Hossain Md Mokbul, Roy Abhijeet, Hanif Abu Abdullah Mohammad, Akter Fahmida, Hasan Mehedi, Khan Md Showkat Ali, Shamim Abu Ahmed, Hossaine Moyazzam, Ullah Mohammad Aman, Rahman S M Mustafizur, Bulbul Mofijul Islam, Mitra Dipak Kumar, Mridha Malay Kanti
Center for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health BRAC University Dhaka Bangladesh.
National Nutrition Services (NNS), Directorate General of Health Services Government of Bangladesh Dhaka Bangladesh.
Chronic Dis Transl Med. 2024 Aug 4;10(4):312-326. doi: 10.1002/cdt3.145. eCollection 2024 Dec.
Noncommunicable diseases (NCDs) are public health threats globally and recognized impediments to socioeconomic development. This study aimed to identify the prevalence and clustering of NCDs risk factors among Bangladeshi men and women aged 20-59 years using nationally representative data.
This study was conducted in 82 rural, nonslum urban, and slum clusters across all eight administrative divisions of Bangladesh using multistage cluster sampling. A total of 4917 men and 4905 women aged 20-59 years were included in the study. Descriptive analyses were performed to report the prevalence and distribution of behavioral and clinical risk factors. Multivariable binary logistic regression was performed to identify factors associated with the coexistence of three or more NCD risk factors.
The prevalence of tobacco use (any form), insufficient physical activity, inadequate fruit and vegetable consumption, overweight and obesity, and central obesity were 38.3%, 13.6%, 87.1%, 42.3%, and 36.0%, respectively. Furthermore, 21.9% and 4.9% participants had hypertension and self-reported diabetes, respectively. Regarding the clustering of risk factors, 37.1% men and 50.8% women had at least three NCD risk factors. Only 3.0% men and 1.8% women reported no NCD risk factors. Age, place of residence, education, and wealth status were associated with the presence of at least three risk factors for both sexes.
Since a large proportion of Bangladeshi 20-59 years old population had multiple risk factors, population-based programs with multisectoral approaches are essential to reduce NCDs among Bangladeshi women and men.
非传染性疾病是全球公共卫生威胁，也是社会经济发展公认的障碍。本研究旨在利用具有全国代表性的数据，确定20至59岁孟加拉国男性和女性中非传染性疾病风险因素的患病率及聚集情况。
本研究在孟加拉国所有八个行政区的82个农村、非贫民窟城市和贫民窟集群中采用多阶段整群抽样进行。共有4917名20至59岁的男性和4905名20至59岁的女性纳入研究。进行描述性分析以报告行为和临床风险因素的患病率及分布情况。进行多变量二元逻辑回归以确定与三种或更多种非传染性疾病风险因素共存相关的因素。
使用烟草（任何形式）、身体活动不足、水果和蔬菜摄入量不足、超重和肥胖以及中心性肥胖的患病率分别为38.3%、13.6%、87.1%、42.3%和36.0%。此外，分别有21.9%和4.9%的参与者患有高血压和自我报告的糖尿病。关于风险因素的聚集情况，37.1%的男性和50.8%的女性至少有三种非传染性疾病风险因素。只有3.0%的男性和1.8%的女性报告没有非传染性疾病风险因素。年龄、居住地点、教育程度和财富状况与两性中至少存在三种风险因素有关。
由于很大比例的20至59岁孟加拉国人口存在多种风险因素，因此采用多部门方法的基于人群的项目对于减少孟加拉国男性和女性中的非传染性疾病至关重要。
