STEPwise Survey for Non Communicable Diseases Risk Factors 2006
Federated States of Micronesia, 2006
Identification
FSM_2006_STEPS_v01_M
STEPwise Survey for Non Communicable Diseases Risk Factors 2006
Chuuk
| Name | Country code |
|---|---|
| Federated States of Micronesia | FSM |
Other Household Health Survey [hh/hea]
FSM was one of the four countries elected to pilot the WHO NCD STEPS survey with Marshall Islands, Fiji and Samoa. The Stepwise Survey for Non Communicable Diseases Risk Factors was initially conducted in Pohnpei state in 2002. This is the first state-wide population-based survey on the prevalence of NCDs and their risk factors in the history of the State of Chuuk, FSM.
Noncommunicable diseases are the top cause of deaths. In 2008, more than 36 million people worldwide died of such diseases. Ninety per cent of those lived in low-income and middle-income countries.<a href="http://www.who.int/mediacentre/news/releases/2011/NCDs_profiles_20110914/en/index.html" class="ext" target="_blank">WHO Maps Noncommunicable Disease Trends in All Countries</a>
The STEPS Noncommunicable Disease Risk Factor Survey, part of the STEPwise approach to surveillance (STEPS) Adult Risk Factor Surveillance project by the World Health Organization (WHO), is a survey methodology to help countries begin to develop their own surveillance system to monitor and fight against noncommunicable diseases. The methodology prescribes three steps—questionnaire, physical measurements, and biochemical measurements. The steps consist of core items, core variables, and optional modules. Core topics covered by most surveys are demographics, health status, and health behaviors. These provide data on socioeconomic risk factors and metabolic, nutritional, and lifestyle risk factors. Details may differ from country to country and from year to year.
The Federated States of Micronesia (Chuuk) NCD STEPS survey provides the baseline assessment of the risk factors of noncommunicable diseases (NCDs) and their associated risk factors among Chuuk Islanders. The key objectives of the NCD STEPS survey were:
- To document the prevalence and magnitude of key NCDs among adults
- To document the prevalence and magnitude of major modifiable risk factors for NCDs including tobacco use, betel nut use, harmful use of alcohol, poor eating patterns, physical inactivity, obesity, high blood pressure, raised blood glucose and cholesterol levels
- To compare NCDs and their risk factors across different age groups and between men and women.
Sample survey data [ssd]
Household
Individual
Scope
The scope of the FSM (Chuuk) NCD STEPS survey includes:
Step 1
- Demographic Information
- Behavioural Measures: Tobacco Use, Betel Nut Use, Alcohol Consumption, Diet, Physical Activity, History of High Blood Pressure, History of Diabetes
- Step2: Physical measurements : Height and weight, Waist and Hip, Blood pressure,
- Step 3: Biochemical measurements: Blood glucose, Blood Lipids
Coverage
The State of Chuuk, FSM
Producers and sponsors
| Name | Affiliation |
|---|---|
| Department of Health and Social Affairs | Federated States of Micronesia |
| WHO Office for the South Pacific | World Health Organization |
| Name | Role |
|---|---|
| Chuuk Department of Health Services | Technical Assistance and Funding-in-kind |
| Fiji School of Medicine | Technical Assistance |
| Name | Role |
|---|---|
| Australian Agency for International Development | Financial Support |
| New Zealand Agency for International Development | Financial Support |
| World Health Organization | Financial Support |
Sampling
The STEPS guidelines require a minimum sample size of 2000 participants, with at least 300 participants in each of 10 age-gender categories. The study randomly selected and invited 3,000 Chuuk Islanders aged 15-64 years to participate in the survey.The sample size was 2,831, and the sample comprised 2,034 people in the age group 25-64 and 797 people in the age group 15-24. Thirty precent of the sample aged 25-64 was randomly selected to participate in STEP 3 .
A total of 2,831 individuals participated (response rate of 94.4%)
Post-stratification weights were calculated using the 2005 population projections based on Chuuk 2004 census of the population aged 15-64 years.
Survey instrument
With the technical assistance of the FSM Census Office, the FSM (Chuuk) STEPS survey followed a sequential three-step process as follows :
Step 1: A questionnaire-based (interview) survey on tobacco use, betel nut use, alcohol drinking, fruit and vegetable consumption, and physical activity.
Step 2: Physiological measures of blood pressure, height, weight, hip and waist circumference.
Step 3: Biochemical measures of fasting blood glucose, total cholesterol and triglycerides.
Similar to other STEPS surveys conducted in the Pacific region, the Chuuk survey collected core information across all three steps. STEPS standardized survey methodology was followed. This approach ensures that Chuuk has available populationwide and representative data for between-country comparisons as well as within-country comparisons. In future surveys, Chuuk could add more questions or measurements to the core questions, depending on local needs. A copy of the questionnaire used in the FSM (Chuuk) STEP Survey is provided as related materials.
Data collection
| Start | End |
|---|---|
| 2006 | 2006 |
Data processing
Data entry was conducted by the survey staff at the Ministry of Health office using the EpiData software configured for double data entry function. With support from the Division of Pacific Technical Support, WPRO/WHO Office in Suva, WHO Office in Geneva performed final data cleaning, data weighting, and analysis. Data analyses were conducted using the EpiInfo 2002 Version 3.5.1. The Division of Pacific Technical Support, WPRO/WHO Office in Suva compiled the whole Data Book.
Data appraisal
Submitted questionnaires were checked randomly by staff to assess overall quality of data collection and completeness.
Data Access
| Is signing of a confidentiality declaration required? | Confidentiality declaration text |
|---|---|
| yes | Before being granted access to the dataset, all users have to formally agree: 1. To make no copies of any files or portions of files to which s/he is granted access except those authorized by the data depositor. 2. Not to use any technique in an attempt to learn the identity of any person, establishment, or sampling unit not identified on public use data files. 3. To hold in strictest confidence the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately brought to the attention of the data depositor. |
Disclaimer and copyrights
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| Marcus H. Samo, MPH (Assistant Secretary for Health) | Department of Health and Social Affairs | msamo@fsmhealth.fm | |
| Dr Li Dan (Medical Officer - Noncommunicable Diseases) | WHO Office for the South Pacific | LiD@wpro.who.int | |
| Dr Philayrath Phongsavan | School of Public Health - University of Sydney | php@health.usyd.edu.au | |
| Regional Adviser, Noncommunicable Diseases | World Health Organization | gargr@who.int | http://www.who.int/chp/steps/contact/en/ |
| Team Leader, Surveillance | World Health Organization | rileyl@who.int | http://www.who.int/chp/steps/contact/en/ |