Shailendra Kumar Mishra

Menstrual characteristics: A study of the adolescents of rural and urban West Bengal, India

Abstract Background: It has been observed that menstrual characteristics are generally influenced by lifestyle, socio-cultural and biological factors. Aim: The present study examines: (a) variation in menstrual characteristics between rural and urban adolescents; and (b) whether these characteristics can be predicted from various socio-economic variables related to place of residence. Subjects and methods: The sample of the present study constituted 715 adolescent girls from rural (325) and urban (390) areas of West Bengal, a State of India. These girls belong to a Bengali-speaking Hindu ethnic group. Data on socio-economic variables and menstrual characteristics were collected using pretested questionnaires. Results: Rural and urban adolescents differed significantly (p ≤ 0.05) with respect to age at menarche, skipped and irregular cycles, premenstrual syndrome, duration of menstrual discharge, mean number of days of peak discharge and problems related to menstrual discharge. Place of residence was found to be a significant predictor of age at menarche (β = 0.27, p < 0.01). Significant association was observed between some of the socio-economic variables and various menstrual characteristics among the study participants. Conclusions: Menstrual characteristics differ significantly between rural and urban adolescents. Moreover, various socio-economic variables pertaining to place of residence significantly affect the menstrual characteristics among adolescents.

Socioeconomic correlates of reproductive morbidity among adolescent girls in Sikkim, India.

The present study investigates the prevalence of reproductive health morbidities, treatment-seeking behavior, and its association with sociodemographic correlates among unmarried and married adolescent girls of Sikkim. The study sample includes 1250 adolescent girls randomly selected from both urban and rural blocks of the State. Information on socioeconomic and demographic characteristics, prevalence of reproductive health morbidities, and treatment-seeking behavior was collected using standard pretested questionnaires. Results of the study indicate that the prevalence of reproductive health morbidities among both married and unmarried girls is quite high. Age, media exposure, and economic status emerged as significant correlates of treatment-seeking practices among both married and unmarried girls. High prevalence of reproductive health morbidity in this vulnerable group, particularly in rural settings, requires urgent intervention of health planners. This study reinforces an indirect and mediatory role of socioeconomic and demographic factors in the prevalence of reproductive health morbidities and associated treatment-seeking behaviors.

A study on the relationship of sociocultural characteristics menstrual hygiene practices and gynaecological problems among adolescent girls in Eastern India.

Abstract Objective: The present study aims to understand the relationship of socioeconomic characteristics, menstrual hygiene practices and gynaecological problems among adolescent girls residing in rural and urban areas in the state of West Bengal, India. Methods: The study was based on a sample of 715 adolescent girls from rural (325) and urban (390) areas of West Bengal, a state in Eastern India. These girls belong to the Bengali-speaking Hindu community. Data on socioeconomic characteristics, menstrual hygiene practices (such as type of absorbents used and mode of cleaning of genitals during days of menstrual discharge) and gynaecological problems were collected using pretested questionnaires. Results: Rural and urban girls differ (p<0.01) for age at menarche, menstrual hygiene practices and prevalence of gynaecological problems. Urban girls have better menstrual hygiene practices (β=0.343, p<0.01) than rural girls. A similar trend is noted for gynaecological problems (β=0.080, p<0.01) among the study participants. Apart from socioeconomic characteristics, menstrual hygiene (β=–0.121, p<0.01) remains a significant predictor of gynaecological problems. The results of path analysis also indicate that girls of higher socioeconomic status have better menstrual hygiene practices which subsequently reduce the prevalence of gynaecological problems among them. Conclusion: A concerted effort from parents, educational institutions and existing healthcare institutions along with media may ensure safe and secure reproductive health prospects for adolescents in the region.

Body Weight Concerns among Urban Adolescent Girls: A Microlevel Study

Growing consciousness about ideal body image leads to dietary modifications and consequent eating disorders among girls in developing countries like India. The present study aims to (i) assess the prevalence of body weight consciousness and related behaviours among a group of adolescent girls; (ii) assess the sociodemographic correlates of weight related behaviours; and (iii) compare weight related behaviours of the girls of two religious groups residing in Howrah. The study is the outcome of a cross-sectional school based survey involving 280 (159 Hindu and 121 Muslim) girls from standards 8 to 11. Significant differences exist between two religious groups with respect to their family size, socioeconomic profile, and media exposures (in terms of watching television). Consciousness about body weight among girls shows significant difference with respect to religion, family size (), father’s occupation (), level of education of both the parents, and media exposure (). Consciousness about body weight drives them to adopt several behavioural measures like calorie restriction, food avoidance, and dieting. Sociodemographic correlates of all these behaviours have been analyzed. The study documents that concern over body image and weight loss is quite important among these urban girls.

Efficacy of Baptisia Tinctoria in the Treatment of Typhoid: Its Possible Role in Inducing Antibody Formation

Abstract Typhoid is one of the most serious infectious bacterial diseases in third world countries. It is usually treated by traditional antibiotics but due to the appearance of antibiotic resistant strains physicians opt for phyto products and other alternative medicines for the treatment of typhoid. Baptisia, an extract from indigo plant root, has been proved to be highly effective ultradilute medicine for the treatment of typhoid; however, the mode of action of the ultradilute extract is uncertain. Due to the antigenic variations of Salmonella it seems to induce immuno system by activating both T and B cells by the formation of antibodies. This principle seems to be highly effective for the development of typhoid vaccine. The present studies found that Baptisia administration possibly caused a salmonella-like reaction in the body as this extract produces an endogenous antibody similar to salmonella reaction. Thus, this study suggests that Baptisia tinctoria extract can be used for the prevention and treatment of typhoid.

Hypertension and its correlates in two communities of dissimilar genetic ancestry in Sikkim, India

Background: Hypertension has emerged as a major health risk among adults and the elderly in India. In spite of sharing similar physical and cultural environments, group level cultural variability and distinct genetic ancestry may result in differences in patterns of hypertension prevalence. Aim: The present study investigates the relationships between socio-economic, lifestyle and anthropometric variables and hypertension in two communities (Rai and Bhutia) of Sikkim. Both groups live in a similar ecological setting and are exposed to forces of modernization of almost equal magnitude. Subjects and methods: The study sample consists of 582 Rais and 315 Bhutias. Information on socio-demographic characteristics, substance uses and other lifestyle variables were collected through relevant pre-tested questionnaires. Anthropometric measurements were taken following standard methods. Three consecutive blood pressure measurements were taken and averaged for analysis. Results: The results of covariance analyses show that ethnicity is not a significant covariate of either systolic or diastolic blood pressure. Use of tobacco and alcohol consumption, level of education and activity patterns were found to be significant correlates of hypertension. The diagnostic ability of waist circumference is found to be better than body mass index for assessment of risk of hypertension among the present study populations. Conclusions: Lifestyle factors more than ethnicity and socio-economic factors contribute to the development of hypertension in these populations. Based on the results of this study, we would suggest that a sustainable increase in physical activity and reduction in alcohol consumption would be helpful in the proper management of hypertension for both groups.