Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India
Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India
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DOI：
10.2471/blt.09.065847
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发表时间：
2010-04-01
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影响因子：
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通讯作者：
Mohan, Viswanathan
中科院分区：
文献类型：
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作者：
Allender, Steven;Lacey, Ben;Mohan, Viswanathan
目的探讨城市化进程和非传染性疾病（NCDs）之间的关系知之甚少，通过应用的定量措施的urbanicity.Methods我们构建了一个衡量的城市环境的7个领域，使用7项规模的基础上，从2001年印度人口普查的数据，开发一个“城市化”规模。该量表与世界卫生组织2003年在印度泰米尔纳德邦进行的逐步风险因素监测调查中收集的3705名参与者的数据一起使用，以分析城市环境与主要非传染性疾病风险因素之间的关系。线性和逻辑回归模型的构建检查城市化和慢性病风险之间的关系。结果在男性中，城市化与吸烟呈正相关（比值比，OR：3.54; 95%置信区间，CI：2.4-5.1）、体重指数（OR：7.32; 95%CI：4.0-13.6）、血压（OR：1.92; 95%CI：1.4-2.7）和低体力活动（OR：3.26; 95%CI：2.5-4.3）。在女性中，城市化与低体力活动（OR：4.13; 95% CI：3.0-5.7）和高体重指数（OR：6.48; 95% CI：4.6-9.2）呈正相关。结论城市化程度与印度泰米尔纳德邦NCD危险因素的患病率相关。
Objective To investigate the poorly understood relationship between the process of urbanization and noncommunicable diseases (NCDs) through the application of a quantitative measure of urbanicity.Methods We constructed a measure of the urban environment for seven areas using a seven-item scale based on data from the Census of India 2001 to develop an "urbanicity" scale. The scale was used in conjunction with data collected from 3705 participants in the World Health Organization's 2003 STEPwise risk factor surveillance survey in Tamil Nadu, India, to analyse the relationship between the urban environment and major NCD risk factors. Linear and logistic regression models were constructed examining the relationship between urbanicity and chronic disease risk.Findings Among men, urbanicity was positively associated with smoking (odds ratio, OR: 3.54; 95% confidence interval, CI: 2.4-5.1), body mass index (OR: 7.32; 95% CI: 4.0-13.6), blood pressure (OR: 1.92; 95% CI: 1.4-2.7) and low physical activity (OR: 3.26; 95% CI: 2.5-4.3). Among women, urbanicity was positively associated with low physical activity (OR: 4.13; 95% CI: 3.0-5.7) and high body mass index (OR: 6.48; 95% CI: 4.6-9.2). In both sexes urbanicity was positively associated with the mean number of servings of fruit and vegetables consumed per day (P < 0.05).Conclusion Urbanicity is associated with the prevalence of several NCD risk factors in Tamil Nadu, India.