Page 87 - GHES-1-2

Global Health Econ Sustain

ORIGINAL RESEARCH ARTICLE
Non-communicable diseases household survey

data analysis in Sana’a City, Yemen, 2017

1
1
1
Ghamdan Gamal Alkholidy *, Labiba Saeed Anam , Abdulwahed Al Serouri ,
and Chaoyang Li 2
1 Yemen Field Epidemiology Training Program, Ministry of Public Health and Population, Sana’a,
Yemen
2 Division of Global Health Protection, Center for Global Health, Centers for Disease Control and
Prevention, Atlanta, Georgia, United States of America

Abstract

Non-communicable diseases (NCDs) claim 41 million lives annually, accounting
for 71% of global mortality. The Middle East sees a rapid increase in NCD cases,
yet Yemen remains underexplored in this context. This study aims to investigate
NCD epidemiology in Sana’a City, Yemen, for 2017. Raw data from a 2017 house-
to-house survey conducted by the Ministry of Public Health and Population
were analyzed. Household heads reported any of the following five NCDs in the
household: hypertension (HTN), diabetes mellitus (DM), bronchial asthma (BA),
mental disorders (MD), and epilepsy. Data were entered and analyzed using Epi info
Academic editor: 7.2, using 2017 projections from the 2004 census. The study encompassed 241,310
Mihajlo Jakovljevic M.D. Ph.D. MAE
households, housing 1,592,646 individuals. Among these, 59,061 households
*Corresponding Author: (24.48%) included 70,178 individuals with at least one NCD. The overall NCD
Ghamdan Gamal Alkholidy
(ghamdangamal@gmail.com) prevalence was 4.4%, with specific prevalence: HTN 2.3%, DM 2.2%, BA 0.4%, MD
0.27, and epilepsy 0.19%. NCD prevalence was significantly higher among females
Citation: Alkholidy, G.G., than males (5.1% vs. 3.8%; odds ratio [OR] 1.35, 95% confidence intervals [CI]: 1.33
Anam, L.S., Al Serouri, A. & Li, C.
2023. Non-communicable diseases – 1.35), a trend mirrored in HTN (3.1% vs. 1.6%; OR = 1.94, 95% CI: 1.90 – 1.98),
household survey data analysis in DM (2.3% vs. 2.1%; OR = 1.11, 95% CI: 1.09 – 1.13), and BA (0.5% vs. 0.3%; OR =
Sana’a City, Yemen, 2017. Global 1.56, 95% CI: 1.49 – 1.65). Conversely, MD was more prevalent among males than
Health Econ Sustain, 1(2): 1191.
https://doi.org/10.36922/ghes.1191 females (0.35% vs. 0.16%; OR = 2.2, 95% CI: 2.06 – 2.31). NCD prevalence increased
with age, with nearly 18% of patients having more than one NCD, including 35.2%
Received: June 29, 2023
of HTN patients also having DM. One-quarter of surveyed households had at least
Accepted: September 26, 2023 one member with one or more of the five NCDs, emphasizing an overall NCD
Published Online: November 2, prevalence of 4.4%. These findings rely only on self-reported diagnosed cases,
2023 lacking standardized measures. In light of these findings, it is crucial to increase
Copyright: © 2023 Author(s). focus on NCDs, enhance health-care provision, improve data collection, implement
This is an Open Access article an NCDs stepwise survey, and establish an NCD surveillance system.
distributed under the terms of the
Creative Commons Attribution
License, permitting distribution, Keywords: Non-communicable diseases; Hypertension; Diabetes; Bronchial asthma
and reproduction in any medium,
provided the original work is
properly cited.
Publisher’s Note: AccScience
Publishing remains neutral with 1. Introduction
regard to jurisdictional claims in
published maps and institutional Non-communicable diseases (NCDs), also referred to as chronic diseases, typically
affiliations. manifest as enduring conditions and are influenced by a multitude of genetic, physiological,

Volume 1 Issue 2 (2023) 1 https://doi.org/10.36922/ghes.1191