The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study
Objectives: This study aimed to synthesise a coherent explanation risks and health behaviours on non-communicable diseases (NCDs) among the Orang Asli (OA) using three methodologies, namely 1) systematic review (SR): to systematically review the prevalence of behavioural and metabolic risks of NCDs...
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my-usim-ddms-13441 |
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uketd_dc |
| institution |
Universiti Sains Islam Malaysia |
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USIM Institutional Repository |
| language |
en_US |
| advisor |
Mohd Dzulkhairi MohdRani [Supervisor] |
| topic |
Health behaviour Health attitudes Health risk assessment--Malaysia. Indigenous peoples -- Malaysia Non-communicable diseases (NCDs) Chronic diseases -- Malaysia |
| spellingShingle |
Health behaviour Health attitudes Health risk assessment--Malaysia. Indigenous peoples -- Malaysia Non-communicable diseases (NCDs) Chronic diseases -- Malaysia Muslimah Ithnin The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study |
| description |
Objectives: This study aimed to synthesise a coherent explanation risks and health behaviours on non-communicable diseases (NCDs) among the Orang Asli (OA) using three methodologies, namely 1) systematic review (SR): to systematically review the prevalence of behavioural and metabolic risks of NCDs among adults Orang Asli, 2) quantitative research: to determine the prevalence of major NCDs and its risk factors, knowledge, attitudes, practices towards NCDs and health-seeking behaviours, and 3) qualitative study: to provide a deeper explanation and understanding of the quantitative results.
Methods: A SR was conducted on four electronic databases. Eligible studies were screened, selected and reviewed and summarised using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Then, a mixed-method sequential explanatory study was employed. In the quantitative phase, a cross-sectional survey via face to face interview was conducted among the adults Orang Asli (n = 325) in Jelebu, Negeri Sembilan. Subsequently, the qualitative phase was conducted via in-depth interviews among 16 adults Orang Asli. The study was conducted from January 2018 to April 2019. Multiple logistic regression analysis was used to analyse quantitative data. Content analysis was applied to analyse the qualitative data.
Results: Out of 1632 studies potentially relevant to behavioural risks, only 12 met the inclusion criteria. Among 170 studies that were potentially relevant to metabolic risk, only 16 were eligible for inclusion. The results from the SR revealed a high prevalence of behavioural and metabolic risk factors of NCDs among Orang Asli in Malaysia. Findings from quantitative research showed that the highest number of NCDs are self-reported hypertension (14.8%), followed by hypercholesterolemia (5.2%) and Diabetes mellitus (4.3%). Only 28.0%, 48.9% and 19.4% had good KAP category, respectively. In health-seeking behaviours, 59.3% seek modern treatment, while 40.7% use both modern and traditional treatment. Multivariate regression analysis showed that hypertension, hypercholesterolemia and Diabetes mellitus were significantly associated with the age group 40 years above. While hypertension inversely associated with non-smoker. Hypercholesterolemia had a significantly higher practices scores towards NCDs. Diabetes mellitus was significantly associated with low physical activity. Female, non-hardcore poverty group and alcohol drinker was significantly associated with abdominal obesity. The age group of 40 years and above, low vegetable intake, abdominal obesity and increased blood glucose were significantly associated with raised blood pressure group. The poorer level of knowledge of NCDs is related to lower education level, hardcore poverty group, physically inactive and inadequate vegetable intake. Low levels of attitude were also associated with alcohol consumers, physically inactive and inadequate vegetable intake group. The qualitative themes derived from this research include development and life transitions, knowledge and perception of NCDs, health effects of NCDs risk factors, barriers to preventing behavioural factors, utilisation of modern medicine and healthcare facilities, and traditional medicines. We found that low knowledge, negative attitude, obstacles towards healthy lifestyles, and barriers in accessing healthcare facilities were the main issues to tackle NCDs among Orang Asli.
