Depok-Indonesia STEPS Survey 2003

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The STEPS survey of chronic disease risk factors in Indonesia/Depok was carried out from February 2003 to March 2003. Indonesia/Depok carried out Step 1, Step 2 and Step 3. Socio demographic and behavioural information was collected in Step 1. Physical measurements such as height, weight and blood pressure were collected in Step 2, biochemical measurements were collected to assess blood glucose two hours blood glucose load 75 mg in 300 ml water and total cholesterol in Step 3. The STEPS survey in Depok, Indonesia was a population-based survey of adults aged 25-64. A two stage cluster stratified random sampling sample design was used to produce representative data for that age range in Indonesia/Depok. A total of 1806 adults participated in the Indonesia/Depok STEPS survey. The overall response rate was 82.09% A repeat survey is planned for 2006 if funds permit. Step 1 Tobacco Use Percentage who currently smoke tobacco daily 25-34 years 18.4 32.5 4.3 (13.8-23.0) (24.3-40.8) (1.2-7.4) 35-44 years 18.8 35.8 2.1 (13.3-24.3) (26.4-45.2) (0.2-4.0) 45-54 years 18.6 32.1 5.7 (14.3-22.9) (23.3-40.9) (2.8-8.6) 55-64 years 17.0 29.0 2.8 (13.5-20.4) (24.1-33.9) (0.6-5.0) 25-64 years 18.4 32.9 3.8 (15.8-20.9) (28.4-37.3) (2.3-5.3) For those who smoke tobacco daily Average age started smoking (years) 25-34 years 18.3 18.0 20.1 (17.0-19.5) (16.7-19.3) (16.5-23.7) 35-44 years 18.2 17.7 25.2 (16.7-19.6) (16.3-19.2) (17.4-33.0) 45-54 years 20.3 19.4 24.9 (18.9-21.7) (17.9-20.9) (20.3-29.5) 55-64 years 20.0 19.6 24.6 (18.6-21.3) (18.3-20.9) (17.5-31.6) 25-64 years 18.9 18.4 22.9 (18.1-19.63) (17.6-19.2) (20.4-25.4) Average years of smoking 25-34 years 12.4 12.8 8.9 (11.0-13.8) (11.4-14.3) (5.4-12.4) 35-44 years 22.4 22.9 13.6 (20.9-23.8) (21.5-24.4) (6.4-20.8) 45-54 years 28.5 29.5 22.9 (26.8-30.2) (27.6-31.4) (18.5-27.3) 55-64 years 39.6 39.9 35.0 (38.0-41.2) (38.4-41.5) (26.3-43.7) 25-64 years 22.1 22.7 16.6 (20.8-23.4) (21.3-24.1) (13.3-19.8) Percentage smoking manufactured cigarettes 25-34 years 67.3 69.6 50.0 (52.2-82.4) (53.4-85.9) (2.8-97.2) 35-44 years 81.0 83.6 40.0 (71.3-90.8) (73.7-93.5) (-10.4-90.4) 45-54 years 76.7 85.7 28.6 (68.7-84.8) (77.6-93.8) (-0.8-58.0) 55-64 years 92.3 91.7 100.0 (86.7-97.9) (85.5-97.8) (100-100) 25-64 years 76.4 79.9 45.7 (69.7-83.0) (72.9-87.0) (22.0-69.3) 1

