions. This study assesses the oral health-related quality of life (OHRQoL) among the elderly Irula population by using the Geriatric Oral Health Assessment Index (GOHAI).</p><p><strong>Methods: </strong>A cross-sectional research was undertaken in the Irula settlements of Thiruvallur district, Tamil Nadu, focusing on inhabitants over 60 years who had lived there for at least 6 months. People who were chronically ill or who refused to agree were excluded. Data were gathered using a questionnaire that included demographic information, economic status, personal habits, and health issues. OHRQoL was evaluated using the GOHAI, and descriptive statistics such as range, mean, and standard deviation (SD) for continuous variables were used. To account for possible confounders such as age, education, and socioeconomic status, multivariate analysis was performed using logistic regression.</p><p><strong>Results: </strong>This study results comprised mostly females (76.4%) and individuals aged 60-64 years (44.8%). Most participants were Hindu (94.1%), married (72.5%), and illiterate (61.9%). A majority lived in nuclear families (87.6%) and were agricultural laborers (60.0%). Many participants never experienced limitations in eating due to dental issues (64.0%). Gender, education, and physical comorbidities significantly influenced OHRQoL, with females and those with higher education reporting better quality of life.</p><p><strong>Conclusion: </strong>The study underscores the significant impact of oral health on the quality of life among the elderly Irula population. Factors such as gender, education, and physical comorbidities play crucial roles in OHRQoL. The findings highlight the need for targeted oral health interventions and further research to address disparities and improve oral health outcomes in this underserved population.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5799-5804"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}