ABSTRACT
Background: Alcohol consumption is a major cause of morbidity and mortality worldwide. It is frequently related to health and behavioural problems as well as socio-economic hardship. Therefore, this study was conducted to determine the prevalence and risk factors of alcohol consumption among adult males residing in urban area of Thanlyin Township, Yangon Region. Methods: A cross-sectional study was conducted among 380 adult males. Multi-stage random sampling was applied. Data entry and analysis was done using Stata 11.0 statistical package. Results: The prevalence of current alcohol drinking, ex-drinking and never drinking were 20.5%, 9.0% and 70.5%, respectively. There was a significant decreasing trend of alcohol consumption across the levels of age-group. Age, education status and practicing other health-risk behaviours such as smoking and betel chewing were detected as significant risk factors of alcohol consumption. Ever smokers and ever betel chewers were about 4 times more likely to be ever alcohol user compared to their counterparts even if age and education level were adjusted. By controlling smoking and betel chewing habits, 79.2% and 76.6% of existing prevalence of alcohol consumption among respondents would be reduced, respectively. Conclusions: There is an urgent need to curb the habit of alcohol consumption among adult males living in urban area, especially young adults. Alcohol and tobacco control policies in Myanmar should be strengthened or reinforced. Tobacco control program also needs to be intensified. Health education and health promotion activities should be enhanced in order to reduce alcohol consumption in the country.
ABSTRACT
Background: Health literacy means cognitive and social skills of a person that determine his or her ability to access, understand and use health information to maintain and promote health. People need to understand and use health information in order to choose a healthy lifestyle or to take advantage of preventive measures. The occurrence and consequences of NCDs are related to unhealthy life styles. Insight into the relationship between health literacy and modifiable behavioral risk factors of NCDs may support the prevention and control of these diseases. Methods: A cross-sectional study was conducted among 1367 adults. Multi-stage random sampling was used. Data entry and analysis was done using Stata 11.0 statistical package. Multiple logistic regression analysis was applied to assess the association between health literacy and behavioral risk factors. Results: The proportion of participants who reported ever smoking, ever alcohol drinking and not-practicing daily-exercise was 19.8%, 16.2% and 85.2%, respectively. The prevalence of satisfactory level of health literacy was 31.5%. Health literacy was significantly related to behavioral risk factors even if age, sex, education status and monthly household’s expenditure were adjusted. By improving the health literacy status of adults up to satisfactory level, the prevalence of ever smoking, ever drinking and not-practicing daily exercise among them would be reduced by 34%, 32.1% and 38.9%, respectively. Conclusions: Health literacy status of community should be assessed, monitored and improved. Health literacy may be an effective tool in prevention and control of NCDs because of its preventive effect on modifiable behavioral risk factors.
ABSTRACT
A prospective, quasi-experimental study was carried out in 2009 at urban health centres (UHCs) of five townships of Mandalay, Myanmar, to improve the skill of midwives (MWs) in diagnosis and referral of pre-eclampsia (PE) from UHC to the Central Women’s Hospital (CWH) and to enhance the supervision of midwives by lady health visitors (LHVs). The intervention was training on quality antenatal care focusing on PE using an updated training manual. Altogether, 75 health care providers (MWs & LHVs) participated. In this study, data were extracted from patient registers and monthly reports of UHCs and CWH. Interviewers were trained regarding the conduct of semi-structured questionnaires to elicit knowledge and to use checklists in observation of skills in screening of PE, measuring blood pressure and urine protein (dipstick test). A guide for LHVs was also used to obtain data, and data was collected six months prior to and after the intervention. Significant improvements from baseline to endline survey occurred in the knowledge (p<0.001) and skill levels (p<0.001) including skills for screening, measuring blood pressure and urine protein. At CWH, there was an increase in referred cases of PE after the intervention, from 1.25% to 2.56% (p<0.001). In conclusion, this study highlights the early detection of pre-eclampsia by widespread use of quality antenatal care, education and training of health-care providers to improve their performance and increase human resources for health care, in order to enable women in our society to have healthy pregnancies and healthy babies.