AccScience Publishing / GHES / Online First / DOI: 10.36922/ghes.1191
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ORIGINAL RESEARCH ARTICLE

Non-communicable diseases household survey data analysis in Sana’a City, Yemen, 2017

Ghamdan Gamal Alkholidy1* Labiba Saeed Anam1 Abdulwahed Al Serouri1 Chaoyang Li2
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1 Yemen Field Epidemiology Training Program, Ministry of Public Health and Population, Sana’a, Yemen
2 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
Submitted: 29 June 2023 | Accepted: 26 September 2023 | Published: 2 November 2023
© 2023 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Non-communicable diseases (NCDs) claim 41 million lives annually, accounting for 71% of global mortality. The Middle East sees a rapid increase in NCD cases, yet Yemen remains underexplored in this context. This study aims to investigate NCD epidemiology in Sana’a City, Yemen, for 2017. Raw data from a 2017 house-to-house survey conducted by the Ministry of Public Health and Population were analyzed. Household heads reported any of the following five NCDs in the household: hypertension (HTN), diabetes mellitus (DM), bronchial asthma (BA), mental disorders (MD), and epilepsy. Data were entered and analyzed using Epi info 7.2, using 2017 projections from the 2004 census. The study encompassed 241,310 households, housing 1,592,646 individuals. Among these, 59,061 households (24.48%) included 70,178 individuals with at least one NCD. The overall NCD prevalence was 4.4%, with specific prevalence: HTN 2.3%, DM 2.2%, BA 0.4%, MD 0.27, and epilepsy 0.19%. NCD prevalence was significantly higher among females than males (5.1% vs. 3.8%; odds ratio [OR] 1.35, 95% confidence intervals [CI]: 1.33 – 1.35), a trend mirrored in HTN (3.1% vs. 1.6%; OR = 1.94, 95% CI: 1.90 – 1.98), DM (2.3% vs. 2.1%; OR = 1.11, 95% CI: 1.09 – 1.13), and BA (0.5% vs. 0.3%; OR = 1.56, 95% CI: 1.49 – 1.65). Conversely, MD was more prevalent among males than females (0.35% vs. 0.16%; OR = 2.2, 95% CI: 2.06 – 2.31). NCD prevalence increased with age, with nearly 18% of patients having more than one NCD, including 35.2% of HTN patients also having DM. One-quarter of surveyed households had at least one member with one or more of the five NCDs, emphasizing an overall NCD prevalence of 4.4%. These findings rely only on self-reported diagnosed cases, lacking standardized measures. In light of these findings, it is crucial to increase focus on NCDs, enhance health-care provision, improve data collection, implement an NCDs stepwise survey, and establish an NCD surveillance system.

Keywords
Non-communicable diseases
Hypertension
Diabetes
Bronchial asthma
Funding
Training Programs in Epidemiology and Public Health Interventions Network (TEPHINET)
Conflict of interest
The authors declare there is no potential conflict of interest relevant to this article.
References

Abebe, S.M., Andargie, G., Shimeka, A., Alemu, K., Kebede, Y., Wubeshet, M., et al. (2017). The prevalence of non-communicable diseases in Northwest Ethiopia: Survey of dabat health and demographic surveillance system. BMJ Open, 7(10):e015496. https://doi.org/10.1136/bmjopen-2016-015496

 

Alavinezhad, A., & Boskabady, M.H. (2018). The prevalence of asthma and related symptoms in Middle East countries. The Clinical Respiratory Journal, 12(3):865-877. https://doi.org/10.1111/crj.12655

 

Aryal, K.K., Mehata, S., Neupane, S., Vaidya, A., Dhimal, M., Dhakal, P., et al. (2015). The burden and determinants of non communicable diseases risk factors in Nepal: Findings from a Nationwide STEPS survey. PLoS One, 10(8):e0134834. https://doi.org/10.1371/journal.pone.0134834

 

Asadi-Pooya, A.A., Brigo, F., Lattanzi, S., & Blumcke, I. (2023). Adult epilepsy. The Lancet, 402(10399):412-424. https://doi.org/10.1016/S0140-6736(23)01048-6

 

Beghi, E., Giussani, G., Nichols, E., Abd-Allah, F., Abdela, J., Abdelalim, A., et al. (2019). Global, regional, and national burden of epilepsy, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(4):357-375. https://doi.org/10.1016/S1474-4422(18)30454-X

