2012-12-31-世界卫生组织-2013-2015_STEPS_Fact_Sheet_Cook_Islands_2页_150kb

Cook Islands STEPS Survey (2013-2015): A population-based survey from February 2013 to April 2015, analyzing chronic disease risk factors among adults aged 18-64 using a multi-cluster sample design. It involved three steps: Step 1 (socio-demographic and behavioral data), Step 2 (physical measurements like BMI and blood pressure), and Step 3 (biochemical measurements for blood glucose and cholesterol). The survey included 1272 adults with a 63% response rate and was planned to be repeated in 2018.

Key Findings:

• Tobacco Use: High prevalence of smoking (32.6% overall); daily smoking dominated by males (37.9%); average age starting smoking was around 19 years.
• Diet: Low fruit and vegetable consumption (mean servings: 1.5 fruit/day, 1.2 vegetable/day); 85% consumed less than 5 servings per day.
• Physical Activity: Insufficient activity level (23% overall), with statistical variations by gender.

Physical Measurements:

• BMI and Weight: High rates of overweight (89.5%) and obesity (69.8%).
• Blood Pressure: Elevated systolic (128 mmHg), diastolic (78.9 mmHg), and high prevalence of raised BP (28.5%).
• Biochemical Tests: Elevated fasting glucose (23.2%) and total cholesterol (46.5%); CVD risk factors and age-specific data.

Summary: The survey highlighted widespread risk factors for chronic diseases, including smoking, poor diet, low activity, and high weight/BP metrics. Overall, 44.7% of the population had three or more risk factors.