depok-indonesia STEPS Survey 2003 For smokes of manufactured cigarettes Mean number of manufactured cigarettes smoked per day (Clove) 25-34 years 11.0 11.1 9.0 (9.1-12.8) (9.2-13.1) (6.2-11.8) 35-44 years 12.3 12.4 8.0 (9.9-14.6) (10.0-14.8) (0.9-16.9) 45-54 years 12.4 12.6 9.0 (9.9-14.9) (10.0-15.3) (3.1-14.9) 55-64 years 9.4 9.7 61.0 (8.0-10.7) (8.2-11.1) (3.8-8.4) 25-64 years 11.4 11.7 8.3 (10.3-12.6) (10.5-12.8) (6.2-10.4) Mean number of manufactured cigarettes smoked per day (Non Cloves) 25-34 years 12.4 12.8 10.6 (9.2-15.6) (9.0-16.5) (5.7-15.5) 35-44 years 9.8 11.0 4.0 (7.7-11.9) (8.4-13.6) (1.5-6.5) 45-54 years 9.3 10.0 8.5 (6.0-12.6) (6.0-14.0) (2.8-14.2) 55-64 years 8.2 8.2 --- (4.6-11.7) (4.6-11.8) 25-64 years 11.0 11.7 8.5 (9.0-13.0) (9.3-14.1) (5.3-11.7) Step 1 Alcohol Consumption Percentage of Abstainers (who did not drink alcohol in the last year) 25-34 years 95.1 90.1 100.0 (92.3-97.8) (85.3-94.9) - 35-44 years 98.1 96.2 100.0 (96.4-99.9) (92.8-99.7) - 45-54 years 96.7 94.2 99.2 (94.8-98.7) (90.1-98.2) (98.0-100.3) 55-64 years 99.3 98.8 100.0 (98.4-100.3) (97.0-100.6) - 25-64 years 96.9 93.9 99.8 (95.6-98.1) (91.6-96.3) (99.6-100.1) Step 1 Fruit and Vegetable Consumption (in a typical week) Mean number of servings of fruit consumed per day 25-34 years 1.9 1.7 2.0 (1.7-2.0) (1.4-2.0) (1.8-2.2) 35-44 years 1.9 1.8 1.9 (1.8-2.0) (1.6-2.0) (1.8-2.1) 45-54 years 1.9 1.9 1.8 (1.8-2.0) (1.8-2.1) (1.7-1.9) 55-64 years 1.9 1.9 1.9 (1.8-2.1) (1.7-2.1) (1.8-2.1) 25-64 years 1.9 1.8 1.9 (1.8-2.0) (1.7-1.9) (1.8-2.0) Mean number of servings of vegetables consumed per day 25-34 years 1.7 1.7 1.7 (1.6-1.8) (1.5-1.8) (1.6-1.8) 35-44 years 1.7 1.6 1.7 (1.6-1.7) (1.5-1.8) (1.6-1.8) 45-54 years 1.8 1.8 1.8 (1.7-1.9) (1.6-1.9) (1.7-1.9) 55-64 years 1.7 1.8 1.7 (1.7-1.8) (1.7-1.9) (1.6-1.8) 25-64 years 1.7 1.7 1.7 (1.7-1.8) (1.6-1.8) (1.7-1.8) 2

Percentage who ate 5 or more combined servings of fruit & vegetables per day 25-34 years 12.6 7.5 17.7 (9.3-15.9) (3.4-11.7) (12.7-22.6) 35-44 years 9.6 8.0 11.2 (6.4-12.8) (3.2-12.8) (6.8-15.6) 45-54 years 15.2 18.3 12.2 (11.8-18.7) (13.8-22.9) (7.4-17.1) 55-64 years 16.2 15.3 17.2 (12.9-19.5) (11.5-19.1) (11.6-22.8) 25-64 years 12.8 11.0 14.5 (11.0-14.6) (8.6-13.5) (11.9-15.1) Step 1 Physical Activity Percentage with low levels of activity (defined as <600 