A Cross Sectional Assessment of the Profile of Risk Factors of Non-Communicable Diseases Among Health Care Staff of a Tertiary Cancer Hospital.

Naveen Khargekar, Anuj Singh, Tulika Shruti, Satyajit Pradhan
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Abstract

Background: Non-communicable disease (NCD) is the leading cause of death, accounting for 70% of total death globally, and posing a major public health challenge. In India, nearly 5.8 million people (WHO report, 2015) die from NCDs every year. The basic element of NCD prevention is the identification of the associated risk factors and risk modification. The objective of the current study was conducted to assess the prevalence of risk factors for NCDs among healthcare staff of the two units of a Tertiary Cancer Hospital in Varanasi, India, using WHO STEPS approach.

Methods: This cross sectional study was conducted among 528 participants who were willing to participate in the study, from among 967 healthcare staffs of the two units of the Tertiary Cancer Hospital. The participants were interviewed and the anthropometric and biochemical parameters were measured.

Results: The prevalence of risk factors, associated with NCD, tobacco use, alcohol use, extra salt in diet, less than 5 servings of fruits/vegetables, physical inactivity and self-perceived high stress score was found in 34 (6.43%), 90 (17.04%), 461 (87.3%), 412 (78.03%), 409 (77.4%) and 159 (30.11%) respondents, respectively. Multiple logistic regression revealed that Diabetes was significantly associated with male sex, high BMI and physical inactivity. Hypertension was found significantly associated with male sex, increasing age, tobacco and or alcohol consumption, high BMI and high stress. Dyslipidemia was also found significantly associated with high BMI, male sex, physical inactivity and high stress levels.

Conclusion: A high prevalence of risk factors for NCDs was found among the healthcare staff and it is the need of the hour to take preventive measures to reduce the prevailing burden of NCD.

某三级肿瘤医院医护人员非传染性疾病危险因素的横断面评估
背景:非传染性疾病(NCD)是导致死亡的主要原因,占全球总死亡人数的70%,并构成一项重大的公共卫生挑战。在印度,每年有近580万人(世卫组织报告,2015年)死于非传染性疾病。预防非传染性疾病的基本要素是确定相关的风险因素和改变风险。本研究的目的是利用世卫组织STEPS方法,评估印度瓦拉纳西三级肿瘤医院两个科室医护人员中非传染性疾病危险因素的流行情况。方法:采用横断面研究方法,从三级肿瘤医院两个科室的967名医护人员中抽取528名自愿参加研究的受试者。对参与者进行了访谈,并测量了人体测量和生化参数。结果:与非传染性疾病相关的危险因素有吸烟、饮酒、饮食中多盐、少于5份水果/蔬菜、缺乏运动和自我感觉高压力评分,分别有34人(6.43%)、90人(17.04%)、461人(87.3%)、412人(78.03%)、409人(77.4%)和159人(30.11%)。多元logistic回归分析结果显示,糖尿病与男性、高BMI和缺乏运动显著相关。研究发现,高血压与男性、年龄增长、吸烟或饮酒、高BMI和高压力显著相关。血脂异常还被发现与高BMI、男性、缺乏运动和高压力水平密切相关。结论:非传染性疾病危险因素在卫生保健人员中普遍存在,采取预防措施减轻非传染性疾病负担迫在眉睫。
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