2016年文莱达鲁萨兰国非传染性疾病（NCDs）及风险因素的横断面逐步监测方法（STEPS）人群调查
Cross-sectional STEPwise Approach to Surveillance (STEPS) Population Survey of Noncommunicable Diseases (NCDs) and Risk Factors in Brunei Darussalam 2016.
作者信息
Ong Sok King, Lai Daphne Teck Ching, Wong Justin Yun Yaw, Si-Ramlee Khairil Azhar, Razak Lubna Abdul, Kassim Norhayati, Kamis Zakaria, Koh David
机构信息
1 Ministry of Health, Bandar Seri Begawan, Brunei Darussalam.
2 Universiti Brunei Darussalam, Gadong, Brunei Darussalam.
出版信息
Asia Pac J Public Health. 2017 Nov;29(8):635-648. doi: 10.1177/1010539517738072. Epub 2017 Oct 30.
This article provides a cross-sectional weighted measurement of noncommunicable diseases (NCDs) and risk factors prevalence among Brunei adult population using WHO STEPS methodology. A 2-staged randomized sampling was conducted during August 2015 to April 2016. Three-step surveillance included (1) interview using standardized questionnaire, (2) blood pressure and anthropometric measurements, and (3) biochemistry tests. Data weighting was applied. A total of 3808 adults aged 18 to 69 years participated in step 1; 2082 completed steps 2 and 3 measurements. Adult smoking prevalence was 19.9%, obesity 28.2%, hypertension 28.0%, diabetes 9.7%, prediabetes 2.1%, and 51.3% had fasting cholesterol level ≥5 mmol/L. Inadequate consumption of fruits and vegetables prevalence was high at 91.7%. Among those aged 40 to 69 years, 8.9% had a 10-year cardiovascular disease (CVD) risk ≥30%, or with existing CVD. Population strategies and targeted group interventions are required to control the NCD risk factors and morbidities.
本文采用世界卫生组织的“STEPS”方法，对文莱成年人群中的非传染性疾病（NCDs）及风险因素患病率进行了横断面加权测量。在2015年8月至2016年4月期间进行了两阶段随机抽样。三步监测包括：（1）使用标准化问卷进行访谈；（2）测量血压和人体测量指标；（3）进行生化检测。应用了数据加权。共有3808名18至69岁的成年人参与了第一步；2082人完成了第二步和第三步测量。成年人吸烟率为19.9%，肥胖率为28.2%，高血压患病率为28.0%，糖尿病患病率为9.7%，糖尿病前期患病率为2.1%，51.3%的人空腹胆固醇水平≥5 mmol/L。水果和蔬菜摄入不足的患病率很高，为91.7%。在40至69岁的人群中，8.9%的人10年心血管疾病（CVD）风险≥30%，或患有现患心血管疾病。需要采取人群策略和针对特定群体的干预措施来控制非传染性疾病的风险因素和发病率。
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