MET-minutes/week 25-34 years 15.2 19.2 11.2 (10.2-20.1) (10.4-28.0) (6.3-16.1) 35-44 years 13.5 19.8 7.3 (8.0-19.0) (9.4-30.2) (2.7-11.9) 45-54 years 17.7 19.2 16.3 (13.4-22.0) (12.3-26.0) (11.0-21.6) 55-64 years 20.4 20.2 20.8 (16.6-25.4) (15.0-25.4) (14.9-26.6) 25-64 years 15.9 19.5 12.3 (13.3-18.6) (14.8-24.1) (9.6-15.1) Median time spent in work-related physical activity per day (minutes) 25-34 years 60.0 60.0 62.1 (30.0-120.0) (30.0-145.7) (30.0-120.0) 35-44 years 68.6 68.6 72.8 (30.0-128.5) (30.0-171.4) (30.0-120.0) 45-54 years 60.0 51.4 60.0 (30.0-120.0) (25.7-120.0) (30.0-120.0) 55-64 years 60.0 60.0 60.0 (30.0-120.0) (25.7-120.0) (30.0-120.0) 25-64 years 60.0 60.0 60.0 (25.7-120.0) (25.7-120.0) (30.0-120.0) Median time spent in transport-related physical activity per day (minutes) 25-34 years 23.2 20.0 25.7 (10.0-45.0) (10.0-45.0) (12.8-42.8) 35-44 years 21.4 20.0 25.7 (12.8-51.4) (11.7-51.4) (14.3-60.0) 45-54 years 25.4 21.4 25.7 (12.8-42.8) (14.6-48.2) (11.4-34.3) 55-64 years 17.1 20.7 17.1 (10.0-42.8) (10.0-50.7) (8.5-34.3) 25-64 years 21.4 20.0 25.0 (12.8-45.0) (12.8-51.4) (12.8-42.8) Median time spent in recreation physical activity per day (minutes) 25-34 years 25.7 19.6 25.7 (12.8-34.3) (12.8-34.3) (12.8-42.8) 35-44 years 25.7 20.0 25.7 (15.0-34.3) (14.3-34.3) (17.1-34.3) 45-54 years 17.1 17.1 17.1 (12.8-34.3) (12.8-34.3) (12.8-34.3) 55-64 years 25.7 25.4 25.7 (12.8-51.4) (15.0-51.4) (12.8-51.4) 25-64 years 23.6 20.0 25.7 (12.8-34.3) (12.8-34.3) (12.8-37.1) 3

Step 2 Physical Measurements Mean body mass index BMI (kg/m 2 ) 25-34 years 23.9 23.1 24.5 (23.5-24.3) (22.7-24.1) (24.0-24.9) 35-44 years 24.1 23.2 24.9 (23.6-24.5) (22.4-24.0) (24.4-25.5) 45-54 years 25.0 24.4 25.6 (24.5-23.3) (23.8-23.1) (24.9-26.2) 55-64 years 24.3 24.1 24.5 (23.9-24.7) (23.6-24.6) (23.9-25.1) 25-64 years 24.2 23.6 24.8 (24.0-24.5) (23.3-24.0) (24.5-25.1) Percentage who are overweight or obese (BMI 25 kg/m 2 ) 25-34 years 30.3 26.9 33.8 (25.9-34.7) (19.6-34.1) (28.2-39.3) 35-44 years 36.3 30.1 42.3 (30.6-50.0) (19.5-40.7) (36.4-40.7) 45-54 years 41.0 36.7 45.3 (36.4-45.7) (30.6-42.7) (38.8-51.7) 55-64 years 37.3 34.3 40.7 (32.6-41.9) (28.1-40.5) (33.5-47.9) 25-64 years 35.2 30.9 39.6 (32.6-37.8) (26.7-35.1) (36.3-42.9) Percentage who are obese (BMI 30 kg/m 2 ) 25-34 years 8.0 6.4 9.5 (5.6-10.4) (2.7-9.7) (6.4-12.6) 35-44 years 6.8 4.8 8.7 (4.3-9.3) (1.6-8.0) (4.9-1.5) 45-54 years 10.4 9.2 1.5 (7.5-13.3) (4.2-14.1) (8.2-14.8) 55-64 years 5.2 4.5 6.0 (3.1-7.3) (1.6-7.5) (3.0-9.1) 25-64 years 7.8 6.3 9.3 (6.4-9.1) (4.3-8.3) (7.5-11.1) Average waist circumference (cm) 25-34 years 77.4 78.0 76.8 (76.2-78.5) (76.2-79.7) (75.3-78.3) 35-44 years 78.8 78.5 79.1 (77.3-80.2) (76.0-80.9) (77.4-80.7) 45-54 years 81.8 82.6 80.9 (80.3-83.2) (80.3-85.0) (79.2-82.5) 55-64 years 80.6 80.9 80.2 (79.2-81.9) (78.8-83.1) (78.6-81.7) 25-64 years 79.1 79.5 78.8 (78.4-79.8) (78.4-80.6) (77.9-79.6) Mean systolic blood pressure - SBP (mmhg) 25-34 years 114.9 118.2 111.7 (111.9-117.9) (113.5-122.9) (108.4-115.0) 35-44 years 117.3 120.3 114.3 (114.7-119.8) (115.8-124.8) (111.6-117.0) 45-54 years 124.0 124.0 123.9 (121.7-126.2) (120.5-127.5) (121.1-126.8) 55-64 years 134.7 136.5 132.5 (132.5-136.8) (133.7-139.3) (129.1-135.8) 25-64 years 120.1 122.5 117.6 (118.6-121.6) (120.1-124.9) (115.8-119.4) 4

Mean diastolic blood pressure - DBP (mmhg) 25-34 years 70.8 71.0 70.7 (69.4-72.3) (68.8-73.3) (68.8-72.5) 35-44 years 72.4 73.3 71.5 (70.6-74.2) (70.1-76.4) (69.7-73.4) 45-54 years 74.7 74.1 75.3 (73.3-76.1) (71.9-76.3) (73.5-77.1) 55-64 years 76.0 76.6 75.5 (74.8-77.3) (74.7-78.4) (73.8-77.2) 25-64 years 72.8 73.1 72.5 (71.9-73.6) (71.7-74.4) (71.5-73.5) Percentage with raised BP (SBP 140 and/or DBP 90 mmhg) 25-34 years 5.8 6.4 5.2 (3.6-8.0) (3.0-5.9) (2.3-8.0) 35-44 years 9.0 10.7 7.3 (6.0-11.9) (5.4-15.9) (4.5-10.2) 45-54 years 9.7 8.3 11.0 (6.8-12.60 (4.2-12.4) (7.0-15.0) 55-64 years 13.8 14.9 12.4 (11.1-16.4) (11.1-18.7) (8.6-16.2) 25-64 years 8.6 9.2 7.9 (7.2-10.0) (7.0-11.4) (6.3-9.6) Percentage with raised BP (SBP 170 and/or DBP 100 mmhg) 25-34 years 2.4 3.5 1.3 (1.0-3.8) (1.1-5.9) (-0.1-2.7) 35-44 years 4.9 6.4 3.4 (2.2-7.7) (1.2-11.6) (1.3-5.5) 45-54 years 3.5 2.9 4.1 (1.9-5.1) (1.0-4.8) (1.5-6.7) 55-64 years 5.5 6.0 4.8 (3.4-7.5) (2.8-9.3) (2.4-7.2) 25-64 years 3.7 4.5 2.9 (2.7-4.8) (2.7-6.4) (1.9-4.0) Step 3 Biochemical Measurements Mean fasting blood glucose (mmol/l) 25-34 years 4.6 4.8 4.5 (4.5-4.8) (4.5-4.9) (4.3-4.7) 35-44 years 4.6 4.6 4.5 (4.4-4.7) (4.5-4.8) (4.3-4.7) 45-54 years 5.2 5.2 5.3 (5.0-5.5) (4.9-5.4) (4.9-5.6) 55-64 years 5.4 5.4 5.5 (5.2-5.6) (5.1-5.6) (5.2-5.8) 25-64 years 4.9 4.9 4.8 (4.8-4.9) (4.7-5.0) (4.7-4.9) Percentage with raised blood glucose ( 7.0 mmol/l) 25-34 years 3.4 4.4 2.7 (1.5-5.2) (0.6-8.2) (0.8-4.6) 35-44 years 3.6 3.7 3.5 (1.5-5.6) (1.1-6.2) (0.5-6.5) 45-54 years 7.6 6.2 8.8 (4.7-10.5) (2.1-10.2) (4.7-12.8) 55-64 years 9.5 8.6 10.5 (6.6-12.3) (4.9-12.2) (5.9-15.1) 25-64 years 5.3 5.3 5.2 (4.1-6.4) (3.5-7.2) (3.7-6.7) 5

