Non-communicable disease risk factors among a cohort of mine workers in Mongolia

Abstract Background Prevalence of non-communicable diseases (NCD) are growing among working populations globally. The World Health Organization (WHO) estimates NCD are responsible for 80% of all premature deaths (Lancet, 2016). The purpose of this study is to determine baseline level of NCD and risk factors among mine workers and to identify intervention strategies based on results. The collected results will be compared with a NCD study on the general population of Mongolia. Methods A cross sectional design was used for this study. 684 employees were randomly recruited to the study. We utilised WHO questionnaire to collect anthropogenic measurements, health behaviours, alcohol consumption, smoking, NCD and work related information.. The study focused on four (4) key risk factors of hypertension, obesity, drinking habits and smoking habits. These factors are key contributors to NCD and decreased life expectancy. Results Results of the study showed prevalence's of hypertension 12.9%, obesity 64.1%, alcohol users 22.1% and smokers 38.8%. The general population prevalence's are 27.5%, 56.8%, 15.5% and 24.8% respectively. Differences between gender in the study cohort for smoking rate (men = 43.3%, women = 8.9%), alcohol consumption (men = 29.9%, women = 16.1%) and central obesity (men = 78.3%, women = 35.1%) were statistically significant (p < 0.05). Conclusions Prevalence of arterial hypertension for the mine worker cohort was lower than general population, however, obesity, drinking and smoking rates were higher. The study findings allow us to target intervention strategies to mitigate the risk of NCD development in the future. Key messages Understand the risk factors and control measures available to mitigate the risk of the development of NCD. Comparison of the mine site cohort with the general population to understand similarities and differences.

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Prevalence, clustering and sociodemographic distributions of non-communicable disease risk factors in Nepalese adolescents: secondary analysis of a nationwide school survey

BMJ Open ◽

10.1136/bmjopen-2018-028263 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028263 ◽

Cited By ~ 4

Author(s):

Raja Ram Dhungana ◽

Bihungum Bista ◽

Achyut Raj Pandey ◽

Maximilian de Courten

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Alcohol Consumption ◽

Vegetable Intake ◽

Disease Risk ◽

Communicable Disease ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

Insufficient Physical Activity ◽

Non Communicable Disease

ObjectivesTo assess the prevalence, clustering and sociodemographic distribution of non-communicable disease (NCD) risk factors in adolescents in Nepal.DesignData originated from Global School Based Student Health Survey, Nepal conducted in 2015–2016.SettingThe study sites were the secondary schools in Nepal; 74 schools were selected based on the probability proportional to school enrolment size throughout Nepal.Participants5795 school-going children aged 13–17 years were included in the study.Primary outcomesNCD risk factors: smoking, alcohol consumption, insufficient fruit and vegetable intake, insufficient physical activity and overweight/obesity were the primary outcomes. Sociodemographic distributions of the combined and individual NCD risk factors were determined by Poisson regression analysis.ResultsFindings revealed the prevalence of smoking (6.04%; CI 4.62 to 7.88), alcohol consumption (5.29%; CI 4.03 to 6.92), insufficient fruit and vegetable intake (95.33%; CI 93.89 to 96.45), insufficiently physical activity (84.77%; CI 81.04 to 87.88) and overweight/obesity (6.66%; CI 4.65 to 9.45). One or more risk factors were present in 99.6%, ≥2 were in 83% and ≥3 were in 11.2%. Risk factors were more likely to cluster in male, 17 years of age and grade 7. Prevalence of smoking (adjusted prevalence ratio (aPR)=2.38; CI 1.6 to 3.51) and alcohol consumption (aPR=1.81; CI 1.29 to 2.53) was significantly high in male, and in 16 and 17 years of age. Prevalence of insufficient physical activity and overweight/obesity was significantly lower in higher grades.ConclusionInsufficient fruit and vegetable intake and insufficient physical activity were highly prevalent in the populations studied. Risk factors were disproportionately distributed and clustered in particular gender, age and grade. The study population requires an age and gender specific preventive public health intervention.

