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

<h4>Background</h4>According 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.<h4>Materials and methods&...

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Autores principales:	Sitasnu Dahal, Ram Bilakshan Sah, Surya Raj Niraula, Rajendra Karkee, Avaniendra Chakravartty
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/66eb193552974f7cafde0cd24810e474
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spelling	oai:doaj.org-article:66eb193552974f7cafde0cd24810e4742021-12-02T20:08:26ZPrevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.1932-620310.1371/journal.pone.0257037https://doaj.org/article/66eb193552974f7cafde0cd24810e4742021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257037https://doaj.org/toc/1932-6203<h4>Background</h4>According 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.<h4>Materials and methods</h4>A 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.<h4>Results</h4>The 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.<h4>Conclusion</h4>The 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.Sitasnu DahalRam Bilakshan SahSurya Raj NiraulaRajendra KarkeeAvaniendra ChakravarttyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257037 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sitasnu Dahal Ram Bilakshan Sah Surya Raj Niraula Rajendra Karkee Avaniendra Chakravartty Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
description	<h4>Background</h4>According 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.<h4>Materials and methods</h4>A 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.<h4>Results</h4>The 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.<h4>Conclusion</h4>The 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.
format	article
author	Sitasnu Dahal Ram Bilakshan Sah Surya Raj Niraula Rajendra Karkee Avaniendra Chakravartty
author_facet	Sitasnu Dahal Ram Bilakshan Sah Surya Raj Niraula Rajendra Karkee Avaniendra Chakravartty
author_sort	Sitasnu Dahal
title	Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
title_short	Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
title_full	Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
title_fullStr	Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
title_full_unstemmed	Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.
title_sort	prevalence and determinants of non-communicable disease risk factors among adult population of kathmandu.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/66eb193552974f7cafde0cd24810e474
work_keys_str_mv	AT sitasnudahal prevalenceanddeterminantsofnoncommunicablediseaseriskfactorsamongadultpopulationofkathmandu AT rambilakshansah prevalenceanddeterminantsofnoncommunicablediseaseriskfactorsamongadultpopulationofkathmandu AT suryarajniraula prevalenceanddeterminantsofnoncommunicablediseaseriskfactorsamongadultpopulationofkathmandu AT rajendrakarkee prevalenceanddeterminantsofnoncommunicablediseaseriskfactorsamongadultpopulationofkathmandu AT avaniendrachakravartty prevalenceanddeterminantsofnoncommunicablediseaseriskfactorsamongadultpopulationofkathmandu
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Prevalence and determinants of non-communicable disease risk factors among adult population of Kathmandu.

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