Background: Depression is a hidden pandemic among adolescents with multi-factorial causal risk and risk correlates. Objectives: To find the prevalence of depression and risk factors among school-going adolescents. Methods: A cross-sectional study was conducted among 838 adolescents enrolled in 6 th –11 th standards (age: 11–19 years) in 15 urban schools in Patna city by using the modified Patient Health Questionnaire-9 (PHQ-9); binary logistic regression was applied to find significant risk correlates. Results: Depression was noted among 51.2% adolescents of our study participants: mild 32.3%, moderate 14.3%, moderately severe 3.9%, severe depression 0.6%; among early adolescents (46.2%; boys-21.2%, girls-78.8%) and among late adolescents (55.3%, boys-34.7%, girls-65.3%). Adolescent depression was significantly associated in our study with female gender, late adolescence, higher classes (9th–11th), vegetarian diet, soft drink consumption, fast foods, screen time, domestic harassment, academic dissatisfaction, parental discord as well as mental illness. Girls had higher risk who were in higher classes, on a vegetarian diet, habitually on soft drink, more screen time (>3 h), face more family nuisance, parents brawling frequently, and suffering from known mental diseases. Conclusion: Depression was noted in more than half of the adolescents, with a higher prevalence in girls, scholastic failure, higher grades, vegetarian diet, more screen time, familial disease, and conflict.
INTRODUCTION: Hypertension or high blood pressure is one of the major non-communicable health problems of 21st century associated high morbidity and mortality, global burden of which increasing day by day. Hypertension is a key risk factor for cardiovascular diseases which affects people silently all over the world. It is suggested that hypertension has its origin in childhood but goes undetected unless specically looked for during this period. Thus early detection of hypertension and its precipitating or aggravating factors are important if one is to evolve measures so that complications of hypertension can be averted. To estimate prevalence of Hypertension among Adolescent school students, to studyObjectives: distribution of blood pressure of adolescent school students according to age, sex and height and to identify the socio demographic and behavioral factors associated with Hypertension among school students. This was School based, epidemiological, observational Study wasMethods: conducted in two Government co-education secondary and higher secondary (H.S) schools in urban area of Patna Bihar. In Female Group,Result: 15(8.2%) students had SBP <90 mm Hg, 127(69.4%) school students had 91-119 mm Hg systolic blood pressure, 37(20.2%) school students had 120-129 mm Hg systolic blood pressure. In Male Group, 36(17.6%) students had SBP of <90 mm Hg, 93(45.6%) students had 91-119 mm Hg systolic blood pressure, 35.8%school students had SBP between 120-129mm Hg and SBP 2 male students was 130 mm Hg or more. In Female Group, DBP of 156(85.2%) students were between 51-79 mm Hg, and 27(14.8%) students had DBP of ≥80 mm Hg. In Male Group, 10(4.9%) students had DBP of ≤50mm Hg, 178(87.3%) students had 51-79mm Hg of Diastolic blood pressure and 16(7.8%) school students had ≥80mm Hg DBP. Findings of the study is expected to be of much help to the public health programme planner and manages to ne tune strategicConclusion: intervention for reducing non-communicable disease burden in the country.
Background: With increasing life expectancy, number of old age people increased throughout the world, particularly more in the developing countries like India. Globally there are an estimated 605 million people aged 60 years and above. As the ageing population is increasing, the burden of their health problems is on a rise. To provide appropriate care for them there is a need to attain information about their morbidity pattern. Objectives: to study the morbidity pattern among the geriatric patients attending outpatient department of RHTC, Maner of IGIMS, Patna and to find out the difference in health problems between males and females, if any.Methods: This hospital based cross-sectional study was conducted during September 2017 to February 2018 among 98 elderly patients, aged 60 years or above, who attended first time at the Out Patient Department of rural health training center, Maner of IGIMS, Patna and who fulfilled inclusion criterion.Results: In this study majority had normal nutritional status. Amongst morbidity, prevalence of locomotors problems was highest (63.26%) followed by depression (42.85%), refractive error (20.4%), hearing loss (18.2%) and cataract (15.3). Locomotors problems were significantly higher in women (93.75%) as compared to the men (34%). However, the prevalence of depression, refractory error, hearing loss and cataract were not significantly associated with gender.Conclusions: There is a need to deliver comprehensive geriatric health care services for prevention and control of chronic diseases and address the dual burden of disease among the elderly to promote healthy ageing.
Background: The dermatologic consultation might be a precious opportunity to recognize and treat depression associated with suicidal ideation in these patients. This study aimed to find the prevalence of suicidal ideation among patients with dermatologic conditions, and identifying demographic variables of suicidal ideation. Methods: This institution based cross-sectional study was conducted during February to March 2017, at dermatological out-patients department of the teaching hospital Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India. Results: Of 396 adults with skin disease 272 (68.69%) were male. Prevalence of suicidal tendency was significantly more among young adults and higher in females (38.7%) than males (1.5%). In males, suicidal tendency was in patients suffering from tinea infection while among females, significantly more observed among patients suffering from tinea 38.71%, psoriasis 22.58% and chronic idiopathic urticaria 16.13%. The risk of suicidal tendency in males were significantly higher among 18–20 years, unemployed, belongs to smaller family, having lower body mass index and suffering from depression. While in females, suicidal tendency was significantly higher among early adulthood, not or lower education, unemployed, no personal income and vegetarian, belongs to large family, no family support, having lower body mass index and suffering from depression as well as suffering from some other medical comorbidity in addition to skin diseases. Conclusions: Risk correlates of suicidal ideation with skin diseases were early adulthood, lower education, unemployment with no personal income, vegetarian diet, large family, no family support, lower body mass index and suffering from depression and comorbidities.
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