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Self-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments Cover

Self-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments

Open Access
|Apr 2020

Figures & Tables

Table 1

Relationship between self-reported chronic non-communicable diseases and sociodemographic factors in Colombia.

Self-reported chronic NCDs
HTNDMCHDStrokeHFCOPDAsthmaCancer
Total1661 (22.2)422 (5.7)178 (2.4)109 (1.5)113 (1.5)90 (1.2)198 (2.7)93 (1.2)
95% CI[21.2–23.1][5.1–6.2][2.0–2.7][1.2–1.8][1.2–1.8][0.6–1.5][2.2–3.0][1.0–1.5]
Sex
   Female1200 (25.2)285 (6.0)113 (2.4)79 (1.7)77 (1.6)61 (1.3)149 (3.1)79 (1.7)
   Male454 (17.0)137 (5.1)65 (2.4)30 (1.1)36 (1.3)29 (1.1)49 (1.8)14 (0.5)
Age (years)
   ≤49369 (11.2)106 (3.2)44 (1.3)32 (1.0)28 (0.9)24 (0.7)81 (2.5)30 (0.9)
   50–59527 (26.5)149 (7.5)56 (2.8)31 (1.6)25 (1.3)24 (1.2)50 (2.5)18 (0.9)
   ≥60572 (39.0)119 (8.1)59 (4.0)37 (2.5)51 (3.5)32 (2.2)44 (3.0)32 (2.2)
Education (years)
   None422 (25.5)119 (7.2)35 (2.1)22 (1.3)21 (1.3)35 (2.1)41 (2.5)13 (0.8)
   ≤111034 (21.8)254 (5.3)112 (2.4)66 (1.4)70 (1.5)49 (1.0)130 (2.7)56 (1.2)
   >11203 (19.1)48 (4.5)31 (2.9)21 (2.0)21 (2.0)6 (0.6)27 (2.5)24 (2.3)
Marital status
   Single183 (19.0)40 (4.2)22 (2.3)18 (1.9)11 (1.1)7 (0.7)28 (2.9)17 (1.8)
   Married/Free union1130 (21.2)299 (5.6)123 (2.3)66 (1.2)75 (1.4)69 (1.3)136 (2.6)56 (1.1)
   Separated/Divorced/Widowed340 (29.1)82 (7.0)32 (2.7)25 (2.1)26 (2.2)14 (1.2)34 (2.9)20 (1.7)
Household income
   <350 USD1049 (21.2)279 (5.6)106 (2.1)69 (1.4)64 (1.3)67 (1.4)123 (2.5)49 (1.0)
   ≥350 USD612 (24.1)143 (5.6)72 (2.8)40 (1.6)49 (1.9)23 (0.9)75 (3.0)44 (1.7)
Residence area
   Rural733 (19.7)190 (5.1)62 (1.7)36 (1.0)31 (0.8)51 (1.4)85 (2.3)29 (0.8)
   Urban928 (24.6)232 (6.1)116 (3.1)75 (1.9)82 (2.2)39 (1.0)113 (3.0)64 (1.7)

[i] Data are presented as count (percentage). NCDs: non-communicable chronic diseases; HTN: hypertension; DM: mellitus diabetes; CHD: coronary heart disease; HF: heart failure; COPD: chronic obstructive pulmonary disease.

Table 2

Relationship between the number of self-reported chronic non-communicable diseases and sociodemographic factors in Colombia.

