Browsing by Author "Paudel, Shishir"
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Publication Hypertension and its Associated Factors in a Middle-Aged Population(Nepal Health Research Council, 2024) Bhandari, Tulsi Ram; Paudel, Shishir; Chalise, Anisha; Ojha, Jenny; Paudel, Grish; Khatiwada, Bhushan; Yadav, Uday NarayanBackground: Hypertension is a major risk factor for cardiovascular diseases, chronic kidney disease, and dementia. Early detection and management are crucial for preventing these complications. However, many people lack awareness regarding their blood pressure. The study aimed to assess the prevalence of hypertension and its associated factors in rural communities. Methods: This cross-sectional study was conducted among 525 middle-aged (35-60 years) residents of the Rupa Rural Municipality, Nepal, from August to December 2020. Chi-square test and multivariate logistic regression were performed to identify the factors associated with hypertension at a 5% level of significance. Results: More than half (50.9%) of the respondents had normal to elevated systolic pressure, while only one-third (33.9%) had normal to elevated diastolic pressure. Only 47.4% of the hypertensive participants were aware of their hypertensive condition. Being a male (aOR: 1.903; 95% CI: 1.184-3.030), in middle age of 45-55 years (aOR: 2.002; 95% CI: 1.152-3.478), having basic education (aOR: 2.014; 95% CI:1.174-3.455), currently consuming alcohol (aOR: 1.923; 95% CI: 1.095-3.375), and being overweight/ obese (aOR: 1.899; 95% CI: 1.262-2.859) were identified as significant factors associated with hypertension. Conclusions: The studys findings emphasize the urgency of interventions to improve awareness of hypertension and its management to improve health outcomes. Targeted interventions will have an opportunity to reduce the burden of hypertension which is an important risk factor for cardiovascular diseases among the middle-aged population. Keywords: cardiovascular disease; hypertension; Nepal; prevalence; risk factors.Publication Socioeconomic, Behavioural, and Health-related Characteristics of Older Adults(Nepal Health Research Council, 2024) Suvedi, Bal Krishna; Karmacharya, Isha; Karkee, Shiba Bahadur; Myia, Salau Din; Ghimire, Saruna; Karki, Kshitij; Singh, Devendra Raj; Paudel, Shishir; Marasine, Nirmal Raj; Pandey, Saloni; Adhikari, Raksha; Kafle, Bhawana; Shrestha, NaveenBackground: The global aging population is growing rapidly, and Nepal is no exception. This increase is driven by changes in socioeconomic conditions, health behaviours, and advancements in the health system. In Nepal, almost a quarter of the national population are older adults (≥45 years), whose health status is rarely elaborated. This study was carried out to assess the socioeconomic, behavioural, and health-related characteristics of older adults in Nepal. Methods: A community-based cross-sectional study was conducted among 4,179 randomly selected older adults residing in Bagmati Province from July 2022 to June 2023, via a multi-stage sampling technique. A semi-structured questionnaire including Geriatric Depression Scale, Activity of Daily Living, and Instrumental Activity of Daily Living along with sociodemographic and health profiles were used for the data collection through face-to-face interviews. The data were described in frequency and percentage across the local levels (urban/rural) and gender. Chi-square tests were done for bivariate analyses. Results: The mean age of the population was 61.66±11.1 years. The prevalence of multimorbidity, disability, and depression was found to be 27.6%, 23.3%, and 35.1% respectively. There was no significant difference between multimorbidity and depression across local levels, while there was a significant difference across disability status. There was a significant difference between multimorbidity and depression across genders. Conclusions: This study provides comprehensive insights into the socioeconomic status, behavioural factors, and health status of older adults in Nepal. Study findings can inform interventions and policies at local levels to consider the unique needs of the older population in Nepal. Keywords: Chronic diseases; depression; disability; Nepal; older adults.