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Non-Communicable Disease Risk Factors Among a Cohort of Mine Workers in Mongolia

Journal of Occupational and Environmental Medicine ◽

10.1097/jom.0000000000001755 ◽

2019 ◽

Vol 61 (12) ◽

pp. 1072-1077

Author(s):

Andrew McCarthy ◽

Naransukh Damiran

Keyword(s):

Risk Factors ◽

Disease Risk ◽

Communicable Disease ◽

Non Communicable Disease ◽

Mine Workers

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Prevalence of non communicable disease risk factors among male to female transgenders: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190198 ◽

2019 ◽

Vol 6 (2) ◽

pp. 727

Author(s):

Vaishnavi Venkat Shenoy ◽

P. Vaishnavi ◽

Thulasi Rajan ◽

Cowshik Eswaran ◽

Sudharshini Subramaniam

Keyword(s):

Risk Factors ◽

Alcohol Consumption ◽

Disease Risk ◽

Communicable Disease ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Targeted Interventions ◽

The Government ◽

Male To Female

Background: Non communicable diseases are responsible for a high proportion of deaths and disabilities. The major risk factors attributed to this are smoking, heavy alcohol drinking, inadequate fruit, and vegetable consumptions, and physical inactivity. While there are data available to understand the prevalence of non-communicable risk factors among men and women, there is no data among transgender community. Hence this study was conducted to assess the prevalence of NCD risk factors among the male-to-female transgender community.Methods: This cross sectional study was conducted among 54 transwomen who had been registered with two social welfare organizations for transgender community in Chennai. The risk factor was assessed using WHO STEPS instrument.Results: Among the transwomen, 16.7% were currently smoking tobacco, while 18.5% were using smokeless forms of tobacco. Alcohol consumption was observed in 44.4% of the population. 62.9% of them were not involved in any kind of exerting physical activity for recreation. 25.9% had undergone hormone supplementation for gender affirmation. Prevalence of obesity was 20.4% in the study population. The prevalence of hypertension, diabetes and hypercholesterolemia was 11.1%, 5.6% and 7.4% respectively.Conclusions: High Prevalence of certain risk factors such as smokeless tobacco usage, alcohol consumption and hormone supplementation were seen among the male-to-female transgender community compared to the general population. Targeted interventions must be made so that specific attention is given to the transgender community in various NCD programs by the government. They must also be supported and accepted by every member of this society.

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Social Risk Factors Associated With Daily Tobacco Smoking and Binge Drinking Among Zambians: Evidence From the 2017 STEPS Survey

10.21203/rs.3.rs-608830/v1 ◽

2021 ◽

Author(s):

Adam Silumbwe ◽

Miguel San Sabastian ◽

Charles Michelo ◽

Joseph Mumba Zulu ◽

Klara Johansson

Keyword(s):

Risk Factors ◽

Alcohol Consumption ◽

Binge Drinking ◽

Tobacco Smoking ◽

Disease Risk ◽

World Health ◽

Social Risk ◽

Social Risk Factors ◽

Factors Associated ◽

Harmful Alcohol

Abstract Background: The burden of disease attributable to tobacco smoking and harmful alcohol consumption poses a major threat to sustainable development in most low- and middle-income countries. However, evidence on tobacco use and harmful alcohol consumption to inform context-specific interventions addressing these harmful social behaviours is limited in the African context. This study aimed to determine the social risk factors associated with daily tobacco smoking and binge drinking in Zambia.Methods: The study stems from nationwide population-based representative survey data collected using the World Health Organization’s STEPwise approach for non-communicable disease risk factor surveillance in 2017 among 18–69-year-old Zambians. The main outcomes were daily tobacco smoking and binge drinking, and the demographic and socioeconomic variables included sex, marital status, age, residence, level of education and occupation. Prevalence ratios were calculated using log-binomial regression analysis.Results: Overall, 4302 individuals (weighted percentage 49.0% men and 51.0% women) participated in the survey. The prevalence of daily tobacco smoking was 9.04%, and 11.6% of participants engaged in binge drinking, both of which were higher among men than women (17.1% vs. 1.28% and 18.6% vs. 5.29%, respectively). The risk of daily tobacco smoking was significantly higher in men (PR 14.3; 95% CI [9.74, 21.0]) than women, in the >45-year-old group (PR 1.44; 95% CI [1.03, 1.99]) compared to the 18–29-year-old group, and in those with no education (PR 2.70; 95% CI [1.79, 2.99]) or primary education (PR 1.86; 95% CI [1.22, 2.83]) compared to those with higher secondary or tertiary education. The risk of binge drinking was 3.67 times higher (95% CI [2.83, 4.76]) in men than in women. Significantly lower levels of binge drinking were observed among rural residents (PR 0.59; 95% CI [0.46, 0.77]) compared to urban residents and students/homemakers (PR 0.58; 95% CI [0.35, 0.94]) compared to the employed.Conclusion: This study shows huge differences between men and women regarding tobacco smoking and binge drinking in Zambia. A high occurrence of tobacco smoking was observed among men, older members of society and those with lower levels of education, while binge drinking was more common in men and in those living in urban areas. There is a need to reshape and refine preventive and control interventions for tobacco smoking and binge drinking to target the most at-risk groups in the country.

