Patterns of Non-Communicable Disease, Multimorbidity, and Population Awareness in Bahir Dar, Northwest Ethiopia: A Cross-Sectional Study

References

• World Health Organization. Noncommunicable Diseases. Geneva: WHO; 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed July 7, 2023.
   Google Scholar
• Bigna JJ, Noubiap JJ. The rising burden of non-communicable diseases in sub-Saharan Africa. Lancet Global Health. 2019;7(10):e1295–e6.
   PubMed Web of Science ®Google Scholar
• Tesema AG, Ajisegiri WS, Abimbola S, et al. How well are non-communicable disease services being integrated into primary health care in Africa: a review of progress against World Health Organization’s African regional targets. PLoS One. 2020;15(10):e0240984.
   PubMed Web of Science ®Google Scholar
• Beran D, Pedersen HB, Robertson J. Noncommunicable diseases, access to essential medicines and universal health coverage. Glob Health Action. 2019;12(1):1670014.
   PubMed Web of Science ®Google Scholar
• Allen L, Williams J, Townsend N, et al. Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: a systematic review. Lancet Global Health. 2017;5(3):e277–e89.
   PubMed Web of Science ®Google Scholar
• Frumkin H, Haines A. Global environmental change and noncommunicable disease risks. Annu Rev Public Health. 2019;40:261–282.
   PubMed Web of Science ®Google Scholar
• Allen L, Williams J, Townsend N, et al. Poverty and risk factors for non-communicable diseases in developing countries: a systematic review. Lancet. 2016;388:S17.
   Web of Science ®Google Scholar
• Murphy A, Palafox B, Walli-Attaei M, et al. The household economic burden of non-communicable diseases in 18 countries. BMJ Global Health. 2020;5(2):e002040.
   PubMed Web of Science ®Google Scholar
• Jan S, Laba T-L, Essue BM, et al. Action to address the household economic burden of non-communicable diseases. Lancet. 2018;391(10134):2047–2058.
   PubMed Web of Science ®Google Scholar
• Kundu MK, Hazra S, Pal D, Bhattacharya M. A review on Noncommunicable Diseases (NCDs) burden, its socio-economic impact and the strategies for prevention and control of NCDs in India. Indian J Public Health. 2018;62(4):302. doi:10.4103/ijph.IJPH_324_16
   PubMed Web of Science ®Google Scholar
• Kazibwe J, Tran PB, Annerstedt KS. The household financial burden of non-communicable diseases in low- and middle-income countries: a systematic review. Health Res Policy Systems. 2021;19(1):96. doi:10.1186/s12961-021-00732-y
   PubMed Web of Science ®Google Scholar
• Price AJ, Crampin AC, Amberbir A, et al. Prevalence of obesity, hypertension, and diabetes, and cascade of care in sub-Saharan Africa: a cross-sectional, population-based study in rural and urban Malawi. Lancet Diabetes Endocrinol. 2018;6(3):208–222. doi:10.1016/S2213-8587(17)30432-1
   PubMed Web of Science ®Google Scholar
• Niessen LW, Mohan D, Akuoku JK, et al. Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda. Lancet. 2018;391(10134):2036–2046. doi:10.1016/S0140-6736(18)30482-3
   PubMed Web of Science ®Google Scholar
• Kien VD, Van Minh H, Giang KB, Dao A, Ng N. Socioeconomic inequalities in catastrophic health expenditure and impoverishment associated with non-communicable diseases in urban Hanoi. Vietnam Int J Equity Health. 2016;15(1):1–11.
   PubMedGoogle Scholar
• Admassie A, Nuru Ali S, May JF, Megquier S, Moreland S. The Demographic Dividend: An Opportunity for Ethiopia’s Transformation. Avaialble at. Washington, DC: Population Reference Bureau and Ethiopian Economics Association; 2015. Available from: https://www.prb.org/wp-content/uploads/2015/11/demographic-dividend-ethiopia.pdf. Accessed July 7, 2023.
