Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh
BMJ Open. 2021 Mar 19;11(3):e043298. doi: 10.1136/bmjopen-2020-043298.
To determine the prevalence of non-communicable disease (NCD) risk factors among nurses and para-health professionals (PHPs) working at primary healthcare centres in Bangladesh. In addition to this, we also investigated the association of these risk factors with the categories of health professions.
Cross-sectional study and the sampling technique was a census.
The study site was a medical university of Bangladesh where the study population was recruited by NCD Control Programme of Directorate General of Health Services to participate in a 3-day training session from November 2017 to May 2018.
A total of 1942 government-employed senior staff nurses (SSNs) and PHPs working at Upazila Health Complexes.
The data were collected using a modified STEPwise approach to NCD risk factors surveillance questionnaire of the World Health Organisation (V.3.2). The prevalence of NCD risk factors was presented descriptively and the χ² test was used to determine the association between NCD risk factors distribution and categories of health professions.
The mean age of the participants was 37.6 years (SD 9.5) and most of them (87.6%) had a diploma in their respective fields. Physical inactivity (86.9%), inadequate fruits and/vegetable intake (56.3%) and added salt intake (35.6%) were the most prevalent behavioural risk factors. The prevalence of central obesity, overweight, raised blood glucose and raised BP were 83.5%, 42.6%, 19.2% and 12.8% respectively. Overall, the NCD risk factors prevalence was higher among PHPs compared with SSNs. A highly significant association (p<0.001) was found between risk factors and the categories of health professions for tobacco use, alcohol intake, added salt intake and physical inactivity.
High NCD risk factors prevalence and its significant association with SSNs and PHPs demand an appropriate risk-reduction strategy to minimise the possibility of chronic illness among them.
确定在孟加拉国初级保健中心工作的护士和辅助卫生专业人员（简称 PHPs）中患非传染性疾病（简称 NCD）风险因素的流行情况。此外，我们还研究了这些风险因素与卫生专业类别的关联。
横断面研究，抽样方法为普查。
该研究地点位于孟加拉国的一所医科大学，研究人群是由卫生服务总局非传染性疾病控制项目招募的，他们参加了 2017 年 11 月至 2018 年 5 月为期 3 天的培训课程。
共有 1942 名在县卫生综合大楼工作的政府雇员工资较高的注册护士（简称 SSNs）和 PHPs。
使用世界卫生组织（简称 WHO）的 NCD 风险因素监测问卷的改良 STEPWISE 方法（简称 V.3.2）收集数据。使用 χ²检验来确定 NCD 风险因素分布与卫生专业类别的关联，对 NCD 风险因素的流行情况进行描述性分析。
参与者的平均年龄为 37.6 岁（标准差 9.5），大多数人（87.6%）在各自领域持有文凭。身体活动不足（86.9%）、水果和/蔬菜摄入不足（56.3%）以及摄入盐分过多（35.6%）是最普遍的行为风险因素。中心性肥胖、超重、血糖升高和血压升高的流行率分别为 83.5%、42.6%、19.2%和 12.8%。总的来说，PHPs 的 NCD 风险因素流行率高于 SSNs。我们发现风险因素与卫生专业类别的关联具有高度显著性（p<0.001），这与吸烟、饮酒、摄入盐分过多和身体活动不足有关。
高 NCD 风险因素流行率及其与 SSNs 和 PHPs 的显著关联，需要采取适当的降低风险策略，以尽量减少他们患慢性病的可能性。
