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首页> 外文期刊>Global Health Action >Co-occurrence of behavioral risk factors of common non-communicable diseases among urban slum dwellers in Nairobi, Kenya
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Co-occurrence of behavioral risk factors of common non-communicable diseases among urban slum dwellers in Nairobi, Kenya

机译：肯尼亚内罗毕城市贫民窟居民中常见的非传染性疾病行为危险因素共存

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Background: The four common non-communicable diseases (NCDs) account for 80% of NCD-related deaths worldwide. The four NCDs share four common risk factors. As most of the existing evidence on the common NCD risk factors is based on analysis of a single factor at a time, there is a need to investigate the co-occurrence of the common NCD risk factors, particularly in an urban slum setting in sub-Saharan Africa.Objective: To determine the prevalence of co-occurrence of the four common NCDs risk factors among urban slum dwellers in Nairobi, Kenya.Design: This analysis was based on the data collected as part of a cross-sectional survey to assess linkages among socio-economic status, perceived personal risk, and risk factors for cardiovascular and NCDs in a population of slum dwellers in Nairobi, Kenya, in 2008–2009. A total of 5,190 study subjects were included in the analysis. After selecting relevant variables for common NCD risk factors, we computed the prevalence of all possible combinations of the four common NCD risk factors. The analysis was disaggregated by relevant background variables.Results: The weighted prevalences of unhealthy diet, insufficient physical activity, harmful use of alcohol, and tobacco use were found to be 57.2, 14.4, 10.1, and 12.4%, respectively. Nearly 72% of the study participants had at least one of the four NCD risk factors. About 52% of the study population had any one of the four NCD risk factors. About one-fifth (19.8%) had co-occurrence of NCD risk factors. Close to one in six individuals (17.6%) had two NCD risk factors, while only 2.2% had three or four NCD risk factors.Conclusions: One out of five of people in the urban slum settings of Nairobi had co-occurrence of NCD risk factors. Both comprehensive and differentiated approaches are needed for effective NCD prevention and control in these settings.
机译：背景：四种常见的非传染性疾病（NCD）占全球NCD相关死亡人数的80％。四个非传染性疾病有四个共同的危险因素。由于有关非传染性疾病常见危险因素的大多数现有证据都是基于一次对单个因素的分析，因此有必要调查常见非传染性疾病危险因素的同时发生，尤其是在亚市区的贫民窟环境中。撒哈拉以南非洲目的：确定肯尼亚内罗毕城市贫民窟居民中四种常见非传染性疾病危险因素共存的情况设计：本分析是基于作为断面调查的一部分收集的数据进行的，以评估联系2008-2009年，肯尼亚内罗毕贫民窟居民的社会经济状况，个人风险感以及心血管疾病和非传染性疾病的危险因素。分析中总共包括5190个研究对象。在为非传染性疾病的常见危险因素选择相关变量后，我们计算了四种非传染性疾病的危险因素的所有可能组合的患病率。结果：不健康饮食，运动量不足，有害使用酒精和吸烟的加权发生率分别为57.2％，14.4％，10.1％和12.4％。将近72％的研究参与者患有至少四种NCD危险因素之一。约52％的研究人群患有四种NCD危险因素之一。大约五分之一（19.8％）的人同时患有NCD危险因素。接近六分之一的人（17.6％）有两个非传染性疾病危险因素，而只有2.2％的人具有三个或四个非传染性疾病危险因素。结论：内罗毕城市贫民窟中五分之一的人同时发生NCD危险因素。在这些情况下，要有效地预防和控制NCD，就需要综合性和差异性方法。

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