   Google Scholar
• Misganaw A, Haregu TN, Deribe K, et al. National mortality burden due to communicable, non-communicable, and other diseases in Ethiopia, 1990–2015: findings from the Global Burden of Disease Study 2015. Population Health Metrics. 2017;15(1):1–17
   PubMedGoogle Scholar
• Zimmet PZ, Alberti KGMM. Introduction: globalization and the non-communicable disease epidemic. Obesity. 2006;14(1):1. doi:10.1038/oby.2006.1
   PubMed Web of Science ®Google Scholar
• Juma K, Juma PA, Shumba C, Otieno P, Asiki G. Non-communicable diseases and urbanization in African cities: a narrative review. Public Health Dev Countries Challenges Opportunities. 2019;2:31–50.
   Google Scholar
• Misganaw A, Naghavi M, Walker A, et al. Progress in health among regions of Ethiopia, 1990–2019: a subnational country analysis for the Global Burden of Disease Study 2019. Lancet. 2022;399(10332):1322–1335.
   PubMed Web of Science ®Google Scholar
• The World Bank. Population, total, Ethiopia. Avaialble from: https://data.worldbank.org/indicator/SP.POP.TOTL?locations=ET. Accessed July 7, 2023.
   Google Scholar
• Workie NW, Ramana GN. The health extension program in Ethiopia. 2013.
   Google Scholar
• Bosu WK. An overview of the nutrition transition in West Africa: implications for non-communicable diseases. Proce Nutrition Soc. 2015;74(4):466–477.
   PubMed Web of Science ®Google Scholar
• Popkin BM. The nutrition transition in the developing world. Dev Policy Rev. 2003;21(5‐6):581–597.
   Google Scholar
• Mbogori T, Mucherah W. Nutrition transition in Africa: consequences and opportunities. Global J Transformative Educ. 2019;1(1):5–10.
   Google Scholar
• The World Bank. Cause of death by non-communicable diseases (% of total)- Ethiopia. Available from: https://data.worldbank.org/indicator/SH.DTH.NCOM.ZS?locations=ET. Accessed July 7, 2023.
   Google Scholar
• Organization WH. Noncommunicable Diseases Country Profiles 2018; 2018.
   Google Scholar
• Fenta EH, Sisay BG, Gebreyesus SH, Endris BS. Trends and causes of adult mortality from 2007 to 2017 using verbal autopsy method, Addis Ababa, Ethiopia. BMJ open. 2021;11(11):e047095.
   PubMed Web of Science ®Google Scholar
• Ethiopian Public Health Institute. Ethiopia STEPS report on risk factors for non-communicable diseases and prevalence of selected NCDs. Ethiopian Public Health Institute; 2016.
   Google Scholar
• Williams J, Allen L, Wickramasinghe K, Mikkelsen B, Roberts N, Townsend N. A systematic review of associations between non-communicable diseases and socioeconomic status within low-and lower-middle-income countries. J Glob Health. 2018;8(2):e4.
   Web of Science ®Google Scholar
• Lago-Peñas S, Rivera B, Cantarero D, et al. The impact of socioeconomic position on non-communicable diseases: what do we know about it? Perspect Public Health. 2021;141(3):158–176.
   PubMed Web of Science ®Google Scholar
• Omran A-R. The epidemiologic transition: a theory of the epidemiology of population change/Abdel R. Omran. 2001.
   Google Scholar
• Caldwell JC. Health transition: the cultural, social and behavioural determinants of health in the Third World. Soc Sci Med. 1993;36(2):125–135.
   PubMed Web of Science ®Google Scholar
• Hosseinpoor AR, Bergen N, Mendis S, et al. Socioeconomic inequality in the prevalence of noncommunicable diseases in low-and middle-income countries: results from the World Health Survey. BMC Public Health. 2012;12(1):1–13.
   PubMedGoogle Scholar
• Boakye J, Mensah D, Sakhuja S, Jolly PE, Akinyemiju T. Socioeconomic disparities in the prevalence of cardiometabolic risk factors in Ghanaian women. Ann Global Health. 2017;83(3–4):423–431.