Conclusion: The results of the study found that the prevalence rate of NCDs and their risk are high among the Orang Asli communities. This provides a worrying benchmark for their future health status. The implementation of the strategy should emphasize the importance of early screening, education and awareness programs as well as intervention programs aimed at reducing the behavioural and metabolic risks of NCDs, increasing the level of knowledge, attitudes and practices towards NCDs as well as addressing misconceptions and perceptions in the communities. |
| format |
Thesis |
| author |
Muslimah Ithnin |
| author_facet |
Muslimah Ithnin |
| author_sort |
Muslimah Ithnin |
| title |
The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study |
| title_short |
The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study |
| title_full |
The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study |
| title_fullStr |
The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study |
| title_full_unstemmed |
The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study |
| title_sort |
risk and health behaviours towards non-communicable diseases (ncds) among indigenous (orang asli) in negeri sembilan, malaysia : a mixed methods study |
| granting_institution |
Universiti Sains Islam Malaysia |
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1812444708675256320 |
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my-usim-ddms-134412024-06-12T08:16:30Z The Risk And Health Behaviours Towards Non-Communicable Diseases (NCDs) Among Indigenous (Orang Asli) In Negeri Sembilan, Malaysia : A Mixed Methods Study Muslimah Ithnin Mohd Dzulkhairi MohdRani [Supervisor] Objectives: This study aimed to synthesise a coherent explanation risks and health behaviours on non-communicable diseases (NCDs) among the Orang Asli (OA) using three methodologies, namely 1) systematic review (SR): to systematically review the prevalence of behavioural and metabolic risks of NCDs among adults Orang Asli, 2) quantitative research: to determine the prevalence of major NCDs and its risk factors, knowledge, attitudes, practices towards NCDs and health-seeking behaviours, and 3) qualitative study: to provide a deeper explanation and understanding of the quantitative results. Methods: A SR was conducted on four electronic databases. Eligible studies were screened, selected and reviewed and summarised using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Then, a mixed-method sequential explanatory study was employed. In the quantitative phase, a cross-sectional survey via face to face interview was conducted among the adults Orang Asli (n = 325) in Jelebu, Negeri Sembilan. Subsequently, the qualitative phase was conducted via in-depth interviews among 16 adults Orang Asli. The study was conducted from January 2018 to April 2019. Multiple logistic regression analysis was used to analyse quantitative data. Content analysis was applied to analyse the qualitative data. Results: Out of 1632 studies potentially relevant to behavioural risks, only 12 met the inclusion criteria. Among 170 studies that were potentially relevant to metabolic risk, only 16 were eligible for inclusion. The results from the SR revealed a high prevalence of behavioural and metabolic risk factors of NCDs among Orang Asli in Malaysia. Findings from quantitative research showed that the highest number of NCDs are self-reported hypertension (14.8%), followed by hypercholesterolemia (5.2%) and Diabetes mellitus (4.3%). Only 28.0%, 48.9% and 19.4% had good KAP category, respectively. In health-seeking behaviours, 59.3% seek modern treatment, while 40.7% use both modern and traditional treatment. Multivariate regression analysis showed that hypertension, hypercholesterolemia and Diabetes mellitus were significantly associated with the age group 40 years above. While hypertension inversely associated with non-smoker. Hypercholesterolemia had a significantly higher practices scores towards NCDs. Diabetes mellitus was significantly associated with low physical activity. Female, non-hardcore poverty group and alcohol drinker was significantly associated with abdominal obesity. The