Awareness Rate Research Articles

Prevalence, awareness, treatment, and risk factor control of high atherosclerotic cardiovascular disease risk in Guangzhou, China.

Identifying individuals at high risk of atherosclerotic cardiovascular disease (ASCVD) and implementing targeted prevention strategies might be the key to reducing the heavy disease burden in China. This study aimed to evaluate the prevalence, awareness, treatment, and risk factor control among individuals with high 10-year ASCVD risk in Guangzhou, China. This study included 15,165 adults (aged 18 years and older) from 138 urban and rural communities in the 2018 survey of China Chronic Disease and Risk Factors Surveillance in Guangzhou. 10-year ASCVD risk was estimated using the risk assessment models recommended in the Chinese Guideline for the Prevention of Cardiovascular Disease 2017. The prevalence, awareness, treatment, and risk factor control of high ASCVD risk (defined as 10-year risk ≥10%) were examined. Among the study population, the weighted proportion of men was 51.9%, and the mean age was 41.27 ± 0.52 years. The overall standardized prevalence of high 10-year ASCVD risk was 13.8% (95% CI, 12.4%-15.3%). The awareness rates for hypertension, diabetes, and hyperlipidemia were 48.0% (95% CI, 42.8%-53.4%), 48.3% (95% CI, 43.0%-53.7%), and 17.9% (95% CI, 14.4%-22.1%) among those with corresponding risk factors. The proportions of drug use in prevention were relatively low in primary prevention, with the rates of using BP-lowering, glucose-lowering, lipid-lowering, and aspirin being 37.7% (95% CI, 32.8%-42.8%), 41.4% (95% CI, 35.8%-47.3%), 6.7% (95% CI, 4.5%-10.0%), and 1.0% (95% CI, 0.6%-1.8%), respectively. As for risk factor control, only 29.3% (95% CI, 25.7%-33.2%), 16.8% (95% CI, 15.0%-18.6%), and 36.0% (95% CI, 31.1%-41.2%) of individuals with high ASCVD risk had ideal levels of blood pressure, LDL-C, and body weight. The estimated prevalence of 10-year high ASCVD risk was high in Guangzhou, while the rates of treatment and risk factor control in primary prevention were still far from optimal, especially for lipid management. These findings suggested that substantial improvement in ASCVD prevention is needed in this population.

HIV-Related Knowledge and Sexual Behaviors among Teenagers: Implications for Public Health Interventions.

Background: Teenagers are at a turning point in people's physical and psychological maturity and are also in a critical period in reproductive and sexual health. It is reported that the initial age at first sexual behavior is younger than decades ago, which implies that the risky sexual behavior among teenagers may be on the rise. However, it is unclear about the changes of sexual knowledge and behaviors in recent years. Methods: Based on the national sentinel surveillance survey in 2011-2021 among students in Hangzhou, we selected out teenagers aged 10-19 years as our study sample. Demographic characteristics (gender, age, marital status, etc.), knowledge of HIV and sexual behaviors were collected. The sexual knowledge score and sexual behaviors were analyzed, and their influencing factors were explored. Results: In total, 1355 teenagers were incorporated in this study; the awareness rates of sexual knowledge in 2011, 2013, 2014 and 2021 were 74.9%, 71.8%, 89.3% and 95.8%, respectively, which showed an overall upward trend. The results of binary logistic regression showed that the survey year, whether students had received and participated in HIV-related publicity services and whether they had sexual behaviors, had a significant influence on whether the awareness rate ≥ 75%. The survey year and whether the awareness rate ≥ 75% had a significant influence on whether students had sexual behaviors. Conclusions: Both the average scores and awareness rates of teenagers' sexual knowledge showed an overall upward trend from 2011 to 2021. Teenagers' initial sexual behavior was at a low age, and the proportion of teenagers who had fixed, temporary and commercial heterosexual sex was still relatively high despite no significant increasing. Therefore, we should further strengthen health education on the risks of sexual behaviors from schools, families and health-related institutions to ensure teenagers receive HIV-related publicity services.

