Background:Anxiety disorders are the most frequent mental disorders encountered in childhood and adolescent years. The number of epidemiological studies done in this area within India is limited.Objectives:We determined the prevalence of anxiety disorders among adolescents in a rural community of Ballabgarh block, district Faridabad, Haryana. Secondarily, we also assessed sociodemographic and other factors associated with anxiety disorders among adolescents.Materials and Methods:This community-based cross-sectional study was conducted among 729 adolescents (10–19 years). Screen for Child Anxiety-Related Emotional Disorders tool was used for assessing prevalence and type of anxiety disorders. Sociodemographic and personal factors were included in the logistic regression multivariable model to establish associations. Adjusted odds ratios (AOR) along with 95% confidence intervals (CI) are computed.Results:The prevalence of anxiety disorders among adolescents was (22.7%; 95% CI: 19.7–26.0). Girls (27.6%) had higher prevalence than boys (18.3%) (P < 0.01). Social anxiety disorder (14.3%; 95% CI: 11.7–16.9) was the most common form of anxiety disorder. Female sex (AOR 1.8; 95% CI 1.2–2.6; P < 0.01), lower-middle socioeconomic status (AOR 1.96; 95% CI 1.2–3.1; P < 0.01), and presence of stressful event within the past 1-year (AOR 2.48; 95% CI: 1.12–5.06; P = 0.01) were found to be associated with the presence of anxiety disorders.Conclusions:Anxiety disorders are common among adolescents in rural settings of India. Tackling them will require appropriate health systems response. Adequate interventions should be incorporated at primary care level to address the mental health concerns of adolescents.
Diabetes mellitus is an important public health problem in India. With a prevalence of 8.6%, more than 66 million people are suffering from diabetes mellitus in our country. Many comorbid conditions and complications are associated with diabetes. Self-care in diabetes is a key element in the overall management of diabetes. Diabetes self-care is defined as the daily regimen tasks that the individual performs to manage diabetes. Poor self-care practices among diabetic patients are largely due to lack of information and support, and can result in poor control of the disease and its complications. In many countries, diabetes self-management education programs are integrated with diabetes care.In the present article, studies examining the effectiveness of self-care management education programs in various countries have been reviewed. The current scenario in India is discussed, as well as the challenges in integrating such programs.It has been concluded that such interventions should be culturally relevant, and should be provided in a continuous, on-going manner, so that the results in terms of metabolic control and positive behaviors are sustainable.
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