ABSTRACT
Introduction: Psychological Stress and other mental health problems are highly neglected in Indian farming Community. Changing climatic, weather and environmental conditions affected the growth of crops and yield. This has resulted in various stressful conditions faced by the farmers. The psychological stress leads to tensions in the family relationship, variations in their daily life, and poor operational decisions while farming and even may lead to farm accidents, suicides among them. Objectives: To study the Stress levels perceived by the farmers and the factors determining the stress among them and to study the suicidal ideation among farmers in the previous 6 months. Method: A Community based Cross sectional study was carried out in the villages of Kalghatagi taluk, among 324 marginal & small scale farmers of age group 18-60 years, using pretested semi-structured questionnaire comprising of socio-demographic details, occupational characteristics, perceived stress and the reasons for stress. The 4 item Perceived Stress Scale was used for the assessment of Stress levels. Higher Score indicates high levels of Stress. Results: Among 324 farmers, 69.8% of the farmers were males, majority of them belonged to 50-60 years, and most of them were small scale farmers. The mean perceived score was 6.29+4.38 SD. Majority of the farmers reported crop failure (35%) and debt (37%) as the reasons for stress. The major determinants of stress among farmers were crop failure, debt and family problems. Among 324 farmers 25.3% reported suicidal ideation in the previous 6 months. The Mean stress scores were high among those with suicidal ideation (12.69±1.12 SD). Conclusion: The study shows that stress levels were high among farmers and are related to the failure of crops, inability to pay the debts and other factors. The Mental health problems of the farmers should be addressed at early stages to reduce the burden of farmers' suicides. Primary mental health care should be made available to the rural population.
ABSTRACT
Background: Menstrual hygiene is an issue that is insufficiently acknowledged. Menstruation and menstrual practices are still clouded by taboos and socio-cultural restrictions resulting into adverse health of females. The present study was designed to assess the knowledge, attitude, practice, and health related issues regarding menstruation among medical students, which will add up to the lacking data regarding menstrual hygiene among medical students. Objectives: To assess knowledge, attitude and practice of menstrual hygiene among medical students and prevalence of health-related issues related to menstruation. Methodology: A cross-sectional study was conducted in May-June 2020, online data is collected through questionnaire from 118 medical students studying in Karnataka Institute of Medical Sciences, Hubli, Karnataka, India. Results: From our analysis, we have found that there is adequate knowledge, good attitude, and practice of menstrual hygiene among medical students. There is also positive correlation between menstrual hygiene practice and its related health issues. Conclusion: This study highlights the need for more intensified methods to generate a population who are more aware and complaint to practice and participate in spreading hygiene menstrual practices
ABSTRACT
Background: Rabies is a fatal zoonotic disease of the central nervous system, most commonly caused by the bite of rabid dogs. Globally canine rabies causes 59,000 human deaths, over 3.7 million DALYs and 8.6 billion USD economic losses annually. These losses are due to a lack of knowledge about wound management and post-exposure prophylaxis. The objective of the study was to assess the knowledge and practices following dog bite and its management among the urban and rural population.Methods: A cross-sectional study was conducted in the field practice area of KIMS, Hubli. 120 households of the urban and rural locality were interviewed with a semi-structured pretested questionnaire.Results: Overall 89.16% of the study population was aware that the disease can be prevented by vaccination. 35% of the rural and 28% of the urban population believed that the disease can spread from person to person. The knowledge about the site and the number of doses of vaccine was poor among both the population. The harmful practices for treatment of bite were still prevalent among both rural (25%) and urban (8.3%) population.Conclusions: The knowledge about the dog bite management and Rabies prevention is insufficient among both populations. There are myths and misconceptions about the disease and wound management. Practices like application of harmful substances like lime, turmeric, mud are the problems hindering rabies prevention and control. Proper steps need to be taken up to control the canine rabies.