Journal of Family Medicine and Primary Care最新文献

{"title":"Does remote COVID infection in pregnancy affect the placenta and pregnancy outcomes? - Results from a prospective cohort study (PLACENTA IN COVID/ PIC study).","authors":"N D Varunashree, Sherin Daniel, Swati Rathore, Mahesh Moorthy, Bijesh Yadav, Manisha M Beck","doi":"10.4103/jfmpc.jfmpc_1894_23","DOIUrl":"10.4103/jfmpc.jfmpc_1894_23","url":null,"abstract":"<p><strong>Objectives: </strong>To study the rates of abnormal placentae and associated adverse perinatal outcomes in pregnant women who had COVID 19 infection during pregnancy, remote from delivery. To study the histopathological findings associated with these abnormal placentae.</p><p><strong>Methods: </strong>A prospective cohort study was carried out, recruiting pregnant women with singleton gestation, who had COVID 19 infection during their pregnancy, remote from delivery between August 2021 to July 2022. Ethics approval was obtained by the Institutional Review Board. Abnormal placentae were identified as those with weight <10th centile and associated histopathological findings were noted . Rates of SGA (small for gestational age) babies and stillbirths were recorded. The data was analyzed using Statistical Package for Social Sciences (SPSS) v 25.</p><p><strong>Results: </strong>Most of the 67 women in our cohort, had mild forms of COVID 19. Half had had infection in their second trimester. Among those infected in the third trimester, 93% were symptomatic. Gestational Diabetes was the most common associated medical condition. . Abnormal placentae were seen in 40%(n=27) of women. Half of these (15) were associated with SGA babies . Distribution of medical co morbidities was comparable among those with abnormal and healthy placentae. Most, 84%, SGA babies were born to mothers who had COVID <28 weeks GA.</p><p><strong>Conclusion: </strong>There is a small but significant risk of SGA babies being born to women who had COVID at<28 weeks, irrespective of medical comorbidities. Close monitoring of these pregnancies is, hence warranted.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5512-5517"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949981","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":"HIV status of three mining districts of a tribal state in India: Evidence from ICTC data.","authors":"Ratnesh Sinha, Rozy Raj, Jai Ranjan, Sumegha Rana, Rachna Sharma, Ravi Ranjan Jha, Dewesh Kumar, Umesh Kumar Ojha, Rishabh Kumar Rana","doi":"10.4103/jfmpc.jfmpc_729_24","DOIUrl":"10.4103/jfmpc.jfmpc_729_24","url":null,"abstract":"<p><strong>Background: </strong>Integrated Counselling and Testing Centre (ICTC) diagnose HIV and STIs early, modifies behavior, reduces vulnerability, and data helps in understanding transmission. Despite having low HIV prevalence, Jharkhand is vulnerable. Post Covid19, HIV has increased. This study examined the prevalence of HIV at ICTC facilities in three mine rich districts of Jharkhand and HIV prevalence as per age, geography, regional, and consequences were examined.</p><p><strong>Methods: </strong>Secondary data analysis was done for 2019-2022 accessible data of ICTC. Totally, 51,062 individual data were examined. Data analysis comprised parametricity testing while data was entered on Excel spreadsheet. Data were summarized using central tendency assessments and Chi-square tests. Logistic regression assessed HIV-positive outcomes and independent variables. <i>P-</i>value < 0.05 was statistically significant. SPSS 29.0 was used for data analysis.</p><p><strong>Results: </strong>Over three years, we recorded 51,508 occurrences, 69% of which were female (35241). Both male and female participants had mean ages of 35.93 ± 14.92 and 27.89 ± 10.67 years, respectively. We found 1.19% HIV prevalence (504/42818) in the ICTC test data. The odds ratio (OR) for HIV positivity was greater in males (3.49, 95% CI: 2.92-4.18) compared to females. HIV prevalence in District Giridih was 4.2% (3.42%-5.26%) with a high risk of HIV positivity (OR 4.24, 95% CI 3.42-5.26). A drop in HIV testing occurred during the COVID-19 lockdown.</p><p><strong>Conclusions: </strong>Since females are flooding ICTC, more targeted interventions, especially for younger women, are needed. Despite their lower numbers, men are at higher risk for HIV.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5812-5817"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950099","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":"How depression impacts on road traffic accidents among older adults and elderly Indians: Evidence from large scale nationally representative survey.","authors":"Pritam Halder, Immanuel Joshua, Sayan Saha, Abhinav C S Kolachala, Risha Gupta, Anshul Mamgai, Sukhmeen Kaur, Ankita Chattopadhyay, Saumyarup Pal, Sayani Bisoi, Shivani Rathor","doi":"10.4103/jfmpc.jfmpc_973_24","DOIUrl":"10.4103/jfmpc.jfmpc_973_24","url":null,"abstract":"<p><strong>Introduction: </strong>With increased urbanization the prevalence of important public health problems like road traffic accidents (RTA) and depression are surging. This study was aimed to determine the association between RTA and depression among Indian population aged ≥45 years.