Alemseged Fessahaye, Haileamlak Abraham, Tegegn Ayalew, Tessema Fasil, Woldemichael Kifle, Asefa Makonnen, Mamo Yoseph, Tamiru Solomon, Abebe Gemeda
Department of Epidemiology, College of Public Health and Medical Sciences, Jimma University.
Ethiop J Health Sci. 2012 Aug;22(S):19-28.
The burden of chronic non-communicable diseases is on the rise in middle and low income countries on top of the existing infectious diseases. Moreover, the distributions of the specific risk factors are not systematically identified in those countries hampering the designing of appropriate preventive and control strategies. The objective of this component of the study was to describe the distribution of risk factors for chronic non-communicable diseases.
The cross sectional study was conducted from September 2008 to January 2009 at Gilgel Gibe Field Research Center of Jimma University. Data were collected using WHO steps instruments translated into the local languages. Individuals for the study were selected by stratified random sampling for interviewing, physical examination and biochemical tests from the study base. Data were analyzed using SPSS for Windows version 16.0 and STATA 11.
The distribution of the various categories of risk factors is identified. Among the behavioral risk factors, the prevalence of smoking is 9.3%, alcohol consumption 7.3%, consumption of fruits and vegetables below adequate level 27.0%, low level physical activity (16.9%) and khat chewing (38.6%). The prevalence of physical risk factors is 9.3% for hypertension, 2.6% for overweight and 33.3% central obesity. The prevalence of metabolic disorders is 10.7% for high total cholesterol and 7.7% for raised triglyceride. Overall, 80.0% of the population had at least one of the risk factors.
The magnitude of risk factors for chronic non-communicable diseases is considerably high in the study population. Appropriate preventive measure and should be designed to prevent and control these risk factors.
在中低收入国家,慢性非传染性疾病的负担在现有传染病的基础上呈上升趋势。此外,这些国家尚未系统地确定特定风险因素的分布情况,这妨碍了制定适当的预防和控制策略。本研究这一部分的目的是描述慢性非传染性疾病风险因素的分布情况。
2008年9月至2009年1月在吉姆马大学吉尔吉尔吉贝实地研究中心开展了这项横断面研究。使用翻译成当地语言的世卫组织逐步调查工具收集数据。通过分层随机抽样从研究基地选取研究对象进行访谈、体格检查和生化检测。使用Windows版SPSS 16.0和STATA 11对数据进行分析。
确定了各类风险因素的分布情况。在行为风险因素中,吸烟患病率为9.3%,饮酒率为7.3%,水果和蔬菜摄入量不足率为27.0%,低体力活动率为16.9%,恰特草咀嚼率为38.6%。身体风险因素的患病率分别为高血压9.3%、超重2.6%、中心性肥胖33.3%。代谢紊乱的患病率分别为总胆固醇升高10.7%、甘油三酯升高7.7%。总体而言,80.0%的人群至少有一项风险因素。
研究人群中慢性非传染性疾病风险因素的比例相当高。应制定适当的预防措施来预防和控制这些风险因素。