Rawal Lal B, Biswas Tuhin, Khandker Nusrat Nausheen, Saha Shekhar Ranjan, Bidat Chowdhury Mohammed Mahiul, Khan Abdullah Nurus Salam, Chowdhury Enamul Hasib, Renzaho Andre
International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, Bangladesh.
James P Grant Schools of Public Health, BRAC University, Dhaka, Bangladesh.
PLoS One. 2017 Oct 3;12(10):e0184967. doi: 10.1371/journal.pone.0184967. eCollection 2017.
Despite one-third of the urban population in Bangladesh living in urban slums and at increased risk of non-communicable diseases (NCDs), little is known about the NCD risk profile of this at-risk population. The aim of the study was to identify the prevalence of the NCD risk factors and the association of NCD risk factors with socio-demographic factors among the adults of urban slums in Dhaka, Bangladesh.
A cross-sectional study was conducted among adult slum dwellers (aged 25 and above) residing in three purposively selected urban slums of Dhaka for at least six months preceding the survey. The risk factors assessed were- currently smoking, fruit and vegetable intake, physical activity, hypertension and body mass index (BMI). Information on self-reported diabetes was also taken. A total of 507 participants (252 females; 49.7%) were interviewed and their physical measures were taken using the WHO NCD STEPS instrument.
The overall prevalence of NCD risk factors was: 36.0% (95% CI: 31.82-40.41) for smoking; 95.60% (95% CI: 93.60-97.40) for insufficient fruit and vegetable intake; 15.30% (95% CI:12.12-18.71) for low physical activity;13.70% (95% CI: 10.71-16.92) for hypertension; 22.70% (95% CI: 19.31-26.02) for overweight or obesity; and 5.00% (95%: 3.20-7.00) for self-reported diabetes. In the logistic regression model, the clustering of three or more NCD risk factors was positively associated with younger age groups (p = 0.02), no formal education (p <0.001) and primary education level (p = 0.01), but did not differ by sex of the participants, monthly income and occupation.
All NCD risk factors are markedly high among the urban slum adults. These findings are important to support the formulation and implementation of NCD-related polices and plan of actions that recognize urban slum populations in Bangladesh as a priority sub-population.
尽管孟加拉国三分之一的城市人口居住在城市贫民窟，且患非传染性疾病（NCDs）的风险增加，但对这一高危人群的非传染性疾病风险状况知之甚少。本研究的目的是确定孟加拉国达卡城市贫民窟成年人中非传染性疾病风险因素的患病率，以及非传染性疾病风险因素与社会人口学因素之间的关联。
对居住在达卡三个经有目的选择的城市贫民窟、在调查前至少居住六个月的成年贫民窟居民（25岁及以上）进行了一项横断面研究。评估的风险因素包括：目前吸烟、水果和蔬菜摄入量、身体活动、高血压和体重指数（BMI）。还收集了自我报告的糖尿病信息。共采访了507名参与者（252名女性；49.7%），并使用世界卫生组织非传染性疾病 STEPS 工具对他们进行了身体测量。
非传染性疾病风险因素的总体患病率为：吸烟率为36.0%（95%置信区间：31.82 - 40.41）；水果和蔬菜摄入量不足率为95.60%（95%置信区间：93.60 - 97.40）；身体活动不足率为15.30%（95%置信区间：12.12 - 18.71）；高血压患病率为13.70%（95%置信区间：10.71 - 16.92）；超重或肥胖率为22.70%（95%置信区间：19.31 - 26.
