Urbanization and non-communicable disease in Southeast Asia: A review of current evidence

Objective: Non-communicable diseases (NCDs) have been highlighted as a major public health issue in the Southeast (SE) Asian region. One of the major socio-environmental factors that are considered to be associated with such a rise in NCDs is urbanization. Urbanization is associated with behavioural...

Full description

Saved in:
Bibliographic Details
Main Authors: Angkurawaranon C., Jiraporncharoen W., Chenthanakij B., Doyle P., Nitsch D.
Format: Article
Language:English
Published: Elsevier 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-84908131732&partnerID=40&md5=ea7a36934b8553658ac78a87f3ebb326
http://cmuir.cmu.ac.th/handle/6653943832/37615
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
Language: English
id th-cmuir.6653943832-37615
record_format dspace
spelling th-cmuir.6653943832-376152014-12-09T05:50:40Z Urbanization and non-communicable disease in Southeast Asia: A review of current evidence Angkurawaranon C. Jiraporncharoen W. Chenthanakij B. Doyle P. Nitsch D. Objective: Non-communicable diseases (NCDs) have been highlighted as a major public health issue in the Southeast (SE) Asian region. One of the major socio-environmental factors that are considered to be associated with such a rise in NCDs is urbanization. Urbanization is associated with behavioural changes such as eating an unhealthy diet, and a decrease in physical activities, which may result in associated obesity. The SE Asian region also has a substantive burden of infectious disease such as HIV and malaria, which may modify associations between urbanization and development of NCDs. Study design: A systematic review was conducted until April 2013. Methods: Using four databases: EMBASE, PubMed, GlobalHealth and DigitalJournal, the systematic review pools existing evidence on urban-rural gradients in NCD prevalence/incidence. Results: The study found that in SE Asia, urban exposure was positively associated with coronary heart disease, diabetes and respiratory diseases in children. Urban exposure was negatively associated with rheumatic heart diseases. The stages of economic development may also modify the association between urbanization and NCDs such as diabetes. Conclusion: There was pronounced heterogeneity between associations. It is recommended that future studies examine the major constituents of NCDs separately and also focus on the interplay between lifestyle and infectious risk factors for NCDs. Prospective studies are needed to understand the diverse causal pathways between urbanization and NCDs in SE Asia. 2014-12-09T05:50:40Z 2014-12-09T05:50:40Z 2014 Article in Press 00333506 10.1016/j.puhe.2014.08.003 PUHEA http://www.scopus.com/inward/record.url?eid=2-s2.0-84908131732&partnerID=40&md5=ea7a36934b8553658ac78a87f3ebb326 http://cmuir.cmu.ac.th/handle/6653943832/37615 English Elsevier
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Objective: Non-communicable diseases (NCDs) have been highlighted as a major public health issue in the Southeast (SE) Asian region. One of the major socio-environmental factors that are considered to be associated with such a rise in NCDs is urbanization. Urbanization is associated with behavioural changes such as eating an unhealthy diet, and a decrease in physical activities, which may result in associated obesity. The SE Asian region also has a substantive burden of infectious disease such as HIV and malaria, which may modify associations between urbanization and development of NCDs. Study design: A systematic review was conducted until April 2013. Methods: Using four databases: EMBASE, PubMed, GlobalHealth and DigitalJournal, the systematic review pools existing evidence on urban-rural gradients in NCD prevalence/incidence. Results: The study found that in SE Asia, urban exposure was positively associated with coronary heart disease, diabetes and respiratory diseases in children. Urban exposure was negatively associated with rheumatic heart diseases. The stages of economic development may also modify the association between urbanization and NCDs such as diabetes. Conclusion: There was pronounced heterogeneity between associations. It is recommended that future studies examine the major constituents of NCDs separately and also focus on the interplay between lifestyle and infectious risk factors for NCDs. Prospective studies are needed to understand the diverse causal pathways between urbanization and NCDs in SE Asia.
format Article
author Angkurawaranon C.
Jiraporncharoen W.
Chenthanakij B.
Doyle P.
Nitsch D.
spellingShingle Angkurawaranon C.
Jiraporncharoen W.
Chenthanakij B.
Doyle P.
Nitsch D.
Urbanization and non-communicable disease in Southeast Asia: A review of current evidence
author_facet Angkurawaranon C.
Jiraporncharoen W.
Chenthanakij B.
Doyle P.
Nitsch D.
author_sort Angkurawaranon C.
title Urbanization and non-communicable disease in Southeast Asia: A review of current evidence
title_short Urbanization and non-communicable disease in Southeast Asia: A review of current evidence
title_full Urbanization and non-communicable disease in Southeast Asia: A review of current evidence
title_fullStr Urbanization and non-communicable disease in Southeast Asia: A review of current evidence
title_full_unstemmed Urbanization and non-communicable disease in Southeast Asia: A review of current evidence
title_sort urbanization and non-communicable disease in southeast asia: a review of current evidence
publisher Elsevier
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-84908131732&partnerID=40&md5=ea7a36934b8553658ac78a87f3ebb326
http://cmuir.cmu.ac.th/handle/6653943832/37615
_version_ 1681421379043328000