Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach
OBJECTIVE: To gain a better understanding of the health transition in Indonesia, we sought to describe the prevalence and distribution of risk factors for noncommunicable diseases and to identify the risk-factor burden among a rural population and an urban population. METHODS: Using the protocol of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The World Health Organization
2006-01-01
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| Series: | Bulletin of the World Health Organization |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862006000400015 |
| _version_ | 1797281441459994624 |
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| author | Ng Nawi Stenlund Hans Bonita Ruth Hakimi Mohammad Wall Stig Weinehall Lars |
| author_facet | Ng Nawi Stenlund Hans Bonita Ruth Hakimi Mohammad Wall Stig Weinehall Lars |
| author_sort | Ng Nawi |
| collection | DOAJ |
| description | OBJECTIVE: To gain a better understanding of the health transition in Indonesia, we sought to describe the prevalence and distribution of risk factors for noncommunicable diseases and to identify the risk-factor burden among a rural population and an urban population. METHODS: Using the protocol of the WHO STEPwise approach to Surveillance (STEPS), risk factors for noncommunicable diseases were determined for 1502 men and 1461 women aged 15-74 years at the Purworejo Demographic Surveillance Site in 2001. FINDINGS: Smoking prevalence was high among men (913/1539; weighted percentage = 53.9.%) in both rural and urban populations; it was almost non-existent among women. A higher proportion of the urban population and the richest quintile of the rural population had high blood pressure and were classified as being overweight or obese when compared with the poorest quintile of the rural population. Those classified as being in the richest quintile who lived in the rural area were 1.5 times more likely to have raised blood pressure and 8 times more likely to be overweight than those classified as being in the poorest quintile and living in the rural area. Clustering of risk factors was higher among those classified as being in the richest quintile of those living in the rural area compared with those classified as being in the poorest quintile; and the risks of clustering were just 20-30% lower compared with the urban population. CONCLUSION: Both the rural and urban populations in Purworejo face an unequally distributed burden of risk factors for noncommunicable diseases. The burden among the most well-off group in the rural area has already reached a level similar to that found in the urban area. The implementation of the WHO STEPS approach was feasible, and it provides a comprehensive picture of the burden of risk factors, allowing appropriate health interventions to be implemented to address health inequities. |
| first_indexed | 2024-03-07T16:57:42Z |
| format | Article |
| id | doaj.art-0d7f2375a500429793124fbe1ad8b467 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T16:57:42Z |
| publishDate | 2006-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-0d7f2375a500429793124fbe1ad8b4672024-03-03T03:31:12ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862006-01-01844305313Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approachNg NawiStenlund HansBonita RuthHakimi MohammadWall StigWeinehall LarsOBJECTIVE: To gain a better understanding of the health transition in Indonesia, we sought to describe the prevalence and distribution of risk factors for noncommunicable diseases and to identify the risk-factor burden among a rural population and an urban population. METHODS: Using the protocol of the WHO STEPwise approach to Surveillance (STEPS), risk factors for noncommunicable diseases were determined for 1502 men and 1461 women aged 15-74 years at the Purworejo Demographic Surveillance Site in 2001. FINDINGS: Smoking prevalence was high among men (913/1539; weighted percentage = 53.9.%) in both rural and urban populations; it was almost non-existent among women. A higher proportion of the urban population and the richest quintile of the rural population had high blood pressure and were classified as being overweight or obese when compared with the poorest quintile of the rural population. Those classified as being in the richest quintile who lived in the rural area were 1.5 times more likely to have raised blood pressure and 8 times more likely to be overweight than those classified as being in the poorest quintile and living in the rural area. Clustering of risk factors was higher among those classified as being in the richest quintile of those living in the rural area compared with those classified as being in the poorest quintile; and the risks of clustering were just 20-30% lower compared with the urban population. CONCLUSION: Both the rural and urban populations in Purworejo face an unequally distributed burden of risk factors for noncommunicable diseases. The burden among the most well-off group in the rural area has already reached a level similar to that found in the urban area. The implementation of the WHO STEPS approach was feasible, and it provides a comprehensive picture of the burden of risk factors, allowing appropriate health interventions to be implemented to address health inequities.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862006000400015Chronic disease/epidemiologyRisk factorsCross-sectional studiesIndonesia |
| spellingShingle | Ng Nawi Stenlund Hans Bonita Ruth Hakimi Mohammad Wall Stig Weinehall Lars Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach Bulletin of the World Health Organization Chronic disease/epidemiology Risk factors Cross-sectional studies Indonesia |
| title | Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach |
| title_full | Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach |
| title_fullStr | Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach |
| title_full_unstemmed | Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach |
| title_short | Preventable risk factors for noncommunicable diseases in rural Indonesia: prevalence study using WHO STEPS approach |
| title_sort | preventable risk factors for noncommunicable diseases in rural indonesia prevalence study using who steps approach |
| topic | Chronic disease/epidemiology Risk factors Cross-sectional studies Indonesia |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862006000400015 |
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