 

Benamer, H.T.S., & Grosset, D.G. (2009). A systematic review of the epidemiology of epilepsy in Arab countries. Epilepsia, 50(10):2301-2304. https://doi.org/10.1111/j.1528-1167.2009.02058.x

 

Charara, R., Forouzanfar, M., Naghavi, M., Moradi-Lakeh, M., Afshin, A., Vos, T., et al. (2017). The burden of mental disorders in the Eastern Mediterranean region, 1990-2013. PLoS One, 12(1):e0169575. https://doi.org/10.1371/journal.pone.0169575

 

Ding, S., & Zhong, C. (2020). Exercise and asthma. Advances in Experimental Medicine and Biology, 1228:369-380. https://doi.org/10.1007/978-981-15-1792-1_25

 

Esteghamati, A., Meysamie, A., Khalilzadeh, O., Rashidi, A., Haghazali, M., Asgari, F., et al. (2009). Third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007) in Iran: Methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia. BMC Public Health, 9(1):167. https://doi.org/10.1186/1471-2458-9-167

 

Fakhari, A., Herizchi, S., Sadeghi-Bazargani, H., Amiri, S., Noorazar, S.G., Mirzajanzade, M., et al. (2023). Prevalence of psychiatric disorders in the aging population in the Northeastern of Iran. Middle East Current Psychiatry, 30(1):25. https://doi.org/10.1186/s43045-023-00287-4

 

Gowshall, M., & Taylor-Robinson, S.D. (2018). The increasing prevalence of non-communicable diseases in low-middle income countries: The view from Malawi. International Journal of General Medicine, 11:255-264. https://doi.org/10.2147/IJGM.S157987

 

Gureje, O., Lasebikan, V.O., Kola, L., & Makanjuola, V.A. (2018). Lifetime and 12-month prevalence of mental disorders in the Nigerian survey of mental health and well-being. British Journal of Psychiatry, 188:465-471. https://doi.org/10.1192/bjp.188.5.465

 

Guwatudde, D., Mutungi, G., Wesonga, R., Kajjura, R., Kasule, H., Muwonge, J., et al. (2015). The epidemiology of hypertension in Uganda: Findings from the national non-communicable diseases risk factor survey. PLoS One, 10(9):e0138991. https://doi.org/10.1371/journal.pone.0138991

 

Idris, A., Alabdaljabar, M.S., Almiro, A., Alsuraimi, A., Dawalibi, A., Abduljawad, S., et al. (2021). Prevalence, incidence, and risk factors of epilepsy in Arab countries: A systematic review. Seizure, 92:40-50. https://doi.org/10.1016/j.seizure.2021.07.031

 

Jo, E.J., Lee, Y.U., Kim, A., Park, H.K., & Kim, C. (2023). The prevalence of multiple chronic conditions and medical burden in asthma patients. PLoS One, 18(5):e028600. https://doi.org/10.1371/journal.pone.0286004

 

Kirenga, B.J., de Jong, C., Katagira, W., Kasozi, S., Mugenyi, L., Boezen, M., et al. (2019). Prevalence and factors associated with asthma among adolescents and adults in Uganda: A general population based survey. BMC Public Health, 19(1):227. https://doi.org/10.1186/s12889-019-6562-2

 

Lee, S.K. (2019). Epilepsy in the elderly: Treatment and consideration of comorbid diseases. Journal of Epilepsy Research, 9(1):27-35. https://doi: 10.14581/jer.19003

 

Liu, S., Yu, W., & Lü, Y. (2016). The causes of new-onset epilepsy and seizures in the elderly. Neuropsychiatric Disease and Treatment, 12:1425-1434. https://doi.org/10.2147/NDT.S107905

 

Mirzaei, M., Rahmaninan, M., Mirzaei, M., Nadjarzadeh, A., & Dehghani Tafti, A.A. (2020). Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes in central Iran: Results from Yazd health study. BMC Public Health, 20(1):166. https://doi.org/10.1186/s12889-020-8267-y

 

Mohammadi, M.R., Ahmadi, N., Khaleghi, A., Mostafavi, S.A., Kamali, K., Rahgozar, M., et al. (2019). Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. Iranian Journal of Psychiatry, 14(1):1-15.