Study of awareness, enrolment, and utilization of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in Gujarat, India

Background: Ayushman Bharat-Pradhanmantri Jan Arogya Yojana (AB-PMJAY) envisages complete financial protection for around 50 crores of identified poor and vulnerable Indian beneficiaries against their catastrophic health care needs. Awareness is a pre-requisite that ensures enrolment and utilization of any health insurance program. Being a newly implemented scheme, very few studies are reported on the level of awareness, enrolment, and utilization of the AB-PMJAY scheme as well as the sources of information and support to the beneficiaries from Gujarat. So, this study aims to assess the current status of awareness, enrolment, and utilization of AB-PMJAY in Gujarat. Methods: A multi-stage sampling method was used in this cross-sectional study in both rural and urban areas and altogether 1152 households were randomly selected from three districts of Gujarat. Ten trained field investigators collected data with the help of a structured interview schedule. Results: AB-PMJAY is popular in Gujarat, with 24% high-level awareness and 47.8% moderate-level awareness. Out of 1152 households, 82.9% had AB-PMJAY cards, with a 43.3% utilization rate. Factors affecting awareness include area of living, religion, and caste. While 22.9% reported out-of-pocket (OOP) expenditure with AB-PMJAY benefits, 15.1% reported non-utilization of their AB-PMJAY cards, despite needed. ASHA workers and Ayushman Mitras were the major sources of information. Conclusions: The reported utilization rate in this study was only 43.3%, despite having impressive awareness and enrolment rates. The OOP costs must be reduced, and the issues that prevented households from using the AB-PMJAY benefits despite their need must be addressed.

Association between type 2 diabetes mellitus and depression among Korean midlife women: a cross-sectional analysis study

BackgroundThe prevalence of depression is higher among midlife women, and they have less control over their diabetes during the menopausal transition. However, there is limited evidence on the association between type 2 diabetes mellitus and depression among Korean women in their midlife. This study aimed to examine the association between type 2 diabetes mellitus and depression and explore the levels of awareness and treatment of depression among Korean midlife women with T2DM.MethodsThis is a cross-sectional analysis study conducted using data from the Korea National Health and Nutrition Examination Surveys of 2014, 2016, and 2018. Korean women aged 40–64 years who randomly participated in the surveys were included, and 4,063 midlife women were selected as study participants. The diabetes progression status of the participants was classified into diabetes, pre-diabetes, and non-diabetes. Furthermore, the Patient Health Questionnaire-9 was used for screening depression. Participants’ awareness rate, treatment rate among incident cases of depression, and treatment rate among awareness cases of depression were also analyzed. For data analysis, the Rao–Scott χ2 test, multiple logistic regression, and linear regression were conducted using SAS 9.4 software program.ResultsThe prevalence of depression significantly differed between diabetes, pre-diabetes, and non-diabetes groups. However, depression awareness, treatment/incident, and treatment/awareness rates did not differ statistically between the diabetes progression status groups. Compared to the non-diabetes group, diabetes group had a higher odds ratio of depression after adjusting for general and health-related factors. Thus, the diabetes group had significantly higher PHQ-9 scores than the non-diabetes group after adjusting for covariates.ConclusionsWomen in their midlife who have type 2 diabetes mellitus tend to have higher levels of depressive symptoms and are at risk of depression. However, we found no significant differences between diabetes and non-diabetes regarding the awareness and treatment rates of depression in South Korea. We recommend that future studies focus on developing clinical practice guidelines aimed at additional screening and intervention for depression in midlife women with type 2 diabetes mellitus to ensure prompt treatment and improved outcomes.

What is the difference in proprioception between single condylar arthroplasty and high tibial osteotomy? a comparative study on both knees of the same patient

ObjectiveThis study aims to investigate the efficacy and outcomes of different surgical procedures, namely unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO), for the treatment of bilateral medial compartment knee osteoarthritis in the same patient. The joint awareness and function of these two surgical methods were evaluated.MethodsA total of 15 patients with bilateral medial compartment knee osteoarthritis who underwent either UKA or HTO between 2012 and 2020 were included in the study. Patient data, including age, gender, body mass index and length of hospital stay, were collected. Pre- and post-operative measurements were conducted, including tibiofemoral angle, tibial plateau posterior inclination angle, proximal tibial medial angle, distance from mechanical axis to knee joint center, hip-knee-ankle angle, pre- and post-operative knee joint scores, knee joint range of motion, and FIS-12 scores at 3, 6, 12, and 24 months postoperatively. The latest follow-up was used for evaluating the outcomes of osteoarthritis treatment. Normality of continuous variables was assessed using the Shapiro–Wilk test. Between-group comparisons were performed using the paired sample t-test or Wilcoxon rank-sum test. Repeated measures analysis of variance was utilized to analyze FJS-12 measurements at different time points, and the correlation between FJS-12 and postoperative clinical results was examined using Pearson's correlation coefficient. Statistical significance was set at P < 0.05.ResultsSignificant differences were observed in FJS between the UKA and HTO groups at 3 and 6 months postoperatively, but no significant difference was found at 1 and 2 years postoperatively. FJS in the UKA group demonstrated a significant increase from 3 to 6 months postoperatively, but no significant difference was observed from 6 to 24 months postoperatively. In contrast, FJS in the HTO group showed a significant increase from 3 to 24 months postoperatively.ConclusionsPatients who underwent UKA exhibited superior joint awareness compared to those who underwent HTO during the early postoperative period. Furthermore, the rate of joint awareness in UKA patients was faster than in HTO patients.

