Abstract:
The main objective of this study was to
investigate the magnitude and associated factors of
non-communicable chronic diseases (NCDs) at the Dabat
Health and Demographic Surveillance System (DHDSS) site
in the northwestern part of Ethiopia.
Design
A popula
tion-based cross-sectional study was
conducted from October to December 2014.
s
etting
HDSS site,
Ethiopia.
Participants
A total popula
tion of 67
397 living in 16
053
households was inc
luded in the study.
Measures
Structured interviewer-administered
questionnaire was used to collect data. Self-reported
morbidity was used to ascertain NCD. A binary logistic
regression model was employed to identify the
determinants of NCDs.
r
esult
One thousand one hundred sixty (1.7%) (95%
CI
1.62 to 1.82) participants were found with a
t least one
type of NCD. Heart disease and hypertension which
accounted for 404 (32.2%) and 401 (31.9%), of the
burden, respectively, were the most commonly reported
NCDs, followed by 347 (27.7%) asthma, 62 (4.9%)
diabetes mellitus and 40 (3.2%) cancer cases. Advanced
age (≥65
year) (adjusted OR (AOR)=19.6; 95% CI 5.83
65.70), urban residence (AOR=2.20; 95%
CI 1.83 to 2.65),
household food insecurity (AOR=1.71; 95%
CI 1.37 to
2.12) and high income (AOR=1.28; 95%
CI 1.02 to 1.59)
were significantly associa
ted with the reported history
of NCDs, whereas low (AOR=0.36; 95%
CI 0.31 to 0.42)
and moderate (AOR=0.33; 95%
CI 0.22 to 0.48) alcohol
consumption,
farming occupation (AOR=0.72; 95%
CI 0.57
to 0.91),
and work-related physical activities (AOR=0.66;
95%
CI 0.50 to 0.88) were inversely associa
ted with NCDs.
c
onclusion
There is a high burden of NCDs a
t the Dabat
HDSS site. Promotion of regular physical exercise and
reducing alcohol consumption are essential to mitigate the
burden of NCDs. In addition, preventive interventions of
NCDs should be strengthened among urban dwellers, older
age people and people of higher economic status.
