Multiple behavioural risk factors of non-communicable diseases among adolescents in four Caribbean countries: prevalence and correlates

Supa Pengpid; Karl Peltzer

doi:10.1515/ijamh-2021-0021

Article

Multiple behavioural risk factors of non-communicable diseases among adolescents in four Caribbean countries: prevalence and correlates

Supa Pengpid and Karl Peltzer

Published/Copyright: June 18, 2021

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From the journal International Journal of Adolescent Medicine and Health Volume 33 Issue 6

Abstract

Objectives

The study assessed the prevalence and associated factors of behavioural risk factors of non-communicable diseases (NCDs) among adolescents in four Caribbean countries.

Content

In all 9,143 adolescents (15 years = median age) participated in the cross-sectional “2016 Dominican Republic, 2016 Suriname, 2017 Jamaica, and 2017 Trinidad and Tobago Global School-Based Student Health Survey (GSHS)”. Eight behavioural risk factors of NCDs were assessed by a self-administered questionnaire.

Summary

Prevalence of each behavioural NCD risk factor was physical inactivity (84.2%), inadequate fruit and vegetable intake (82.2%), leisure-time sedentary behaviour (49.6%), daily ≥2 soft drinks intake (46.8%), ever drunk (28.6%), twice or more days a week fast food consumption (27.6%), having overweight/obesity (27.4%), and current tobacco use (13.8%). Students had on average 3.6 (SD=1.4), and 79.0% had 3–8 behavioural NCD risk factors. In multivariable linear regression, psychological distress and older age increased the odds, and attending school and parental support decreased the odds of multiple behavioural NCD risk factors.

Outlook

A high prevalence and co-occurrence of behavioural risk factors of NCDs was discovered and several factors independently contributing to multiple behavioural NCD risk factors were identified.

Keywords: adolescents; Caribbean; diet; physical activity; substance use

Corresponding author: Karl Peltzer, Department of Research Administration and Development, University of Limpopo, Polokwane, South Africa; and Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan, E-mail: kfpeltzer@gmail.com

Acknowledgments

The data source, the World Health Organization NCD Microdata Repository (URL: https://extranet.who.int/ncdsmicrodata/index.php/catalog), is hereby acknowledged.

Research funding: None declared.
Author contributions: All the authors fulfill the criteria for authorship. S.P. and K.P. conceived and designed the research, performed the statistical analysis, drafted the manuscript, and made critical revision of the manuscript for key intellectual content. All authors have read and agreed to the published version of the manuscript.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: The local Institutional Review Board deemed the study exempt from review. The study was approved by national ethics committees and informed consent was obtained from the participants [14].

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Received: 2021-02-15

Accepted: 2021-04-29

Published Online: 2021-06-18

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Articles in the same Issue

https://doi.org/10.1515/ijamh-2021-0021

Keywords for this article

adolescents; Caribbean; diet; physical activity; substance use