2005-12-31-世界卫生组织-2006_STEPS_Fact_Sheet_Aruba_2页_64kb

ARUBA STEPS Survey 2006 - Summary

Objective

The STEPS survey aimed to assess chronic disease risk factors in adults aged 25-64 in Aruba, providing population-based data using a randomized sample design.

Results Overview

• Sample: 1,565 adults participated.
• Steps:
  • Step 1: Collected socio-demographic and behavioral data.
  • Step 2: Measured physical parameters (height, weight, blood pressure, waist circumference, blood samples).
  • Step 3: Conducted biochemical analyses (blood glucose, cholesterol).

Key Findings by Risk Factor Category

1. Smoking: High prevalence of daily smoking (12.6% overall). Males had the highest smoking rate (17.2%), followed by males and females regarding average age started (19.1y/17.9y) and average years smoked (25.3y/27.5y).
2. Alcohol: Nearly half abstained (42.0%) while 38.3% consumed alcohol recently. Females showed higher binge drinking incidence, males higher overall consumption.
3. Diet: Suboptimal fruit/veg intake noted (94.8% ate <5 servings/day).
4. Physical Activity: More than half had low activity (<600 MET-min/week), while only 9.5% had high activity (≥3000 MET-min/week).
5. BMI: High rates of overweight/obesity (77.1%) and obesity (41.0%), with gender differences (highest male rate in obesity, highest female rate overall obesity).
6. Waist Circumference: High overall averages, indicating central adiposity.
7. Blood Pressure: Significant proportion had raised BP (40.7-51.0%), with higher rates in males. Definitions varied including medication use.
8. Fasting Blood Glucose: Low overall prevalence of raised glucose (5.4%).
9. Total Cholesterol: Elevated rates were observed (42.1%, 10.7%). Consistent with BMI patterns.

Summary of Combined Risk Factors

• Identified risk combinations included: current smoking, high BMI (overweight/obese), inadequate fruit/veg, low physical activity, raised BP.
• Low overall risk (none of the above factors) but notable gender variation (0.6% overall / 0.0% Male / 1.1% Female).
• High risk (≥ three factors) was prevalent, especially among older adults (ages 45-64).

Conclusion

The ARUBA STEPS survey (2006) revealed a high burden of modifiable chronic disease risk factors in the adult population (25-64 years old). Key concerns included tobacco use, high obesity rates linked to metabolic markers, insufficient dietary quality, low physical activity levels, and significant hypertension prevalence. These findings highlight population-level challenges for promoting health and preventing chronic diseases on the island nation.