Burden of cumulative risk factors associated with non-communicable diseases among adults in Uganda: evidence from a national baseline survey
| Autor: | James Muwonge, Gerald Mutungi, David Guwatudde, Silver Bahendeka, Ronald Wesonga, Fabian Nabugoomu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Endogenous Factors Health Status Developing country 030204 cardiovascular system & hematology Body Mass Index 03 medical and health sciences 0302 clinical medicine Cost of Illness Risk Factors Environmental health Surveys and Questionnaires Cumulative risk factors Prevalence Diabetes Mellitus Medicine Humans Uganda 030212 general & internal medicine Non-communicable diseases Obesity Risk factor Noncommunicable Diseases Exercise Disease burden business.industry Public health Health Policy Research Smoking Public Health Environmental and Occupational Health Middle Aged Cross-Sectional Studies Relative risk Hypertension Residence Female business Body mass index |
| Zdroj: | International Journal for Equity in Health |
| ISSN: | 1475-9276 |
| Popis: | Background Modification of known risk factors has been the most tested strategy for dealing with non-communicable diseases (NCDs). The cumulative number of NCD risk factors exhibited by an individual depicts a disease burden. However, understanding the risk factors associated with increased NCD burden has been constrained by scarcity of nationally representative data, especially in the developing countries and not well explored in the developed countries as well. Methods Assessment of key risk factors for NCDs using population data drawn from 3987 participants in a nationally representative baseline survey in Uganda was made. Five key risk factors considered for the indicator variable included: high frequency of tobacco smoking, less than five servings of fruit and vegetables per day, low physical activity levels, high body mass index and raised blood pressure. We developed a composite indicator dependent variable with counts of number of risk factors associated with NCDs per participant. A statistical modeling framework was developed and a multinomial logistic regression model was fitted. The endogenous and exogenous predictors of NCD cumulative risk factors were assessed. Results A novel model framework for cumulative number of NCD risk factors was developed. Most respondents, 38 · 6% exhibited one or two NCD risk factors each. Of the total sample, 56 · 4% had at least two risk factors whereas only 5.3% showed no risk factor at all. Body mass index, systolic blood pressure, diastolic blood pressure, consumption of fruit and vegetables, age, region, residence, type of residence and land tenure system were statistically significant predictors of number of NCD risk factors (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|