title: Epidemiological study of non-communicable diseases (NCD) risk factors in tribal district of Kinnaur, HP: A cross-sectional study.
abstract: BACKGROUND
  There are no data available on the prevalence of non-communicable diseases (NCD) risk factors among the tribal population of hill state of Himachal Pradesh (HP). The epidemiological study of NCD risk factors was done in the tribal population of district Kinnaur of HP to estimate the burden of NCD risk factors and their risk determinants.
  
  
  METHODS
  WHO STEP wise approach was used for screening of the core NCD risk indicators in 3582 randomly selected natives of Kinnaur aged 20-70 years by trained Health workers of the district health services.
  
  
  RESULTS
  The hypertension was prevalent in 19.7% (18.4-21.1%) and diabetes in 6.9% (6.1-7.8%) of the population. Awareness of hypertension and diabetes was 39.8% and 40.8% respectively. The adherence to prescribed medications was reported in 52.1% and 56.4% of patients of aware hypertension and diabetes respectively. Overall, 23.3% and 8.5% of the patients with hypertension and diabetes had controlled BP and blood glucose respectively. Overweight and obesity were observed in 38.2% (36.6-39.9%) and 8.8% (7.9-9.8%) of the population respectively. The consumption of tobacco and alcohol was reported in 22.6% and 24.9% of the population, respectively, and 34.5% were physically inactive. Physical inactivity, BMI, high alcohol consumption, and age were independently associated with risk of hypertension, while age was the only determinant of risk of diabetes. Education and women gender had a significant influence on tobacco and alcohol consumption behavior adjusted for age.
  
  
  CONCLUSIONS
  NCD risk factors are prevalent in the tribal district of Kinnaur. The awareness, treatment, control of blood pressure and blood glucose were found to be suboptimum in the study subjects.
  
  
  CONCLUSIONS
  Strengthening of primary health care services and community based interventions are urgently required to improve awareness and control of NCD risk factors in this tribal district of HP.
authors: Professor and Head, Department of Cardiology, Indira Gandhi Medical College, Shimla, H.P., India. Electronic address: negiprakash59@gmail.com.
authors: Prakash Chand
authors: PC
authors: Negi
authors: Senior Resident, Department of Community Medicine, Indira Gandhi Medical College, Shimla, H.P., India. Electronic address: drramanchauhan@rediffmail.com.
authors: Raman
authors: R
authors: Chauhan
authors: D.M. Resident, Department of Cardiology, Indira Gandhi Medical College, Shimla, India. Electronic address: drvivekrana15@gmail.com.
authors: Vivek
authors: V
authors: Rana
authors: District NCD Control Officer, Kinnaur, Himachal Pradesh, India. Electronic address: dtohpknr@rntcp.org.
authors: Vidyasagar
authors: OSD State NCD Programme Officer, Shimla, Himachal Pradesh, India. Electronic address: kavinderlal@yahoo.com.
authors: Kavinder
authors: K
authors: Lal
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D009765:Obesity / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology*; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population; D012907:Smoking / Q000453:epidemiology*; D055815:Young Adult
keywords: Cardiovascular diseases; Epidemiology; NCD risk factors; Surveillance