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15-17 岁青少年的基线风险因素流行率:来自印度国家非传染性疾病监测调查(NNMS)的结果。

Baseline risk factor prevalence among adolescents aged 15-17 years old: findings from National Non-communicable Disease Monitoring Survey (NNMS) of India.

机构信息

National Centre for Disease Informatics and Research, Bangalore, Karnataka, India

National Centre for Disease Informatics and Research, Bangalore, Karnataka, India.

出版信息

BMJ Open. 2021 Jun 29;11(6):e044066. doi: 10.1136/bmjopen-2020-044066.

DOI:10.1136/bmjopen-2020-044066
PMID:34187814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8245441/
Abstract

OBJECTIVE

To generate national estimates of key non-communicable disease (NCD) risk factors for adolescents (15-17 years) identified in the National NCD Monitoring Framework and, study the knowledge, attitudes and practices towards NCD risk behaviours among school-going adolescents.

DESIGN AND SETTING

A community-based, national, crosssectional survey conducted during 2017-2018. The survey was coordinated by the Indian Council of Medical Research-National Centre for Disease Informatics and Research with 10 reputed implementing research institutes/organisations across India in urban and rural areas.

PARTICIPANTS

A multistage sampling design was adopted covering ages between 15 and 69 years-adolescents (15-17 years) and adults (18-69 years). The sample included 12 000 households drawn from 600 primary sampling units. All available adolescents (15-17 years) from the selected households were included in the survey.

MAIN OUTCOME MEASURES

Key NCD risk factors for adolescents (15-17 years)-current tobacco and alcohol use, dietary behaviours, insufficient physical activity, overweight and obesity.

RESULTS

Overall, 1402 households and 1531 adolescents completed the survey. Prevalence of current daily use of tobacco was 3.1% (95% CI: 2.0% to 4.7%), 25.2% (95% CI: 22.2% to 28.5%) adolescents showed insufficient levels of physical activity, 6.2% (95% CI: 4.9% to 7.9%) were overweight and 1.8% (95% CI: 1.0% to 2.9%) were obese. Two-thirds reported being imparted health education on NCD risk factors in their schools/colleges.

CONCLUSION

The survey provides baseline data on NCD-related key risk factors among 15-17 years in India. These national-level data fill information gaps for this age group and help assess India's progress towards NCD targets set for 2025 comprehensively. Though the prevalence of select risk factors is much lower than in many developed countries, this study offers national evidence for revisiting and framing appropriate policies, strategies for prevention and control of NCDs in younger age groups.

摘要

目的

生成全国青少年(15-17 岁)非传染性疾病(NCD)关键风险因素的估计数,这些因素是在国家 NCD 监测框架中确定的,并研究在校青少年对 NCD 风险行为的知识、态度和实践。

设计和设置

这是一项基于社区的全国性、横断面调查,于 2017-2018 年进行。该调查由印度医学研究理事会-国家疾病信息学和研究所协调,在印度城乡地区的 10 个著名的实施研究机构/组织中进行。

参与者

采用多阶段抽样设计,年龄在 15 至 69 岁之间-青少年(15-17 岁)和成年人(18-69 岁)。样本包括从 600 个初级抽样单位中抽取的 12000 户家庭。从选定的家庭中选取所有可获得的青少年(15-17 岁)参加调查。

主要结果测量

青少年(15-17 岁)的主要 NCD 风险因素-当前吸烟和饮酒、饮食行为、身体活动不足、超重和肥胖。

结果

共有 1402 户家庭和 1531 名青少年完成了调查。目前每天吸烟的比例为 3.1%(95%CI:2.0%至 4.7%),25.2%(95%CI:22.2%至 28.5%)的青少年身体活动不足,6.2%(95%CI:4.9%至 7.9%)超重,1.8%(95%CI:1.0%至 2.9%)肥胖。三分之二的人报告说在学校/学院接受了关于 NCD 风险因素的健康教育。

结论

该调查提供了印度 15-17 岁青少年与 NCD 相关的主要风险因素的基线数据。这些国家级数据填补了该年龄组的信息空白,有助于全面评估印度在实现 2025 年 NCD 目标方面的进展。尽管某些风险因素的流行率远低于许多发达国家,但本研究为重新审视和制定适合年轻人群体的 NCD 预防和控制政策和策略提供了全国性证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f2c/8245441/80c1938a469c/bmjopen-2020-044066f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f2c/8245441/80c1938a469c/bmjopen-2020-044066f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f2c/8245441/80c1938a469c/bmjopen-2020-044066f01.jpg

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