孟加拉国青少年男孩和女孩中的非传染性疾病风险因素：来自一项全国性调查的证据。
Noncommunicable Disease Risk Factors Among Adolescent Boys and Girls in Bangladesh: Evidence From a National Survey.
作者信息
Urmy Nushrat Jahan, Hossain Md Mokbul, Shamim Abu Ahmed, Khan Md Showkat Ali, Hanif Abu Abdullah Mohammad, Hasan Mehedi, Akter Fahmida, Mitra Dipak Kumar, Hossaine Moyazzam, Ullah Mohammad Aman, Sarker Samir Kanti, Rahman Sm Mustafizur, Bulbul Md Mofijul Islam, Mridha Malay Kanti
机构信息
Centre for Non-Communicable Disease and Nutrition, BRAC James P Grant School of Public Health, BRAC University, Mohakhali, Dhaka, Bangladesh.
Department of Public Health, North South University, Bashundhara, Dhaka, Bangladesh.
出版信息
Osong Public Health Res Perspect. 2020 Dec;11(6):351-364. doi: 10.24171/j.phrp.2020.11.6.03.
OBJECTIVES
To assess the prevalence of noncommunicable disease (NCD) risk factors and the factors associated with the coexistence of multiple risk factors (≥ 2 risk factors) among adolescent boys and girls in Bangladesh.
METHODS
Data on selected NCD risk factors collected from face to face interviews of 4,907 boys and 4,865 girls in the national Nutrition Surveillance round 2018-2019, was used. Descriptive analysis and multivariable logistic regression were performed.
RESULTS
The prevalence of insufficient fruit and vegetable intake, inadequate physical activity, tobacco use, and being overweight/obese was 90.72%, 29.03%, 4.57%, and 6.04%, respectively among boys; and 94.32%, 50.33%, 0.43%, and 8.03%, respectively among girls. Multiple risk factors were present among 34.87% of boys and 51.74% of girls. Younger age ( < 0.001), non-slum urban ( < 0.001) and slum residence ( < 0.001), higher paternal education ( = 0.001), and depression ( < 0.001) were associated with the coexistence of multiple risk factors in both boys and girls. Additionally, higher maternal education ( < 0.001) and richest wealth quintile ( = 0.023) were associated with the coexistence of multiple risk factors in girls.
CONCLUSION
The government should integrate specific services into the existing health and non-health programs which are aimed at reducing the burden of NCD risk factors.
目的
评估孟加拉国青少年男性和女性中非传染性疾病（NCD）风险因素的流行情况以及与多种风险因素（≥2种风险因素）共存相关的因素。
方法
使用了在2018 - 2019年全国营养监测第二轮中对4907名男孩和4865名女孩进行面对面访谈收集的选定非传染性疾病风险因素数据。进行了描述性分析和多变量逻辑回归分析。
结果
男孩中水果和蔬菜摄入量不足、身体活动不足、吸烟以及超重/肥胖的患病率分别为90.72%、29.03%、4.57%和6.04%；女孩中分别为94.32%、50.33%、0.43%和8.03%。34.87%的男孩和51.74%的女孩存在多种风险因素。年龄较小（<0.001）、非贫民窟城市地区（<0.001）和贫民窟居住（<0.001）、父亲教育程度较高（=0.001）以及抑郁（<0.001）与男孩和女孩中多种风险因素的共存相关。此外，母亲教育程度较高（<0.001）和最富裕财富五分位数（=0.023）与女孩中多种风险因素的共存相关。
结论
政府应将特定服务纳入现有的健康和非健康项目中，以减轻非传染性疾病风险因素的负担。
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