International journal of public health research最新文献

{"title":"Physical Inactivity and Its Associated Factors among Adults in Malaysia: Findings from National Health and Morbidity Survey (NHMS) 2019","authors":"Nazirah Alias, Chan Ying Ying, Lim Kuang Kuay, Ahzairin Ahmad, H. Mat Rifin, N. A. Shahein, Azlin Baharudin","doi":"10.17576/ijphr.1201.2022.04","DOIUrl":"https://doi.org/10.17576/ijphr.1201.2022.04","url":null,"abstract":"Introduction: Physical inactivity has been identified as the fourth leading risk factor for worldwide mortality with major implications towards general health. Monitoring the level of physical inactivity may reduce the burden of non-communicable diseases (NCDs) and their risk factors. This study aims to determine the prevalence of physical inactivity and its associated factors among adults aged 18 years and above in Malaysia. Methodology: Data was obtained from the National Health and Morbidity Survey (NHMS) 2019. It was a cross-sectional, population-based survey which employed two- stage stratified random sampling design. A total of 10,356 out of 10,472 respondents were interviewed using a short version of International Physical Activity Questionnaire (IPAQ). Results: Overall, the prevalence of physical inactivity among adults aged 18 years and above in Malaysia was 24.6% (95% CI: 23.2, 26.1). Results from multivariable logistic model showed that Chinese ethnicity (aOR 1.32; 95% CI: 1.04, 1.67), urban dwellers (aOR 1.30; 95% CI: 1.07, 1.57), those who were single (including widow, widower and divorcee) (aOR 1.36; 95% CI: 1.14, 1.61), students (aOR 2.10; 95% CI: 1.30, 3.40), higher household income earners (aOR 1.34; 95% CI: 1.07, 1.68) and those with hypercholesterolaemia (aOR 1.25; 95% CI: 1.03, 1.51) were significantly more likely to be physically inactive. Conclusion: Specific and appropriate intervention towards targeted group is in crucial need to increase the level of physical activity and to promote an active living towards an active and healthy Malaysia.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49033949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analisis Kualiti Hidup Pesakit Kanser Prostat di Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur","authors":"Norzaher Ismail, Syafiq Taib, Siti Nor Mat, Shamsul Azhar Shah","doi":"10.17576/ijphr.1201.2022.06","DOIUrl":"https://doi.org/10.17576/ijphr.1201.2022.06","url":null,"abstract":"Abstrak Kanser prostat merupakan ketiga tertinggi bagi golongan lelaki di Malaysia. Data 2018 melaporkan kanser prostat mencatatkan insiden 1,807 kes berbanding 1,186 kes pada tahun 2014 (Globocan 2018). Kanser prostat ini turut memberi kesan terhadap beban penyakit serta beban ekonomi kepada negara dan memberi kesan terhadap kualiti hidup pesakit terutamanya pesakit berumur melebihi 65 tahun. Kajian ini dilakukan bagi mengukur tahap kualiti hidup pesakit kanser prostat dan menentukan faktor-faktor yang mempengaruhi kualiti hidup pesakit tersebut. Reka bentuk kajian adalah tirisan melintang yang dilakukan dari Januari sehingga Disember 2018. Sampel kajian terdiri daripada pesakit kanser prostat yang didiagnos dan mendapatkan rawatan di Klinik Urologi, Jabatan Pembedahan dan Jabatan Onkologi dari tahun 2008 hingga 2017. Kajian menggunapakai set soal selidik EORTC QLQ-C30 dan EORTC QLQ-PR25 yang telah diterjemahkan ke Bahasa Melayu. Seramai 193 pesakit telah mengambil bahagian. Analisis mendapati tahap kanser memberi perbezaan yang signifikan kepada status kesihatan serta fungsi dan simptom kanser prostat (p < 0.001). Analisis faktor penentu mendapati umur , skor Gleason dan juga tahap lewat kanser merupakan faktor penentu kepada kualiti hidup pesakit kanser prostat (p < 0.05). Langkah kesedaran, saringan serta rawatan awal dilihat perlu dipertingkatkan bagi meningkatkan tahap kualiti hidup pesakit kanser prostat di hospital ini. Kata-Kunci: kualiti hidup – kanser prostat – faktor penentu Abstract Prostate cancer is the third commonest type of cancer among males in Malaysia that reported prostate cancer recorded 1,807 cases in 2018 compared to 1,186 cases in 2014 (Globocan 2018). Prostate cancer also is known to cause burden of disease and economic burden of the country and affects the quality of life of patients. This study conducted to assess the quality of life of prostate cancer patients and