Jose Nisha K, Sruthi M V, Rachel Jerry, Jerome Kerline, Vaz Clint, Saju C R
Current position: Division of Non-communicable Diseases, Indian Council of Medical Research, New Delhi, India.
Department of Community Medicine, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
J Family Med Prim Care. 2022 Jun;11(6):3109-3114. doi: 10.4103/jfmpc.jfmpc_1471_21. Epub 2022 Jun 30.
The burden of noncommunicable diseases (NCD) is increasing at an alarming rate, contributing to about 23% of the mortality in the rural and 30% of the total mortality in the urban population in India. Even with high health literacy in Kerala, the state has higher rates of NCD risk factors and lower diabetes and hypertension control rates.
The objectives were to qualitatively assess the facilitators and barriers of NCD prevention from the patients' and health care providers' perspectives and assess the perceptions of healthy lifestyle behaviors among NCD risk persons and patients.
This was a qualitative study conducted in Thrissur district, Kerala, India.
Qualitative study was conducted using the grounded theory approach. A total of nine in-depth interviews and ten focus group discussions were conducted among health care providers and NCD risk persons and patients. The audio-recorded data were transcribed, coded, and thematically analyzed.
The data were transcribed and analyzed using the Framework approach to qualitative data analysis.
The main themes identified were healthy lifestyle behaviors, facilitators, and barriers to NCD prevention. The main facilitators for NCD prevention were NCD screening, the national program for NCD, health education sessions, and yoga classes in school. Lack of time, laziness, unavailability of space for exercise, and safety issues were identified as barriers to physical activity.
People are aware of the facilitators and barriers of NCD prevention. Availability of a favorable environment and behavior change is needed to combat the silent epidemic of NCDs.
非传染性疾病（NCD）的负担正以惊人的速度增加，在印度农村地区约占死亡率的23%，在城市人口总死亡率中占30%。即使在喀拉拉邦健康素养较高的情况下，该邦非传染性疾病风险因素的发生率仍然较高，而糖尿病和高血压的控制率较低。
目标是从患者和医疗服务提供者的角度定性评估非传染性疾病预防的促进因素和障碍，并评估非传染性疾病风险人群和患者对健康生活方式行为的认知。
这是一项在印度喀拉拉邦特里苏尔区进行的定性研究。
采用扎根理论方法进行定性研究。对医疗服务提供者、非传染性疾病风险人群和患者总共进行了9次深入访谈和10次焦点小组讨论。对录音数据进行转录、编码和主题分析。
使用定性数据分析的框架方法对数据进行转录和分析。
确定的主要主题是健康生活方式行为、非传染性疾病预防的促进因素和障碍。非传染性疾病预防的主要促进因素是非传染性疾病筛查、国家非传染性疾病项目、健康教育课程和学校瑜伽课程。缺乏时间、懒惰、没有运动空间以及安全问题被确定为体育活动的障碍。
人们意识到非传染性疾病预防的促进因素和障碍。需要有有利的环境和行为改变来应对非传染性疾病这一无声的流行病。