Prevalence, awareness, treatment, and control of dyslipidemia in Chinese adults: a systematic review and meta-analysis.

Researchers have conducted a considerable number of epidemiological studies on dyslipidemia in China over recent years. Nevertheless, a representative study to comprehensively appraise for the epidemiological status of dyslipidemia is still lacked. This meta-analysis is intended to explore the pooled prevalence, rates of awareness, treatment, and control of dyslipidemia among adults in Chinese Mainland. A systematic review was performed on relevant cross-sectional studies published since January 2012 by searching six authoritative literature databases. Meta-analyses were conducted in included studies based on a random-effect model to summarize the epidemiological status of dyslipidemia in China. A potential source of heterogeneity was detected by subgroup analysis and meta-regression. Publication bias was assessed by Egger's test and funnel plots. A sensitivity analysis was conducted to examine the study quality's influence on the pooled estimate of prevalence and rates of awareness, treatment, and control. Forty-one original researches with a total of 1,310,402 Chinese participants were finally included in the meta-analysis. The prevalence, rates of awareness, treatment, and control of dyslipidemia were 42.1%, 18.2%, 11.6%, and 5.4%, respectively. With a pooled prevalence estimate at 24.5%, low HDL-C was the most prevalent among various dyslipidemia types, followed by hypertriglyceridemia (TG) (15.4%), hypercholesterolemia (TC) (8.3%), and high LDL-C (7.1%). The pooled prevalence of elevated serum lipoprotein(a) [Lp(a)] was 19.4%. By gender, the prevalence of dyslipidemia was 47.3% in males and 38.8% in females. Subgroup analyses revealed that the prevalence in southern and urban areas were higher than their counterparts. Females and population in urban areas tended to possess higher rates of awareness, treatment, and control. Meta-regression analyses suggested that the year of screening influenced prevalence estimates for dyslipidemia. The impact of the study's quality on the pooled estimates is insignificant. Our study suggested a severe epidemic situation of dyslipidemia among adults in Chinese Mainland. More importantly, the awareness, treatment, and control rates were extremely low, revealing that dyslipidemia is a grave health issue. Consequently, we should attach more importance to the management of dyslipidemia, especially in economically underdeveloped areas. PROSPERO [CRD42022366456].

The Effects of Aeronautical Decision-Making Models on Student Pilots’ Situational Awareness and Cognitive Workload in Simulated Non-Normal Flight Deck Environment

ABSTRACT Objective This paper investigates the effects of using different decision-making models on pilots’ performance while facing non-normal flight circumstances. Background The captain must quickly make appropriate decisions once an aircraft faces emergency. Usually, human error is one primary cause of accidents, which inevitably affects the captain’s decision progress. Method Ten participants carried out a standard non-normal scenario (cargo smoke). Each participant is equipped with simulation experience and executed three sessions using three different decision models: the DOGAM, DECIDE, and CLEAR. After each session, the situation awareness (SA) and perceived workload were assessed using the Situational Awareness Rating Technology (SART) and NASA-TLX. An in-depth interview was also completed to comprehend their subjective perception of decision-making. Results Although the CLEAR outperformed the other models in SART and NASA-TLX scores, their performance regarding workload and SA was comparable. The fixing time of DOGAM was the longest, and the other two models were no significant difference. Subjectively, the DECIDE may require a high mental demand by simultaneously processing lots of information and measuring significant changes, whilst the DOGAM may encourage participants follow their own idea, promoting aggressive decisions. Conclusion This paper clarifies the importance of incorporating decision models into the cockpit and investigates the relatively feasible decision-making model. Variation across our results illustrated applying different decision models to train pilots and solve problems is suggested, thereby improving flight safety.