</p><p><strong>Methods: </strong>Using Longitudinal Aging Study in India (LASI) dataset (April 2017-December 2018), we have conducted this study among older adults (45-59 years) and elderly (≥60 years) Indians. Bivariate analysis was conducted to estimate the prevalence of RTA and depression nationally and across aspirants, achievers, and front runner states. Multivariable logistic regression was conducted between RTA and depression, adjusted with demographic and socioeconomic; health related and behavioral factors. <i>P</i> value <0.05 was considered as statistically significant.</p><p><strong>Results: </strong>Prevalence of RTA was 1.84 (1.74-1.94)% nationally, highest among achiever states (2.04 (1.82-2.30)%). Prevalence of depression was 6.08 (5.90-6.26)% nationally, highest among aspirant states (7.02 (6.74-7.30)%). The adjusted odds of having accident was significantly 1.75 times higher among depressed (aOR 1.75, 95% CI 1.44-2.13) than non-depressed participants which was highest across front runners (aOR 1.86, 95%CI 1.26-2.72) followed by aspirant states (aOR 1.79, 95%CI 1.37-2.33).</p><p><strong>Conclusion: </strong>This study established the association between depression and road traffic accidents among older adults and elderly. Therefore, efforts must be taken to address mental health issues specially focusing on depression in them with proper policy implication more focused on front runners followed by aspirant states.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5720-5729"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950101","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":"Assessment of satisfaction of using socially marketed health consumables at government settings among beneficiaries in a rural area of Hooghly District, West Bengal.","authors":"Aditi Sur, Bobby Paul, Lina Bandyopadhyay, Monalisha Sahu, Rivu Basu, Ankush Banerjee","doi":"10.4103/jfmpc.jfmpc_751_24","DOIUrl":"10.4103/jfmpc.jfmpc_751_24","url":null,"abstract":"<p><strong>Introduction: </strong>India is committed to achieving universal health care for all by 2030. The objective of social marketing is to promote public health and its goal is to improve health for all, but there are some challenges like irregular availability, quality issue, inadequacy of marketing causes under- utilization of the government supplied health consumables.</p><p><strong>Objectives: </strong>Present study aims to find out the usage pattern and assess the perceived satisfaction level of beneficiaries of using various socially marketed health consumables at government settings and explore the perception of healthcare personnel regarding barriers to its usage in a rural area of India.</p><p><strong>Materials and methods: </strong>A community-based, Mixed-Methods study (Convergent parallel design) was done in the service area of the Rural Health Unit and Training Centre (RHU&TC), Singur of Hooghly district, West Bengal, between January 2023 and December 2023, where the quantitative component was carried out by face-to-face interview among 150 beneficiary household respondents selected by two-stage cluster sampling; and qualitative component was done by 4 Key informant interviews (KII) among healthcare personnel (medical officer, public health nurse, pharmacist). Statistical data were analyzed by descriptive statistics using SPSS 16 version and Microsoft Excel for the quantitative part, and thematic analysis was done for the qualitative part. Institutional Ethics Committee clearance was obtained.</p><p><strong>Results: </strong>Ever use of government-supplied contraceptives like Chhaya (Ormeloxifene), Antara (Injectable contraceptive), emergency contraceptive pills, and intrauterine contraceptive devices (IUCD) was done by only 15.3%, 10.7%, 7.3%, 32% of eligible beneficiary households, respectively. The major reasons cited for irregular use were unawareness of availability of the products (Chhaya = 76.3%, Antara = 64.9%, EC pills = 46.7%), poor faith regarding quality (Male condom = 40%, Generic medicines = 70%), inadequate promotion (IUCD = 53.9%). The majority of users of male condoms (90%), IFA tablets (52.9%), ORS (51.1%), and generic medicines (55.7%) were not satisfied after using those products. Key informant interviews among healthcare personnel revealed avoidance of using modern contraceptive methods and frequent unavailability of some socially marketed health consumables were the predominant causes of reduced uptake of those products by beneficiaries.