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Prevalence of Cardiovascular Disease Risk Factors in Vologda Oblast Districts

Epidemiology and Vaccinal Prevention ◽

10.31631/2073-3046-2021-20-1-60-68 ◽

2021 ◽

Vol 20 (1) ◽

pp. 60-68

Author(s):

N. Kh. Svanadze ◽

R. A. Kasimov ◽

A. A. Orlovsky ◽

N. V. Lazareva

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Disease Risk ◽

Communicable Disease ◽

Cardiovascular Disease Risk ◽

Overweight And Obesity ◽

World Health ◽

Cvd Risk ◽

Vologda Oblast ◽

Incidence And Mortality

Relevance. There are large regional disparities in prevalence of non-communicable disease risk factors, as well as in the cardiovascular disease (CVD) incidence and mortality rates in Russian Federation (RF). Aim. To demonstrate the disparities in prevalence of CVD risk factors between Vologda Oblast districts. Materials and methods. Databases created in 2009 at the State-financed health institution of the Vologda Oblast «Vologda Regional Center for Medical Prevention», based on the results of a survey conducted within the framework of the World Health Organization CINDI program. CINDI questionnaire; cross-sectional study; the data was processed using R programming language and the Statistica software package 12. Results. The most common behavioral CVD risk factors in different Vologda Oblast districts included inadequate fruits and vegetables consumption (30–90%) and alcohol abuse (40–80%); hypertension (40–60%), overweight and obesity (30–55%) were the most frequent biological CVD risk factors; the most prevalent socio-economic risk factors included low education level (75–90%) and unemployment (20–40%). Participants residing in rural municipalities differed from urban okrugs (cities) dwellers in a higher prevalence of smoking (p < 0.01), alcohol abuse (p < 0.001), inadequate fruits and vegetables consumption (p < 0.0001), overweight and obesity (p < 0.05), unemployment (p < 0.0001), low education level (p < 0.0001), as well as a low overall assessment of their health (p < 0.05). Conclusions. We detected disparities in CVD risk factors prevalence between Vologda Oblast districts in 2009. Both behavioral and biological CVD risk factors were more common in participants from rural municipalities. The CVD risk factors distribution between the RF subjects’ districts requires further scientific research.

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COVID-19 lockdown may increase cardiovascular disease risk factors

The Egyptian Heart Journal ◽

10.1186/s43044-020-00127-4 ◽

2021 ◽

Vol 73 (1) ◽

Author(s):

Daha Garba Muhammad ◽

Ibrahim Ahmad Abubakar

Keyword(s):

Risk Factors ◽

Cardiovascular Diseases ◽

Mortality Rate ◽

Disease Risk ◽

Communicable Disease ◽

Cardiovascular Disease Risk ◽

World Health ◽

Main Body ◽

Risk Of Death ◽

Increased Risk

Abstract Background Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) and was declared a worldwide pandemic by the World Health Organization (WHO) on 11 March 2020 which is leading to significant morbidity and mortality. In compliance with WHO recommendation of movement restrictions, many countries have imposed compulsory self-quarantine and restricted movements of their citizenries (lockdown/sit at home) and closure of businesses and borders as preventive measures to the fast-spreading virus. Consequently, this decision has made the emergence of behaviors that are detrimental to cardiovascular diseases (CVDs) which are the leading cause of the global mortality rate. Main body The increase in sedentary lifestyles, alcohol consumption, and substance abuse during COVID-19 pandemic lockdown as a result of personal restrictions in COVID-19 lockdown is linked with the risk of death from chronic diseases such as cardiovascular diseases (CVDs). Conclusion The lockdown has increased risk factors of CVDs, and as such, there might be an increase in the number of non-communicable disease (NCD)-related mortality rate. The effect does not end during the period of coronavirus pandemic but even after the pandemic.

