Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
ABSTRACT: Background: Non-communicable diseases, positioned as _slow motion catastrophe', have emerged as a substantial concern within the global health community. Tackling the major NCD risk factors remains an urgent priority. Thus, this study strives to rule out -the causes of the causes‖. O...
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| Format: | Book |
| Language: | English |
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c2020.
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| Online Access: | Visit NHRC Library |
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| Summary: | ABSTRACT: Background: Non-communicable diseases, positioned as _slow motion catastrophe', have emerged as a substantial concern within the global health community. Tackling the major NCD risk factors remains an urgent priority. Thus, this study strives to rule out -the causes of the causes‖. Objectives: To assess the prevalence and determinants of noncommunicable disease risk factors among adult population of Kathmandu. Materials and Methods: A community based cross-sectional study was conducted from September 2019 to February 2020 among 18-69 years adults residing in Kathmandu district. Multi-stage random sampling technique was used to select 245 subjects who were interviewed using WHO NCD STEPS instrument. Chi-square test and logistic regression analysis were done to explore the determinants of NCD risk factors. Results: The prevalence of current smoking, alcohol consumption, low intake of fruits and vegetables and low physical activity was found to be 22%, 31%, 93.9% and 10.2% respectively. More than half (52.2%) of the participants were overweight or obese and the prevalence of raised blood pressure was 27.8%. Female gender (AOR: 0.42, CI: 0.195-0.913) was less likely to be associated with smoking than male gender. And respondents with no formal schooling (AOR: 4.33, CI: 1.50-12.48) were more likely to be associated with smoking. Similarly, the odds of alcohol consumption were higher among male gender (AOR: 2.78, CI: 1.47-5.27), people who were employed (AOR: 2.33, CI: 1.13-4.82), and who belonged to Chhetri, Janajati, Dalit and Madhesi ethnic groups. Furthermore, respondents who were aged 30-44 years and 45- 59 years, who were in marital union (AOR: 3.39, CI: 1.25-9.13), and who belonged to Janajati, Dalit and Madhesi ethnicity were more likely to be associated with overweight or obesity. Additionally, the odds of raised blood pressure were higher among people who were of older age (AOR: 6.91, CI: 1.67-28.63), belonged to Janajati ethnicity (AOR: 3.60, CI: 1.46-8.87), who consumed alcohol (AOR: 2.16, CI: 1.01-4.59) and who were overweight/obesity (AOR: 2.87, CI: 1.36-6.06) after multivariate analysis. Conclusion: The findings of the study highlighted high prevalence of behavioral and metabolic risk factors, which varies on different sociodemographic grounds. Thus, population specific health promotion interventions centered on public health interests is recommended to reduce risk factors of NCDs. Keywords: NCD risk factors, Smoking, Alcohol Consumption, Overweight or obesity, Raised blood pressure |
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| Item Description: | Thesis Report. |
| Physical Description: | ix,91p. |