Burden and predictors of peripheral neuropathy among cultivators and laborers using biothesiometer at primary healthcare setting: A cross-sectional study from Nutakkhi, Guntur, Andhra Pradesh.

Abstract

Peripheral neuropathy has a wide range of causes and subtle symptoms, making it difficult to diagnose. This study aimed to determine the prevalence of peripheral neuropathy among cultivators and laborers in a Center for Rural Health AIIMS (CRHA) primary healthcare center in Nutakki, Guntur District, Andhra Pradesh. The study-associated risk factors, early detection, and prevention strategies can be implemented to improve their health outcomes. A cross-sectional study was conducted among adult cultivators and manual laborers in the outpatient department (OPD) of the primary healthcare center in Guntur, South India. Data on demographics, lifestyle, dietary habits, and foot care practices were collected through a semi-structured questionnaire. The vibration perception threshold (VPT) was measured using a biothesiometer. About 164 participants were enrolled in the study, with a prevalence of peripheral neuropathy of 35.98%. Cultivators had a higher prevalence (43.75%) compared to manual laborers (28.57%). Males were more likely to develop peripheral neuropathy than females (OR 1.29, <i>P</i> = 0.002). Lower education levels and age over 50 were associated with increased risk, particularly among cultivators. Cultivators with an age of more than 50 years had a significantly higher prevalence of peripheral neuropathy with an odd ratio (95%CI) 3.34 (1.43 to 7.75) <i>P</i> value < 0.005. Given the high prevalence rates of undiagnosed peripheral neuropathy among these occupational groups, such screening initiatives at primary health centers could help in the early detection, management, and prevention of peripheral neuropathy-related complications.