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采用世界卫生组织的 STEPS 方法对北方邦高塔姆 - 布德讷格尔区农村人口中非传染性疾病风险因素的患病率进行研究。

Prevalence of risk factors of noncommunicable diseases in a rural population of district Gautam-Budh Nagar, Uttar Pradesh using the World Health Organization STEPS approach.

作者信息

Srivastav Shalini, Mahajan Harsh, Goel Sonia, Mukherjee Sidhyartha

机构信息

Department of Community Medicine, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2017 Jul-Sep;6(3):491-497. doi: 10.4103/2249-4863.222027.

Abstract

CONTEXT

Globally, it is estimated that by 2020, noncommunicable diseases (NCDs) will account for 73% of deaths and 60% of disease burden. India is in the midst of an epidemiological transition leading to increasing the prevalence of NCDs. Targeting the risk factors for NCDs is recognized as an essential preventive strategy.

AIMS

The rationale of this study was to decipher the baseline data on the prevalence of NCD risk factors among the rural population.

SETTINGS AND DESIGN

A community-based cross-sectional study was conducted among 207 adults in the rural catchment area of the Department of Community Medicine.

SUBJECTS AND METHODS

The World Health Organization STEPS approach was employed which includes three sequential phases: Collection of information on sociodemographic variables and behavioral risk factors (STEP 1), obtaining physical measurements (STEP 2), and acquiring biochemical measurements (STEP 3).

STATISTICAL ANALYSIS

Data were analyzed using the SPSS version 16. < 0.05 was considered to be statistically significant.

RESULTS

Among the study subjects, the prevalence of smoking, smokeless tobacco use, alcohol use, and sedentary lifestyle was 26.0%, 35.1%, 16.9%, and 9.6%, respectively, in males and 4.6%, 15.4%, 0.0%, and 19.0%, respectively, in females. The prevalence of hypertension and diabetes was 15.6% and 13.0% respectively among males and 20.0% and 7.7% respectively among females. Hypercholesterolemia and Hypertriglyceridemia were observed in 5.2% men and 13.8% women and 22.1% men and 16.9% women, respectively.

CONCLUSIONS

The study reveals high burden of NCD risk factors in rural areas as well and reiterates the need to take preventive measures.

摘要

背景

据估计,到2020年,全球非传染性疾病(NCDs)将占死亡人数的73%和疾病负担的60%。印度正处于流行病学转型之中,导致非传染性疾病的患病率不断上升。针对非传染性疾病的危险因素被认为是一项重要的预防策略。

目的

本研究的目的是解读农村人口中非传染性疾病危险因素患病率的基线数据。

设置与设计

在社区医学系农村集水区的207名成年人中进行了一项基于社区的横断面研究。

对象与方法

采用世界卫生组织的“STEPS”方法,该方法包括三个连续阶段:收集社会人口统计学变量和行为危险因素信息(步骤1)、进行身体测量(步骤2)以及获取生化测量结果(步骤3)。

统计分析

使用SPSS 16版对数据进行分析。P<0.05被认为具有统计学意义。

结果

在研究对象中,男性吸烟、使用无烟烟草、饮酒和久坐不动生活方式的患病率分别为26.0%、35.1%、16.9%和9.6%,女性分别为4.6%、15.4%、0.0%和19.0%。男性高血压和糖尿病的患病率分别为15.6%和13.0%,女性分别为20.0%和7.7%。高胆固醇血症和高甘油三酯血症在男性中的患病率分别为5.2%和13.8%,在女性中的患病率分别为22.1%和16.9%。

结论

该研究揭示了农村地区非传染性疾病危险因素的高负担,并再次强调了采取预防措施的必要性。

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