</p><p><strong>Conclusions: </strong>Proper social marketing strategies, adequate promotion, regular awareness campaigns, and tailored training of field healthcare workers are required to improve the acceptability, availability, and marketing of these health consumables.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5634-5642"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950114","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":"Postpartum depression in Gujarat, India: Associations with social support, breastfeeding attitudes, and self-efficacy.","authors":"Bhumika Surati, M Yogesh, Raza Munshi, Roshni Vamja","doi":"10.4103/jfmpc.jfmpc_816_24","DOIUrl":"10.4103/jfmpc.jfmpc_816_24","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression (PPD) is a significant public health concern with detrimental effects on maternal and child well-being. Social support, breastfeeding attitudes, and self-efficacy have been identified as potential protective or risk factors for PPD. This study aimed to investigate the associations between PPD, social support, breastfeeding attitudes, and self-efficacy among postpartum women in Gujarat, India.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 403 postpartum women in Gujarat, India. Data on sociodemographic characteristics, obstetric factors, PPD (assessed using the Edinburgh Postnatal Depression Scale), social support, breastfeeding attitudes, and self-efficacy were collected through structured interviews. Bivariate and multivariate logistic regression analyses were performed to examine the associations between PPD and the independent variables.</p><p><strong>Results: </strong>The prevalence of PPD in the study population was 50.1% (n = 202), with 28.8% (n = 116) experiencing mild depression, 16.6% (n = 67) moderate depression, and 4.7% (n = 19) severe depression. Lower educational level (n = 120, 29.8%; AOR: 1.72, 95% CI: 1.04-2.85), lower socioeconomic status (n = 242, 60%; AOR: 1.84, 95% CI: 1.12-3.02), non-exclusive breastfeeding (n = 167, 41.4%; AOR: 1.68, 95% CI: 1.11-2.54), low social support (n = 101, 25.1%; AOR: 2.51, 95% CI: 1.57-4.02), and a history of depression (n = 93, 23.1%; AOR: 2.94, 95% CI: 1.82-4.75) were significantly associated with higher odds of PPD in the multivariate analysis. In addition, negative breastfeeding attitudes and low self-efficacy levels were associated with increased odds of PPD.</p><p><strong>Conclusions: </strong>The findings highlight the significant associations between PPD and various sociodemographic, obstetric, and psychosocial factors among postpartum women in Gujarat, India. Interventions targeting social support, breastfeeding attitudes, and self-efficacy, as well as targeted support for women with identified risk factors, may help mitigate the burden of PPD and promote maternal well-being.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5689-5696"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950116","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":"Tele-medicine and its impact on academic medical centers: A narrative review.","authors":"Bob Weng, Reid Morrissey, Maryam Zafar, Sameed Siddiqui, Bradley DeVrieze, Ali B A Jabbar, Mohsin Mirza, Akshat Sood, Abubakar Tauseef","doi":"10.4103/jfmpc.jfmpc_886_24","DOIUrl":"10.4103/jfmpc.jfmpc_886_24","url":null,"abstract":"<p><p>Telemedicine is a potential complementary modality with remarkable benefits for future healthcare delivery when incorporated appropriately. This review article examines the importance of telemedicine in various types of healthcare facilities and its utility in remote and underserved settings. PubMed, Google Scholar, Scopus, and Embase databases were used for the literature review. The terminologies commonly searched were \"Telemedicine\", \"Academic\", \"Medical Centers\", and \"Prospective\", resulting in a total of 12 articles spanning the past 20 years. All articles included in the study suggest that telemedicine can play a significant role in elective, outpatient, inpatient, and urgent care, including emergencies, particularly for patients living in rural or underserved areas.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5472-5475"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950122","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":"Prevalence of peripheral neuropathy in children with transfusion-dependent thalassemia: A hospital-based cross-sectional study.","authors":"Aniruddha Rathore, Mukesh Dhankar, Sharmila B Mukherjee, Suvasini Sharma, Shailaja Shukla, Piali Mandal","doi":"10.4103/jfmpc.jfmpc_289_24","DOIUrl":"10.4103/jfmpc.jfmpc_289_24","url":null,"abstract":"<p><strong>Background: </strong>Our study aimed to determine the prevalence of Peripheral Neuropathy (using nerve conduction studies (NCS)) in children with transfusion-dependent thalassemia aged between 5 to 18 years and to study its correlation with chronic anemia, ferritin levels, chelation status, annual transfusion requirement, deficiency of serum Vitamin B12, and Folate levels.