National survey of risk factors for non-communicable disease in Vietnam: prevalence estimates and an assessment of their validity

BMC Public Health

Research Article

Bao Quoc Tran¹  Ngoc Le Van Truong¹  Khue Ngoc Luong¹  Son Thai Ha¹  Thuy Bich Au²  Mai Hoang Tran²  Petr Otahal²  Mark R. Nelson²  Seana Gall²  Hai Ngoc Phung²  Christopher Leigh Blizzard²  Tan Van Bui³  Michele Callisaya⁴  Velandai Srikanth⁴ 

[1] Medical Services Administration, Ministry of Health of the Socialist Republic of Vietnam, Ha Noi, Vietnam;Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, 7000, Hobart, TAS, Australia;Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, 7000, Hobart, TAS, Australia;Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam;Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, 7000, Hobart, TAS, Australia;Department of Medicine, Southern Clinical School, Monash Medical Centre, Monash University, Clayton, VIC, Australia;

关键词: Non-communicable disease;    Risk factors;    Prevalence;    Ecological inference;   

DOI  :  10.1186/s12889-016-3160-4

 received in 2015-11-24, accepted in 2016-05-13,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundTo estimate the prevalence of non-communicable disease (NCD) risk factors at a provincial level in Vietnam, and to assess whether the summary estimates allow reliable inferences to be drawn regarding regional differences in risk factors and associations between them.MethodsParticipants (n = 14706, 53.5 % females) aged 25–64 years were selected by multi-stage stratified cluster sampling from eight provinces each representing one of the eight geographical regions of Vietnam. Measurements were made using the World Health Organization STEPS protocols. Data were analysed using complex survey methods.ResultsDifferences by sex in mean years of schooling (males 8.26 ± 0.20, females 7.00 ± 0.18), proportions of current smokers (males 57.70 %, females 1.73 %), and binge-drinkers (males 25.11 %, females 0.63 %), and regional differences in diet, reflected the geographical and socio-cultural characteristics of the country. Provinces with a higher proportion of urban population had greater mean levels of BMI (r = 0.82), and lesser proportions of active people (r = −0.89). The associations between the summary estimates were generally plausible (e.g. physical activity and BMI, r = −0.80) but overstated, and with some anomalous findings due to characterisation of smoking and hypertension by STEPS protocols.ConclusionsThis report provides an extensive description of the sex-specific and regional distribution of NCD risk factors in Vietnam and an account of some health-related consequences of industrialisation in its early stages. The STEPS protocols can be utilized to provide aggregate data for valid between-population comparisons, but with important caveats identified.

【 授权许可】

CC BY   
© Van Bui et al. 2016