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Brief Communication:
Obesity is the most important factor for gender inequality in type 2 diabetes incidence in an Iranian population
Ahamd Khosravi, Mohammad Hassan Hashemian, Hassan Hashemi, Akbar Fotouhi
Int J Prev Med
2019, 10:215 (10 December 2019)
DOI
:10.4103/ijpvm.IJPVM_442_17
PMID
:31929862
Background:
The results of Shahroud Eye Cohort Study (ShECS) showed a high 5-year incidence of diabetes mellitus with female predominance in 40–64 years old Iranian population. The aim of this report was to decompose the observed sex differences in the incidence of diabetes.
Methods:
Sex-specific incidence rate of diabetes was calculated between the two phases of ShECS (2009–2014). The gap decomposition was done by the twofold Blinder–Oaxaca decomposition model.
Results:
The results showed that from the total gap (11.19%–15.55% = −4.36%) between the two sexes, 3.46% which forms 79.4% of the total gap is related to the difference in obesity in both genders. In contrast to obesity, age and overweigh status had a decreasing influence on gender inequality.
Conclusions:
Obesity of Iranian women compared with men is the most important reason for an increase in the incidence of diabetes in women.
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Brief Communication:
Potential gains of screening family members of suspected coronary artery disease: A pilot study
Sandhya Gupta, Venkatarao Epari, Sanchit Bhatia
Int J Prev Med
2019, 10:148 (5 September 2019)
DOI
:10.4103/ijpvm.IJPVM_224_18
PMID
:31579137
Background:
Early diagnosis of asymptomatic coronary artery disease (CAD) is presently targeted in preventive cardiology. A positive family history though not modifiable can provide a window of opportunity for intervening on modifiable risk factors. We assessed the prevalence of risk factors among the family members of suspected CAD patients and estimated their 10 years CAD risk.
Methods:
In a hospital-based cross-sectional study, socio-demographic, personal data and blood samples for total and HDL cholesterol were collected. The risk of having a heart attack in the next 10 years was calculated using Framingham Risk Score.
Results:
The mean age of participants (n = 60) was 40.55 ± 1.78 years. 85% were physically inactive. Smoking (13%), alcohol use (12%), history of CAD (2%), HTN (12%) and diabetes (22%) were the observed risk factors. A family history of CAD at <40 years of age was reported by 7% of subjects. Prevalence of overweight was 21% and 11% were obese. Increased waist-hip ratio (43%), diabetes (22%), hypercholesterolemia (28%), reduced HDL Cholesterol (48%) were other prevalent risk factors. Risk of CAD of >1% in the next 10 years was noted among 60% of subjects.
Conclusions:
Window of opportunity for secondary prevention exists among the family members of suspected CAD.
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Brief Communication:
Association between general health and mobile phone dependency among medical university students: A cross-sectional study in Iran
Mehdi Ranjbaran, Bahareh Soleimani, Maryam Mohammadi, Nooshin Ghorbani, Mahmoud Khodadost, Kamyar Mansori, Reza Omani Samani
Int J Prev Med
2019, 10:126 (19 July 2019)
DOI
:10.4103/ijpvm.IJPVM_311_17
PMID
:31531216
Background:
Mobile phone dependency is an emerging public health problem. The aim of this study was to investigate the associations between general health and mobile phone dependency in college students.
Methods:
In this cross-sectional study, 334 students from Arak University of Medical Sciences of Iran were selected by stratified random sampling. Data were collected by (1) demographic checklist, (2) 27-item Mobile Phone Problem Usage Scale, and (3) General Health Questionnaire-28 (GHQ-28).
Results:
Mean scores of mobile phone dependency and GHQ-28 were 119.83 ± 43.53 and 23.73 ± 12.77, respectively. In multiple linear regression, age, family economic status, anxiety and sleep disorder, and social dysfunction were the main significant predictors of mobile phone dependency (
R
= 0.469,
R
2
= 0.220, adjusted
R
2
= 0.203).
Conclusions:
Based on the finding of this study, prevention strategies for management of mobile phone use in students can be adopted.
