2015-12-31-世界卫生组织-2016_STEPS_Country_Report_Palau_32页_991kb

Palau Non-Communicable Diseases & Risk Factors Surveillance 2017 Summary

This report assesses the prevalence of non-communicable diseases (NCDs), substance use, mental health, and risk factors among adults in Palau.

Key Findings

Health Outcomes

• Over half the adult population (52%) reported being in fair or poor self-perceived health.
• Limited access to healthcare: 48% did not see a medical provider in the last year, and 73% did not see a dentist.
• High prevalence of NCDs and risk factors:
  • Hypertension: 39.4%
  • Overweight/Obesity: 70.2%
  • Diabetes (undiagnosed): 12.62%, making self-reported total 17.8%
  • High Cholesterol: 20.0%
  • Gout, Arthritis, Asthma, Ulcer, Heart disease, Depression, Stroke, Lung Disease, and Cancer also have significant prevalence.

Biometric Measures & Chronic Disease

• High rates of overweight/obesity (70.2%) and hypertension (39.4%) were observed, with higher rates among Palauans.
• Significant gender disproportion in obesity prevalence.
• Chronic disease rates differ by age/ethnicity, with higher rates among older adults and Palauans.

Risk Behaviors

• Tobacco: 20.5% current users (higher smokeless tobacco use among Palauans).
• Betel Nut: 51.3% reported use, high prevalence among Palauans, poor education. 87% combined with tobacco.
• Alcohol: 36.7% reported use. High binge drinking rates (27.2%) among males and Palauans.
• Diet: Only 33% consumed recommended fruits/veg (5/daily). High processed meat and sugar-sweetened beverage consumption.
• Physical Activity: 49% reported low physical activity. Rates did not vary significantly by demographic factors.

NCD Screening

• Low screening rates: 27% of eligible women had no Pap smear in the last 3 years, 56% of eligible women had no mammogram in the last 2 years, about 95% had no colonoscopy.

US Comparison

Palau generally has consistently higher rates of almost all health outcomes and risk behaviors compared to the United States.

Recommendations

• Prioritize reduction of NCD risk factors (tobacco, alcohol, poor diet, lack of physical activity, overweight/obesity).
• Target interventions specifically for Palauan populations.
• Strengthen prevention programs and support evidence-based interventions.
• Improve access to and uptake of NCD screening.
• Enhance cessation services available.

**Note:** The summary benefits are provided in the `benefits` section but not part of the summary itself.