Survey on the awareness rate of nutrition and health knowledge among residents aged 18-64 in Shanghai in 2021

To analyze the nutrition and health knowledge of residents aged 18-64 in Shanghai, and to understand the level of nutrition and health knowledge and its influencing factors. The total of 6518 residents aged 18-64 years old in Shanghai were selected by stratified random sampling in 2021. The subjects were grouped by gender, age, education levels, occupations, and regions. The awareness rate of nutrition and health knowledge and its influencing factors were investigated using the questionnaire and scoring standard designed by National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention. Household survey, face-to-face questioning by surveyors and help to fill in the options. The score of nutrition and health knowledge of residents aged 18-64 in Shanghai was 68.43±12.82, and the awareness rate was 35.78%. The average score(t=-5.04, P&lt;0.01) and awareness rate(χ~2=14.06, P&lt;0.01) of women were significantly higher than men. Significant differences in average scores and awareness rates were found among different groups of ages(F=15.02, P&lt;0.01;χ~2=23.46, P&lt;0.01), education levels(F=191.45, P&lt;0.01;χ~2=210.29, P&lt;0.01), occupations(F=99.17, P&lt;0.01;χ~2=224.12, P&lt;0.01) and regions(F=22.11, P&lt;0.01;χ~2=44.61, P&lt;0.01). The female(OR=1.13, 95%CI 1.02-1.25), high school education and above(OR=1.68-2.85) had better knowledge of nutrition and health. While 18-34 years(OR=0.69-0.74), people engaged in non-medical health institutions(OR=0.46-0.70) and living in non-urban central areas(OR=0.74-0.81) had poorer awareness of nutrition and health knowledge. The awareness rate of nutrition and health knowledge among residents aged 18-64 in Shanghai is still upside potential.

Knowledge, attitudes, and practices regarding COVID-19 and mental health status among college students in China: a cross-sectional study.

During the prevalence of coronavirus disease 2019 (COVID-19), little was known about the knowledge, attitudes, practices (KAP) about COVID-19 and psychological status of college students in minority areas. This study aimed to evaluate the KAP of college students in minority areas of China toward COVID-19 and to provide a scientific basis for health education and policy formulation. From October 28th to November 6th, 2021, a cross-sectional study was conducted with 5,272 college students to examine KAP and its effects on mental health. Regarding COVID-19 knowledge, the overall awareness rate was 24.11% (1,271). Regarding health attitudes, most students had positive attitudes about COVID-19 prevention and control (94.95%), and females had higher positive attitudes than males (OR: 1.920; CI: 1.494-2.469). Regarding preventive behaviors, more than half of the students took preventive measures (53.48%), and freshmen had the highest health behavior scores. In terms of psychological status, there were fewer females with depression and stress than males. College students in minority areas have positive health attitudes; however, their knowledge of COVID-19 prevention and control is low. Moreover, their precautionary behaviors are insufficient, and they have many negative emotions.

Vaccination in the childhood and awareness of basic public health services program among internal migrants: a nationwide cross-sectional study

BackgroundVaccination is proved to be one of the most effective and efficient way to prevent illness and reduce health inequality. Studies about association between vaccination inequalities in the childhood and awareness of basic public health services program among internal migrants in China are lacking. In this study, we aimed to explore the association between migrants’ vaccination status between 0 and 6 years old and their awareness of the National Basic Public Health Services (BPHSs) project in China.MethodsWe included 10,013 respondents aged 15 years old or above of eight provinces from 2017 Migrant Population Dynamic Monitoring Survey in China, a nationwide cross-sectional study. Univariate and multivariable logistic regressions were used to assess vaccination inequalities and the awareness of public health information.ResultsOnly 64.8% migrants were vaccinated in their childhood, which is far below the goal of national requirement of 100% vaccination. This also indicated the vaccination inequalities among migrants. Female, the middle-aged, married or having a relationship, the highly educated and the healthy population had higher awareness of this project than others. Both univariate and multivariate logistic regressions showed greatly significant association between vaccination status and some vaccines. Specifically, after adding convariates, the results showed that there were significant associations between the vaccination rates of eight recommended vaccines in the childhood and their awareness of BPHSs project (all p values < 0.001), including HepB vaccine (OR: 1.28; 95%CI: 1.19, 1.37), HepA vaccine (OR: 1.27; 95%CI: 1.15, 1.41), FIn vaccine (OR: 1.28; 95%CI: 1.16, 1.45), JE vaccine (OR: 1.14; 95%CI: 1.04, 1.27), TIG vaccine (OR: 1.27; 95%CI: 1.05, 1.47), DTaP vaccine (OR: 1.30; 95%CI: 1.11–1.53), MPSV vaccine (OR: 1.26; 95%CI: 1.07–1.49), HF vaccine (OR: 1.32; 95%CI: 1.11, 1.53), except for RaB vaccine (OR: 1.07; 95%CI: 0.89, 1.53).ConclusionsThe vaccination inequalities exist among migrants. There is a strong relationship between the vaccination status in the childhood and the awareness rate of BPHSs project among migrants. From our findings we could know that the promotion of vaccination rates of the disadvantaged population such as the internal migrants or other minority population can help them increase the awareness of free public health services, which was proved to be beneficial for health equity and effectiveness and could promote public health in the future.

