2012-12-31-世界卫生组织-2013-2015_STEPS_Country_Report_Cook_Islands_128页_2mb

Cook Islands Non-Communicable Disease (NCD) STEPS Report Summary (2013-2015)
The survey of 1,272 adults aged 18-64 years revealed widespread NCD risk factors, with 99.4% of respondents having multiple risk factors. Key findings include:

• Behavioral Risks: Smoking prevalence (32.6% of surveyed adults), low fruit/vegetable consumption (88.9%), and physical inactivity (31-54% across age groups) were major concerns. Salt intake was high (36.4% always/often adding salt before eating), with 70.8% not meeting daily recommended fruit/vegetable consumption (5 servings).
• Physical/Physiological Risks: Overweight/obesity was prevalent (89.5% of surveyed adults; 89.4% combined), with average BMI 34.0 kg/m². Hypertension affected 28.5% (higher in men), and fasting glucose levels showed a 3.2% increase since 2004.
• Age-Related Trends: Younger adults showed improvements in physical activity (e.g., increased vigorous activity from 11.8% to 48.1%), but higher smoking rates and shifting risk factors noted across demographics.
• Progress vs. Challenges: A significant reduction in smoking (12% drop) contrasted with increases in obesity (16% higher), hypertension (unchanged in morbidity but higher in younger age groups).

Recomendations:

1. Strengthen tobacco, alcohol, and salt reduction policies with regulation and education.
2. Expand physical activity and healthy eating promotion.
3. Reinforce routine STEPS surveillance (every 5-7 years) for adaptive NCD control.
4. Enhance healthcare capacity for NCD management.