   PubMed Web of Science ®Google Scholar
• Temu TM, Kirui N, Wanjalla C, et al. Cardiovascular health knowledge and preventive practices in people living with HIV in Kenya. BMC Infect Dis. 2015;15(1):421.
   PubMedGoogle Scholar
• Ikeda N, Saito E, Kondo N, et al. What has made the population of Japan healthy? Lancet. 2011;378(9796):1094–1105.
   PubMed Web of Science ®Google Scholar
• STROBE Statement—Checklist of items that should be included in reports of cross-sectional studies. Availabe from: https://www.equator-network.org/wpcontent/uploads/2015/10/STROBE_checklist_v4_cross-sectional.pdf. Accessed July 7, 2023.
   Google Scholar
• Central Statistical Authority. Population and Housing Census of Ethiopia. Addis Ababa: Central Statistics Authority; 2007.
   Google Scholar
• Organization WH WHO STEPS instrument (core and expanded). Geneva, Switzerland: WHO: Available from: http://www.whoint/chp/steps/STEPS_Instrument_v2.2015;1. Accessed July 7, 2023.
   Google Scholar
• Demaio AR, Dugee O, Amgalan G, et al. Protocol for a national, mixed-methods knowledge, attitudes and practices survey on non-communicable diseases. BMC Public Health. 2011;11(1):961.
   PubMedGoogle Scholar
• Salwa M, Haque MA, Khalequzzaman M, Al Mamun MA, Bhuiyan MR, Choudhury SR. Towards reducing behavioral risk factors of non-communicable diseases among adolescents: protocol for a school-based health education program in Bangladesh. BMC Public Health. 2019;19(1):1002.
   PubMedGoogle Scholar
• WHO STEPS Surveillance Manual. The WHO STEPwise Approach to Noncommunicable Disease Risk Factor Surveillance. Geneva: World Health Organization; 2020. Available from: https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps/manuals. Accessed July 7, 2023.
   Google Scholar
• World Health organization. Global Recommendations on Physical Activity for Health. Geneva: WHO; 2011.
   Google Scholar
• Reda AA, Kotz D, Biadgilign S. Adult tobacco use practice and its correlates in eastern Ethiopia: a cross-sectional study. Harm Reduct J. 2013;10(1):1–6.
   PubMedGoogle Scholar
• Gizaw AT, Amdisa D, Lemu YK. Predictors of substance use among Jimma University instructors, Southwest Ethiopia. Subst Abuse Treat Prev Policy. 2020;15(1):1–10.
   PubMed Web of Science ®Google Scholar
• Alebachew W, Semahegn A, Ali T, Mekonnen H. Prevalence, associated factors and consequences of substance use among health and medical science students of Haramaya University, eastern Ethiopia, 2018: a cross-sectional study. BMC Psychiatry. 2019;19(1):1–9.
   PubMed Web of Science ®Google Scholar
• Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167–176. doi:10.1159/000376585
   PubMed Web of Science ®Google Scholar
• WHO. Noncommunicable Disease Surveillance, Monitoring and Reporting; STEPS Manual. Avialable at https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps/manuals. Accessed July 7, 2023.
   Google Scholar
• World Health Organisation. Obesity and Overweight. Geneva: WHO; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed July 7, 2023.
   Google Scholar
• OMS. Definition, Diagnosis and Classification of Diabetes Mellitus and Its Complications. Report of a WHO Consultation 1999. Geneve: OMS; 1999.
   Google Scholar
• Camacho PA, Gomez-Arbelaez D, Otero J, et al. Self-reported prevalence of chronic non-communicable diseases in relation to socioeconomic and educational factors in Colombia: a community-based study in 11 departments. Glob Heart. 2020;15(1):546.
   Web of Science ®Google Scholar
• Jankovic J, Mirkovic M, Jovic-Vranes A, Santric-Milicevic M, Terzic-Supic Z. Association between non-communicable disease multimorbidity and health care utilization in a middle-income country: population-based study. Public Health. 2018;155:35–42.
