Prevalence of Haemorrhoids and Associated Factors among Adult Patients at Surgical Consultation Clinic of Karamara and Jigjiga University Sheik Hassan Yabare Referral Hospitals of Jigjiga Town, Somali Region, Eastern Ethiopia
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Date
2024-04-15
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Addis Ababa University
Abstract
Background: Hemorrhoids are swollen veins located around the anus or rectum. About 50 percent of adults experienced the symptoms of hemorrhoids by the age of 50. Hemorrhoids can be internal, external, or mixed. This study assesses the prevalence and associated factors of hemorrhoids among adult patients.
Objective: To assess the prevalence of hemorrhoids and associated risk factors among adult patients at the Surgical Consultation Clinic of Karamara and Jigjiga University Sheik Hassan Yabare Referral Hospitals of Jigjiga Town.
Method and Material: An institutional-based cross-sectional study was carried out from January 1 to April 30, 2023, at the Surgical Consultation Clinic in Karamara and Jigjiga University Sheik Hassan Yabare Referral Hospitals of Jigjiga town in the Ethiopian Somali region, Eastern Ethiopia. The sample size (n=483) was determined by using a single population proportion formula and was selected by the systematic random sampling technique. After getting ethical clearance, the data were collected, and then the data were entered into EPI data version 3.1 and were exported to Statistical Package for Social Sciences (SPSS) version 20 for statistical analysis. Descriptive statistics were used to summarize categorical variables, and bivariate and multivariate analyses were performed by using COR and AOR with a 95% confidence interval.
Result: The result revealed that among 483 study participants, 67 had hemorrhoids; 52 of them were external, 14 were internal, and 1 was a mixed hemorrhoid (77.6%, 20.9, and 1.5%, respectively), with an overall prevalence of 13.87 [95% CI: (10.1-16.1)]. Sitting for a long time (AOR=7.57, [95% (3.26-17.61)], constipation [(AOR=2.04, 95% (1.13-3.69)], eating spicy food
[AOR=4.09 (1.36-12.4)], and straining [AOR=6.05 (2.95-12.43)] have a significant association with hemorrhoids.
Conclusion: The prevalence of hemorrhoids was high when compared to most studies in Africa because of the presence of associated risk factors. According to the findings, it is advisable to visit a health facility to screen for hemorrhoids to intervene and avoid factors associated with hemorrhoids, such as standing for a long time and drinking lots of water to prevent constipation,
eating fiber food to prevent constipation, and avoiding sitting too much.
Keywords: Prevalence, Hemorrhoids, Piles, Risk factors, Anal canal, Rectum. Jigjiga
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Keywords
Prevalence, Hemorrhoids, Piles, Risk factors, Anal canal, Rectum. Jigjiga