Fast food is not the only junk food: Consumption pattern of different types of junk food in adolescents of Aligarh

Background: Junk food is a term that is used for many types of food including the predominantly western - fast foods, as well as for local - street foods and instant foods. Objectives: The objectives of this study were to assess the consumption pattern of fast food, street food, and instant foods among adolescents and their correlation and to determine the preferred food among these, if there were no cost constraints. Materials and Methods: A cross-sectional school-based study was conducted in 13–15 years old adolescents from two schools of Aligarh. The study used pictorial examples to ascertain the prevalence of different types of food. Data were analyzed using SPSS-20. Spearman’s rho was applied to find correlations among the different food categories. Results: The consumption rate of fast food, street food, and instant food for twice or more times a week was 57.7%, 55.7%, and 46.1%, respectively. Furthermore, if money was not a restraint, the most favored food was fast food (44%). There is a significant correlation of consumption patterns of these foods. Conclusion: The unhealthy junk foods consumption includes not only the western fast foods which are ultra-processed but also Indian street foods rich in trans fats as well as instant foods. A more nuanced and comprehensive approach is needed to counter the hazards of the current junk food environment

Knowledge, attitude, practice, and pattern of substance use among adolescents and young adults from Aligarh, India

Background: Substance use disorders are significant public health problem among adolescents and young adults. Aim & Objective: We did this study to observe knowledge, attitude, and practice of substance use among school and college going adolescents and young adults. Material & Methods: A cross-sectional study was conducted at 10 schools and colleges from Aligarh. A total of 1431 students were approached with study tools comprising of pre-structured proforma on knowledge, attitude, and practice. Results: We observed that most of the students (89%) had some knowledge about substance use. The risk-taking attitude was common even against drugs like cocaine and charas (30.6% and 29.1% respectively). A high prevalence of ever user and current user was observed (33.3% and 12.9% respectively). The mean age of starting the drug in students and their friends was 15.5 ±2.7 and 16.2 ±2.8 years respectively. Among the ever users, tobacco smoking (56.6) and alcohol (47.6%) were most common. Stress (57.9%) was most common reason to use drugs. Males and college students (40.6% and 41.2% respectively) were using it more. Conclusion: This study found half-baked knowledge, propensity towards a risk-taking attitude, and a substantial prevalence of substance use practices. Proper action and further researches are required to explore variables associated for reducing the prevalence

An Immunohistochemical and Polarizing Microscopic Study of the Tumor Microenvironment in Varying Grades of Oral Squamous Cell Carcinoma

Background Invasion of epithelial cells into the connective tissue brings about massive morphological and architectural changes in the underlying stroma. Myofibroblasts reorganize the stroma to facilitate the movement of tumor cells leading to metastasis. The aim of this study was to determine the number and pattern of distribution of myofibroblasts and the qualitative and quantitative change that they cause in the collagen present in the stroma in various grades of oral squamous cell carcinoma (OSCC). Methods The study was divided into two groups with group I (test group, 65 cases) consisting of 29 cases of well-differentiated squamous cell carcinoma, 25 moderately differentiated SCC, and 11 poorly differentiated SCC, and group II (control group) consisting of 11 cases of normal mucosa. Sections from each sample were stained with anti–α-smooth muscle actin (α-SMA) antibodies, hematoxylin and eosin, and Picrosirius red. Several additional sections from each grade of OSCC were stained with Masson’s trichrome to observe the changes in collagen. For the statistical analysis, Fisher’s exact test, Tukey’s post hoc honest significant difference test, ANOVA, and the chi-square test were used, and p < .05 was considered statistically significant. Results As the tumor stage progressed, an increase in the intensity α-SMA expression was seen, and the network pattern dominated in more dedifferentiated carcinomas. The collagen fibers became thin, loosely packed, and haphazardly aligned with progressing cancer. Additionally, the mean area fraction decreased, and the fibers attained a greenish yellow hue and a weak birefringence when observed using polarizing light microscopy. Conclusions Myofibroblasts bring about numerous changes in collagen. As cancer progresses, there isincrease in pathological collagen,which enhances the movement of cells within the stroma

Omission of quality assurance during data entry in public health research from India: Is there an elephant in the room?

As the adage, “Garbage in, Garbage out” goes, data entry errors may lead to erroneous results and conclusions. Quality assurance during data entry is one of the most neglected components of research and is conspicuously missing in most of the reporting standards. In this study, we reviewed research studies published in Indian Journal of Public Health and Indian Journal of Community Medicine during 2014–2016 and determined the proportion of papers reporting on quality assurance during data entry. Of 110 papers, only 6 (5.5%) papers explicitly included a statement about data quality assurance, with two studies reported to have performed double entry and validation, considered the gold standard in quality-assurance of data entry. This is highly unacceptable. We hereby appeal to the community of researchers, peer reviewers, and journal editors in India to pay attention to this important aspect of research and make reporting of quality assurance of data entry mandatory in every published paper

The dire need for primary care specialization in India: Concerns and challenges

Primary health care is an evidence-based priority, but it is still inadequately supported in many countries. Ironically, on one hand, India is a popular destination for medical tourism due to the affordability of high quality of health care and, on the other hand, ill health and health care are the main reasons for becoming poor through medical poverty traps. Surprisingly, this is despite the fact that India was committed to 'Health for All by 2000' in the past, and is committed to 'Universal Health Coverage' by 2022! Clearly, these commitments are destined to fail unless something is done to improve the present state of affairs. This study argues for the need to develop primary care as a specialization in India as a remedial measure to reform its health care in order to truly commit to the commitments. Three critical issues for this specialization are discussed in this review: (1) The dynamic and distinct nature of primary care as opposed to other medical specializations, (2) the intersection of primary care and public health which can be facilitated by such a specialization, and (3) research in primary care including the development of screening and referral tools for early diagnosis of cancers, researches for evidence-based interventions via health programs, and primary care epidemiology. Despite the potential challenges and difficulties, India is a country in dire need for primary care specialization. India's experience in providing low-cost and high quality healthcare for medical tourism presages a more cost-effective and efficient primary care with due attention and specialization

