Availability of data for monitoring noncommunicable disease risk factors in India
Availability of data for monitoring noncommunicable disease risk factors in India
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DOI：
10.2471/blt.11.091041
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发表时间：
2012-01-01
期刊：
影响因子：
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通讯作者：
Dandona, Lalit
中科院分区：
文献类型：
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作者：
Raban, Magdalena Z;Dandona, Rakhi;Dandona, Lalit
目的探讨2000 - 2009年印度家庭调查中非传染性疾病（NCD）危险因素指标数据的可用性。方法通过互联网和PubMed检索，确定家庭调查中使用的文献和出版物，并对这些文献和出版物进行检查，以确定哪些核心NCD危险因素指标被世界卫生组织（WHO）推荐用于NCD监测。为了确保一定的精确度，还包括了抽样规模为5000或更多的调查。的核心指标衡量的完整性和调查的地域代表性进行了评估。入选标准。在世卫组织建议的核心行为风险因素指标中，监测烟草使用的指标在国家和国家以下一级的调查中得到了全面测量;评估饮食摄入量和缺乏身体活动的指标仅在国家以下一级的调查中得到测量，而评估酒精使用的指标则根本没有得到测量。在世卫组织推荐的核心生物风险因素中，仅在国家和国家以下一级调查中测量了体重指数，而仅在国家以下一级调查中测量了血压、空腹血糖和血胆固醇。由于使用非标准的指标定义，在一些国家和国家以下调查的核心指标的测量是不完整的。结论核心风险因素指标的数据，以监测非传染性疾病的负担日益增加，在印度是不够的。这些采用标准化定义的指标应纳入定期进行的全国住户健康调查，以提供国家一级的分类数据。
Objective To examine the availability of data measuring noncommunicable disease (NCD) risk factor indicators from household surveys conducted in India from 2000 to 2009.Methods Questionnaires and publications used in household surveys were identified through internet and PubMed searches and examined to determine which core NCD risk factor indicators recommended by the World Health Organization (WHO) for NCD monitoring were being measured. Surveys with a sample size of 5000 or more were included to ensure a certain level of precision. The completeness of core indicator measurement and the geographical representativeness of the surveys were assessed.Findings Twenty six surveys met the. inclusion criteria. Among the WHO-recommended core behavioural risk factor indicators, those monitoring tobacco use were measured completely in national and subnational surveys; those assessing dietary intake and physical inactivity were measured only in subnational surveys, and those assessing alcohol use were not measured at all. Among WHO-recommended core biological riskfactors, only body mass index was measured in national and subnational surveys, whereas blood pressure, fasting blood glucose and blood cholesterol were measured only in subnational surveys. Due to the use of non-standard indicator definitions, measurement of core indicators in some of the national and subnational surveys was incomplete.Conclusion The availability of data on core risk factor indicators to monitor the increasing burden of NCDs is inadequate in India. These indicators using standardized definitions should be included in the periodic national household health surveys to provide data at the national and disaggregated levels.