Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India

Allender, Steven, Lacey, Ben, Webster, Premila, Rayner, Mike, Deepa, Mohan, Scarborough, Peter, Arambepola, Carukshi, Datta, Manjula and Mohan, Viswanathan 2010, Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India, Bulletin of the World Health Organization, vol. 88, no. 4, pp. 297-304 A.

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Title Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India
Author(s) Allender, Steven
Lacey, Ben
Webster, Premila
Rayner, Mike
Deepa, Mohan
Scarborough, Peter
Arambepola, Carukshi
Datta, Manjula
Mohan, Viswanathan
Journal name Bulletin of the World Health Organization
Volume number 88
Issue number 4
Start page 297
End page 304 A
Total pages 8
Publisher World Health Organization
Place of publication Geneva, Switzerland
Publication date 2010-04
ISSN 0042-9686
1564-0604
Summary Objective To investigate the poorly understood relationship between the process of urbanization and noncommunicable diseases (NCDs) through the application of a quantitative measure of urbanicity.

Methods We constructed a measure of the urban environment for seven areas using a seven-item scale based on data from the Census of India 2001 to develop an “urbanicity” scale. The scale was used in conjunction with data collected from 3705 participants in the World Health Organization’s 2003 STEPwise risk factor surveillance survey in Tamil Nadu, India, to analyse the relationship between the urban environment and major NCD risk factors. Linear and logistic regression models were constructed examining the relationship between urbanicity and chronic disease risk.

Findings
Among men, urbanicity was positively associated with smoking (odds ratio, OR: 3.54; 95% confidence interval, CI: 2.4–5.1), body mass index (OR: 7.32; 95% CI: 4.0–13.6), blood pressure (OR: 1.92; 95% CI: 1.4–2.7) and low physical activity (OR: 3.26; 95% CI: 2.5–4.3). Among women, urbanicity was positively associated with low physical activity (OR: 4.13; 95% CI: 3.0–5.7) and high body mass index (OR: 6.48; 95% CI: 4.6–9.2). In both sexes urbanicity was positively associated with the mean number of servings of fruit and vegetables consumed per day (P < 0.05).

Conclusion
Urbanicity is associated with the prevalence of several NCD risk factors in Tamil Nadu, India.
Language eng
Field of Research 111705 Environmental and Occupational Health and Safety
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, World Health Organization
Persistent URL http://hdl.handle.net/10536/DRO/DU:30028647

Document type: Journal Article
Collection: Public Health Research, Evaluation, and Policy Cluster
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