   PubMed Web of Science ®Google Scholar
• Li X, Cai L, W-l C, et al. Association of socioeconomic and lifestyle factors with chronic non-communicable diseases and multimorbidity among the elderly in rural southwest China. J Public Health (Bangkok). 2020;42(2):239–246.
   Web of Science ®Google Scholar
• World Health Organization. Noncommunicable Diseases Country Profiles 2018; 2018.
   Google Scholar
• Tesfay FH, Zorbas C, Alston L, Backholer K, Bowe SJ, Bennett CM. Prevalence of chronic non-communicable diseases in Ethiopia: a systematic review and meta-analysis of evidence. Front Public Health. 2022;10.
   Web of Science ®Google Scholar
• Muluneh AT, Haileamlak A, Tessema F, et al. Population based survey of chronic non-communicable diseases at gilgel gibe field research center, southwest Ethiopia. Ethiop J Health Sci. 2012;22(4):7–18.
   PubMedGoogle Scholar
• Abebe SM, Andargie G, Shimeka A, et al. The prevalence of non-communicable diseases in northwest Ethiopia: survey of Dabat Health and Demographic Surveillance System. BMJ open. 2017;7(10):e015496.
   PubMed Web of Science ®Google Scholar
• Allender S, Lacey B, Webster P, et al. Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India. Bull World Health Organ. 2010;88:297–304.
   PubMed Web of Science ®Google Scholar
• Goryakin Y, Rocco L, Suhrcke M. The contribution of urbanization to non-communicable diseases: evidence from 173 countries from 1980 to 2008. Econ Hum Biol. 2017;26:151–163.
   PubMed Web of Science ®Google Scholar
• Khademi N, Babanejad M, Asadmobini A, Karim H. The association of age and gender with risk factors of noncommunicable diseases among employees in West of Iran. Int J Prev Med. 2017;8:46.
   PubMedGoogle Scholar
• Motuma A, Demissie Regassa L, Gobena T, Teji Roba K, Berhane Y, Worku A. Almost all working adults have at least one risk factor for non-communicable diseases: survey of working adults in Eastern Ethiopia. PLoS One. 2022;17(2):e0264698.
   PubMed Web of Science ®Google Scholar
• Shimeles A. Growth, poverty, and distribution in Ethiopia. Oxford Handbook Ethiopian Economy. 2019;3:653.
   Google Scholar
• World Report 2021: Ethiopia Human Watch. Available from: https://www.hrw.org/world-report/2021/country-chapters/ethiopia. Accessed July 7, 2023.
   Google Scholar
• Abera SF, Gebru AA, Biesalski HK, et al. Social determinants of adult mortality from non-communicable diseases in northern Ethiopia, 2009-2015: evidence from health and demographic surveillance site. PLoS One. 2017;12(12):e0188968.
   PubMed Web of Science ®Google Scholar
• Roberts K, Rao D, Bennett T, Loukine L, Jayaraman G. Prevalence and patterns of chronic disease multimorbidity and associated determinants in Canada. Health Promotion Chronic Dis Prevent Canada. 2015;35(6):87.
   PubMed Web of Science ®Google Scholar
• Malta DC, Bernal RTI, de Souza M, Szwarcwald CL, Lima MG, de Azevedo Barros MB. Social inequalities in the prevalence of self-reported chronic non-communicable diseases in Brazil: national health survey 2013. Int J Equity Health. 2016;15(1):153.
   PubMedGoogle Scholar
• Dagenais GR, Gerstein HC, Zhang X, et al. Variations in diabetes prevalence in low-, middle-, and high-income countries: results from the prospective urban and rural epidemiological study. Diabetes Care. 2016;39(5):780–787.
   PubMed Web of Science ®Google Scholar
• Barouki R, Gluckman PD, Grandjean P, Hanson M, Heindel JJ. Developmental origins of non-communicable disease: implications for research and public health. Environ Health. 2012;11(1):1–9.