Prevalence & determinants of Internet Addiction among Indian adolescents

Background: Astonishing growth in the internet’s popularity with improvements in its availability and affordability has led to internet overuse and addiction. School students who have social, peer or behavioural problems are more susceptible to internet addiction. Objectives: To determine the prevalence of internet addiction in the school-going adolescents of Aligarh, and to measure the association of internet addiction with the socio-demographics of the study participants. Material & Methods: This cross-sectional study was conducted in the schools of Aligarh. 1020 participants were selected through a multi-stage sampling technique proportional to the number of students in each class. Data Collection was done using a questionnaire that included Young’s 20-item Internet Addiction Test (IAT). Results: About 35.6% of the students had internet addiction. Males (40.6%) were significantly (p=0.001) more addicted to the internet than females (30.6%). On bivariate analysis, a higher age group (17-19 years) (OR= 2.152, 95% CI- 1.267- 3.655), male gender (OR= 3.510, 95% CI- 2.187 – 5.634) and internet access at home (OR= 2.663, 95% CI- 1.496 – 4.740) were found to have a significantly higher odds’ for internet addiction. Conclusions: Internet addiction is widely prevalent among school going adolescents and needs attention

Quality of life among people living with HIV/AIDS receiving highly active anti-retroviral therapy: A domain-based analysis

Introduction: With the highly effective antiretroviral treatment, HIV is transforming into a chronic condition, whose management is now experiencing problems of other chronic diseases, where quality of life (QoL) plays a central role. This study was conducted with the objective of determining the QoL among people living with HIV/AIDS (PLHA) taking Anti-Retroviral Therapy (ART) and examine the factors affecting it. Material and Methods: A cross-sectional study was conducted at ART center, Aligarh. 434 PLHA on antiretroviral therapy, were interviewed using a pretested questionnaire, assessing QoL with the World Health Organization (WHOQoL) HIV-BREF. For domain-based analysis, we examined the association of various factors with the individual domain. The P < 0.05 was considered statistically significant. Results: The mean score in all the domains of WHOQoL was maximum for the level of independence (15.7 ± 2.6) followed by the physical domain (15.5 ± 3.0), while environment domain (11.7 ± 1.8) had the least mean. All the domains, including overall QoL scored above average QoL. This study also showed that a strong relationship exists between QoL with lower socioeconomic status, presence of side effects from ART and depression. Conclusion: The QoL of HIV patients taking ART from Aligarh was adequate, reflecting the efforts of NACO and other agencies in managing the disease. With respect to its determinants, providing good family support, better employment opportunities, reducing stigma, and proper and timely management of side effects and depression could further increase levels of QoL

Implications of Psychological Morbidity on Physical Health and Behavior of Adolescents in Aligarh, India

Background:  Worldwide, 20% of children and adolescents experience a disabling mental illness, almost half of which begin by the age of 14. Puberty, also marks a transition in risks for depression and other mental disorders, psychosomatic syndromes, and antisocial behavior. The increase in stress during adolescence due to nutritional and pubertal transition may impact physical health and behavior. Objectives:  The current study aimed at determining the association between psychological morbidity and nutritional status, as well as the association of psychological morbidity and physical activity, sleep duration, and dietary behavior. Methods: This study was based on a world health organization (WHO) Global School Health Survey (GSHS) conducted on 13- to 15- year-old age group. The study was held at 3 different schools of Aligarh. Strength and difficulties questionnaire (SDQ) was used to measure psychological morbidity and its association with obesity, physical activity, sleep duration, and dietary behavior. Results: A total of 1456 students were included in the study and the prevalence of psychological morbidity was 9.75%. Those with psychological morbidity had higher odds for being obese (35.36), physically inactive (1.78), having sleep duration inadequacy (5.42), and poor dietary behavior (7.46) on multivariate analysis. Conclusions: Psychological problems were present in seemingly normal adolescent student population in India. Most of these stu- dents and their parents/teachers were either unaware of this problem or thought that these problems were not worthy of attention. The association of these problems with lifestyle, dietary behavior, and physical activity warrants special attention

Adverse eating behavior and its association with obesity in Indian adolescents: Evidence from a nonmetropolitan city in India

Introduction: With the so-called modernization, the epidemiological and sociocultural context of adolescents in developing countries is rapidly changing and is affecting their eating behavior and dietary choices. The objective of our study is twofold. First, our study seeks to find whether there is a prevalence of the adverse eating behaviors among the adolescents. Second, our study seeks to examine whether the prevalence of the adverse eating behavior is related to obesity and quantifies their association of with body mass index (BMI) status. Materials and Methods: A cross-sectional school-based study was conducted in 13–15-year-old adolescents from schools of Aligarh, India, with prevalidated study tools and standardized anthropometric measures. The Z-scores were found by the WHO recommended AnthroPlus. Results: The results indicate a high prevalence of different adverse eating behaviors. The dietary behavior was found to be poor in 19.3%, fair in 54.4%, and good in only 26.3% of the study population. The mean BMI for age Z-score was found to be 0.87 and 0.02 in poor and fair dietary behavior. The odds of being overweight and obese were high (1.82 [1.20–2.78]) in those with poor dietary behavior. Conclusions: Our findings suggest that more research and timely intervention in adverse eating behaviors are much needed in India before this widely neglected problem acquires even more alarming and gigantic proportions