BACKGROUNDNon communicable disease control involves not only intake of medications, but also a substantial change in the life style of the patient. This is absolutely true regarding hypertension. In this study, we attempted to find out the proportion of patients with uncontrolled hypertension in spite of taking treatment, among adults residing in Kollam municipal corporation area. An exploration into the risk factors which are associated with non-control of hypertension even though they have been diagnosed as hypertensives and were under treatment was also done. The findings may throw light over the deficiencies in the modalities undertaken to treat hypertension as it is done presently. The objectives of the study were-1) to determine the proportion of uncontrolled hypertensives among treated adults residing in an urban area of Kerala. 2) to identify the risk factors associated with uncontrolled hypertension in the above population. MATERIALS AND METHODSA cross sectional study was conducted during the months of February & March of 2017. The study area included 5 wards in the Kollam Municipal Corporation area. The study subjects included 300 individuals above 18 years of age, residing in the study area. RESULTSThe prevalence of hypertension was found to be 40% in the study area. 27% were identified as pre-hypertensives. Of the previously diagnosed hypertensives undergoing treatment, 68.3% were found to have uncontrolled hypertension. Higher age (p<0.05), sedentary lifestyle (p<0.05), regular intake of alcohol (p<0.05), stress (p<0.001), dyslipidaemia (p<0.001), diabetes mellitus (p<0.05), family history of hypertension(p<0.01) and family history of first degree relative dying before the age of 40 years following Coronary Artery Disease were found to be significantly associated with uncontrolled hypertension. CONCLUSIONThe prevalence of uncontrolled hypertension is high even among patients on treatment (68.3%). Programmes focusing on ensuring compliance of hypertensives on treatment regarding life style modification should receive equal importance as drug compliance.
BACKGROUND Elderly people especially those with co-morbidities are considered to be more at risk to suffer from serious infection and complications due to corona virus disease - 19 (COVID 19) infection. The concept of reverse quarantine which ensured minimum contact of vulnerable individuals with others was put forward even from early days of the pandemic. How much the vulnerable individuals were aware of the concept, its practice and the apparent outcome is of interest. This information could be used in designing infection prevention measures.The purpose of this study was to determine the knowledge, attitude & practice regarding “reverse quarantine” among senior citizens. METHODS A longitudinal study was conducted in the urban area of Kollam district in Kerala from June 1st 2020 to May 31st 2021 (1 year). The study subjects included 128 individuals above 60 years, residing in the area. RESULTS Majority of study subjects had good knowledge and the right attitude regarding reverse quarantine. Regarding correct practices, 70 % of them were following good practices on reverse quarantine. None of them received any assistance from health care providers in ensuring reverse quarantine. CONCLUSIONS Improving the practice of reverse quarantine will bring about further protection of vulnerable groups, even after being fully vaccinated. KEY WORDS COVID – 19, Risk - Group, Senior Citizens, Self-Protection, Reverse Quarantine.
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