Browsing by Author "Wijeratne, S."

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    The characteristics of people with diabetes mellitus in Kalutara District
    (Sri Lanka Medical Association, 2010) de Silva, A.P.; de Silva, S.H.P.; Rajapakse, L.C.; Jayasinghe, S.; Katulanda, P.; Wijeratne, C.N.; Wijeratne, S.
    INTRODUCTION AND OBJECTIVES: Diabetes mellitus is on the rise. Although recent studies are available data on ethnic minorities and estate sector are scarce. Aim of this study was to describe selected socio demographic aspects of people with diabetes mellitus in Kalutara District. METHODS: A cross sectional descriptive study was done. One person randomly selected from 20 randomly selected households in each gramasevaka (GS) division. There were 65 random (GS) divisions from all divisional secretariat areas. The data were collected using a pre-tested standard questionnaire. Fasting blood sugar was done to detect diabetes mellitus. RESULTS: Among 1225 screened there were 205 (16.7%) diabetics. Approximately one third was newly detected. There were 107 (52.2%) females in the diabetic group. The highest proportion was observed in the 50-54 and 55-59 age groups (44, 21.5%) and the middle income group (93, 48.9%). Those who were educated from Grade 6 to 0/L contained most of the diabetic patients (75, 39.7%). The prevalence in the urban, rural and estate sectors were 25.5%, 15.5 and 9.2% respectively. The prevalence among Sinhalese, Tamils and Muslims were 19.0%, 9.0% and 22.4% respectively. A gradient can be observed when prevalence was graphed according to the unsatisfactory basic needs index of the GS divisions. The highest proportion (23%) was observed in the richest GS Division. CONCLUSION: The prevalence of diabetes mellitus is high in the Kautara District. A higher prevalence was observed in urban areas, among Muslims and in rich GS divisions.
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    Social determinants of obesity in Kalutara District
    (Sri Lanka Medical Association, 2014) de Silva, A.P.; de Silva, S.H.P.; Liyanage, I.K.; Rajapakse, L.C.; Jayasinghe, K.S.A.; Kotulanda, P.; Wijeyaratne, C.N.; Wijeratne, S.; Haniffa, R.
    INTRODUCTION AND OBJECTIVES: To describe social, cultural and economic determinants of obesity in a representative population in Kalutara METHODS: A cross sectional survey carried out among adults of 35 to 64 years. Applying a stratified random duster sampling method from urban, rural and plantation sectors, 1300 participants were selected. Data gathered using an interviewer administered questionnaire. The body mass index of 23.01 kg/m2-27.50kg/ m2 was considered as overweight and >27.51kg/m2 as obese. Waist circumference (WC) of >90cm and >80cm was regarded as high for men and women respectively. Significance of prevalence of diseases and risk factors across different socio-economic strata were determined by chi square test for trend. RESULTS: Of 1234 adults who were screened age and sex adjusted prevalence of overweight, obesity and abdominal obesity (high WC) were 33.2%, 14.3% and 33.6% respectively. The Muslim population had the highest prevalence of all three categories. Sector, education, income, social status quintiles and area level deprivation categories show-an inverse gradient in obesity categories, mean BM! and mean WC. The differences observed for mean BM! and mean WC between the lowest and .highest groups in these socioeconomic factors were significant. CONCLUSION: There is an inverse gradient of overweight, obese and centrally obese with higher prevalence observed in the more affluent, educated, urban and high income segments of society. In Sri Lanka those in the higher socio economic categories are still at a higher risk of being overweight, obese and having abdominal obesity.