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A National Surveillance Survey on Noncommunicable Disease Risk Factors: Suriname Health Study Protocol.

Krishnadath IS, Smits CC, Jaddoe VW, Hofman A, Toelsie JR - JMIR Res Protoc (2015)

Bottom Line: A publication of the basic survey results is anticipated in mid-2015.Secondary results on the effect of targeted lifestyle interventions are anticipated in late 2017.This study is an entry point for formulating the structure of NCD prevention and surveillance.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Public Health, Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname. Ingrid.Krishnadath@uvs.edu.

ABSTRACT

Background: Noncommunicable diseases (NCDs) are the leading cause of death in low- and middle-income countries. Therefore, the surveillance of risk factors has become an issue of major importance for planning and implementation of preventive measures. Unfortunately, in these countries data on NCDs and their risk factors are limited. This also prevails in Suriname, a middle-income country of the Caribbean, with a multiethnic/multicultural population living in diverse residential areas. For these reasons, "The Suriname Health Study" was designed.

Objective: The main objective of this study is to estimate the prevalence of NCD risk factors, including metabolic syndrome, hypertension, and diabetes in Suriname. Differences between specific age groups, sexes, ethnic groups, and geographical areas will be emphasized. In addition, risk groups will be identified and targeted actions will be designed and evaluated.

Methods: In this study, several methodologies were combined. A stratified multistage cluster sample was used to select the participants of 6 ethnic groups (Hindustani, Creole, Javanese, Maroon, Chinese, Amerindians, and mixed) divided into 5 age groups (between 15 and 65 years) who live in urban/rural areas or the hinterland. A standardized World Health Organization STEPwise approach to surveillance questionnaire was adapted and used to obtain information about demographic characteristics, lifestyle, and risk factors. Physical examinations were performed to measure blood pressure, height, weight, and waist circumference. Biochemical analysis of collected blood samples evaluated the levels of glucose, high-density-lipoprotein cholesterol, total cholesterol, and triglycerides. Statistical analysis will be used to identify the burden of modifiable and unmodifiable risk factors in the aforementioned subgroups. Subsequently, tailor-made interventions will be prepared and their effects will be evaluated.

Results: The data as collected allow for national inference and valid analysis of the age, sex, and ethnicity subgroups in the Surinamese population. A publication of the basic survey results is anticipated in mid-2015. Secondary results on the effect of targeted lifestyle interventions are anticipated in late 2017.

Conclusions: Using the data collected in this study, the national prevalence of NCD risk factors will be approximated and described in a diverse population. This study is an entry point for formulating the structure of NCD prevention and surveillance.

No MeSH data available.


Related in: MedlinePlus

Multistage cluster sample of the Suriname Health Study.FU=Final Unit; PSU=Primary sampling Unit; SSU=Secondary sampling Unit; TSU=Tertiary sampling Unit.
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figure1: Multistage cluster sample of the Suriname Health Study.FU=Final Unit; PSU=Primary sampling Unit; SSU=Secondary sampling Unit; TSU=Tertiary sampling Unit.

Mentions: Each of the 10 districts of Suriname served as a primary sampling unit (PSU), and for every PSU a sampling frame was created. In 9 districts, the enumeration areas (EAs) of the Census 2012 were listed [8]. The tenth district, Sipaliwini, included specific village areas (VAs; Figure 1). From the PSUs (n=10), 101 EAs and 4 VAs were selected at random. From these areas, 343 clusters were randomly selected. Within the EAs, each cluster contained 25 households and in the VAs every cluster contained 40 households. The clusters in the VAs were larger because of the high costs associated with reaching the population in this area. In each selected household, the final unit (the respondent) was selected using the Kish method [32] (Figure 1).


A National Surveillance Survey on Noncommunicable Disease Risk Factors: Suriname Health Study Protocol.

Krishnadath IS, Smits CC, Jaddoe VW, Hofman A, Toelsie JR - JMIR Res Protoc (2015)

Multistage cluster sample of the Suriname Health Study.FU=Final Unit; PSU=Primary sampling Unit; SSU=Secondary sampling Unit; TSU=Tertiary sampling Unit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526944&req=5

figure1: Multistage cluster sample of the Suriname Health Study.FU=Final Unit; PSU=Primary sampling Unit; SSU=Secondary sampling Unit; TSU=Tertiary sampling Unit.
Mentions: Each of the 10 districts of Suriname served as a primary sampling unit (PSU), and for every PSU a sampling frame was created. In 9 districts, the enumeration areas (EAs) of the Census 2012 were listed [8]. The tenth district, Sipaliwini, included specific village areas (VAs; Figure 1). From the PSUs (n=10), 101 EAs and 4 VAs were selected at random. From these areas, 343 clusters were randomly selected. Within the EAs, each cluster contained 25 households and in the VAs every cluster contained 40 households. The clusters in the VAs were larger because of the high costs associated with reaching the population in this area. In each selected household, the final unit (the respondent) was selected using the Kish method [32] (Figure 1).

Bottom Line: A publication of the basic survey results is anticipated in mid-2015.Secondary results on the effect of targeted lifestyle interventions are anticipated in late 2017.This study is an entry point for formulating the structure of NCD prevention and surveillance.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Public Health, Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname. Ingrid.Krishnadath@uvs.edu.

ABSTRACT

Background: Noncommunicable diseases (NCDs) are the leading cause of death in low- and middle-income countries. Therefore, the surveillance of risk factors has become an issue of major importance for planning and implementation of preventive measures. Unfortunately, in these countries data on NCDs and their risk factors are limited. This also prevails in Suriname, a middle-income country of the Caribbean, with a multiethnic/multicultural population living in diverse residential areas. For these reasons, "The Suriname Health Study" was designed.

Objective: The main objective of this study is to estimate the prevalence of NCD risk factors, including metabolic syndrome, hypertension, and diabetes in Suriname. Differences between specific age groups, sexes, ethnic groups, and geographical areas will be emphasized. In addition, risk groups will be identified and targeted actions will be designed and evaluated.

Methods: In this study, several methodologies were combined. A stratified multistage cluster sample was used to select the participants of 6 ethnic groups (Hindustani, Creole, Javanese, Maroon, Chinese, Amerindians, and mixed) divided into 5 age groups (between 15 and 65 years) who live in urban/rural areas or the hinterland. A standardized World Health Organization STEPwise approach to surveillance questionnaire was adapted and used to obtain information about demographic characteristics, lifestyle, and risk factors. Physical examinations were performed to measure blood pressure, height, weight, and waist circumference. Biochemical analysis of collected blood samples evaluated the levels of glucose, high-density-lipoprotein cholesterol, total cholesterol, and triglycerides. Statistical analysis will be used to identify the burden of modifiable and unmodifiable risk factors in the aforementioned subgroups. Subsequently, tailor-made interventions will be prepared and their effects will be evaluated.

Results: The data as collected allow for national inference and valid analysis of the age, sex, and ethnicity subgroups in the Surinamese population. A publication of the basic survey results is anticipated in mid-2015. Secondary results on the effect of targeted lifestyle interventions are anticipated in late 2017.

Conclusions: Using the data collected in this study, the national prevalence of NCD risk factors will be approximated and described in a diverse population. This study is an entry point for formulating the structure of NCD prevention and surveillance.

No MeSH data available.


Related in: MedlinePlus