Abstract
ABSTRACTObjective To estimate the prevalence of clustering of behavioral risk factors for chronic non-communicable diseases, as well as the associated factors in climacteric women.Methods This is a cross-sectional, analytical study, with random selection of climacteric women, aged between 40 and 65 years, and registered in Family Health Strategy units. The dependent variable was clustering of three or more behavioral risk factors for chronic non-communicable diseases. The definition of associated variables was made after Poisson multiple regression analysis with robust variance.Results We evaluated 810 women, and 259 (32.0%) had a clustering of risk factors. The main risk behaviors were physical inactivity and low fruit consumption. The variables associated with clustering of behavioral factors were age group 52-65-years, marital status without a partner, overweight/obesity, moderate to severe anxiety and depression symptoms.Conclusion There was a considerable prevalence of women with three or more behavioral risk factors for chronic non-communicable diseases. Demographic variables and those related to health conditions were shown to be associated. Considering the results recorded, health services must provide differentiated care policies to climacteric women, seeking to alleviate high morbidity and mortality of chronic non-communicable diseases.
Highlights
Chronic non-communicable diseases (NCD) are multifactorial, of noninfectious origin, long lasting, and develop over the course of life
Chronic NCD are a major public health problem worldwide, and account for 46.0% of global burden of diseases affecting the world population. They are considered one of the greatest challenges for health managers.[1]. In Brazil, deaths from these causes correspond to twice the number of infectious diseases and highlight chronic NCD as the main public health problem.[4,6,7] Studies have shown an increase in cardiovascular diseases in people aged under 65 years and mainly women, with an increased number of hospitalizations.[8,9]
We evaluated 810 women in the climacteric period
Summary
Chronic non-communicable diseases (NCD) are multifactorial, of noninfectious origin, long lasting, and develop over the course of life They can generate functional disabilities and significant impairments, and are responsible for more than 60% of deaths worldwide.[1] They affect the lowincome population more intensely and account for considerable health care expenditure.[2,3] They are characterized by long latency periods and are influenced by multiple risk factors.[4,5]. Chronic NCD are a major public health problem worldwide, and account for 46.0% of global burden of diseases affecting the world population For this reason, they are considered one of the greatest challenges for health managers.[1] In Brazil, deaths from these causes correspond to twice the number of infectious diseases and highlight chronic NCD as the main public health problem.[4,6,7] Studies have shown an increase in cardiovascular diseases in people aged under 65 years and mainly women, with an increased number of hospitalizations.[8,9]. It is believed that a better understanding of clustering of inappropriate behaviors in this population should enable implementing public policies, which are more effective to reduce injuries and deaths due to chronic NCD
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