 

Ndubuisi, N.E. (2021). Noncommunicable diseases prevention in low-and middle-income countries: an overview of health in all policies (HiAP). Inquiry, 58: 1-6. https://doi.org/10.1177/0046958020927885

 

Neyazi, N., Mosadeghrad, A.M., Tajvar, M., & Safi, N. (2023). Trend analysis of noncommunicable diseases and their risk factors in Afghanistan. Chronic Diseases and Translational Medicine, 9(3):210-221. https://doi.org/10.1002/cdt3.62

 

Panagariya, A., Sharma, B., Dubey, P., Satija, V., & Rathore, M. (2018). Prevalence, demographic profile, and psychological aspects of epilepsy in North-Western India: A community-based observational study. Annals of Neurosciences, 25(4):177-186. https://doi.org/10.1159/000487072

 

Petrova, N.N., & Khvostikova, D.A. (2021). Prevalence, structure, and risk factors for mental disorders in older people. Advances in Gerontology, 11:409-415. https://doi.org/10.1134/S2079057021040093

 

Sagar, R., Pattanayak, R.D., Chandrasekaran, R., Chaudhury, P.K., Deswal, B.S., Singh, R.L., et al. (2017). Twelve-month prevalence and treatment gap for common mental disorders: Findings from a large-scale epidemiological survey in India. Indian Journal of Psychiatry, 59(1):46-55. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_333_16

 

Satman, I., Bayirlioglu, S., Okumus, F., Erturk, N., Yemenici, M., Cinemre, S., et al. (2023). Estimates and forecasts on the burden of prediabetes and diabetes in adult and elderly population in Turkiye. European Journal of Epidemiology, 38(3):313-323. https://doi.org/10.1007/s10654-022-00960-8

 

Sharma, S., Nehra, A., & Tripathi, M. (2021). Applicability of compensatory cognitive training in epilepsy to low resource and literacy settings: A focused review. Neurology India, 69(3):717-723. https://doi.org/10.4103/0028-3886.319233

 

Slama, S., Lee, J., Aragno, M., Laroche, S., & Hogerzeil, H. (2018). The development of the noncommunicable diseases emergency health kit. Eastern Mediterranean Health Journal, 24(1):92-98. https://doi.org/10.26719/2018.24.1.92

 

The DHS Program. (2013). The 2013 Yemen National Health and Demographic Survey (2013 YNHDS). Available from: https://dhsprogram.com/pubs/pdf/fr296/fr296.pdf [Last accessed on 2023 Sep 27].

 

To, T., Stanojevic, S., Moores, G., Gershon, A.S., Bateman, E.D., Cruz, A.A., et al. (2012). Global asthma prevalence in adults: Findings from the cross-sectional world health survey. BMC Public Health, 12:204. https://doi.org/10.1186/1471-2458-12-204

 

To, T., Stanojevic, S., Moores, G., Gershon, A.S., Bateman, E.D., Cruz, A.A., et al. (2021). Correction to: Global asthma prevalence in adults: Findings from the cross-sectional world health survey. BMC Public Health, 21(1):1809. https://doi.org/10.1186/s12889-021-11859-6

 

Vellakkal, S., Subramanian, S.V., Millett, C., Basu, S., Stuckler, D., & Ebrahim, S. (2013). Socioeconomic inequalities in non-communicable diseases prevalence in India: Disparities between self-reported diagnoses and standardized measures. PLoS One, 8(7):e68219. https://doi.org/10.1371/journal.pone.0068219

 

World Health Organization. (2018). NCD Mortality and Morbidity. Available from: https://www.who.int/gho/ncd/ mortality_morbidity/en [Last accessed on 2018 Oct 10].

 

World Health Organization. (2018). Noncommunicable Diseases and Mental Health. Available from: https://www.who. int/nmh/ncd-tools/who-regions-eastern-mediterranean-home-page/en [Last accessed on 2018 Aug 04].

 

World Health Organization. (2018). Noncommunicable Diseases. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases [Last accessed on 2018 Aug 06].

 

Zhao, C., Wong, L., Zhu, Q., & Yang, H. (2018). Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou. PLoS One, 13(6):e0199006. https://doi.org/10.1371/journal.pone.0199006

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