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Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu

PLoS ONE ◽

10.1371/journal.pone.0257037 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257037

Author(s):

Sitasnu Dahal ◽

Ram Bilakshan Sah ◽

Surya Raj Niraula ◽

Rajendra Karkee ◽

Avaniendra Chakravartty

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Alcohol Consumption ◽

Ethnic Groups ◽

Disease Risk ◽

Communicable Disease ◽

Adult Population ◽

Male Gender ◽

Formal Schooling ◽

Non Communicable Disease

Background According to WHO, the deaths due to NCDs in Nepal have soared from 60% of all deaths in 2014 to 66% in 2018. The study assessed the prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu. Materials and methods A community based cross-sectional study was conducted from September 2019 to February 2020 among 18–69 years adults residing in municipalities of Kathmandu district. Multi-stage random sampling technique was used to select 245 subjects who were interviewed using WHO NCD STEPS instrument. Chi-square test and logistic regression analysis were done to explore the determinants of NCD risk factors. Results The prevalence of current smoking, alcohol consumption, low intake of fruits and vegetables and low physical activity was found to be 22%, 31%, 93.9% and 10.2% respectively. More than half (52.2%) of the participants were overweight or obese and the prevalence of raised blood pressure was 27.8%. Smoking was associated significantly with male gender (AOR = 2.37, CI: 1.20–5.13) and respondents with no formal schooling (AOR: 4.33, CI: 1.50–12.48). Similarly, the odds of alcohol consumption were higher among male gender (AOR: 2.78, CI: 1.47–5.26), people who were employed (AOR: 2.30, CI: 1.13–4.82), and those who belonged to Chhetri (AOR: 2.83, CI: 1.19–6.72), Janajati (AOR: 6.18, CI: 2.74–13.90), Dalit and Madhesi, (AOR: 7.51, CI: 2.13–26.35) ethnic groups. Furthermore, respondents who were aged 30–44 years (AOR: 5.15, CI: 1.91–13.85) and 45–59 years (AOR: 4.54 CI: 1.63–12.66), who were in marital union (AOR: 3.39, CI: 1.25–9.13), and who belonged to Janajati (AOR: 3.37, CI: 1.61–7.04), Dalit and Madhesi (AOR: 4.62, CI: 1.26–16.86) ethnic groups were more likely to be associated with overweight or obesity. Additionally, the odds of raised blood pressure were higher among people who were of older age (AOR: 6.91, CI: 1.67–28.63) and those who belonged to Janajati ethnic group (AOR: 3.60, CI: 1.46–8.87) after multivariate analysis. Conclusion The findings of the study highlighted high prevalence of behavioral and metabolic risk factors, which varied on different socio-demographic grounds. Thus, population specific health promotion interventions centered on public health interests is recommended to reduce risk factors of NCDs.

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Alcohol consumption, physical activity, and chronic disease risk factors: a population-based cross-sectional survey

BMC Public Health ◽

10.1186/1471-2458-6-118 ◽

2006 ◽

Vol 6 (1) ◽

Cited By ~ 58

Author(s):

Kenneth J Mukamal ◽

Eric L Ding ◽

Luc Djoussé

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Chronic Disease ◽

Alcohol Consumption ◽

Disease Risk ◽

Population Based ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Chronic Disease Risk

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Public Health Control Measures in Response to Global Pandemics and Drug Resistance

The Journal of Law Medicine & Ethics ◽

10.1111/jlme.12266 ◽

2015 ◽

Vol 43 (S2) ◽

pp. 49-56

Author(s):

Polly J. Price

Keyword(s):

Public Health ◽

Communicable Disease ◽

International Health ◽

Control Measures ◽

World Health ◽

Legal Authority ◽

List Type ◽

Resistant Disease ◽

Global Pandemic ◽

Health Organization

These teaching materials explore the specific powers of governments to implement control measures in response to communicable disease, in two different contexts:The first context concerns global pandemic diseases. Relevant legal authority includes international law, World Health Organization governance and the International Health Regulations, and regulatory authority of nations.The second context is centered on U.S. law and concerns control measures for drug-resistant disease, using tuberculosis as an example. In both contexts, international and domestic, the point is to understand legal authority to address public health emergencies.

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