Number of self-reported chronic NCDs
01≥2P value*
Total5228 (69.9)1746 (23.3)482 (6.4)
95% CI[68.8–70.9][22.4–24.3][5.9–7.0]
Sex<0.001
   Female3197 (66.6)1239 (25.8)349 (7.3)
   Male2031 (75.7)507 (18.9)133 (5.0)
Age (years)<0.001
   ≤492693 (81.5)504 (15.3)93 (2.8)
   50–591290 (64.9)545 (27.4)145 (7.3)
   ≥60772 (52.6)501 (34.2)187 (12.8)
Education (years)0.041
   None1094 (66.2)437 (26.4)118 (7.2)
   ≤113357 (70.6)1077 (22.7)298 (6.3)
   >11767 (72.0)230 (21.6)65 (6.1)
Marital status<0.001
   Single708 (73.7)190 (19.8)59 (6.1)
   Married/Free union3765 (70.7)1221 (22.9)317 (5.9)
   Separated/Divorced/Widowed734 (62.9)328 (28.1)104 (8.9)
Household income<0.001
   <350 USD3533 (71.5)1074 (21.7)314 (6.4)
   ≥350 USD1695 (66.7)672 (26.4)168 (6.6)
Residence area<0.001
   Rural2713 (73.2)789 (21.3)191 (5.2)
   Urban2515 (66.6)957 (25.3)291 (7.7)

[i] Data are presented as count (percentage). NCDs: non-communicable chronic diseases.

* Pearson’s chi-squared test, p < 0.05.

Table 3

Sociodemographic characteristics of the population and prevalence of self-reported chronic non-communicable diseases by regions in Colombia.

RegionNRuralFemale¥Age*HTN¥DMCHD¥Stroke¥HF¥COPD¥AsthmaCancer¥
Atlantic1,794897 (50.0)1,192 (66.5)50.5 ± 9.52370 (20.7)89 (5.0)24 (1.3)18 (1.0)10 (1.6)8 (0.5)49 (2.7)11 (0.6)
Central1,819868 (47.7)1,204 (66.2)51.0 ± 9.30448 (24.6)109 (6.0)53 (2.9)23 (1.3)31 (1.7)13 (0.7)49 (2.7)27 (1.5)
Central-East2,6931,353 (50.2)1,656 (61.5)50.6 ± 9.87637 (23.7)166 (6.2)83 (3.1)54 (2.0)55 (2.0)66 (2.5)72 (2.7)42 (1.6)
Pacific1,179591 (50.1)747 (63.4)50.9 ± 9.52207 (17.5)58 (4.9)18 (1.5)14 (1.2)17 (1.5)3 (0.3)27 (2.3)13 (1.1)
Total7,4853,709 (49.6)4,799 (64.1)50.7 ± 9.611,662 (22.2)422 (5.7)178 (2.4)109 (1.5)113 (1.5)90 (1.2)198 (2.7)94 (1.2)

[i] ¥ Pearson Chi squared Test, p < 0.05. Data are presented as count (percentage) or mean ± standard deviation (*). N: number; HTN: hypertension; DM: diabetes mellitus; CHD: coronary heart disease; HF: heart failure; COPD: chronic obstructive pulmonary disease.

Table 4

Relationship between self-reported use of drugs and self-reported chronic non-communicable diseases by regions in Colombia.

N (%)TotalAtlanticCentralCentral-EastPacificP value
Hypertension
Antihypertensive drugs1,271/7,485
(17.0)
317/1,784
(17.7)
373/1,819
(20.5)
419/2,693
(15.6)
162/1,179
(13.7)
<0.001
Antihypertensive drugs in hypertensive patients1,226/1,662
(73.8)
308/370
(83.2)
358/448
(79.9)
405/637
(63.6)
155/207
(74.9)
<0.001
Elevated blood pressure and not-reported HTN1,343/5,817
(23.1)
391/1,421
(27.5)
308/1,371
(22.5)
367/2,054
(17.9)
277/971
(58.9)
<0.001
2 Type Diabetes
Diabetes drugs266/7,485
(3.6)
65/1,784
(3.6)
77/1,819
(4.2)
79/2,693
(2.9)
45/1,179
(3.8)
<0.001
Diabetes drugs in diabetic patients260/422
(61.6)
64/89
(71.9)
75/109
(68.8)
79/166
(47.6)
42/58
(72.4)
<0.001
Elevated glucose and not-reported diabetes*85/6,189
(1.4)
21/1,601
(1.3)
15/1,089
(1.4)
28/2,429
(1.2)
21/1,070
(2.0)
0.552
Other NCD
Asthma drugs56/7,485
(0.8)
14/1,784
(0.8)
14/1,819
(0.8)
25/2,693
(0.9)
3/1,179
(0.3)
0.203
Asthma drugs in asthmatic patients43/119
(36.1)
12/28
(42.9)
10/36
(27.9)
18/45
(40.0)
3/10
(30.0)
0.556
Cholesterol-lowering drugs291/7,485
(3.9)
45/1,784
(2.5)
108/1,819
(6.0)
106/2,693
(3.9)
32/1,179
(2.7)
<0.001
Cholesterol-lowering drugs in CHD patients**186/1,460
(12.7)
32/347
(9.2)
64/414
(15.5)
71/513
(13.8)
19/186
(10.2)
0.041

