Belize Diabetes, Hypertension and Risk-Factors Survey

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Belize Diabetes, Hypertension and Risk-Factors
Survey VIIIth CAMDI Workshop (Panama City,
Panama, 28 29 November 2006) Valerie Jenkins
(MoH) Lorraine Thompson (PAHO)
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Methodology

• National
• Cross Sectional (District, ED, HH)
• Sample Size 2,635 (2,441)(1629)
• Administered questionnaire, anthropometry, venous
  blood
• Variables- Socio-demographic, family history,
  smoking, alcohol consumption, cholesterol levels,
  physical activity, obesity, blood sugar level,
  health seeking behavior, fruit, vegetable and oil
  consumption
• Medical responsibility/ethics

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Determining Sample Size
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Limitations

• A third (33.3) no blood works
• Women, Rural participants and 40age group more
  likely to provide complete blood samples.
• Migration Semi-urban communities
• New training
• Time increase consumption less attention to
  health.

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Results

• Diabetes Prevalence 16.8 (6.5 diagnosed,
  12.2 known)
• Men 10.9 prevalence
• Women 20.8 prevalence
• Age group 4064 (21.6)(35x higher)
• Age group 65 (31.3)

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Results

• Hypertension prevalence 37.3 (14.0 diagnosed,
  23.3 known)
• Men prevalence 35.6
• Women prevalence 38.6
• Age group 4064 (43.1)
• Age group 65 (62.5)

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Results
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Results

• Obesity prevalence 35.4
• Men 23.1 obese
• Women 44.0 obese
• Overweight prevalence 33.3
• Men 35.3 overweight
• Women 31.9 overweight

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Results

• Prevalence of high cholesterol 6.8
• Women 7.2
• Men 6.1
• Mennonites 13.4

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Results
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Results

• Non-smokers 83.9
• Current smokers 48.9 40-64 more likely
• Former smokers 41.7 65 more likely
• Women in last 30 days 15.3 versus 10.7 (earlier
  age 19)
• Alcohol consumption 33.3 less with age (men gt
  women 2.6 versus 1.7 days per week)
• Physical activity 80.0 lt 60 minutes
• Physical activity 48.0 150 minutes (2039
  more likely)

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Results Ethnicity
33 (13.0)
73 (28.3)
166 (64.3)
99 (44.4)
142 (63.7)
45 (21.2)
144 (15.8)
311 (33.3)
660 (70.6)
113 (16.8)
284 (40.3)
504 (71.6)
143 (44.5)
106 (34.0)
206 (43.7)
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RECOMMENDATIONS

• National prevention and control program
• Active surveillance
• Health education
• National food guidelines
• Promotion and support for increase physical
  activity (parks, playgrounds)
• Improved policing of drug dispensing
• Clinic to support wellness in relation to NCDS

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• Thank you!

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