</p><p><strong>Methods: </strong>In this hospital-based cross-sectional study, 100 eligible children were enrolled in a tertiary care teaching hospital in New Delhi, India. Neurological examinations focusing on peripheral neuropathy followed by NCS were performed on all the patients. Age-wise cutoff values outside of 2.5 SD of normal were taken as abnormal.</p><p><strong>Results: </strong>None of the children had clinical features of peripheral neuropathy, although 77% had abnormalities in NCS. Of these, 33% had pure motor nerve changes, 7% had pure sensory nerve changes, 1% had abnormal F responses, and 26% had mixed nerve changes. These changes correlated significantly with chronic anemia and duration of iron chelation but not with other factors.</p><p><strong>Conclusion: </strong>In children with transfusion-dependent thalassemia who do not exhibit any neurological signs or symptoms, however, it is not uncommon to observe abnormal NCS at an average hemoglobin (Hb) level of less than 9.5 g/dl. Further comprehensive case-control studies are necessary to determine if a more specific Hb target range of 9.5 to 10.5 g/dl is appropriate and to investigate the potential impact of chelation therapy on these changes.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5847-5852"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950134","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":"How the development of chronic morbidity and multimorbidity depends on natural age of menopause: Results from nationally representative cross-sectional Indian study.","authors":"Pritam Halder, Shubham Kansal, Kartik Chadhar, Aswani Seth, Semanti Das, Saumyarup Pal, Anamika Das, Dheenadhayalan Vijayakumar","doi":"10.4103/jfmpc.jfmpc_475_24","DOIUrl":"10.4103/jfmpc.jfmpc_475_24","url":null,"abstract":"<p><strong>Background: </strong>Multimorbidity development is linked with the age at menopause. Fewer studies are available to support the findings. This study was conducted to find, how multimorbidity is associated with the natural age of menopause.</p><p><strong>Methodology: </strong>LASI-1, a longitudinal study, collected detailed information on the psychological, social, economic, and health aspects of aging in India. Wave-1 data collection was done in all 35 states and union territories in India. Baseline data was collected from year 2017-2019. As the current study was a secondary data analysis to find the association between multimorbidity and age of menopause, only eligible women's relevant data was analyzed.</p><p><strong>Results: </strong>A total of 25,256 women were analyzed, 67.8% of participants had at least one comorbidity. The mean age was 58.5 ± 10.17 years. 57.04% and 13.45% women had optimal or suboptimal menopause, while 7.4%, 17.5%, and 4.4% had premature, early, and delayed menopause. A significant association was found for the presence of multimorbidity and premature (AOR 1.19 (1.07-1.32)), early menopause (AOR 1.18 (1.10-1.27)), and optimal age of menopause (AOR 0.83 (0.78-0.88)).</p><p><strong>Conclusion: </strong>There is a high burden of multimorbidity and it is associated with the natural age of menopause. This study would be helpful for effective policymaking and a better primary healthcare approach to deal with the condition.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5527-5535"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950102","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":"Study of pattern of lipid profile amongst type II diabetic patients of two major tribal populations of Tripura.","authors":"Sagar Samrat Debbarma, Arunabha Dasgupta, Atanu Ghosh, Kanak Choudhury, Prithvijit Kole, Sonali Paul, Brainist Kalai, V Saikumar","doi":"10.4103/jfmpc.jfmpc_1625_23","DOIUrl":"10.4103/jfmpc.jfmpc_1625_23","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Diabetic population are at an increased risk of developing dyslipidemia and other cardiovascular complications. The study was performed to evaluate the lipid profile parameter in the diabetic population among the ethnic tribal community of Tripura and calculate the risk of cardiovascular events. The tribal community was chosen as the study population because their lifestyle, food habits, culture and housing practices are different from people living on the plains. There are 19 indigenous tribes and among them, two major tribes are the Tripuris and Reangs. These two communities were selected for the study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims and objectives: &lt;/strong&gt;To estimate the lipid profile parameters in the diabetic population of the two major tribal communities of Tripura and determine the correlations of lipid profile parameters with HbA1c.