Mean total blood cholesterol (mmol/l) 25-34 years 4.5 4.5 4.5 (4.4-4.6) (4.2-4.7) (4.4-4.7) 35-44 years 4.6 4.6 4.6 (4.5-4.7) (4.4-4.8) (4.5-4.7) 45-54 years 4.9 4.8 5.1 (4.9-5.1) (4.7-4.9) (4.9-5.2) 55-64 years 4.9 4.8 5.2 (4.9-5.1) (4.7-4.9) (5.1-5.4) 25-64 years 4.7 4.6 4.8 (4.6-4.8) (4.5-4.7) (4.7-4.8) Percentage with raised total cholesterol ( 5.2 mmol/l) 25-34 years 22.7 25.4 22.7 (17.4-27.9) (14.5-36.4) (17.4-27.9) 35-44 years 26.3 24.1 26.3 (21.7-30.9) (15.8-32.4) (21.7-30.9) 45-54 years 42.1 35.9 42.1 (36.1-48.1) (30.9-40.9) (36.1-48.1) 55-64 years 49.8 33.1 49.8 (44.2-55.4) (27.9-38.2) (44.2-55.4) 25-64 years 31.3 28.8 31.3 (28.2-34.3) (24.4-32.2) (28.2-34.3 Percentage with raised total cholesterol ( 6.5 mmol/l) 25-34 years 23.8 3.5 4 (18.3-29.3) (0.8-6.2) (1.5-6.5) 35-44 years 25.4 7.3 2.2 (21-29.7) (3.5-11.1) (0.4-3.9) 45-54 years 39.4 5.6 10 (35.4-43.3) (2.5-8.8) (5.1-14.9) 55-64 years 40.8 6.5 10.1 (36.8-44.7) (3.8-9.3) (6.2-14) 25-64 years 30.2 5.6 5.5 (27.6-32.8) (3.9-7.2) (3.9-7.2) Summary of combined risk factors current daily smokers less than 5 servings of fruits & vegetables per day Low level of activity (<600 MET -minutes) overweight or obese (BMI 25 kg/m 2 ) raised BP (SBP 140 and/or DBP 90 mmhg) Percentage with low risk (i.e. none of the risk factors included above) 25-44 years 88.6 87.0 90.1 (86.1-91.1) (82.8-91.3) (87.5-92.7) 45-64 years 76.6 77.8 75.3 (74.0-79.2) (74.5-81.2) (71.3-79.3) 25-64 years 84.5 83.8 85.1 (82.5-86.4) (80.8-86.9) (82.8-87.4) Percentage with raised risk (i.e. at least three of the risk factors included above) distributed in the age groups below Percentage with raised risk, aged 25 to 44 years old 11.4 12.9 9.9 (8.9-13.9) (8.7-17.2) (7.3-12.5) Percentage with raised risk, aged 45 to 64 years old 23.4 22.1 24.7 (20.8-25.9) (18.8-25.5) (20.6-28.7) Percentage with raised risk, aged 25 to 64 years old 15.5 16.2 14.9 (13.6-17.4) (13.1-19.2) (12.6-17.2) For additional information, please contact : STEPS country focal point : Ekowati Rahajeng, ekowati@litbang.depkes.go.id 6

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