Risk factors for Non-Communicable Diseases among adults in Vietnam: Findings from the Vietnam STEPS Survey 2015

Tran, Quoc Bao; Hoang, Van Minh; Vu, Hoang Lan; Bui, Phuong Linh; Kim, Bao Giang; Pham, Quynh Nga; Nguyen, Tuan Lam; Lai, Duc Truong; Truong, Dinh Bac; Tran, Dac Phu; Tran, Thi Thanh Huong; Tran, Van Thuan; Luu, Hung N.; Zheng, Wei; Shu, Xiao‐Ou; Tran, Thu Ngan; Shrubsole, Martha J.

doi:10.35500/jghs.2020.2.e7

Cited by 10 publications

(13 citation statements)

References 15 publications

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“…This explains the tremendous influence of sex on the behavioral and environmental risks domain, even when the levels of working indoors and contact with TB patients were similar for both sexes. Also, behavioral and environmental risks were higher among the middle-aged compared with the youngest age group, which is consistent with findings of a survey of tobacco consumption in Vietnam in 2015 ( 17 ). The effect of this pathway on TB in the sex-stratified SEM models solidifies the evidence that smoking and drinking are major drivers of the difference in TB prevalence between men and women.…”

Section: Discussionsupporting

confidence: 89%

“…For example, heavy drinkers may also socialize with more persons in poorly ventilated spaces, thus increasing their risk for MTB infection. In Vietnam, men smoke and drink excessively at an overwhelmingly higher rate compared with women, with a smoking rate of 45.3% vs 1.1% ( 16 ) and an excessive drinking rate of 44.2% vs 1.2% ( 17 ). This explains the tremendous influence of sex on the behavioral and environmental risks domain, even when the levels of working indoors and contact with TB patients were similar for both sexes.…”

Section: Discussionmentioning

confidence: 99%

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Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018

Nguyen¹,

Brals²,

Tiemersma³

et al. 2023

Emerg. Infect. Dis.

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To assess sex disparities in tuberculosis in Vietnam, we conducted a nested, case–control study based on a 2017 tuberculosis prevalence survey. We defined the case group as all survey participants with laboratory–confirmed tuberculosis and the control group as a randomly selected group of participants with no tuberculosis. We used structural equation modeling to describe pathways from sex to tuberculosis according to an a priori conceptual framework. Our analysis included 1,319 participants, of whom 250 were case-patients. We found that sex was directly associated with tuberculosis prevalence (adjusted odds ratio for men compared with women 3.0 [95% CI 1.7–5.0]) and indirectly associated through other domains. The strong sex difference in tuberculosis prevalence is explained by a complex interplay of factors relating to behavioral and environmental risks, access to healthcare, and clinical manifestations. However, after controlling for all those factors, a direct sex effect remains that might be caused by biological factors.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018

Nguyen¹,

Brals²,

Tiemersma³

et al. 2023

Emerg. Infect. Dis.

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“…Of the 3,856 eligible subjects selected for participation, 2,816 participants had completed all stages of STEPs survey (response rate 73.0%). Details of the 2015 survey have been reported elsewhere ( 7 ).…”

Section: Methodsmentioning

confidence: 99%

“…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: 98%

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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“…According to the national diabetic survey in Vietnam in 2002, the prevalence of type 2 diabetes (T2D) among adults was 2.7 % [1]. However, the results of the STEPS study in 2015 estimated the nationwide prevalence of T2D among adults had increased substantially to 4.1 % [2]. Changes in lifestyle, including lower physical activity (PA) levels, are the most likely explanations for the increased diabetes prevalence.…”

Section: Introductionmentioning

confidence: 99%

Positive Effects of Physical Activity on Prescription on Glycemic Control, Fitness, and Quality of Life in Newly Diagnosed Type 2 Diabetic Patients

Nguyen,

Vu,

Khuong

et al. 2023

Horm Metab Res

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The aim was to investigate the effects of physical activity on prescription (PAP) compared with standard care (SC) in adult drug-naïve T2D patients. A randomized control trial was conducted with drug-naïve T2D patients attending an out-patient clinic Vietnam. Participants were randomly assigned to the PAP group (n+=+44) or the SC group (n+=+43). The PAP group received individualized recommendations for PA, intensive face-to-face training every two weeks. The SC group received the standard recommendations according to WHO guidelines. The mean HbA1c level change was larger (–10.6±6.4 mmol/mol) in the PAP group than in the SC group (–2.4±5.8 mmol/mol) (p<0.001). A one thousand step counts per day increase was significantly associated with a decrease of –2.43 mmol/mol in HbA1c [β=–2.43, 95%CI: (–2.94, –1.92]) in the PAP group. The fasting plasma glucose levels of the PAP group decreased significantly compared with the SC group. The VO2-max increased significantly more in the PAP group than in the SC group. PAP had clear positive effects on health-related Quality of Life [mean between group difference: 9.54 (95%CI 5.84,13.23)]. Insulin resistance, BMI, waist circumference, total cholesterol, LDL cholesterol and triglycerides were significantly more decreased in the PAP group than in the control group. In conclusion, the fact that even a small change in mean step counts over three months had a beneficial effect on health-related outcomes in drug-naïve T2D patients can have large implications for treatment and management practices, not least in a middle-income country like Vietnam.

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Risk factors for Non-Communicable Diseases among adults in Vietnam: Findings from the Vietnam STEPS Survey 2015

Cited by 10 publications

References 15 publications

Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018

Influence of Sex and Sex-Based Disparities on Prevalent Tuberculosis, Vietnam, 2017–2018

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

Positive Effects of Physical Activity on Prescription on Glycemic Control, Fitness, and Quality of Life in Newly Diagnosed Type 2 Diabetic Patients

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