Ministry of Health, Dahiyat Al-Rasheed-Alwifaq St, Bldg no. 94, 1st Floor, Office no. 202, PO Box 963709, Amman 11196 Jordan.
Prev Chronic Dis. 2012;9:E25. Epub 2011 Dec 15.
Noncommunicable diseases (NCDs) are the leading cause of illness and death in Jordan. Since 2002, the Jordan Ministry of Health, in cooperation with the World Health Organization and the Centers for Disease Control and Prevention, established the Jordan Behavioral Risk Factor Surveillance Survey to collect information on many of the behaviors and conditions related to NCDs. The objectives of this study were to describe the prevalence of selected NCD risk factors and the relationship between body mass index and selected health conditions among a nationally representative sample of Jordanian adults aged 18 years or older.
We used a multistage sampling design to select 3,688 households, from which we randomly selected and interviewed 1 adult aged 18 years or older. A total of 3,654 adults completed the survey. We randomly selected a subsample of 889 interviewed adults and invited them to visit local health clinics for a medical evaluation; we obtained measurements, including fasting blood glucose and blood lipids, from 765 adults. Data were collected between June 1, 2007, and August 23, 2007.
Nearly one-third of participants smoked cigarettes, 18% reported having been diagnosed with high blood pressure, and 10% reported frequent mental distress. Compared with survey participants who did not participate in the medical evaluation, those who participated were more likely to self-report high blood pressure, high blood cholesterol, and diabetes and report lower levels of health-related quality of life. Among participants of the medical evaluation, an estimated 11% reported they had been diagnosed with diabetes by a health professional, and 19% were diagnosed with diabetes according to laboratory testing. Approximately one-third of participants of the medical evaluation were either overweight (30%) or obese (36%). In the fully adjusted model, obese participants of the medical evaluation were nearly 3 times as likely to have high blood pressure and more than 2 times as likely to have high blood cholesterol as normal-weight participants.
Diabetes, high blood pressure, high cholesterol, and obesity are a public health concern in Jordan. Adequate and continuous monitoring of NCD risk factors in Jordan is needed, and the surveillance findings should be used in health promotion and disease prevention activities.
非传染性疾病（NCDs）是约旦导致疾病和死亡的主要原因。自 2002 年以来，约旦卫生部与世界卫生组织和疾病控制与预防中心合作，建立了约旦行为危险因素监测调查，以收集与 NCD 相关的许多行为和状况信息。本研究的目的是描述在一个具有全国代表性的约旦成年人样本中，选择的 NCD 风险因素的流行率，以及体重指数与某些健康状况之间的关系。
我们使用多阶段抽样设计选择了 3688 户家庭，从中随机选择并采访了 1 名 18 岁或以上的成年人。共有 3654 名成年人完成了调查。我们随机选择了 889 名接受采访的成年人的一个样本，并邀请他们访问当地的健康诊所进行医学评估；我们从 765 名成年人中获得了包括空腹血糖和血脂在内的测量值。数据收集于 2007 年 6 月 1 日至 2007 年 8 月 23 日之间。
近三分之一的参与者吸烟，18%报告曾被诊断患有高血压，10%报告经常感到精神困扰。与未参加医学评估的调查参与者相比，参加者更有可能自我报告高血压、高胆固醇和糖尿病，并报告健康相关生活质量较低。在参加医学评估的参与者中，估计有 11%的人曾被卫生专业人员诊断患有糖尿病，19%的人根据实验室检测被诊断患有糖尿病。大约三分之一的医学评估参与者超重（30%）或肥胖（36%）。在完全调整的模型中，肥胖的医学评估参与者患高血压的可能性是正常体重参与者的近 3 倍，患高胆固醇的可能性是正常体重参与者的 2 倍以上。
糖尿病、高血压、高胆固醇和肥胖是约旦的公共卫生问题。约旦需要对 NCD 风险因素进行充分和持续的监测，监测结果应用于健康促进和疾病预防活动。
