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A COMPARATIVE STUDY OF NON COMMUNICABLE DISEASE RISK FACTORS AMONG GULF MIGRANT WORKERS AND NON MIGRANT WORKERS OF MALAPPURAM DISTRICT , KERALA

Introduction: Data on risk factors of non communicable diseases are very limited on gulf migrant population in India. The objective of this study was to compare the magnitude of NCD risk factors between gulf migrant workers and non migrant workers of Malappuram district, Kerala. Methods: Using a mul...

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Bibliografski detalji
Glavni autor: SHAMIM BEGAM N
Format: Printed Book
Izdano: 2013
Teme:
Online pristup:http://10.26.1.76/ks/004631.pdf
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100 |a SHAMIM BEGAM N  |9 21918 
245 |a A COMPARATIVE STUDY OF NON COMMUNICABLE DISEASE RISK FACTORS AMONG GULF MIGRANT WORKERS AND NON MIGRANT WORKERS OF MALAPPURAM DISTRICT , KERALA 
260 |c 2013 
500 |a Dissertation submitted in partial fulfillment of the requirement for the award of the degree of MASTER OF PUBLIC HEALTH 
520 |a Introduction: Data on risk factors of non communicable diseases are very limited on gulf migrant population in India. The objective of this study was to compare the magnitude of NCD risk factors between gulf migrant workers and non migrant workers of Malappuram district, Kerala. Methods: Using a multistage cluster sampling technique, 384 adults between 25-65 years of age (191 gulf migrant workers and 193 non migrant workers) were selected. Information on risk factors of NCDs were collected using the World Health Organization (WHO) STEPS questionnaire. Weight, height, waist circumference and Blood pressure were measured using the WHO protocol. Data were analyzed using SPSS software Results: Prevalence of current tobacco use was 21.4% among migrants and 16.6% among non migrants, exposure to passive smoking was 46% among migrants and 19.7% among non migrants(p= <0.001),current alcohol use was 8.9% among migrants and 12.4% among non migrants, physical inactivity was 26.7% among migrants and 23.8% among non migrants, diet with less than 5 servings of fruits and vegetables per day was 86.9 % among migrants and 76.2% among non migrants(p = <0.05),personal history of chronic diseases was 37% among migrants and 21% among non migrants(p= <0.001) ,occupation related risk factors: working all 7 days per week was 35% among migrants and 1% among non migrants (p= <0.001) , working more than 8 hrs per day was 76.9% among migrants and 33.1% among non migrants(p= <0.001) , sleeping less than 6 hrs per day was 41.3% among migrants and 14% among non migrants (p= <0.001),Prevalence of Hypertension was 59.7% among migrants and 29.8% among non migrants( p=<0.001),when adjusted for other factors hypertension was 2.5 (95% CI=1.38-4.46) times higher among migrants compared to non migrants, abdominal obesity was 79.5% among migrants and 44.5% among non migrants(p=<0.001) when adjusted for other factors abdominal obesity was 2.41 times higher among migrants compared to non migrants (95% CI=1.35-4.31 ),overweight was 66% among gulf migrants and 46% among non migrants(p=<0.001), Prevalence of self reported diabetes among migrants was 38.2 % and among non migrants 19.17%(p=<0.001). Among hypertensive migrants 43.5% were aware, 33.9 % were on treatment and 12.2% achieved adequate control, among hypertensive non migrants the corresponding figures were 56.9 %, 53.4 %, and 48.3 % respectively (p= <0.001). Prevalence of all the anthropometric risk factors considered increased with duration of migration. Conclusion: The burden of NCD risk factors is significantly high among gulf migrant workers compared to non migrant workers. No much difference is seen in most of the behavioral risk factors (STEP 1) of migrants and non migrants, but anthropometric risk factors like hypertension, overweight and abdominal obesity and self reported diabetes are significantly higher among gulf migrant population which needs further exploration. These data may serve to impel efforts to lower the heavy burden of NCD risk factors among gulf migrant workers compared to non migrant workers in particular, and migrant population in general. 
650 |a GULF MIGRATION  |9 21919 
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