Non-Communicable Disease Morbidity Among Young Adults: A Cross-Sectional Study in Indonesia

I. P. Asturiningtyas, H. Ashar, Sidiq Purwoko, Nissa Noor Annashr
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Abstract

Noncommunicable Disease (NCD) has continued to pose a significant global burden, specifically regarding morbidity among young adults which has not been well studied. Therefore, this study aimed to assess the burden of NCD among young adults and identify correlating factors. It analyzed the 2018 Indonesian Basic Health Research, a nationwide study employing a cross-sectional design and linear systematic with Two Stage Sampling. The subject involved comprised 319,355 individuals in the 18-40 age group. Data were further analyzed using bivariate and multivariate analysis with logistic regression. The analysis results showed that 6% of young adults in Indonesia had one NCD or more. Young adults with higher Waist Circumference (WC) and higher Body Mass Index (BMI) had a higher risk of NCD (OR:1.58; 95%CI;1.52-1.65 and OR: 1.14; 95%CI:1.09-1.19, respectively). Furthermore, several sociodemographic factors exhibited significant correlation including older age, female sex, unemployment, higher educational and socioeconomic status, married and divorced, as well as living in an urban area (p-value<0.05). Unhealthy behavior such as consuming alcohol and smoking also increased the risk for NCD morbidity (OR:1.20; 95%CI;1.10-1.30 and OR: 1.19; 95%CI:1.10-1.27). Therefore, it was crucial to strengthen preventive programs targeting NCD among young adults by focusing on sociodemographic characteristics. This study also emphasized the importance of campaigns aimed at improving health behavior in this age group.
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印度尼西亚年轻人非传染性疾病发病率横断面研究
非传染性疾病(NCD)继续构成重大的全球负担,特别是在尚未得到充分研究的年轻人发病率方面。因此,本研究旨在评估年轻人的非传染性疾病负担,并确定相关因素。它分析了2018年印度尼西亚基础健康研究,这是一项采用横断面设计和线性系统的两阶段抽样的全国性研究。研究对象包括年龄在18-40岁之间的319,355人。采用logistic回归对数据进行双变量和多变量分析。分析结果显示,印度尼西亚6%的年轻人患有一种或多种非传染性疾病。腰围(WC)和身体质量指数(BMI)较高的年轻人患非传染性疾病的风险较高(OR:1.58;95%CI;1.52-1.65, OR: 1.14;分别为95%置信区间:1.09—-1.19)。此外,年龄、女性、失业、高等教育和社会经济地位、已婚和离婚以及居住在城市地区等几个社会人口因素表现出显著的相关性(p值<0.05)。饮酒和吸烟等不健康行为也会增加非传染性疾病发病的风险(OR:1.20;95%CI;1.10-1.30, OR: 1.19;95%置信区间:1.10—-1.27)。因此,重点关注社会人口特征,加强针对年轻人非传染性疾病的预防规划至关重要。这项研究还强调了旨在改善这一年龄组健康行为的运动的重要性。
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