   PubMedGoogle Scholar
• Gaskin CJ, Orellana L. Factors associated with physical activity and sedentary behavior in older adults from six low-and middle-income countries. Int J Environ Res Public Health. 2018;15(5):908.
   PubMed Web of Science ®Google Scholar
• Alamnia TT, Tesfaye W, Abrha S, Kelly M. Metabolic risk factors for non-communicable diseases in Ethiopia: a systematic review and meta-analysis. BMJ open. 2021;11(11):e049565.
   PubMed Web of Science ®Google Scholar
• Iloh GUP, Chuku A, Obiegbu NP, Ofoedu JN, Ikwudinma AO. Frequency of cardiovascular risk factors in adult Nigerians with family history of non-communicable cardiovascular disease in a primary care clinic of a tertiary hospital in a resource-constrained environment of Eastern Nigeria. Am J Health Res. 2013;1(1):17–25.
   Google Scholar
• Ranasinghe P, Cooray DN, Jayawardena R, Katulanda P. The influence of family history of hypertension on disease prevalence and associated metabolic risk factors among Sri Lankan adults. BMC Public Health. 2015;15(1):1–9.
   PubMedGoogle Scholar
• Yang W, Burrows T, MacDonald‐Wicks L, Williams L, Collins C, Chee W. The Family Diet Study: a cross‐sectional study into the associations between diet, food habits and body weight status in M alay families. J Human Nutrition Dietetics. 2016;29(4):441–448.
   PubMed Web of Science ®Google Scholar
• Tol A, Mohebbi B, Sadeghi R. Evaluation of dietary habits and related factors among type 2 diabetic patients: an innovative study in Iran. J Educ Health Promot. 2014;3.
   PubMedGoogle Scholar
• Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The influence of parental dietary behaviors and practices on children’s eating habits. Nutrients. 2021;13(4):1138.
   PubMed Web of Science ®Google Scholar
• Tully LK, Correa JB, Doran N. The relationship between family history of tobacco use and progression to tobacco use among young adult e-cigarette users. Prevent Medi Rep. 2019;15:100914.
   PubMedGoogle Scholar
• Warner LA, White HR, Johnson V. Alcohol initiation experiences and family history of alcoholism as predictors of problem-drinking trajectories. J Stud Alcohol Drugs. 2007;68(1):56–65.
   PubMed Web of Science ®Google Scholar
• Pradhan A. Obesity, metabolic syndrome, and type 2 diabetes: inflammatory basis of glucose metabolic disorders. Nutr Rev. 2007;65(suppl_3):S152–S6.
   PubMedGoogle Scholar
• Jallut D, Golay A, Munger R, et al. Impaired glucose tolerance and diabetes in obesity: a 6-year follow-up study of glucose metabolism. Metabolism. 1990;39(10):1068–1075.
   PubMed Web of Science ®Google Scholar
• Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004;4(8):579–591.
   PubMed Web of Science ®Google Scholar
• Arnold M, Leitzmann M, Freisling H, et al. Obesity and cancer: an update of the global impact. Cancer Epidemiol. 2016;41:8–15.
   PubMed Web of Science ®Google Scholar
• Poulain M, Doucet M, Major GC, et al. The effect of obesity on chronic respiratory diseases: pathophysiology and therapeutic strategies. Cmaj. 2006;174(9):1293–1299.
   PubMed Web of Science ®Google Scholar
• Kilpi F, Webber L, Musaigner A, et al. Alarming predictions for obesity and non-communicable diseases in the Middle East. Public Health Nutr. 2014;17(5):1078–1086.
   PubMed Web of Science ®Google Scholar
• Agyemang C, Boatemaa S, Frempong GA, Aikins A. Obesity in Sub-Saharan Africa. Metabolic Syndrome. Switzerland: Springer International Publishing; 2016:1–13.
   Google Scholar
• Ithnin M, Nor NAUM, Nordin NJ, et al. Knowledge, attitude, and practice on Non-Communicable Diseases (NCDs) among the adult population in the urban area of Negeri Sembilan, Malaysia. Int J Res Pharm Sci. 2018;9(SPL 2):88–94.
