Context:Antiretroviral adherence is the second strongest predictor of progression to acquired immunodeficiency syndrome (AIDS) and death, after CD4 count. Adherence to antiretroviral therapy (ART) has been strongly correlated with human immunodeficiency virus (HIV) viral suppression, reduced rates of resistance, an increase in survival, and improved quality of life.Aims:To determine the adherence rates and factors affecting adherence to ART among people living with HIV/AIDS (PLWHA).Settings and Design:A Prospective study for 1 year was conducted among PLWHA, aged between 15 and 49 years, visiting ART center.Subjects and Methods:242 PLWHAs were included in the study. Structured questionnaire was used to obtain data on sociodemographic profile, factors affecting adherence. Adherence was assessed through self-reports, routine and random pill counts, and assessment of medical records.Statistical Analysis Used:Descriptive statistics, logistic regression, and Chi-square tests were computed using Epi Info 7 version CDC (Centers for Disease Control and Prevention) U.S. Department of Health and Human Services.Results:Adherence to ART was finally assessed on 242 PLWHAs. Mean age of subjects was 35 ± 7.8 years. One hundred percent adherence rate (consistent adherers) for the whole 6 month period was seen only in 31.6% patients. Lower 6 month averages of 95–100%, 80–95%, and <80% were noted in 49.8%, 9.1%, and 9.5% patients, thus resulting in optimal adherence rate of >95% in 81.4%. Earning member (odds ratio [OR] =0.404) and weight difference (OR = 0.818) were most associated with the adherent individuals. Most common psychological reason was forgetfulness in 44.9%.Conclusions:Adherence rate was poor among PLWHA and economic factors play an important role in adherence.
A study was conducted on stress among government city bus drivers in Hubli from 4 th June to 3 rd July 2013 2.1 Sample size: Study sample was collected of 100 bus drivers. 2.2 Inclusion criteria: The bus drivers who were plying within the city limits were taken in the study. 2.3 Exclusion criteria: The bus drivers plying outside city limits were excluded. 2.4 Study method: Structured, preformed and pretested questionnaire was prepared. Permission was taken from CPM, NWKRTC, Gokul road, Hubli. Data was collected by using the questionnaire regarding the socio-demographic profile which contained name, age, education status, socioeconomic status, marital status etc. General information about the bus drivers regarding number of years of service, no. of hours of sleep and work, bad habits etc. were collected. Frequency of bus passenger accident by each bus drivers, concern for driving, confirming safe conditions for drive observed by the drivers during their work were asked. Then depression among bus drivers was assessed by self rating depression scale 4. Various job stressors like aptitude for job, bad environment in bus and among colleagues, complaints from passenger were taken. Lastly details regarding recognition from others about their job were collected. The data was then tabulated in MS excel, correlation tests were applied to the suitable tabulated data and the same was analysed in SPSS 17.0.
Background: Diabetes is a chronic, progressive disease characterized by elevated levels of blood glucose and is recognized as an important cause of premature mortality and morbidity. Self-care practice in diabetes patient is a critical factor to achieve glycaemic control thus in preventing or delaying its complications.Methods: A cross sectional study was conducted among 140 type 2 diabetic patients attending the outpatient department in Karnataka Institute of Medical Sciences, Hubballi during the period of June-July 2018. Diabetic patients diagnosed more than 3 months were included. Data was collected by interview method using pre-designed, pre-tested and semi-structured questionnaire which consists of information on socio-demographic data, diabetic profile, self-care practices and dietary barriers. Statistical analysis was done using SSPS package.Results: This study showed that 67.9% of study participants were consuming diabetic diet, 17.1% practice exercise for more than 3 days a week, 93.6% were taking medication regularly, 15% practised foot care for >3times a week and 89.3% monitored their blood glucose regularly. The main barriers for dietary practices were lack of knowledge (24%) and lack of motivation (18%). Compliance to diabetic diet was more among the urban population compared to rural (p=0.025).Conclusions: Study concludes that the practice of self-care activities was poor in almost all aspects except for blood sugar monitoring and adherence to medication which necessitates the need to create awareness regarding self-care practices and its importance among diabetic patients.
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