age group of 40 years and above, low vegetable intake, abdominal obesity and increased blood glucose were significantly associated with raised blood pressure group. The poorer level of knowledge of NCDs is related to lower education level, hardcore poverty group, physically inactive and inadequate vegetable intake. Low levels of attitude were also associated with alcohol consumers, physically inactive and inadequate vegetable intake group. The qualitative themes derived from this research include development and life transitions, knowledge and perception of NCDs, health effects of NCDs risk factors, barriers to preventing behavioural factors, utilisation of modern medicine and healthcare facilities, and traditional medicines. We found that low knowledge, negative attitude, obstacles towards healthy lifestyles, and barriers in accessing healthcare facilities were the main issues to tackle NCDs among Orang Asli. Conclusion: The results of the study found that the prevalence rate of NCDs and their risk are high among the Orang Asli communities. This provides a worrying benchmark for their future health status. The implementation of the strategy should emphasize the importance of early screening, education and awareness programs as well as intervention programs aimed at reducing the behavioural and metabolic risks of NCDs, increasing the level of knowledge, attitudes and practices towards NCDs as well as addressing misconceptions and perceptions in the communities. Universiti Sains Islam Malaysia 2021-01 Thesis en_US https://oarep.usim.edu.my/handle/123456789/13441 https://oarep.usim.edu.my/bitstreams/40ba0d42-a3d5-4ae8-9380-cd1a74290f83/download 8a4605be74aa9ea9d79846c1fba20a33 https://oarep.usim.edu.my/bitstreams/cccbcc90-3779-4821-8a70-1c00b882fa4b/download 7bdfc1d1097abce2d343be868ed67604 https://oarep.usim.edu.my/bitstreams/5e76c323-0fb4-48ac-b943-b05d9b847635/download 4f0e6e2b4f7fa33eaa9576439b55776c https://oarep.usim.edu.my/bitstreams/85cdfc25-7fb4-421e-aefa-13d4ef375321/download 82d966bdbfcbc2cf28c3a489cdf65cbb https://oarep.usim.edu.my/bitstreams/4e98ed81-538a-47e7-9142-560bac0d3f44/download 1e2d2f818f0261dc646b3e72b8880755 https://oarep.usim.edu.my/bitstreams/de471602-1d41-49d6-8d01-de90d7d9bfb8/download e242fd6cbe41f6e8d74031724432aa65 https://oarep.usim.edu.my/bitstreams/92647d2e-e997-4b54-8eae-fd5024bd510b/download c6192e8666caa3faba5cd8a65934d359 https://oarep.usim.edu.my/bitstreams/88365e11-8510-4e25-be37-5bb4ec67ec67/download 0234db3243ec2fe4a2679d7a634e1ec2 https://oarep.usim.edu.my/bitstreams/522d15b1-58e7-4317-a4bd-f1c0378661b8/download f3281f30e5b980246cb8e26f16682fbd https://oarep.usim.edu.my/bitstreams/8533f6a3-79d8-434a-8b0f-1c03c5a58fe4/download fc1e8ff89f9ff215cdf21cfe54ddfe9d https://oarep.usim.edu.my/bitstreams/815d21a5-7f8b-4d78-ac89-4a89015abb7d/download 15ca36aed8da9a7e577d9ded7ffd3e90 https://oarep.usim.edu.my/bitstreams/170dbe74-9050-49cf-a70e-fc5dca1fa36a/download 0fb9962d1279438f64156f6300b4f0a8 https://oarep.usim.edu.my/bitstreams/4fd0daa5-057e-4a7b-b30d-87e9ec430668/download 1d742ebb76daf23686bea3fdb057e3ab https://oarep.usim.edu.my/bitstreams/e8e39631-b53d-4643-a91d-84ff632acaf0/download aec6165212a72485d12c0228407a7ec6 https://oarep.usim.edu.my/bitstreams/ecb70ad9-3660-4ac3-8464-887f9bd28f82/download 6e7d816e1124fd80254d40b8cd46d191 https://oarep.usim.edu.my/bitstreams/82668d6f-842c-44ff-97e4-ae4db8443f2d/download 5b731481e1edf455cfa243ebc1f43e1e https://oarep.usim.edu.my/bitstreams/7e413fd7-5005-4024-acd9-4721ae5abd2a/download 40359c7f1ee7ce86753b932d4b40514d https://oarep.usim.edu.my/bitstreams/776ccd30-6d0a-48b1-98a6-4869ce168ccc/download 2ae7dfa51a98fe631e9a8e126d9e4d80 https://oarep.usim.edu.my/bitstreams/84d1f7a9-a22e-4a98-90f2-e02c9cd88c7f/download 3ca1ffff22be9d1f07f4cf70d012642e https://oarep.usim.edu.my/bitstreams/84637e6f-2491-46d4-a1af-21c72548a2eb/download 22dfd5349614e12ea57b61d08bd6e9b1 https://oarep.usim.edu.my/bitstreams/d6912b09-dfdc-48f0-9ec9-64d825ba1794/download 2601121a6cdd664e1c6abf591560021b Health behaviour, Health attitudes Health risk assessment--Malaysia. Indigenous peoples -- Malaysia Non-communicable diseases (NCDs) Chronic diseases -- Malaysia |