From behavioral risk factors to metabolic risk factors of non-communicable diseases: a path analysis using national survey data in Vietnam

Vu, Thi Hoang Lan; Khuong, Quynh Long; Pham, Quynh Nga; Nguyen, Tuan Lam; Tran, Quoc Bao; Hoang, Van Minh

doi:10.1007/s10389-021-01475-4

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Vietnam completed three rounds of the STEP survey in the years 2010, 2015, and 2020. All previous studies using STEPs 2010 and 2015 data was cross-sectional study, thus, was not able to present and test for the significant changes of the patterns of NCD metabolic factors over time (6)(7)(8). This study attempts to combine the data from the threeround surveys to explore the trend of 4 metabolic NCDs risk factors, including raised blood pressure, overweight/obesity; increased blood glucose; and elevated blood lipids over the last 10 years in Vietnam as well as examine these trends among different sub-population by geographical area, gender, and age groups.…”

Section: Introductionmentioning

confidence: 97%

Trend of metabolic risk factors among the population aged 25–64 years for non-communicable diseases over time in Vietnam: A time series analysis using national STEPs survey data

Bui

Khuong

et al. 2022

Front. Public Health

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IntroductionThe study aims to examine the trends of 4 metabolic NCDs risk factors including raised blood pressure, increased blood glucose, elevated blood lipids and overweight/obesity over the last 10 years in Vietnam as well as examine these trends among different sub-population by geographical area, gender, and age groups.MethodsThe study combined the national representative data from three rounds of STEPs survey in Vietnam conducted in 2010, 2015, and 2020 on people aged 25–64 years. The overall prevalence of each metabolic factor together with 95% CI for each time point as well as the stratified prevalence by rural/urban, male/female, and 4 separated age groups were calculated and considered the sampling weight. Cochran–Armitage test for trend was used to test for the differences in the prevalence over time.ResultsThe prevalence of hypertension, overweight/obesity, hyperglycemia, and hyperlipidemia among the population aged 25–64 years old was 28.3, 20.57, 6.96, and 15.63%, respectively in the year 2020. All NCD metabolic risk factors examined in this analysis show significantly increasing trends over time. For most age groups, the increasing burden of NCD metabolic risk factors was more significant during the period 2015–2020 compared to the period 2010–2015. Male population and population aged 55–64 experienced the most dramatic changes in the burden of all NCD metabolic risk factors.ConclusionTo reverse the increasing trend of NCD metabolic factors in Vietnam, intervention, and policy need to apply a comprehensive life course approach.

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Section: Introductionmentioning

confidence: 97%

Trend of metabolic risk factors among the population aged 25–64 years for non-communicable diseases over time in Vietnam: A time series analysis using national STEPs survey data

Bui

Khuong

et al. 2022

Front. Public Health

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“…Smoking, alcohol consumption, physical activities, and daily fruit/vegetable consumption have been reported to be signi cant risk factors for many NCDs, including hypertension and diabetes [16][17][18][19]. Previous studies mostly examined the effects of these behavioral risk factors on NCDs separately, few have explored the clustering effects of these factors combined [20,21].…”

Section: Discussionmentioning

confidence: 99%

Comorbidities of Diabetes and Hypertension in Vietnam: current burden, trends over time, and correlated factors

Vu,

Bui,

Tran

et al. 2023

Preprint

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Background: Vietnam conducted the national STEPs surveys in the years 2010, 2015, and 2021. This study aims to use STEPs data to assess the burden of comorbidity between diabetes and hypertension, analyze trends over time, and identify factors associated with this comorbidity. Methods: the study extracted data for the population aged 25-64 years old from three STEPs surveys. Survey weight was used for all estimations of prevalence and 95% CI. Cochran–Armitage test was used to test for significant trends. Correlated factors with comorbidity were examined by a multivariate logistics model. Results: The prevalence of comorbidity in 2021 was about 3.92% among Vietnamese people aged 25-64. In the last 10 years, this prevalence has increased more than 8 times (from 0.44% to 3.92%). Sub-populations demonstrating the most significant changes included the male population, people living in urban areas, and older people. Significant factors correlated with comorbidity included demographic factors, BMI, and clustering of 4 NCD behavioral risk factors (OR=3.56, p<0.05) Conclusion: The high comorbidity between hypertension and diabetes underscores the imperative for integrated treatment and management approaches in Vietnam. Coordinated care is essential for addressing the complex interplay between these two prevalent conditions.

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Comorbidities of diabetes and hypertension in Vietnam: current burden, trends over time, and correlated factors

Vu,

Bui,

Tran

et al. 2023

BMC Public Health

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Background Vietnam conducted the national Noncommunicable Disease Risk-Factor Surveillance (STEPs) surveys in the years 2010, 2015, and 2021. This study aims to use STEPs data to assess the burden of comorbidity between diabetes and hypertension, analyze trends over time, and identify factors associated with this comorbidity. Methods The study extracted data for the population aged 25–64 years old from three STEPs surveys. Survey weight was used for all estimations of prevalence and 95% CI. Correlated factors with comorbidity were examined by a multivariate logistics model. Results The prevalence of comorbidity in 2021 was about 3.92% among Vietnamese people aged 25–64. In the last 10 years, this prevalence has increased more than 8 times (from 0.44% to 3.92%). Sub-populations demonstrating the most significant changes included the male population, people living in urban areas, and older people. Significant factors correlated with comorbidity included demographic factors, body mass index (BMI), and clustering of 4 noncommunicable diseases (NCDs) behavioral risk factors (OR = 3.48, p < 0.05). Conclusion The high comorbidity between hypertension and diabetes underscores the imperative for integrated treatment and management approaches in Vietnam. Coordinated care is essential for addressing the complex interplay between these two prevalent conditions.

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From behavioral risk factors to metabolic risk factors of non-communicable diseases: a path analysis using national survey data in Vietnam

Cited by 3 publications

References 17 publications

Trend of metabolic risk factors among the population aged 25–64 years for non-communicable diseases over time in Vietnam: A time series analysis using national STEPs survey data

Trend of metabolic risk factors among the population aged 25–64 years for non-communicable diseases over time in Vietnam: A time series analysis using national STEPs survey data

Comorbidities of Diabetes and Hypertension in Vietnam: current burden, trends over time, and correlated factors

Comorbidities of diabetes and hypertension in Vietnam: current burden, trends over time, and correlated factors

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