Biomedical subjects

N Hann

Publications and source records attributed to N Hann.

3 recordsLinked to original sources

PubMed1997

Smoking in Oklahoma: the seven-year trend.

BACKGROUND: The serious health consequences of smoking have been known to us for more than 30 years. Every year, research brings forth more serious consequences of this risk factor. These are reviewed by us. The year 2000 will soon be with us. We need to know where we stand in relation to the year 2000 objectives with regard to smoking. STUDY DESIGN: The study design is cross-sectional. METHODS: This study is based on the data obtained during the years 1989 through 1995 from the Oklahoma Behavioral Risk Factor Surveillance System. RESULTS AND CONCLUSIONS: There has been a significant decrease in the prevalence of smoking in Oklahoma in the last seven years. Although there has been no significant change in smoking among females in the last seven years, smoking among males has dropped significantly, especially in the last two years of the study, 1994 and 1995. The prevalence of smoking in 1995 was the same among males and females, at about 22%. In age groups 18-24 and 25-34, there has been no significant change in smoking since 1990. The prevalence of smoking is related to the level of education; the higher the education the lower the prevalence of smoking. Smoking among those with college or higher level education has remained at about the same level, 15%, in the last seven years. Among those with less than high school education, smoking has remained the same at about 30% over the last seven years. Prevalence of smoking is the highest among American Indians. Smoking among whites (non-Hispanic) shows a significant decrease from about 26% in 1990-91 to about 22% in 1994-95. Among white males, smoking has significantly dropped from 31% in 1989 to about 22% in 1995. In 1995, smoking was almost the same in the two sexes at about 22%. We need to achieve a reduction of 7% in the overall prevalence rate of smoking in the coming years to achieve the Year 2000 objective. To effect this reduction, our efforts at health promotion and community mobilization will have to be strengthened. Further, with the prevalence rate of around 25% in 1995 among women of reproductive age, and the year 2000 target of 12%, it is apparent that very strenuous efforts will have to be made among this group in our population to achieve Year 2000 objectives.

Adolescent↗

PubMed1996

Prevalence of overweight and associated factors among Oklahomans.

BACKGROUND: Obesity among adults in the, United States has been increasing for the last three decades. Overweight is associated with numerous health risks such as diabetes, atherosclerosis, hypertension, sedentary lifestyle, etc. It also throws a very heavy economic burden on society, estimated at $39.3 billion in 1986. OBJECTIVE: To estimate the prevalence of obesity and its associated factors so that efforts to achieve the Healthy Oklahomans 2000 objectives may be brought into sharper focus. STUDY DESIGN: The study design is cross-sectional. METHODS: The study is based on the data from the Behavioral Risk Factor Surveillance System (a three-stage cluster sample survey) for the years 1991 through 1994. Statistical analysis was done with SUDAAN software for complex survey. RESULTS: More than 25% of Oklahomans are overweight. To reach the Year 2000 objectives, a reduction of 10% in overweight will have to be achieved in about three and one-half years. Prevalence of moderate obesity among women is higher than among men. Prevalence of severe obesity is higher among the black community than among other communities. However, prevalence of moderate obesity is the same among blacks and whites. Severe obesity is significantly higher among those with less than a high school education than among those with college education. The prevalence of moderate obesity among non-smokers is significantly higher than among smokers. Among the severely obese, hypertension is more than twice as prevalent as normal blood pressure. Among the moderately obese, high blood pressure is more than one and one-half times more prevalent than normal blood pressure. Obesity increases with age in a predictive manner; it drops after the age of 54. Moderate obesity is significantly higher among women who have had a hysterectomy than those who have not had a hysterectomy. Prevalence of severe obesity as well as moderate obesity is very much higher among diabetics than among non-diabetics. A large proportion of severely obese people are physically inactive. We did not find an association between consumption of fruits and vegetables as a part of normal diet and prevalence of obesity. CONCLUSION: Strenuous and focused efforts need to be made among the vulnerable groups, in view of the short time left until year 2000, to reduce the prevalence of obesity to the level laid down in the Year 2000 objectives.

Adult↗

PubMed1995

Smoking: high hazards in high school.

BACKGROUND: Young people in school are at an impressionable age, peer pressures are intense, and the probability that they will pick up a high-risk behavior, such as smoking, is high. The key to reduction of smoking among adults is to target our prevention efforts at young adults and teens. OBJECTIVE: To study the prevalence and trend of smoking among young adults and teens and to formulate guidelines on smoking reduction to guide those who counsel young people. STUDY DESIGN: The study design is cross sectional. METHODS: This study is based on the data from the Oklahoma Behavioral Risk Factor Surveillance System and the National Youth Risk Behavioral Surveillance System - the two systems that monitor the prevalence of behaviors that most influence health. RESULTS: The prevalence of smoking among young adults (age 18-24) in Oklahoma is high at more than 21%. The disturbing feature is that it is higher among young females than among young males. The prevalence of smoking among young adults is the highest among high school dropouts and is more than 38%. It is lower among high school graduates (about 28%) and lowest among college graduates (about 18%). The percentage of smoking among students who classify themselves as current smokers rises from 23% to 30% as the students progress from grade 9 to 12 and the percentage of frequent smokers increases from 8% to 16%. CONCLUSIONS: Guidelines suggested for counselors are: 1. Along with smoking, look for comorbid behaviors such as alcohol use, drug abuse, and high-risk sexual behavior. 2. Ask whether the student has easy access to free cigarette samples. 3. Check whether the teen is trying to lose weight; suggest appropriate methods for losing weight if smoking is being used for losing weight. 4. Target health education efforts early in a student's school career starting in elementary school, but concentrate especially at the 8th or 9th grade level to have maximum preventive impact.

Adolescent↗