Narrative Messages and the Use of Emotional Appeals on Endometriosis Screening Intention: The Mediating Role of Positive Affect.

Endometriosis affects around 10% of women globally, yet the awareness and screening rates for this condition are relatively low. Utilizing an online survey-based experiment with a sample of 18-30-year-old young women (N = 326), this study aimed to investigate the efficacy of narrative messages vs. non-narrative messages for promoting endometriosis screening intention, as well as to evaluate the effectiveness of hope appeal vs. fear appeal in narrative messages. The study also examined the potential mediating mechanisms through self-efficacy and positive affect responses that may help elucidate the effect of emotional appeals on behavioral intentions, while taking into account an individual's readiness to change. Findings indicated that narrative and non-narrative messages did not produce significantly different screening intentions. Compared to the use of fear appeal, the hope appeal in narrative messages predicted a higher level of positive affect responses, which was associated with increased endometriosis screening intentions. Individual difference in readiness to engage in endometriosis screening was not found to be a significant moderator. These results have implications for future research utilizing hope appeals in narrative health messaging. The observed significant mediational pathway through positive affect advances understanding of positive discrete emotions as facilitators to health-related cognition and behavior changes.

Trends in major non-communicable diseases and related risk factors in China 2002–2019: an analysis of nationally representative survey data

Prevention and control of non-communicable diseases (NCDs) are prioritized in both the Sustainable Development Goal and the Healthy China 2030 Initiatives. Efforts have been devoted to combating NCDs in China. This study examined changes in NCD trajectory. We described and analyzed the trends in prevalence and control of major NCDs including obesity, hypertension, diabetes, and dyslipidemia and examined selected main behavioral risk factors in China by sex, age group, and residence using nationally representative CDC survey data. Data included were from the China Chronic Disease Risk Factor Surveillance (CCDRFS, 2013 and 2018) and China National Nutrition Survey (CNNS, 2002, 2010-2013, 2015, and 2020). Annual and relative changes in rates were used. Rural-urban ratio of related indicators was assessed. NCD-attributed deaths increased from 80.0% in 2002 to 86.6% in 2012, and 88.5% in 2019, with cardiovascular diseases, cancer, chronic respiratory diseases, and diabetes accounted for 47.1%, 24.1%, 8.8%, and 2.5% of deaths in 2019, respectively. Prevalence of obesity (7.1%-16.4%), overweight/obesity (29.9%-50.7%), hypertension (18.8%-27.5%), diabetes (2.6%-11.9%), and dyslipidemia (18.6%-35.6%) all increased from 2002 to 2018. These rates increased faster in rural areas than in urban areas. Rates of awareness, treatment and control of hypertension and diabetes increased very slowly from 2012 to 2018. Most rates were between 30 and 40% with the lowest rate of 11% for hypertension control even in 2018. The rates were worse for rural residents compared to urban residents. Furthermore, many modifiable behavioral risk factors showed little improvement and some became worse over time, including smoking, excessive alcohol use, inadequate vegetable/fruit intake, excessive red meat intake, and physical inactivity. NCD burden in China increased during 2002-2019 despite of the intervention efforts. To reach the global and national targets, China must strengthen its actions, especially in rural areas, including improvement of NCD screening and management and reduction of behavioral risk factors. The study was supported in part by research grants of National Key R&D Program of China (2017YFC0907200, 2017YFC0907201), International Collaboration Project from the Chinese Ministry of Science and Technology-Prevention and control of chronic diseases and health promotion (G2021170007L), Natural Scientific Foundation of China (82103846), Key R&D and Transformation Program of Qinghai (2023-QY-204).