to determine the predictor factors that affect the quality of life of the patient. The study design was a cross-sectional conducted from January to December 2018. The study sample consists of prostate cancer patients diagnosed and sought treatment at the Urology Clinic, Department of Surgery and Oncology Department from 2008 to 2017. The study adopted the set of EORTC QLQ-C30 and EORTC QLQ-PR25 which has been translated into Malay. A total of 193 patients participated. The analysis found that cancer levels had a significant difference in health status and the function and symptoms of prostate cancer (p <0.001) in different stage of cancer. Multivariable analysis found that age, Gleason scores and advance-stage of cancer were predictor factors for the quality of life of prostate cancer patients. Awareness, early detection and treatment measures need to be enhanced to improve the quality of life of prostate cancer patients in the hospital. Keywords: Predictor factor – prostate cancer – quality of life","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47820322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitude of Universiti Kebangsaan Malaysia (UKM) Medical Students on Forest Bathing","authors":"A. Ignatius, Sze Lynn Teo, Wan Muhammad Aiman Hazimin, Fahninazirah Ahmad, Aeinaa Shida, R. Hod, H. Mohd Yusoff, A. Mohamed, R. Hod","doi":"10.17576/ijphr.1201.2022.11","DOIUrl":"https://doi.org/10.17576/ijphr.1201.2022.11","url":null,"abstract":"ABSTRACT Background and aims: Forest bathing or Shinrin-Yoku is a practice of being mindful of nature and it offers multiple health benefits in both physiological and psychological factors. This study aimed to determine the knowledge and attitude of Universiti Kebangsaan Malaysia (UKM) medical students towards forest bathing and its relationship with the sociodemographic factors. Materials and methods: A total of 165 UKM medical students were recruited using proportionate random sampling. The subjects were then categorized based on the academic year (Year 1 - Year 5). Exclusion criteria includes those who deferred their academic year and/or who were hospitalized. A questionnaire was given via a google form consisting of sociodemographic data details and 15 questions for each knowledge and attitude on forest bathing. Results: The prevalence of good knowledge and good attitude of UKM medical students towards forest bathing were 64.2% (n=106) and 50.9% (n=84) respectively. Female medical students had a good knowledge (n=63, 73.3%) and good attitude (n=52, 60.5%) compared to male medical students’ knowledge (n=43, 54.4%) and attitude (n=32, 10.5%) leading to a p-value of 0.012 and p-value of 0.010. Otherwise, other sociodemographic factors including race, level of medical year and level of lifestyle did not affect participants’ knowledge and attitude on forest bathing. Conclusion: Majority of UKM medical students have a higher prevalence of good knowledge compared to good attitude on forest bathing. Therefore, intervention is recommended especially towards male medical students as forest bathing has enough evidence as preventive medicine. Keywords: Shinrin-yoku, Preventive medicine, Nature therapy, Malaysia.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47799123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heatwave Impact on Mortality and Morbidity and Associated Vulnerable Factors: A Systematic Review Protocol","authors":"Fadly Syah Arsad, R. Hod, Norfazilah Ahmad, Mazni Baharom","doi":"10.17576/ijphr.1201.2022.12","DOIUrl":"https://doi.org/10.17576/ijphr.1201.2022.12","url":null,"abstract":"Introduction: Heatwave can increase the risk for heat-related illnesses and mortality. Many studies showed certain population are vulnerable to heatwave such as elderly, children and low-income households. However, the findings were inconsistent. Therefore, this systematic review provides a comprehensive review on heatwave impact and vulnerability factors on the mortality and morbidity impacts. Methodology: Five electronic databases (Pubmed, Ebsco Host, WOS, OVID Medline and Scopus) were primary searching tools to retrieve relevant literatures. This systematic review used the Medical Subject Heading (MESH) terms and keywords. An additional searching tool (Google Scholar) was used to seek further information and minimize missed evidence. We