2002-12-31-世界卫生组织-2003_STEPS_Country_Report_Indonesia_40页_105kb

BACKGROUND:
In Depok Municipality, the morbidity rate of Non-Communicable Diseases (NCDs) is rising, mirroring global trends where NCDs are projected to cause 73% of deaths by 2020. In Indonesia, this shift is evident from declining infectious diseases and increasing NCDs. Depok's growing city status and mixed urban-rural, socio-economic landscape made it suitable for an NCD risk factor study and intervention program.

OBJECTIVES:
The baseline study aimed to:

• Assess prevalence of behavioral risk factors (smoking, diet, inactivity, alcohol use).
• Measure physical and biological risk factors (BMI, WHR, blood pressure, glucose, lipids).
• Identify health-seeking behaviors related to NCD prevention and control.

METHOD:

• Location & Sample: Abadijaya village in Depok, West Java, with 18-64-year-old respondents.
• Sampling: Stratified random sampling (8 PSU) for 2000 initial samples, yielding 1855 (92.7% response).
• Data Collection: Used WHO Steps approach to gather core (demographics), expanded (health behaviors), and additional parameters efficiently.

RESULTS:

• Response Rate: Males aged 25-34 had lower participation (68.8%), while females over 55 and males overall had higher rates.
• Behavioral Risks: Smoking (~33.4%), low fruit/vegetable intake (~93%) remained high, though alcohol use increased (18.9% from 7.5%).
• Physical Risks: Overweight reduced (44% from 48-49%), but physical inactivity (20.9%) was higher in older males.
• Biological Risks: Blood pressure and glucose/fat levels declined; however, alcohol consumption and lipid issues saw worsening increases.

CONCLUSION:
Tested NCD risk factors, providing detailed monitoring baselines to support regional health interventions aligned with WHO's integrated community-based NCD control strategy.