1373-P: The Prevalence and Risk Factors of Chronic Kidney Disease in Patients with Type 2 Diabetes in China—A Cross-Sectional Study

Chronic Kidney Disease (CKD) is a major long-term complication of diabetes and the leading cause of end-stage kidney disease worldwide. It has become very important to regularly screen for early renal disease and rationally use medicines in patients with diabetes and CKD. This was a cross-sectional study, an analysis of baseline data from an ongoing prospective multicenter cohort study, ClinicalTrials.gov ID: NCT05047471. The subjects were outpatients and inpatients from 45 hospitals participating in the endocrinology department from December 2021 to September 2022. Univariate and multivariate binary logistic regression were used to identify risk factors correlated to CKD in patients with type 2 diabetes (T2D). A total of 9886 patients with T2D met our inclusion criteria, please refer to table 1 for the baseline characteristics. The prevalence, screening rate, and awareness rate of CKD was 32.5% [95%CI 31.6, 33.4], 55.3% [95%CI 54.3, 56.3], and 26% [95%CI 24.5, 27.6], respectively. The risk factors independently associated with CKD in patients with T2D were age, duration of T2D, hypertension, LDL-C elevated, poor glycemic control, diabetic foot, diabetic retinopathy, diabetic neuropathy etc., shown in table 2. This work will be helpful in promoting the standardized diagnosis and treatment of CKD in patients with T2D in China, and in arousing the attention of patients with T2D to CKD. Disclosure D.Zhu: None. Y.Mu: Speaker's Bureau; Abbott Diabetes, Boehringer Ingelheim Inc., Novo Nordisk (China), Sanifit. L.Shi: None. Y.Xue: None. X.Yu: None. Y.Wang: None. T.Hong: Speaker's Bureau; Novo Nordisk (China), Sanofi China, Eli Lilly and Company, Merck Sharp &amp; Dohme Corp., Merck &amp; Co., Inc., Boehringer Ingelheim Inc., AstraZeneca, Bayer Inc. X.Li: None. J.Ma: None. Funding Beijing Great Physician Commonwealth Foundation (DYJ20210621)

Global blood pressure screening during the COVID-19 pandemic: results from the May Measurement Month 2021 campaign.

Raised blood pressure (BP) remains the biggest risk factor contributing to the global burden of disease and mortality, despite the COVID-19 pandemic. May Measurement Month (MMM), an annual global screening campaign aims to highlight the importance of BP measurement by evaluating global awareness, treatment and control rates among adults with hypertension. In 2021, we assessed the global burden of these rates during the COVID-19 pandemic. Screening sites were set up in 54 countries between May and November 2021 and screenees were recruited by convenience sampling. Three sitting BPs were measured, and a questionnaire completed including demographic, lifestyle and clinical data. Hypertension was defined as a systolic BP at least 140 mmHg and/or a diastolic BP at least 90 mmHg (using the mean of the second and third readings) or taking antihypertensive medication. Multiple imputation was used to impute the average BP when readings were missing. Of the 642 057 screenees, 225 882 (35.2%) were classified as hypertensive, of whom 56.8% were aware, and 50.3% were on antihypertensive medication. Of those on treatment, 53.9% had controlled BP (<140/90 mmHg). Awareness, treatment and control rates were lower than those reported in MMM campaigns before the COVID-19 pandemic. Minimal changes were apparent among those testing positive for, or being vaccinated against COVID-19. Of those on antihypertensive medication, 94.7% reported no change in their treatment because of the COVID-19 pandemic. The high yield of untreated or inadequately treated hypertension in MMM 2021 confirms the need for systematic BP screening where it does not currently exist.

Krobo girls and Dipo puberty rites of passage in the eastern region of Ghana

Globalization, which seems to have broken all socio-cultural, and economic barriers, and the growing rate of societal awareness has no doubt challenged many African cultural rites such as female genital mutilation. Despite the fact that Dipo, a Krobo cultural puberty rite, has been criticised by many people, especially on the basis of its treatment of young girls, the Krobo have managed to sustain it due to its centrality to their culture as the ceremony is instituted to promote personal hygiene, home management, and morality. This paper, therefore, examines 35 girls between the ages of 12 to 20 comprising 21 initiates and 14 non-initiates from Odumase-Krobo in the Eastern Region of Ghana. The participants were engaged in one-on-one and focused group discussions. Using both primary and secondary data, which is augmented with a qualitative research methodology, this paper examines the perception of girls passing through the Dipo puberty rite. The study reveals two main findings; the belief that Dipo is traditionally ungodly and true Christians must not participate in such activities and the belief that Dipo is a cultural puberty rite of passage that is binding upon the Krobo. It is established that the observance of the Dipo rite in this modern era has attracted a number of criticisms based on the way and manner the rite is conducted, especially from the Christians in Ghana, which causes serious psychological distress among Krobo girls.

