The Health August/September 2020 | Page 23

| Issue | august-september, 2020 | The Health 23 NHMS 2019 HIGHLIGHTS NON-COMMUNICABLE DISEASES Once they have completed collecting the data, they spend about a month on data cleaning before starting the analysis. The Biostatistics and Data Repository unit under the National Institute of Health (NIH) supports them to run the analysis and generate the results. “The biostatistics unit will run the analysis, whereby they will come out with the results of what, where and whom with the high and low prevalence.” The next step is discussing the result with the research team members, which includes members from IPH, clinicians, public health specialists, and university experts. Then, it is presented to the director of the IPH and later to the Deputy Director-General of Health (Research & Technical Support). “We present to them first, for them to view the result so that they are in the know. It is then presented to the Director-General of Health through the NHMS Steering Committee,” he explained, adding that the panel also includes all the Deputy Director-Generals, heads of department, local universities, state directors and other representatives and critical people in the health field. “Once we get the Director-General’s approval, the results are published and sent to the ministry. We leave it to the minister to announce them to the public.” Disseminating the result “Our main aim is not just to produce the spike from the 13.4 per cent diabetes and 47.7 per cent obesity rate in 2015. “What’s more alarming is we found that diabetes is occurring at a younger age in Malaysia. The number of Malaysians not knowing they have diabetes is close to 48 per cent,” said Dr Shubash Shander Ganapathy, Medical Officer at the Institute for Public Health (IPH). results, but to also reach out to the public,” Dr Shubash explained. As such, the critical findings of NHMS 2019 are in the form of infographics. It eases the message disseminated to the public on what was found and the key areas that people should take note. “A lot of effort is taken to compress the whole study to ensure the key points are easily and quickly grasped. “We did not want our data to be very academic and purely for the MoH and stakeholders. If it doesn’t reach the public, things are not going to change.” Other than the key findings, there are also research highlights specially prepared for each ministry and stakeholder. “The more technical research highlights are created to hand out to the relevant ministries and stakeholders. The issues on health are not limited to the MoH. We need other ministries and multiple stakeholders to play their part.” He added the highlights also included recommendations by experts. “We hope the survey will create awareness and push people to take actions preventing issues highlighted in the survey from happening,” he said. — The Health The reports, infographics and fact sheets on NHMS 2019, as well as the reports of previous NHMS are all available in IPH’s website at www.iku.gov.my/nhms He added the younger age-group tend not to screen themselves, so it goes undetected for more extended periods, inviting complications later. The reports, infographics and fact sheets on NHMS 2019, as well as the reports of previous NHMS are all available in IPH’s website at www.iku.gov.my/nhms Diabetes among Adults • Known diabetes: 9.4% • Raised blood glucose among unknown diabetes (Fasting blood glucose 7.0mmol/L): 8.9% • Overall prevalence: 18.3% An increase from 2011 (11.2%) and 2015 (13.4%), previous results reanalysed to the new cut-off. Hypertension among Adults • Known hypertension: 15.9% • Raised blood pressure among unknown hypertension: 14.1% • Overall prevalence: 30.0% Plateau in the prevalence from 2011 (32.6%) and 2015 (30.3%). Hypercholesterolemia among Adults • Known hypercholesterolemia: 13.5% • Raised blood total cholesterol among unknown hypercholesterolemia: 24.6% • Overall prevalence: 38.1% Changes seen from prevalence in 2011 (35.0%) and 2015 (47.7%). Nutritional Status • 50.1% of adults are overweight or obese (30.4% overweight and 19.7% obese). • 52.6% of adults have abdominal obesity. • Trends of overweight, obesity and abdominal obesity continue to rise compared to NHMS 2011 (29.4%, 15.1%, 45.4%) and 2015 (30.0%, 17.7%, 48.6%) findings. • 29.8% of children 5 to 17 years of age are overweight (15.0%) and obese (14.8%). • 21.8% of children under 5 years of age are stunted. An increase from 2011 (16.6%) and 2015 (17.7%). • 29.9% of women in reproductive age are anaemic. Others • 25.1% of adults are physically inactive, a reduction compared to 2011 (35.7%) and 2015 (33.5%). • 94.9% of adults do not consume the recommended adequate fruits and / vegetables of 5 servings per day. This is a rise from the 92.5% in 2011 and 94.0% in 2015. • 21.3% of adults are current smokers, while 11.8% are current alcohol drinkers. The proportion of binge drinkers among current drinkers are 45.8%. There is a reduction of the proportion of binge drinkers from 2011 (50.2%) and 2015 (59.4%). • 2.3% of adults have depression, while 7.9% of children 5 to 15 years of age were found to have mental health problems, mainly due to poor interaction with their peers. • 36.6% of adult women had done a pap smear in the past 1 year. Among women age 40 years and over, 21.0% had done a mammogram in the past 3 years, while 25.0% had ever done a mammogram. • 11.1% of adults and 4.7% of children were found have disability. Source: NHMS 2019 Fact Sheet