selected the literature based on the inclusion criteria (empirical full-text article, English language and published between 2010-2021). Two authors were assigned in each step of the process, starting from screening of the title, abstract and full text based on the inclusion criteria, data extraction and quality appraisal. Mixed-Method Appraisal Tool (MMAT) was utilized to assess the quality of selected articles. Thematic analysis and narrative approach were used to describe the findings. Conclusion: This review presents the comprehensive evidence-based regarding heatwave impact and associated vulnerable groups for better understanding and effective preventive measure planning to reduce the impact of heatwave on population health. Prospero registration number: CRD42021232847","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46451359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plain packaging and Pictorial Warning in Asia Countries: Where are we?","authors":"Kavita Jetly, A. Mohammed Nawi, Q. Mohd Ghazali, Mohd Rizal Abd Manaf","doi":"10.17576/ijphr.1201.2022.08","DOIUrl":"https://doi.org/10.17576/ijphr.1201.2022.08","url":null,"abstract":"Worldwide, around 8 million people die yearly due to tobacco usage. Cigarette smoking is the most popular form of tobacco usage. Smoking has linked to many detrimental health effects among adults and adolescents. Recognising the burden of smoking, World Health Organization have implemented various tobacco control strategies under the Framework Convention of Tobacco Control and mPOWER. This includes implementation of plain packaging and pictorial warning. In Asia, only Thailand, Singapore, Turkey, Saudi Arabia, and Israel have implemented plain cigarette pack. However, some countries have made progress to implement plain cigarette pack. Although some countries have not implemented plain pack, implementation of larger pictorial warning serve as a pathway for implementation of plain packaging. Countries with pictorial warning on cigarette pack should ensure it covers at least 50% of pack. Timor Leste has the largest pictorial warning on cigarette pack in the world. In conclusion, only 5 countries in Asia have implemented plain pack and some countries in this region are yet to implement size of pictorial warning according to requirement of World Health Organization. All countries should target to implement standardized pack to denormalise tobacco usage.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43781662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Support of smoking restriction in public areas among adolescents in Malaysia-The findings from Tobacco and E-Cigarette Survey among adolescents in Malaysia (TECMA)","authors":"Kuang Hock Lim, Pei Pei Heng, Hui Li Lim, Yoon Ling Cheong, Chee Cheong Kee, Sumarni Mohd Ghazali, Jia Hui Lim","doi":"10.17576/ijphr.1201.2022.01","DOIUrl":"https://doi.org/10.17576/ijphr.1201.2022.01","url":null,"abstract":"Introduction: Adolescents are the future generation, and their support for smoke-free policies might create momentum for future stringent smoke-free initiatives. This study aimed to determine the levels and factors associated with support for smoking in public areas among Malaysian school-going adolescents aged 10-19 years. Methods: The data were derived from the Tobacco and E-cigarettes among adolescents in Malaysia (TECMA), which employed the cross-sectional study design and multistage sampling to select the representative samples of school-going adolescents. Data was obtained through self-administered of pre-validated questionnaire. Descriptive study, cross-tabulation and multivariable analysis were used for analysis Result: Majority of respondents supported smoking restriction in public areas (86.3%, 95 CI 85.4-87.1). The proportion and likelihood of support of smoke-free initiative were higher among respondents with better knowledge of the harmful effects of second-hand smoke (SHS), been taught in school about the health effects of smoking, older age group (16-19 years), female, those students schooling in urban areas, Malay and other Bumiputras from Sabah and Sarawak. However, current smokers and ECV users were less likely to support smoke-free initiatives in public areas. Conclusion: The level of support for smoke-free initiative in public areas was high among youths in