Prevalence and determinants of behavioral risk factors of non-communicable diseases among a selected slum population in Bangladesh
DOI:
https://doi.org/10.22122/cdj.v7i3.417Keywords:
Non-Communicable Diseases, Behavioral Risk Factors, Slum PopulationAbstract
BACKGROUND: Low and middle income countries and also the underprivileged population both are susceptible for the increased burden of non-communicable diseases (NCDs), and the practice of their behavioral risk factors (BRFs) is the main cause. However, these BRFs and their determinants among the slum population of Bangladesh weren’t adequately evaluated. The present study was carried out with the aim to find out the prevalence and determinants of BRFs of NCDs among a selected slum population in Bangladesh.
METHODS: This cross-sectional study was conducted in purposively selected Rayerbazar slum of Dhaka city, Bangladesh, in 2017. A total of 192 adult (aged 18 to 65 years) residents were enrolled in this study using the convenient sampling method. A semi-structured questionnaire, adopted version of World Health Organization (WHO) STEPS instrument was used for data collection. Ascertainments of the risk factors were conducted as per the WHO STEPS guideline. Both descriptive and multivariate statistics were performed using the SPSS software.
RESULTS: The majority of the respondents (72.4%) were men, and the mean ± standard deviation (SD) of the ages was 37.0 ± 13.6 years. Half (50%) of the respondents were tobacco users. Almost all (98.4%) reported insufficient fruit and vegetables (FAVs) intake. Almost 7 out of 10 (67.7%) of the respondents reported to perform inadequate level of physical activity (PA). However, very negligible (2.6%) proportion of the respondents reported alcohol consumption. The group of the respondents with the age above the mean age (≥ 35 years) reported higher use of tobacco whereas, the group of the respondents with the age below the mean age (< 35 years) reported a higher level of inadequacy of PA.
CONCLUSION: BRFs of NCDs were substantial among the selected slum population of Bangladesh, where age was the major determinant. Health promotion and health education measures are recommended for slum population of Bangladesh to aware them of the BRFs of NCDs.
References
World Health Organization. Noncommunicable diseases [Online]. [cited 2018]; Available from: URLhttps://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization. Noncommunicable Diseases Progress Monitor 2017 [Online]. [cited 2017]; Available from: URL;
https://www.who.int/nmh/publications/ncd-progress-monitor-2017/en
Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388(10053): 1659-724.
World Health Organization. Global NCD Target: Reducing harmful use of alcohol [Online]. [cited 2016]; Available from: URL:
https://www.who.int/beat-ncds/take-action/ncd-brief-alcohol.pdf
World Health Organization. Noncommunicable diseases country profiles 2018 [Online]. [cited 2018]; Available from: URL:
https://www.who.int/nmh/publications/ncd-profiles-2018/en
Zaman MM, Bhuiyan MR, Karim MN, MoniruzZaman, Rahman MM, Akanda AW, et al. Clustering of non-communicable diseases risk factors
in Bangladeshi adults: An analysis of STEPS survey 2013. BMC Public Health 2015; 15: 659.
Mondal R, Sarker RC, Banik PC, Acharya NP, Sultana S, Madumita M. Knowledge, attitude and behavior towards dietary salt intake among Bangladeshi population. SMU Med J 2017; 4(2): 170-8.
Islam SM, Purnat TD, Phuong NT, Mwingira U, Schacht K, Froschl G. Non-communicable diseases (NCDs) in developing countries: A symposium report. Global Health 2014; 10: 81.
World Health Organization. STEPS Manual [Online]. [cited 2017]; Available from: URL;
https://www.who.int/ncds/surveillance/steps/manual/en
Mondal R, Sarker R, Banik P. Behavioral Risk Factors of Noncommunicable Diseases Among Medical and Nonmedical Undergraduate Students of Dhaka City, Bangladesh. International Journal of Epidemiologic Research 2018; 5(4): 119-22.
Khalequzzaman M, Chiang C, Choudhury SR, Yatsuya H, Al-Mamun MA, Al-Shoaibi AAA, et al. Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh: A community-based cross-sectional survey. BMJ open 2017; 7(11): e014710.
Rawal LB, Biswas T, Khandker NN, Saha SR, Bidat Chowdhury MM, Khan ANS, et al. Non-communicable disease (NCD) risk factors and diabetes among adults living in slum areas of Dhaka, Bangladesh. PLoS One 2017; 12(10): e0184967.
Sarker R, Mondal R, Roy D, Acharya N, Afrin R, Mandal S, et al. Knowledge attitude and behaviours towards dietary salt in a selected slum population in Bangladesh. International Journal of Perceptions in Public Health 2018; 2(4): 178-83.