The prevalence of non-communicable diseases in northwest Ethiopia: survey of Dabat Health and Demographic Surveillance System.

Autor:	Abebe SM; Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Andargie G; Department of Health Service Management and Health Economics, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Shimeka A; Department of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Alemu K; Department of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Kebede Y; Department of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Wubeshet M; Department of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Tariku A; Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Gebeyehu A; Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Bayisa M; Department of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Yitayal M; Department of Health Service Management and Health Economics, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Awoke T; Department of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Azmeraw T; Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia., Birku M; Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Sciences,University of Gondar, Gondar, Ethiopia.; Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.; Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2017 Oct 22; Vol. 7 (10), pp. e015496. Date of Electronic Publication: 2017 Oct 22.
DOI:	10.1136/bmjopen-2016-015496
Abstrakt:	Objective: The main objective of this study was to investigate the magnitude and associated factors of non-communicable chronic diseases (NCDs) at the Dabat Health and Demographic Surveillance System (DHDSS) site in the northwestern part of Ethiopia. Design: A population-based cross-sectional study was conducted from October to December 2014. Setting: HDSS site, Ethiopia. Participants: A total population of 67 397 living in 16 053 households was included in the study. Measures: Structured interviewer-administered questionnaire was used to collect data. Self-reported morbidity was used to ascertain NCD. A binary logistic regression model was employed to identify the determinants of NCDs. Result: One thousand one hundred sixty (1.7%) (95% CI 1.62 to 1.82) participants were found with at least one type of NCD. Heart disease and hypertension which accounted for 404 (32.2%) and 401 (31.9%), of the burden, respectively, were the most commonly reported NCDs, followed by 347 (27.7%) asthma, 62 (4.9%) diabetes mellitus and 40 (3.2%) cancer cases. Advanced age (≥65 year) (adjusted OR (AOR)=19.6; 95% CI 5.83 65.70), urban residence (AOR=2.20; 95% CI 1.83 to 2.65), household food insecurity (AOR=1.71; 95% CI 1.37 to 2.12) and high income (AOR=1.28; 95% CI 1.02 to 1.59) were significantly associated with the reported history of NCDs, whereas low (AOR=0.36; 95% CI 0.31 to 0.42) and moderate (AOR=0.33; 95% CI 0.22 to 0.48) alcohol consumption, farming occupation (AOR=0.72; 95% CI 0.57 to 0.91), and work-related physical activities (AOR=0.66; 95% CI 0.50 to 0.88) were inversely associated with NCDs. Conclusion: There is a high burden of NCDs at the Dabat HDSS site. Promotion of regular physical exercise and reducing alcohol consumption are essential to mitigate the burden of NCDs. In addition, preventive interventions of NCDs should be strengthened among urban dwellers, older age people and people of higher economic status. Competing Interests: Competing interests: None declared. (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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