   Google Scholar
• Vaidya A, Aryal UR, Krettek A. Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site. BMJ open. 2013;3(10):e002976.
   PubMed Web of Science ®Google Scholar
• Aminde LN, Takah N, Ngwasiri C, et al. Population awareness of cardiovascular disease and its risk factors in Buea, Cameroon. BMC Public Health. 2017;17(1):545.
   PubMedGoogle Scholar
• Abdela OA, Ayalew MB, Yesuf JS, et al. Ethiopian university students’ knowledge and perception towards cardiovascular disease risk factors: a cross sectional study. Am J Cardiovasc Dis. 2019;9(1):1.
   PubMed Web of Science ®Google Scholar
• Maina WK, Ndegwa ZM, Njenga EW, Muchemi EW. Knowledge, attitude and practices related to diabetes among community members in four provinces in Kenya: a cross-sectional study. Pan Af Med J. 2010;7(1):e0170040.
   Google Scholar
• Kassahun CW, Mekonen AG. Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. PLoS One. 2017;12(2):76.
   Web of Science ®Google Scholar
• Boateng D, Wekesah F, Browne JL, et al. Knowledge and awareness of and perception towards cardiovascular disease risk in sub-Saharan Africa: a systematic review. PLoS One. 2017;12(12):e0189264.
   PubMed Web of Science ®Google Scholar
• Svendsen IW, Damgaard MB, Bak CK, et al. Employment status and health literacy in Denmark: a population-based study. Int J Public Health. 2021;66:598083.
   PubMed Web of Science ®Google Scholar
• Furuya Y, Kondo N, Yamagata Z, Hashimoto H. Health literacy, socioeconomic status and self-rated health in Japan. Health Promot Int. 2015;30(3):505–513.
   PubMed Web of Science ®Google Scholar
• Denu B, Tekeste A, Van Der Deijl H. Characteristics and determinants of youth unemployment, underemployment and inadequate employment in Ethiopia. Employment Strategy Papers. 2005.
   Google Scholar
• Manafe M, Chelule PK, Madiba S. The Perception of Overweight and Obesity among South African Adults: implications for Intervention Strategies. Int J Environ Res Public Health. 2022;19(19):12335.
   PubMed Web of Science ®Google Scholar
• Agyapong NAF, Annan RA, Apprey C, Aduku LNE. Body weight, obesity perception, and actions to achieve desired weight among rural and urban Ghanaian Adults. J Obes. 2020;2020:46.
   Web of Science ®Google Scholar
• Faber M, Kruger HS. Dietary intake, perceptions regarding body weight, and attitudes toward weight control of normal weight, overweight, and obese black females in a rural village in South Africa. Ethn Dis. 2005;15(2):238–245.
   PubMed Web of Science ®Google Scholar
• Kämpfen F, Wijemunige N, Evangelista B. Aging, Non-Communicable Diseases, and Old-Age Disability in Low-and Middle-Income Countries: A Challenge for Global Health. Springer; 2018:1011–1012.
   Google Scholar
• Tzeng IS. To handle the inflation of odds ratios in a retrospective study with a profile penalized log‐likelihood approach. J Clin Lab Anal. 2021;35(7).
   PubMed Web of Science ®Google Scholar
• Tzeng I-S. Impact of Blood Type O on Mortality of Sepsis Patients: a Multicenter Retrospective Observational Study. Diagnostics. 2020;10:826.
   Web of Science ®Google Scholar
• Delgado-Rodriguez M, Llorca J. Bias. J Epidemiol Community Health. 2004;58(8):635–641.
   PubMed Web of Science ®Google Scholar
• Hill G, Connelly J, Hébert R, Lindsay J, Millar W. Neyman’s bias re-visited. J Clin Epidemiol. 2003;56(4):293–296.
   PubMed Web of Science ®Google Scholar
• Levin KA. Study design III: cross-sectional studies. Evid Based Dent. 2006;7(1):24–25.
   PubMedGoogle Scholar