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Below the poverty line and non-communicable diseases in Kerala: The Epidemiology of Non-communicable Diseases in Rural Areas (ENDIRA) study
Introduction: India carries the greatest burden of global non-communicable diseases (NCDs). Poverty is strongly associated with NCDs but there are few prevalence studies which have measured poverty in India, particularly in rural settings. Methods: In Kerala, India, a population of 113,462 individua...
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| Format: | Printed Book |
| Veröffentlicht: |
International Journal of Cardiology
2015
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| Schlagworte: | |
| Online Zugang: | http://10.26.1.76/ks/004577.pdf |
| Zusammenfassung: | Introduction: India carries the greatest burden of global non-communicable diseases (NCDs). Poverty is strongly
associated with NCDs but there are few prevalence studies which have measured poverty in India, particularly in
rural settings.
Methods: In Kerala, India, a population of 113,462 individuals was identified. The “Epidemiology of Non-
communicable Diseases in Rural Areas” (ENDIRA) study was conducted via ASHAs (Accredited Social Health
Activists). Standardised questionnaires were used in household interviews of individuals ≥ 18 years during
2012 to gather sociodemographic, lifestyle and medical data for this population. The Government of Kerala
definition of “the poverty line” was used. The association between below poverty line (BPL) status, NCDs and
risk factors was analysed in multivariable regression models.
Results: 84,456 adults were included in the analyses (25.4% below the poverty line). The prevalence of NCDs was
relatively common: myocardial infarction (MI) 1.4%, stroke 0.3%, respiratory diseases 5.0%, and cancer 1.1%. BPL
status was not associated with age (p = 0.96) or gender (p = 0.26). Compared with those above the poverty line
(APL), the BPL group was less likely to have diabetes, hypertension or dyslipidaemia (p b 0.0001), and more likely
to smoke (p b 0.0001). Compared with APL, BPL was associated with stroke (OR 1.33, 1.04–1.69; p = 0.02) and
respiratory disease (OR 1.23, 1.15–1.32; p b 0.0001) in multivariable analyses, but not MI or cancer.
Conclusions: In rural Kerala, BPL status was associated with stroke and respiratory diseases, but not with MI and
cancer although it was associated with smoking status, compared with above poverty line statu |
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| Beschreibung: | p.519–524 187 (2015) |