2002-12-31-世界卫生组织-2003_STEPS_Country_Report_Nigeria_47页_286kb

Nigerian Health Behavior Monitor Survey Summary

Introduction

The 2003 Nigerian Health Behavior Monitor Survey, conducted by the Nigerian Heart Foundation with support from the Federal Ministry of Health and the World Health Organization, aimed to assess health behaviors among adults aged 15 and above. The study provided baseline data for policy formulation and health promotion.

Methodology

• Design: Three-stage stratified cluster sampling across urban and rural areas in Lagos State.
• Participants: 1018 adults (517 urban, 501 rural).
• Data Collection: Face-to-face interviews using a questionnaire adapted from international protocols, including questions on tobacco use, alcohol, nutrition, physical activity, and violence. Interviews were in English and local languages.

Key Findings

Smoking

• Smoking prevalence is higher in urban areas (9.9%) than rural areas (8.8%), with males being the primary users. Most smokers start between ages 10-29, and awareness of smoking risks is moderate.
• Smokeless tobacco use is rare, and cessation reasons include personal choice and campaigns.

Alcohol Consumption

• Alcohol use is more frequent in urban areas (35.4% vs. 27.1% rural), with males consuming more. Usage patterns show consistent drinking among some populations, and average daily consumption is low.

Nutrition

• Palm oil is the dominant cooking oil in both urban (60.5%) and rural areas (89.6%). Low use of cholesterol-free vegetable oil and high consumption of processed foods like sweet soft drinks and MSG were observed.
• Fresh vegetable intake is low, averaging 1-3 days per week, and obesity rates are higher in urban areas (13.9%) compared to rural (7.8%).

Physical Activity and Traffic Safety

• Rural residents report more work-related vigorous physical activity, while urban areas show higher walking/cycling for transport. Seat belt use is minimal, with over 60% admitting non-use.

Violence and Health Attitudes

• Most armed robberies occur in public places, with higher reporting in urban areas. Attitudes include strong support for harsh measures against crime, with variation by location.
• High prevalence of hypertension (34.8% overall, 44.3% urban, 25.0% rural), indicating significant cardiovascular risk.

Mental Attitudes

• Significant agreement with capital punishment for crimes, reflecting cultural attitudes. Data shows diverse responses on violence and killing, with urban participants more supportive of punitive measures.

Conclusion and Future Plans

The survey data will inform health policies, promote collaborations with stakeholders such as government agencies and NGOs. Future surveillance plans include expanding the study to other states for longitudinal monitoring of health behaviors.