scholarly journals Prevalence of modifiable risk factors for non-communicable diseases in urban slum: a cross sectional study using WHO STEPS approach

Author(s):  
Swati Jain ◽  
Vikas Jain ◽  
Swapnil Jain ◽  
Shweta Jain

Background: Non communicable diseases (NCDs) represent a cluster of major chronic diseases. Smoking habit, alcoholism, low quality diet intakes, physical inactivity are some of the established risk factors of the NCDs. In developing country like India the problem of lifestyle and its consequent diseases needs to be addressed vigorously by all public health care personnel. Objective of the study was to assess prevalence of modifiable risk factors using the WHO STEPS approach in urban slum.Methods: A community based cross-sectional study was carried out in the field practice area of urban health training centre of the department of community medicine of PCMS and RC, Bhopal using questionnaire.Results: Highest prevalence of modifiable risk factor was inadequate diet (85.2%), followed by smokeless tobacco consumption (59.1%) and low physical activity (46.1%). Tobacco smoking (31.9%) and alcohol (22.6%) were next, followed by high blood pressure (20.1%). Prevalence of least risk factors was overweight (13.9%).Conclusions: It can be concluded from our study that the burden of risk factors for NCDs is quite high. Its prevalence even in the younger age groups is a pointer to the fact that the burden of NCDs is going to rise in near future.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Akhila Doddamani ◽  
A. B. Kirthinath Ballala ◽  
Sharath P. Madhyastha ◽  
Asha Kamath ◽  
Muralidhar M. Kulkarni

Abstract Background India is currently facing a rising epidemic of Non-Communicable Diseases (NCDs). Identification of modifiable risk factors is of paramount importance to curb this menace. Fishermen are one of the most vulnerable occupational groups with unique characteristics that make them prone to acquire NCDs, as a significant share of their life is spent at sea. Hence, this study was planned to ascertain the burden of NCDs, determine various risk factors of NCDs, and measure the association between risk factors and NCDs among fishermen of Coastal Karnataka in South India. Methods A cross-sectional study was conducted among 681 fishermen aged 18 years and above as per the semi-structured interview schedule for two years (2017–2019). A convenience sampling strategy was adopted. The data was entered and analyzed using SPSS v.15.0. The results were described in terms of proportions and their 95% confidence intervals. Continuous data were summarized using the mean and standard deviation or median and interquartile range depending on the skewness of data. Chi-square test was used to study the association between NCDs and modifiable risk factors. Multiple logistic regression was used to identify risk factors of NCDs. Results The mean (SD) age of the population was 42.5 (SD 12.5) years. The mean years involved in fishing was 19.8 years (SD 10.9). More than half (59.5%) of the study participants had severe stress and most (80.3%) were ever substance users. Advancing age, not being able to contact family while at sea, poor dietary practice, ever substance use, increasing waist circumference were significant correlates of NCDs. Conclusions The commonly prevalent risk factors of NCDs among fishermen included poor dietary practice, higher stress levels, substance use, increasing waist circumference, and inability to contact with family while at sea. Hypertension and Diabetes were the two common NCDs in the study population. There is a need for immediate attention in managing NCDs’ risk factors by promoting a healthy lifestyle by primary health care providers through a sustainable community awareness program targeting fishermen at a convenient time and location, either at the sea-port or meeting places. Harmful effects of substance use, healthy dietary practices, and the importance of physical activity outside their job need emphasis. In addition, screening programs should be organized with the help of boat owners and fishing associations at-least once a year to pick up NCDs at an early stage.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Soheir H. Ahmed ◽  
Haakon E. Meyer ◽  
Marte K. Kjøllesdal ◽  
Niki Marjerrison ◽  
Ibrahimu Mdala ◽  
...  

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Kamal Chaulagain

Introduction: Adolescent’s overweight is rising in both developing and developed countries. Overweight and obese adolescents are more likely to become obese adults which stimulate the risk of non-communicable diseases such as diabetes, cardiovascular diseases and so on. Adolescence is the critical period for development of unhealthy lifestyles and food choices which increases the risk of NCDs. The loss of productivity, premature deaths and disability has been associated with NCDs at younger ages. This study focuses on identifying the prevalence and associated risk factors with adolescents’ overweight. Methods: A school based cross-sectional study was conducted between August-October 2020 in Gokarneshwor municipality of Nepal. A random sample of 558 students aged 10-19 years from nine schools was included in the study. A self-administered questionnaire was filled out by the study participants. Anthropometric indices were measured and categorized using BMI for age Z-score. Descriptive statistics were carried out. Variables were considered for multivariable logistic regression if a Wald test p-value was ≤0.25 during bivariate logistic regression. The odds ratio with a 95% CI was calculated and a p-value of ≤0.05 was considered to declare the statistical significance of variables after fitting into the multivariable logistic regression. Results: The prevalence of overweight among school adolescents was 17.9% (95% CI 14.7 to 21.1). The female adolescents were more likely to get overweight as compared to male adolescents (AOR 1.53, 95% CI 0.97 to 2.39). Similarly, the adolescents staying with more than four family members were less likely to get overweight as compared to their counterparts (AOR 0.57, 95% CI 0.35 to 0.95). There was no statistical significant association between adolescent overweight and age group, family type, school type, mothers’ occupation or fruits consumption. Conclusion: The study findings highlighted the accelerated increase in the prevalence of overweight among school adolescents in Nepal. Therefore, appropriate nutritional intervention focusing on tackling overweight should be formulated and implemented so that the prevalence of overweight-associated non-communicable diseases can be minimized.


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