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ABSTRACT: Objectives
To assess the prevalence, pattern and determinants of non-communicable diseases (NCDs) multimorbidity in Nepal.Design
Secondary analysis of the data from the NCD survey 2018, which was conducted between 2016 and 2018.Setting
The data belong to the nationally representative survey, that selected the study samples from throughout Nepal using multistage cluster sampling.Participants
8931 participants aged 20 years and older were included in the study.Primary outcomes
NCD multimorbidity (occurrence of two or more chronic conditions including hypertension, diabetes, chronic obstructive pulmonary disease, chronic kidney disease, coronary artery disease and cancer). Descriptive statistics, prevalence ratio and odds ratio were computed to assess pattern and determinants of multimorbidity.Results
Mean (SD) age was 46.7 years (14.9 years). The majority of the participants were women (57.8%), without formal education (53.4%) and from urban areas (51.5%). Multimorbidity was present in 13.96% (95% CI: 12.9% to 15.1%). Hypertension and diabetes coexisted in 5.7%. Age, alcohol consumption, body mass index, non-high-density lipoprotein (non-HDL) level and rural-urban setting were significantly associated with multimorbidity.Conclusion
Multimorbidity was prevalent in particular groups or geographical areas in Nepal suggesting a need for coordinated and integrated NCD care approach for the management of multiplicative co-comorbid conditions.
SUBMITTER: Dhungana RR
PROVIDER: S-EPMC8317126 | biostudies-literature | 2021 Jul
REPOSITORIES: biostudies-literature
Dhungana Raja Ram RR Karki Khem Bahadur KB Bista Bihungum B Pandey Achyut Raj AR Dhimal Meghnath M Maskey Mahesh K MK
BMJ open 20210727 7
<h4>Objectives</h4>To assess the prevalence, pattern and determinants of non-communicable diseases (NCDs) multimorbidity in Nepal.<h4>Design</h4>Secondary analysis of the data from the NCD survey 2018, which was conducted between 2016 and 2018.<h4>Setting</h4>The data belong to the nationally representative survey, that selected the study samples from throughout Nepal using multistage cluster sampling.<h4>Participants</h4>8931 participants aged 20 years and older were included in the study.<h4>P ...[more]