SAT-223 Identifying Major Non Communicable Diseases (NCD) and Associated Risk Factors Prevailing in Rural Community: Primary Results from an ongoing Systematic Survey in Bangladesh

Abstract

Hypertension, diabetes and kidney disease are the major contributors of non communicable diseases (NCD). Systematic data on these and their associated risk factors are lacking in Bangladesh. In this survey a well defined rural area (union) was selected. Listing of all households and the number of residents in that area was listed. A number of field enumerators (FE), visitors (FV), supervisors (SV) and coordinators (CO) were recruited and trained for data collection. Information on prevailing NCDs and related risk factor of all dwellers were collected on a short questionnaire by face-to-face interview. Definite history of hypertension, diabetes, and nephropathy diagnosed previously and/or on treatments was recorded. In 22354 subjects 14091 were adults and 8262 were of < 18years age category. The overall male female ratio was 49:51.In adults age was between 18-24 (21%), 25-54 (61%), 55-64 (10%) and > 65 yrs (8%). Among them 26% were tobacco user and 88% took added salt with food. Diagnosed cases of HTN was 10%, DM 6%, IHD 4%, CVA 2% and nephropathy in 1% subjects. Comparison between male and female showed female were less smoker (25% vs., 1%, p<0.001) but more smokeless tobacco user (10% vs. 14%. P<0.001); hypertensive (8% vs. 12%, p<0.001) and diabetic (5% vs. 7%, p<0.001). In <18yeras group 33% had no formal schooling; tobacco user <0.1% but 79% took added salt with food. Diagnosed cases of HTN, DM, and nephropathy seen in <0.1% subjects. In general salt intake is high in rural population. Also tobacco use is alarmingly high in adult population. The diagnosed disease burden of NCDs is high and women are more affected. The younger group is mostly free from NCDs but the education level is low. Further investigations for identifying undiagnosed NCD disease burden and their cardio-renal behavioral risk factors are warranted.