[i] Pearson chi squared test, p < 0.05. * 920 without data (fasting plasma glucose (FPG)). Data are presented as number of participants (percentage). N: number; HTN: hypertension.

** CHD patients: hypertension, angina/heart attack/coronary artery disease, stroke, heart failure and other heart disease. 409 without data (regular use of cholesterol lowering drug).

Table 5

Multivariate analysis of the number of self-reported chronic non-communicable diseases and sociodemographic factors in Colombia.

Number of self-reported chronic NCDs
Model 1Model 2
1≥21≥2
Sex
   MaleRef.Ref.
   Female1.55 [1.38–1.75]1.67 [1.35–2.07]1.60 [1.40–1.82]1.75 [1.38–2.22]
Age (years)
   ≤49Ref.
   50–592.27 [1.97–2.61]3.24 [2.48–4.24]2.18 [1.90–2.51]3.31 [2.52–4.36]
   ≥603.49 [3.01–4.05]6.99 [5.38–9.08]3.43 [2.94–4.00]7.46 [5.67–9.83]
Education (years)
   NoneRef.Ref.
   ≤110.80 [0.71–0.92]0.82 [0.66–1.03]0.84 [0.72–0.98]1.05 [0.80–1.38]
   >110.74 [0.62–0.90]0.79 [0.57–1.08]0.65 [0.51–0.82]0.92 [0.62–1.40]
Marital status
   SingleRef.Ref.
   Married/Free union1.22 [1.03–1.45]1.01 [0.76–1.35]1.26 [1.05–1.53]1.13 [0.81–1.56]
   Separated/Divorced/Widowed1.69 [1.38–2.09]1.71 [1.22–2.39]1.26 [1.01–1.59]1.13 [0.77–1.63]
Household income
   <350 USDRef.Ref.
   ≥350 USD1.30 [1.16–1.45]1.11 [0.92–1.36]1.34 [1.15–1.57]0.87 [0.67–1.15]
Residence area
   RuralRef.Ref.
   Urban1.31 [1.17–1.46]1.64 [1.36–1.99]1.12 [0.96–1.30]1.55 [1.21–1.99]

[i] Model 1: Crude OR (univariate).

Model 2: Adjusted OR with: sex, age, educational level, marital status, income and location.

DOI: https://doi.org/10.5334/gh.792 | Journal eISSN: 2211-8179
Language: English
Submitted on: Aug 9, 2019
Accepted on: Jan 15, 2020
Published on: Apr 21, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Paul A. Camacho, Diego Gomez-Arbelaez, Johanna Otero, Silvia González-Gómez, Dora I. Molina, Gregorio Sanchez, Edgar Arcos, Claudia Narvaez, Henry García, Maritza Pérez, Eric Hernandez-Triana, Myriam Duran, Carlos Cure, Aristides Sotomayor, Alvaro Rico, Fresia Cotes, Sumathy Rangarajan, Salim Yusuf, Patricio Lopez-Jaramillo, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.