Public Attitudes and Beliefs Towards Childhood Vaccinations: Urban-Rural Differences and the Other Social Determinant of Health

Objective: The study aimed to compare vaccination attitudes and behaviors of individuals living in rural and urban areas by evaluating the social determinants of health. Methods: This research was a secondary analysis study based on two projects examining vaccination attitudes of individuals, which were conducted separately in urban and rural areas. The researches were conducted in a city center and eight rural areas located in the central Anatolia region of Turkey. In total, 1,164 individuals were studied. Multiple regression analysis (enter model) was used for determinants of public attitude toward vaccination. Results: In urban areas, the rate of awareness of discussions about vaccination and the rate of consideration that vaccination should be a parental decision were higher than in rural areas. According to the public attitude toward vaccination–HBM Scale, the sub-dimensions of perceived susceptibility, perceived severity, and health motivation scores of participants from rural residents were higher than those from urban residents. Regarding the sub-dimension of perceived barriers, participants from urban areas had a higher score. The social determinants of health, such as lack of health insurance, unemployment or low income, difficulty accessing health facilities, conviction that vaccination is a parental decision, moderate/poor economic perception, especially the profession, are effective in vaccine attitude. Conclusion: This study showed a difference between vaccination attitudes of individuals living in urban and rural areas.

Hypertension in urban slums of southern India: Burden, awareness, health seeking, control and risk factor profile

IntroductionHypertension is the leading risk factor for global disease burden. Inequalities in health among urban poor and non-poor is a matter of concern. The current study was done to estimate the prevalence of hypertension and to describe the health seeking and risk factor profile of people with hypertension in the urban slums of Kochi, Kerala, India. MethodsBlood pressure of 5980 adults from 20 randomly selected slums were measured by door to door survey by trained nurses as a part of baseline assessment for a cluster randomised controlled trial. ResultsPrevalence of hypertension was found to be 34.8% (95% CI 33.5–34.9). Among those with hypertension, 66.9% were aware of their hypertensive status, of which 75.8% were initiated on treatment for hypertension. Proportion of hypertensive in the population who had their blood pressure under control was 24.5%. Among hypertensive, 53% were obese, 25.1% had diabetes mellitus, 14% had history of hospitalisation for high blood pressure. Of them, 60.3% had a per capita salt consumption above 8 g/day and 47.5% of them reported sitting for more than 8 h on a usual day. Mean monthly out of pocket expenditure for treatment of hypertension was $9(Median $8, IQR $16). ConclusionOne in three adults in urban slums of Kochi had hypertension. High rates of obesity, salt intake, physical inactivity prevails among the people with hypertension. Awareness, treatment initiation and control rate of hypertension are lower in urban slums as compared to non-slum urban areas. Slums require additional attention to ensure equitable and universal access to hypertension control.

Status and associated factors of pre-exposure prophylaxis use among men who have sex with men in 24 cities in China

Objective: To understand the cognition and medication use of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in China and its associated factors. Method: From August 25 to September 5, 2021, 2 447 MSM were recruited in 24 cities to complete the online questionnaire through a male social interaction platform, Blued 7.5 software. The survey contents included demographic information of the respondents, PrEP awareness and usage, and risk behaviors. Descriptive analysis and multi-level logistic regression were performed for data analysis. SPSS 24.0 and SAS 9.4 software were used for statistical analysis. Results: Among the 2 447 respondents of MSM, 1 712 (69.96%) had heard of PrEP, 437 (17.86%) ever used PrEP, 274 (11.20%) were on PrEP, and 163 (6.66%) had discontinued PrEP; among the 437 cases (whoever used PrEP), more than 61.88% (388/627) adopted emtricitabine/tenofovir disoproxil fumarate regimen, and most of them adopted on-demand regimen. The average PrEP dosage reported in the past year is 1.12 tabletsper person per week. PrEP purchase was primarily via an online channel, and the most concerned factor was the PrEP effectiveness on HIV prevention. The most common reasons for discontinuing PrEP, reported by 163 cases, were the lack of HIV risk perception, the use of a condom to prevent HIV, and the economic burden of PrEP use. The logistic regression analysis showed that PrEP use among MSM in 24 cities was statistically associated with age, monthly income, ever having unprotected anal sex in the past year, used sexual drugs and sexually transmitted disease (STD) diagnosis in the past year. Compared with MSM aged 18-24, the proportion of MSM was relatively lower among those aged 25-44, who discontinued the PrEP (aOR=0.54,95%CI:0.34-0.87) or never used PrEP (aOR=0.62,95%CI:0.44-0.87). The proportion of unprotected anal sex among MSM currently on PrEP use was higher than those who have stopped PrEP and never used PrEP (all P<0.05). Those MSM group, with monthly income higher than 5 000 Yuan, used sexual drugs and STD diagnosis in the past year were more likely to have a higher rate for PrEP usage (all P<0.05). Conclusions: Currently, pre-exposure prophylaxis in the MSM group is primarily obtained via the online channel and adopted in an on-demand mode. Although the PrEP users have reached a certain proportion, it is still necessary to strengthen health education on the PrEP effects and side effects of MSM and to improve the awareness and use rate, especially for young MSM group, which can be combined with the advantages of the internet targeting its needs and use barriers.

