XXXX and its Determinants among @entity1 Attending a Tertiary Health Care Centre in Mangalore, India.

@entity1 @entity8 @entity6 @entity16 @entity1897 @entity989 @entity717 @entity130
BACKGROUND: The burden of @entity6 ( @entity6 ) is on the rise especially in developing countries like India. Due to its chronic @entity6 tends to cause many debilitating complications and @entity1897 ( @entity1897 ) is one of them. The aim of this study is to determine the prevalence of @entity1897 among @entity1 attending a tertiary care hospital and to identify the determinants associated with it. DESIGN AND METHODS: A cross sectional study was conducted in Government Wenlock Hospital, Mangalore (India), during January-February 2014. A total of 208 @entity1 with >5 year duration of @entity6 were asked to respond to the @entity1 history version of @entity16 Screening Instrument (MNSI) and examinations were conducted after obtaining consent from them. The statistical analysis was done in terms of descriptive statistics and association between variables was tested using logistic regression test. RESULTS: The prevalence of @entity1897 using the MNSI history version and MNSI examination were found to be 18.3% and 32.2% respectively. The major determinants associated with @entity1897 were found to be male gender (OR: 2.7, CI: 1.4-5.1, P=0.001), smoking (OR: 5.8, CI: 1.9-17.3, P=0.001) and age >40 years (OR: 2.7, CI: 1.2-5.8, P=0.011). CONCLUSIONS: The burden of undetected @entity1897 was found to be higher among @entity6 , with an especially higher prevalence among males, smokers and those with @entity6 . Interventions in the form of early detection through routine screening, smoking cessation and regular follow up examinations would go a long way in reducing the @entity717 among @entity6 and improve their quality of life significantly. Significance for public healthThe findings of the current research hold importance since @entity6 is one of the leading causes of morbidity and mortality across the world. Due to its chronic nature and effects of hyperglycaemia, @entity6 tends to be associated with many comorbidities, like @entity1897 , @entity8 , @entity989 etc. The presence of @entity1897 leads to a reduced quality of life among @entity6 @entity1 due to the @entity130 and consequent gangrenes andamputation. The concept of secondary prevention can be applied to the prevention of @entity1897 using easy to apply screening tools and thus help in early diagnosis and treatment to reduce the burden of this debilitating illness.
