Concomitant Behavioral Risk Factors ofNon Communicable Diseases and its Associated Factors among Adults in the Selected Rural Areas of Puducherry, South India: A Community Based Cross-sectional Study.
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 0
Abstract
Background: Considering that knowledge of the burden of these risk factors in a community can aid in developing need based preventive strategies. Hence, attempt was made to profile the known risk factors of Non- Communicable Diseases among adults in in the selected rural areas of Puducherry, South India and to estimate the prevalence of concomitant risk factors and socio-demographic factors associated with having higher number of risk factors concomitantly. Materials and Methods:A community based cross-sectional analytical study was conducted in the selected rural areas of Puducherry. House to house enumeration survey was conducted in the purposively selected rural areas during September-2016 to February-2017. From adults in the enumerated houses information on alcohol use, tobacco use, non-consumption of adequate fruits/vegetables, high salt intake and physical inactivity were extracted using modified WHO STEPS-1 questionnaire. Results:Of the total 1844 enumerated individuals, 1423 (78.6%) were above 18 years of age. Of the 1423 participants, mean (SD) age was 41.9 (16.2) and 53.8% were females. The prevalence of self-reported hypertension and diabetes was found to be 7.2% (95%CI=5.9%-8.6%) and 5.7% (95%CI=4.6%-7.0%) respectively. The reported prevalence of behavioral risk factors were; Tobacco use- 6.6% (95%CI=5.4%-8.0%), alcohol use-9.3% (95%CI=7.8%-10.9%), physical inactivity- 76.4% (95%CI=74.1%-78.6%), low fruit intake- 68.2% (95%CI=65.7%-70.6%), low vegetables intake- 57.1% (95%CI= 54.4%- 60.0%) and high salt intake- 86.5% (95%CI=84.4%-88.3%). Out of 1423 individuals, 885 (62.2%, 95% CI- 59.7%-64.7%) had three or more concomitant risk factors. The multivariate generalized poisson model analysis showed that being male, lower socio-economic class, unemployed and backward class were independently associated with concomitant risk factors.Conclusion:The current study shows alarmingly high burden of risk factors and more so with concomitant risk factors. There is need for behavioral change communication and social mobilization activities to reduce physical inactivity and to improve the intake of fruits and vegetables.
Authors and Affiliations
Purushothaman Vaithyanathan, Pruthu Thekkur, Boovaragasamy Chithra, Suguna A, Surekha A, Seetharaman N.
Keywords
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