Social determinants and diagnosed non-communicable disease in the adult indonesian population: Longitudinal study from indonesia family life survey 2007 and 2014
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1
Taipei Medical University "250 Wu-Hsing Street Taipei Medical University" Taiwan
2
Ministry of Research, Technology and Higher Education, Higher Education Service Institution (LL-DIKTI) Region IV, Indonesia
3
Taipei Medical University Taipei Medical University Taiwan
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A818
ABSTRACT
Background:
Social determinants factors, such as education level, socioeconomic, smoking, and nutritional status on non-communicable disease have been known; however, such an association among adults in developing countries remains unclear. The present study was to investigate the social determinants factor and diagnosed non-communicable diseases (NCDs) in the adult’s Indonesian population.
Methods:
A 7-year prospective longitudinal study based on the 2007 and 2014 Indonesia Family Life Survey (IFLS) was conducted on 6,225 adult Indonesian population (≥40 years). The exposure variables were social determinant factors (i.e., employee, smoking, monthly per-capita expenditure (PCE), education level, health insurance, and visited health facility). The outcome variable was diagnosed NCDs by a health worker, the NCDs defined according to the following 4 diseases: diabetes, coronary heart disease, cancer, or asthma. A multivariate-adjusted logistic regression model was used to investigate association between social determinants factors and diagnosed NCDs
Results:
Among 6,225 participants, 9.4% were discovered diagnosed NCDs by health worker. The odds ratios (ORs) and 95% confidence intervals (CIs) of diagnosed NCDs were significantly higher among those who live in an rural area (OR, 1.22; 95%CI 1.01-1.47), who have lower monthly PCE (OR, 1.80; 95% CI, 1.46-2.22), who had BMI ≥23.0 kg/m2 (OR, 1.79; 95% CI, 01.48-2.16), and who did not visit health facilities (OR, 1.38; 95% CI, 1.11-1.72), than those who live in a urban area, who have higher monthly PCE, had BMI