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Brief Communication:
Protective role of angiotensin Type 1 receptor blockade in 4/6 nephrectomized male and female rats
Maryam Moeini, Ardeshir Talebi, Mehdi Nematbakhsh
Int J Prev Med
2019, 10:64 (17 May 2019)
DOI
:10.4103/ijpvm.IJPVM_278_17
PMID
:31198499
Background:
Chronic kidney disease associated with serious morbidity and mortality rate while it is affected by renin-angiotensin system. The effects of losartan as angiotensin II Type 1 receptor antagonist on renal functional in 4/6 nephrectomized rats was evaluated.
Methods:
Twenty-six male and female Wistar rats underwent 4/6 nephrectomy, and the animals from each gender were randomly divided into two groups which treated with vehicle and losartan (10 mg/kg/day for 1 week). The parameters related to kidney function were measured.
Results:
Creatinine (Cr) clearance and urine flow were improved in losartan-treated group significantly (
P
< 0.05). The serum level of blood urea nitrogen and Cr and kidney tissue damage score and sodium urinary output (U
Na
V) did not alter. However, losartan decreased percentage of sodium excretion (E
Na
%) in both genders insignificantly.
Conclusions:
Losartan may improve renal function in 4/6 nephrectomized male rats.
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Brief Communication:
Pattern of substance abuse and prevalence of risk factors of HIV and hepatitis among addicted women in Western Iran
Behrooz Hamzeh, Zeinab Moradi, Farid Najafi, Mehdi Moradinazar
Int J Prev Med
2019, 10:58 (6 May 2019)
DOI
:10.4103/ijpvm.IJPVM_167_17
PMID
:31143432
Background:
Women are the first victims in most of social damages and corruptions. However, due to some social and cultural reasons, the most of the drug addiction studies in Iran target male population. Hence, this study aimed to investigate the pattern of substance abuse and prevalence of HIV and hepatitis risk factors among addicted women.
Methods:
This is a cross-sectional study conducted on women referred to methadone maintenance treatment centers of Western Iran (Kermanshah province). Data were collected through interview by a psychologist who is working full time in the centers.
Results:
A total of 138 addicted women were studied. Among whom, 50 individuals were aged >45 years old (36.2%), 135 individuals (97.8%) had a history of substance abuse in their family, and 66 individuals (40.5%) initiated drug use before age 20. The most common substances were opium and crack with a proportion of 76.8% and 9.4%, respectively. Prevalence of positive HIV and hepatitis B among addicted women were 18.8% (26 persons) and 5.0% (7persons), respectively. Three (2.1%) of addicted women with HIV also had HBV. The most commonly HIV transmission were drug injections (30.7%) and unprotected sex (11.5%).
Conclusions:
Although women do not constitute a significant part of substance abuse, increasing trend of women addiction, on one hand, and high prevalence of risk factors related to HIV or hepatitis in women, on the other hand; show that officials and experts are required to seriously consider prevention and harm reduction programs for women.
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Brief Communication:
High under-five mortality rate in Rural Madhya Pradesh, time to identify high-risk districts using National Family Health Survey-4 data with comparison to low under-five mortality rate in Rural Tamil Nadu, India
Kishor Parashramji Brahmapurkar
Int J Prev Med
2019, 10:33 (5 March 2019)
DOI
:10.4103/2008-7802.253417
PMID
:30967919
Background:
India had highest number of under-five deaths, 1.2 million deaths out of 5.9 million (2015). As per the results from the first phase of National Family Health Survey (NFHS-4), 2015–2016, under-five mortality rate was highest in rural area of Madhya Pradesh (MP), 69/1000 live birth as compared to urban areas, 52/1000 live birth. The objective of the study was to identify potentially high-risk districts (HRD).
Methods:
This study was carried out from the secondary data of 50 districts of MP State which was available from NFHS-4 with information from 49,164 households. Scoring method was used to identify HRD by comparing variables related to maternal and child health care of rural MP with rural Tamil Nadu. Results: Eleven HRDs were identified with poor maternal and child health care along with high women's illiteracy and high percentage of child marriages in women. Indore division had 3 topmost HRD, Alirajpur, Jhabua, and Barwani followed by Rewa division with 2, Singrauli and Sidhi along with Sagar division.
Conclusions:
HRDs should be considered for targeted interventions using the strategies for reducing under-five mortality rate in rural MP.
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