Malaysia, and this might offer promising prospects to expand the non-smoking areas to more public areas in the future. . Keywords: smoke-free public area, level of support, school-going adolescent,smoking status, TECMA","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47879540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training is an Important Factor for Community Health Workers in Performing KOSPEN Health Screening Activities in Malaysia: Community Health Workers (KOSPEN) 2016","authors":"Tania Gayle Robert Lourdes, W. S. Rodzlan Hasani, Muhammad Fadhli Mohd Yusoff, Hamizatul Akmal Abd Hamid, H. Mat Rifin, Hasimah Ismail, T. A. Saminathan, Jane Ling Miaw Yn, N. L. Ab Majid, Mohd Ruhaizie Riyadzi, Ahzairin Ahmad, Rosnah Ramly","doi":"10.17576/ijphr.1102.2021.03","DOIUrl":"https://doi.org/10.17576/ijphr.1102.2021.03","url":null,"abstract":"Abstract Introduction: Community health workers (CHW) or volunteers are health workers who are trained but do not possess a professional certificate. They are community members who live and work in that particular community. The Ministry of Health Malaysia had initiated a community-based intervention programme, Healthy Community Empowers the Nation or ‘Komuniti Sihat Pembina Negara’ (KOSPEN) in October 2013. In this programme, CHWs main task is to conduct non-communicable diseases (NCD) risk factor screening. Methods: Data from the “Evaluation of the implementation of KOSPEN programme in Malaysia 2016” was used. It is a cross-sectional study which was carried out in randomly selected KOSPEN localities throughout Malaysia. Logistic regression analysis was applied to determine factors associated with not performing KOSPEN screening activities by the volunteers. Data analysis was performed using Statistical Package for Social Sciences (SPSS) version 20. Results: A total of 700 volunteers were included in this study. Most of the volunteers were female (65.7%) and were aged 50-59 years (30.9%), followed by those aged 40-49 (27.1%). Majority had secondary education (65.3%), employed (55.7%.) and were married (80.4%). Multivariate logistic regression showed that volunteers who never attended training (aOR 2.79; 95% CI:1.66, 4.67) and who felt the content of the training module was inadequate (aOR 2.693; 95% CI: 1.46, 4.98) were more likely to not perform screening activities in the community. Conclusion: Attendance of the training should be a pre-requisite to qualify as a volunteer. Improvement to the training module should done to increase comprehensibility of the modules among the volunteers. Keywords: KOSPEN-community health workers-NCD screening-community-based intervention","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45172796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Phone Reminders to Improve Adherence to Anti-Retroviral Therapy: A Meta-Analysis","authors":"Abdullah Aliff Abdul Wahab, R. Ismail, H. Ismail, Nazarudin Safian","doi":"10.17576/ijphr.1102.2021.12","DOIUrl":"https://doi.org/10.17576/ijphr.1102.2021.12","url":null,"abstract":"Introduction: Adherence to anti-retroviral therapy (ART) regimens remains a difficult issue. Thus, it was hoped that the use of phone reminders would improve adherence. Methodology: The Cochrane database was searched using selected keywords for this meta-analysis. We included randomised, controlled trials (RCTs) that utilised interventions with phone reminder and reported adherence outcomes, as the proportion of prescribed pills taken, the scores on an adherence questionnaire, or the follow-up rate. Two independent authors screened titles of article for inclusion, extracted the relevant data, and assessed articles for risk of bias. Results: Seven RCTs published between 2010 and 2017 were selected for inclusion in this review. The sample size ranged from 76 to 631 participants. Most RCTs used short message service (SMS) and phone call reminders as interventions. The rate of adherence was 1.17-fold greater among those who received phone reminders than those who did not, which was statistically significant (Z = 2.86, p = 0.004). Those who received phone reminders showed a 17% higher likelihood for adherence compared with those who did not receive any phone reminder interventions. Conclusion: Phone reminders remain significantly effective means for improving adherence.