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Socio-demographic association of non communicable diseases’ risk factors in a representative population of school children: a cross-sectional study in Sousse (Tunisia)

  • Meriam El Ghardallou EMAIL logo , Jihene Maatoug , Imed Harrabi , Sihem Ben Fredj , Sahli Jihene , Emna Dendana , Bhiri Sana , Nawel Zammit , Lamia Boughammoura and Hassen Ghannem
Published/Copyright: February 27, 2016

Abstract

Introduction:

A better understanding of socio-demographic characteristics of subgroups, which have a high risk to develop chronic diseases, is essential to develop more efficient interventional programs especially for youth. This study aimed to determine the association between clusters of non communicable diseases (NCDs’) risk factors and the socio-demographic characteristics among a sample of Tunisian school children.

Materials and methods:

We conducted, in 2013/2014, a cross-sectional study among a proportional and stratified school children sample, selected in 17 elementary public schools in Sousse (Tunisia). A cluster analysis was used to identify different NCDs risk factors clusters, based on tobacco use, physical inactivity, unhealthy diet, and excess weight. Subsequent χ2-tests were used to identify differences between the NCDs risk factors clusters in regards to socio-demographic characteristics.

Results:

Four clusters of NCDs risk factors were found: 1) Cluster 1: physical inactivity behavior with normal weight, 2) Cluster 2: physical inactivity behavior associated to excess weight, 3) Cluster 3: unhealthy diet associated to excess weight and low practice of physical activity, and 4) Cluster 4: smoking behavior with physical activity behavior. The pattern of cluster membership differed across sex (<10–3), school level, and socioeconomic level (<10–3) but there was no significant difference between clusters for mother’s education levels and household tenure.

Conclusion:

This study can have important implications for health policy and practice. Indeed, it found that many subjects have simultaneous multiple NCDs risk factors which leads to identify groups at risk and implement integrated intervention program.


Corresponding author: Meriam El Ghardallou, Department of Epidemiology, University Hospital Farhat Hached, Sousse 4000, Tunisia, Phone: +21673219496, Fax: +216 73 219 496, E-mail:

Acknowledgments

This article was based on a project funded by the “United Health Group” and by the Research Unit “Santé UR12SP28”: Epidemiologic Transition and Prevention of Chronic Disease of the Ministry of Higher Education, Tunisia.

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Received: 2015-11-12
Accepted: 2015-12-5
Published Online: 2016-2-27

©2017 Walter de Gruyter GmbH, Berlin/Boston

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