Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1.
Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1.
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DOI：
10.1186/s12889-015-1407-0
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发表时间：
2015-02-06
影响因子：
4.5
通讯作者：
Kowal P
中科院分区：
文献类型：
--
作者：
Wu F;Guo Y;Chatterji S;Zheng Y;Naidoo N;Jiang Y;Biritwum R;Yawson A;Minicuci N;Salinas-Rodriguez A;Manrique-Espinoza B;Maximova T;Peltzer K;Phaswanamafuya N;Snodgrass JJ;Thiele E;Ng N;Kowal P
吸烟、不健康饮食、身体活动不足和有害使用酒精等行为风险因素是一些非传染性疾病和健康媒介的已知和可改变的因素。本文的目的是描述一个国家内50岁及以上成年人中按社会经济地位（SES）划分的非传染性疾病主要风险因素的分布，并比较六个低收入和中高收入国家的这些风险因素。本文的研究人群来自SAGE第1波，包括来自中国（N=13,157）、加纳（N=4,305）、印度（N=6,560）、墨西哥（N=2,318）、俄罗斯联邦（N=3,938）和南非（N=3,836）的50岁以上成年人。确定了非传染性疾病的七个主要常见危险因素：每日吸烟、频繁大量饮酒、体力活动水平低、蔬菜和水果摄入量不足、高危腰臀比、肥胖和高血压。多重危险因素也通过将所有这些危险因素相加来计算。每日烟草使用的流行率从7.7%（加纳）到46.9%（印度）不等，频繁酗酒者在中国最高（6.3%），在印度最低（0.2%），低体力活动的流行率最高在南非（59.7%）。在墨西哥，高腰臀比风险的受访者患病率最高，为84.5%，自我报告的高血压患病率从33%（印度）到78%（南非）不等。肥胖在南非、俄罗斯联邦和墨西哥（分别为45.2%、36%和28.6%）比中国、印度和加纳（分别为15.3%、9.7%和6.4%）更为常见。与墨西哥、俄罗斯联邦和南非相比，中国、加纳和印度具有多种风险因素的受访者比例更高。三种和四种危险因素在墨西哥、俄罗斯联邦和南非更为普遍。不同国家和环境之间存在很大差异，甚至在中高收入国家和中低收入国家之间也是如此。这项研究提供的关于风险因素问题严重程度的基线信息可以帮助各国和卫生政策制定者制定应对全球非传染性疾病流行的干预措施。
Behavioral risk factors such as tobacco use, unhealthy diet, insufficient physical activity and the harmful use of alcohol are known and modifiable contributors to a number of NCDs and health mediators. The purpose of this paper is to describe the distribution of main risk factors for NCDs by socioeconomic status (SES) among adults aged 50 years and older within a country and compare these risk factors across six lower- and upper-middle income countries. The study population in this paper draw from SAGE Wave 1 and consisted of adults aged 50-plus from China (N=13,157), Ghana (N=4,305), India (N=6,560), Mexico (N=2,318), the Russian Federation (N=3,938) and South Africa (N=3,836). Seven main common risk factors for NCDs were identified: daily tobacco use, frequent heavy drinking, low level physical activity, insufficient vegetable and fruit intake, high risk waist-hip ratio, obesity and hypertension. Multiple risk factors were also calculated by summing all these risk factors. The prevalence of daily tobacco use ranged from 7.7% (Ghana) to 46.9% (India), frequent heavy drinker was the highest in China (6.3%) and lowest in India (0.2%), and the highest prevalence of low physical activity was in South Africa (59.7%). The highest prevalence of respondents with high waist-to-hip ratio risk was 84.5% in Mexico, and the prevalence of self-reported hypertension ranging from 33% (India) to 78% (South Africa). Obesity was more common in South Africa, the Russia Federation and Mexico (45.2%, 36% and 28.6%, respectively) compared with China, India and Ghana (15.3%, 9.7% and 6.4%, respectively). China, Ghana and India had a higher prevalence of respondents with multiple risk factors than Mexico, the Russia Federation and South Africa. The occurrence of three and four risk factors was more prevalent in Mexico, the Russia Federation and South Africa. There were substantial variations across countries and settings, even between upper-middle income countries and lower-middle income countries. The baseline information on the magnitude of the problem of risk factors provided by this study can help countries and health policymakers to set up interventions addressing the global non-communicable disease epidemic.
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影响因子：
5.1
作者：
Huisman, M;Kunst, AE;Mackenbach, JP
通讯作者：
Mackenbach, JP
影响因子：
168.9
作者：
Giovino, Gary A.;Mirza, Sara A.;Asma, Samira
通讯作者：
Asma, Samira
影响因子：
7.2
作者：
Bowlin, SJ;Morrill, BD;Pearson, TA
通讯作者：
Pearson, TA
影响因子：
6.3
作者：
Laaksonen, M;Prättälä, R;Lahelma, E
通讯作者：
Lahelma, E
影响因子：
5.2
作者：
Andreyeva, T.;Michaud, P.-C.;van Soest, A.
通讯作者：
van Soest, A.