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42992203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety Culture in Handling Radioactive Materials for Radiation Practitioners: A Review","authors":"Siti Amira Othman, Nor Farah Amirah Nor Azman, Nurul Fathihah Abu Bakar, Nurin Saqinah Jasrin","doi":"10.17576/ijphr.1102.2021.11","DOIUrl":"https://doi.org/10.17576/ijphr.1102.2021.11","url":null,"abstract":"This paper reviews the safety culture in handling radioactive sources. Safety culture refers to how safety is addressed and communicated in the workplace. It encompasses the attitudes, beliefs, perceptions, and values of all employees in an organization in relation to safety. A good safety culture can be promoted by management through commitment to safety, realistic practices for handling hazards, continuous organizational learning and concern for hazards shared across the workforce. The radioactive substances used should comply with the following characteristics where radiotoxicity must be as low as possible, short-living isotopes are preferred than long-living ones and the amounts used must be kept to a minimum. Therefore, the ‘As Low As Reasonably Achievable’ (ALARA) principle was applied that based on the minimization of radiation doses and limiting the release of radioactive materials into the environment by employing all reasonable methods. Besides that, the ALARA principle is an integral part of all activities that involve the use of radiation or radioactive materials and can help prevent unnecessary exposure as well as overexposure. The three major ALARA principles to assist with maintaining doses are time, distance and shielding. It takes a whole team effort to successfully implement the ALARA in safety culture while doing routine element of working in handling radioactive materials.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48085709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of Diabetic Nephropathy and Its Correlates in a Selected Outdoor-Based Diabetic Clinic in Rangpur, Bangladesh","authors":"M. Ferdous, Md. Abdur Rahman, Md. Ruhul Furkan Siddique, Abdul Halim, S. J. Jafrin","doi":"10.17576/ijphr.1102.2021.04","DOIUrl":"https://doi.org/10.17576/ijphr.1102.2021.04","url":null,"abstract":"Background:The rising burden of diabetic complication associated with the diabetes mellitus (DM) pandemic. DM is a global public health problem. Diabetic nephropathy (DN) is one of the life-threatening and irreversible microvascular complications of DM. Methods:A cross-sectional study was conducted from November 2017 to April 2018 to characterize and associate of possible DN among people living with diabetes where 40 T1DM, 200 T2DM as cases group and 50 non diabetic as a control groupwere selected conveniently. Data were collected using structured questionnaire and analyzed by SPSS-22. Stages of DN were classified according ‘Revised Classification of DN’ given by the ‘Joint Committee on Diabetic Nephropathy’, Japan, 2014. Results:The mean FBS was 6.81±0.87 mmol/L in T1DM, 7.98±3.25mmol/Lin T2DM and 4.55±0.58 mmol/L in controls. The prevalence of pre-nephropathy (PN), incipient nephropathy (IN) and overt nephropathy (ON) was 10%, 82.5% and 7.5% respectively in T1DM. Similarly, in T2DM the prevalence of PN, IN, ON and chronic kidney failure (CKF) was 5.5% 81%, 10%, and 3.5% respectively. One way ANOVA followed by post hoc-LSD suggested, in T1DM the mean FBS was significantly lower in PN group than IN (p=0.017) and ON (p=0.048) group. Further in T1DM and T2DM, the mean estimated Glomerular Filtration Rate was significantly (p=0.032) lower in IN group than PN and significantly (p=0.026, 0.006) lower in ON than PN and IN respectively. Irrespective of diabetic group, according to multivariate analysis, older age (adjusted OR =1.05, CI: 1.01-1.08; adjusted OR: 2.33, CI: 2.01-2.99), sCreatinine (adjusted OR: 7.73, CI: 2.26-22.47) and female sex (adjusted OR = 0.39, CI: 0.19-0.77) were independently associated with DN adjusting BMI, SBP, DBP and FBS level. Conclusion:This study showed the prevalence rate of DN was high among diabetic and mostly in type 2 diabetics with severe stage.","PeriodicalId":91099,"journal":{"name":"International journal of public health research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44867020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}