Socioeconomic Determinants of Health: An Adult Population Based Study in Shiraz, Southern Iran
نویسندگان
doi
10.17795/semj27856چکیده
Background: Noncommunicable diseases (NCDs) are now the most important causes of mortality and morbidity in Iran. Objectives: Therefore, knowing about NCDs status and its socioeconomic determinants are the cornerstone for the interventions that policymakers and health providers apply to improve the health of community. This research includes a full exploration of the relevant data. Results: Overall, 777 participants, mean age of 42.6 ± 13.8 (ranging from 18 to 88) year, were included in this study while female (451; 58%), middle-aged (203; 26.1%), married (653; 84%), and those with up to 12 years of education (470; 60.5%) were the majorities. Among the participants, 453 (58.3%) were among overweight to severely obese groups, 441 (56.7%) did not have physical activity, 148 (19.3%) were smokers, 280 (36%) had hypercholesterolemia, 239 (30.8%) had hypertriglyceridemia, 54 (6.9%) had high LDL, 93 (11.9%) had low HDL, and 49 (6.3%) were anemic. Women had significantly lower height (P < 0.001), weight (P < 0.001), and waist circumference (P < 0.001), but higher BMI (P < 0.001) compared to those parameters in men. Of total participants, 240 (30.9%) had prehypertension, 62 (8.0%) had stage I hypertension, and 16 (2.1%) had stage II hypertension. Overall, 76 (9.8%) subjects had hypertension, while most of them (57; 75%) were aware of their disease and consumed antihypertensive drugs. Of 777 participants, 148 (19.1%) had impaired glucose tolerance test and 51 (6.5%) were diabetic. However, 46 (5.9%) were aware of their disease and only 35 (4.5%) consumed glucose lowering agents to control plasma glucose. Those with fewer years of education had significantly higher prevalence of obesity (P = 0.001), hypertension (P < 0.001), and DM (P = 0.02). Conclusions: At least 1 out of 2 adult people in Shiraz does not have physical activity and has high BMI, while 1 out of 3 has at least one abnormal components in their lipid profile. Prediabetes, hypertensive, and diabetic groups comprised a significant portion of population. Among different groups, women and less educated people belonged to the high risk groups. Therefore a multidisciplinary approach is needed to control this event, especially in high risk population.