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;The study was an observational analytical study. A total of 90 study subjects were selected by calculating the sample size and 90 controls were also chosen. All diabetic study subjects underwent lipid profile analysis along with other necessary investigations after having proper informed consent. Also, 90 controls had lipid profile analysis performed along with blood sugar estimation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In this study, 63 subjects were from the Tripuri population and the rest 27 were from the Reang community. A total of 48 subjects were male and 42 were female. The mean age of the study population was 56.99 ± 9.97 years. Also, 31.1% of the study population was found to be having dyslipidemia and this finding was statistically significant. Risk calculation of dyslipidemia revealed that the diabetic population was 2.25 times more prone to developing dyslipidemia than the non-diabetic population. There was a positive correlation of HbA1c with low-density lipoprotein (LDL), serum triglyceride and serum cholesterol (TC) levels and these correlations were statistically significant. However, there was a negative correlation of HbA1c with high-density lipoproteins (HDL). Also, 75% of the study population was hypertensive and this finding was also statistically significant. Obesity was also an important risk factor and the association of BMI with HbA1c in the study population was statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;In all, 31.1% of the diabetic population amongst the two tribal communities was found to have dyslipidemia and this finding was statistically significant. Gender did not influence the development of dyslipidemia in diabetics and neither did the age of the study population. The duration of diabetes mellitus too had no statistically significant relationship. There exists a positive correlation of HbA1c values with LDL, triglycerides and cholesterol values indicating that uncontrolled DM is associated with dyslipidemia. HDL had a negative correlation. The ratio of TC/HDL and LDL/HDL showed that this study population ","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5476-5483"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950121","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":"Association of anemia with poor housing quality among older Indian adults: Multilevel modeling analysis of nationally representative cross-sectional study in India.","authors":"Pritam Halder, Jaya Tiwari, Shivani Rathor, Saumyarup Pal, Anshul Mamgai, Riya Biswas, Abin K Rajan, Anamika Soni, Manish Chandra Prabhakar","doi":"10.4103/jfmpc.jfmpc_556_24","DOIUrl":"10.4103/jfmpc.jfmpc_556_24","url":null,"abstract":"<p><strong>Introduction: </strong>Anemia is an important public health disorder. There is a significant chunk of India's population residing in poor housing quality with inadequate sanitation and hygiene, which might lead to higher anemia prevalence. The objective was to determine the association between anemia with poor housing quality among the older Indian adult population (≥45 years) as per residence.</p><p><strong>Methods: </strong>This study analyzed the nationally representative dataset of the Longitudinal Ageing Study in India (LASI 2017-18, Wave-1). Bivariate analysis and logistic regression were conducted to show the association of anemia (outcome variable) with poor housing quality (explanatory variable). Multivariable logistic regression was conducted by adjusting for covariates as per their models. <i>P</i> value <0.05 was considered statistically significant. STATA version 17 was used for analysis.</p><p><strong>Results: </strong>Our study found that higher adjusted odds of having anemia among older Indian adults were observed among participants with overcrowding (AOR 1.30, 95%CI 1.19-1.42), having access to open/nonsanitary toilet facility (AOR 1.56, 95%CI 1.41-1.72), no electric supply (AOR 1.31, 95%CI 1.12-1.53), and overall poor housing quality (AOR 1.34, 95%CI 1.21-1.48). All of these associations were even higher in urban areas except for having access to open/nonsanitary toilet facilities, which was much higher in rural areas (AOR 1.61, 95%CI 1.45-1.79).</p><p><strong>Conclusion: </strong>Through a nationally representative large dataset, this study generated compelling evidence despite several obstacles indicating a positive association between anemia and poor housing quality among older Indian adults. It might raise awareness and assist individuals in steering clear of the negative effects of overcrowding, using open/nonsanitary toilet facilities, lack of electric supply, and overall housing quality on anemia status. It is advised to conduct additional research to determine temporality and causation.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5584-5593"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949773","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}