Evaluating Effects of Travel-resonance Method with Color Soy Source and Clear Water on Substance using Fractal Dimension Analysis of Awareness Outward-form

Soy source has a useful effect on the human body and is the important ingredients in various foods and is an important factor of food engineer that tastes food ingredients. The forming model of the soy source was configured asymmetrical on the fractal surface and mixed with water using travel-resonance method to change a certain amount of viscosity into the shape of the surface. Travel mutational-status technology is structured the resonance status for rainbow dot pattern of the glitter awareness rate (GAR) and inequality awareness rate (IAR) on soy source travel awareness outward-form. Awareness rate condition by soy source travel awareness outward-form is structured with the circulate resonance system. Rainbow dot pattern of the happen mutational-status is to check up to structure of soy source travel value with travel layer location by the circulate-down structure. Concept of awareness rate is check up the reference of glitter rate and inequality rate for mutational-status signal by soy source travel resonance outward-form. Happen mutational-status of the GAR-IAR is presented position value of maximum-minimum on soy source travel-resonance outward-form. Far mutational-status of the Tr-aof-FA-?MAX-MIN presented the travel value with 14.67±7.32 units. Convenient mutational-status of Tr-aof-CO-?MAX-MIN presented the travel value with 4.48±0.46 units. Flank mutational-status of the Tr-aof-FL-?MAX-MIN presented the travel value with 1.29±0.32 units. Vicinage mutational-status of the Tr-aof-VI-?MAX-MIN presented the travel value with 0.23±0.07 units. Circulate resonance will be to inquire into at the ability of soy source travel-resonance outward-form for the restrain degree awareness rate on the GAR-IAR that is stick-out the happen glitter and inequality outward-form by the awareness rate system. Awareness outward-form LED will be to inquire into of outward-form by the inequality signal and to figure a travel data of circulate resonance rate by the circulate awareness system. due to the effect of image resolution.

HYPERTENSION AWARENESS, TREATMENT, AND CONTROL IN AUSTRALIA. A SYSTEMATIC REVIEW AND META-ANALYSIS

Objective: Research from the NCD Risk Factor Collaboration indicated that the hypertension control rates in Australia are lagging behind other high-income countries, and a call to action to improve blood pressure (BP) control has been published. To understand the size of the problem, we will systematically examine contemporary evidence of hypertension awareness, treatment and control rates in Australia. Design and method: We performed a systematic literature search of reports of hypertension awareness, treatment and control rates in Australia. We undertook an individual participant data meta-analysis (IPDMA) shared by the NCD Risk Factor Collaboration. Where possible, data were pooled for meta-analysis by random effects meta-analysis. Results: In our meta-analysis based on aggregated data from 23 studies, the pooled proportion of hypertension awareness, treatment and control rates in Australia was 61% (95% confidence interval: 47%–74%), 58% (53%-63%), 40% (33%-47%), respectively. The National Health Survey data (n = 61799) shows a higher proportion of hypertension among males than females was observed until the 7th decade of life, and among those with lower socioeconomic status in Australia. The proportion of hypertensive subjects who were on 1, 2, and 3 or more types of antihypertensives was 44.4%(43.5%-45.2%), 18.4% (17.7%-19.0%), 7.7%(7.3%-8.2%), respectively. Our IPDMA was of 12598 (26.3%, n = 57104) hypertensive subjects, among whom 7227 (57.4%) were on antihypertensives and 58.6% had uncontrolled hypertension (SBP equal to or greater than 140 mmHg or DBP equal to or greater than 90 mmHg, n = 4238). The proportion of uncontrolled hypertension was higher among males (62.7%) than females (55.5%, p&lt;0.0001). Conclusions: The hypertension burden in Australia is substantial, with a significant proportion of people with high BP who were unaware, untreated and uncontrolled. There is a lack of high-quality studies to identify barriers and enablers for hypertension treatment and control in Australia. These results will be key to informing the actions of the National Hypertension Taskforce that the Federal Minister of Health newly established.