Prevalence of obesity, tobacco use, and alcohol consumption by socioeconomic status among six communities in Nicaragua.
Objective. To describe the prevalence of noncommunicable disease (NCD) risk factors (overweight/obesity, tobacco smoking, and alcohol consumption) and identify correlations between these and sociodemographic characteristics in western and central Nicaragua. Methods. This was a cross-sectional study...
| Publicado en: | Pan American Journal of Public Health Vol. 32; no. 3; pp. 217 - 226 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
World Health Organization
Sep2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=83238989&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 83238989 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: Sep2012 vid: 32 iid: 3 pid: 437 pub: World Health Organization artinfo: ui: 83238989 10.1590/S1020-49892012000900007 ppf: 217 ppct: 9 formats: fmt: @attributes: type: P size: 463KB tig: atl: Prevalence of obesity, tobacco use, and alcohol consumption by socioeconomic status among six communities in Nicaragua. aug: au: Laux, Timothy S. Bert, Philip J. González, Marvin Unruh, Mark Aragon, Aurora Lacourt, Cecilia Torres affil: Barnes Jewish Hospital, Washington University in St. Louis, St. Louis, Missouri, United States of America Universidad Nacional Autónoma de Nicaragua, León, Facultad de Medicina, León, Nicaragua Centro de Investigación en Salud, Trabajo y Ambiente, Universidad Nacional Autónoma de Nicaragua, León, Nicaragua Division of Nephrology, University of New Mexico, Albuquerue, New Mexico, United States of America su: Nicaragua Analysis of variance Alcohol drinking Epidemiology Income Interviewing Obesity Sex distribution Socioeconomic factors Cross-sectional method Confidence intervals Research funding Tobacco Logistic regression analysis Data analysis Disease prevalence Data analysis software Descriptive statistics sug: subj: Analysis of variance Alcohol drinking Epidemiology Income Interviewing Obesity Sex distribution Socioeconomic factors Cross-sectional method Nicaragua Drinking Places (Alcoholic Beverages) Tobacco Stores Tobacco Farming Tobacco and Tobacco Product Merchant Wholesalers Confidence intervals Research funding Tobacco Logistic regression analysis Data analysis Disease prevalence Data analysis software Descriptive statistics keyword: alcohol drinking Chronic disease obesity poverty tobacco smoking consumo de bebidas alcohólicas Enfermedad crónica Nicaragua obesidad pobreza tabaquismo alcohol drinking Chronic disease obesity poverty tobacco smoking consumo de bebidas alcohólicas Enfermedad crónica Nicaragua obesidad pobreza tabaquismo ab: Objective. To describe the prevalence of noncommunicable disease (NCD) risk factors (overweight/obesity, tobacco smoking, and alcohol consumption) and identify correlations between these and sociodemographic characteristics in western and central Nicaragua. Methods. This was a cross-sectional study of 1 355 participants from six communities in Nicaragua conducted in September 2007-July 2009. Demographic and NCD risk-related health behavior information was collected from each individual, and their body mass index (BMI), blood pressure, diabetes status, and renal function were assessed. Data were analyzed using descriptive statistics, bivariate analyses, and (non-stratified and stratified) logistic regression models. Results. Of the 1 355 study participants, 22.0% were obese and 55.1% were overweight/obese. Female sex, higher income, and increasing age were significantly associated with obesity. Among men, lifelong urban living correlated with obesity (Odds Ratio [OR] = 4.39, 1.18-16.31). Of the total participants, 31.3% reported ever smoking tobacco and 47.7% reported ever drinking alcohol. Both tobacco smoking and alcohol consumption were strikingly more common among men (OR = 13.0, 8.8-19.3 and 15.6, 10.7-22.6, respectively) and lifelong urban residents (OR = 2.42, 1.31-4.47 and 4.10, 2.33-7.21, respectively). Conclusions. There was a high prevalence of obesity/overweight across all income levels. Women were much more likely to be obese, but men had higher rates of tobacco and alcohol use. The rising prevalence of NCD risk factors among even the poorest subjects suggests that an epidemiologic transition in underway in western and central Nicaragua whereby NCD prevalence is shifting to all segments of society. Raising awareness that health clinics can be used for chronic conditions needs to be priority. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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