Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.

Denis Bourgeois,Sitasnu Dahal,Rajendra Karkee,Surya Raj Niraula,Avaniendra Chakravartty,Ram Bilakshan Sah

doi:10.1371/journal.pone.0257037

Denis Bourgeois, Sitasnu Dahal + Show 4 more

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https://doi.org/10.1371/journal.pone.0257037

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Journal: PloS one	Publication Date: Sep 8, 2021
Citations: 17	License type: CC BY 4.0

Affiliation: B.P. Koirala Institute of Health Sciences

Abstract

BackgroundAccording to WHO, the deaths due to NCDs in Nepal have soared from 60% of all deaths in 2014 to 66% in 2018. The study assessed the prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.Materials and methodsA community based cross-sectional study was conducted from September 2019 to February 2020 among 18–69 years adults residing in municipalities of Kathmandu district. Multi-stage random sampling technique was used to select 245 subjects who were interviewed using WHO NCD STEPS instrument. Chi-square test and logistic regression analysis were done to explore the determinants of NCD risk factors.ResultsThe prevalence of current smoking, alcohol consumption, low intake of fruits and vegetables and low physical activity was found to be 22%, 31%, 93.9% and 10.2% respectively. More than half (52.2%) of the participants were overweight or obese and the prevalence of raised blood pressure was 27.8%. Smoking was associated significantly with male gender (AOR = 2.37, CI: 1.20–5.13) and respondents with no formal schooling (AOR: 4.33, CI: 1.50–12.48). Similarly, the odds of alcohol consumption were higher among male gender (AOR: 2.78, CI: 1.47–5.26), people who were employed (AOR: 2.30, CI: 1.13–4.82), and those who belonged to Chhetri (AOR: 2.83, CI: 1.19–6.72), Janajati (AOR: 6.18, CI: 2.74–13.90), Dalit and Madhesi, (AOR: 7.51, CI: 2.13–26.35) ethnic groups. Furthermore, respondents who were aged 30–44 years (AOR: 5.15, CI: 1.91–13.85) and 45–59 years (AOR: 4.54 CI: 1.63–12.66), who were in marital union (AOR: 3.39, CI: 1.25–9.13), and who belonged to Janajati (AOR: 3.37, CI: 1.61–7.04), Dalit and Madhesi (AOR: 4.62, CI: 1.26–16.86) ethnic groups were more likely to be associated with overweight or obesity. Additionally, the odds of raised blood pressure were higher among people who were of older age (AOR: 6.91, CI: 1.67–28.63) and those who belonged to Janajati ethnic group (AOR: 3.60, CI: 1.46–8.87) after multivariate analysis.ConclusionThe findings of the study highlighted high prevalence of behavioral and metabolic risk factors, which varied on different socio-demographic grounds. Thus, population specific health promotion interventions centered on public health interests is recommended to reduce risk factors of NCDs.

Highlights

Non-communicable diseases (NCDs) have garnered a global attention as it afflicts a wide range of population both in developed and in developing countries
The odds of alcohol consumption were higher among male gender (AOR: 2.78, CI: 1.47–5.26), people who were employed (AOR: 2.30, CI: 1.13–4.82), and those who belonged to Chhetri (AOR: 2.83, CI: 1.19–6.72), Janajati (AOR: 6.18, CI: 2.74–13.90), Dalit and Madhesi, (AOR: 7.51, CI: 2.13–26.35) ethnic groups
Respondents who were aged 30–44 years (AOR: 5.15, CI: 1.91–13.85) and 45–59 years (AOR: 4.54 CI: 1.63– 12.66), who were in marital union (AOR: 3.39, CI: 1.25–9.13), and who belonged to Janajati (AOR: 3.37, CI: 1.61–7.04), Dalit and Madhesi (AOR: 4.62, CI: 1.26–16.86) ethnic groups were more likely to be associated with overweight or obesity

Summary

Introduction

Non-communicable diseases (NCDs) have garnered a global attention as it afflicts a wide range of population both in developed and in developing countries. NCDs kill 41 million people each year, equivalent to 71% of all deaths and 85% of premature deaths, aged 30 and 69 years; occur in low and middle-income countries [1]. The grappling effect of NCDs in low and middle-income countries (LMICs) surprises those who think maternal and child deaths, deaths due to infectious diseases are only the dominant causes of mortality [2]. The World Health Organization (WHO) has focused on four NCDs that are driving the epidemiological transition: diabetes, cardiovascular disease, chronic respiratory disease, and cancers and they are largely caused by behavioral and metabolic risk factors [1].

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