Knowledge, Attitude, and Practices of Non-Communicable Diseases: Comparison Between Orang Asli and Malay From Rural Area in Negeri Sembilan, Malaysia: A Comparative Study

Ithnin, Muslimah; Juliana, Norsham; Nor, Nadeeya ‘Ayn Umaisara Mohamad; Effendy, Nadia Mohd; Rani, Mohd Dzulkhairi Mohd

doi:10.37268/mjphm/vol.20/no.2/art.411

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…For instance, although between 71.1% and 80% of study participants from Tanzania, United Arab Emirates, Ghana, Malaysia, and Nigeria displayed good NCD knowledge; physical inactivity, unhealthy eating and overweight rates ranged between 75.2%-90.1%, 79.7%-82.2% and 66.8%-78%, respectively. 12,[38][39][40][41] As disease prevention is based on the execution of effective national healthcare policies, the dearth of NCD policies or their slow and uneven implementation among African states (Tanzania inclusive) remains a barrier in the fight against NCDs and is a potential contributor to the high frequency of risky behaviors irrespective of improved awareness. For instance, at 47% and 16% implementation rates, tobacco and physical activity policies are the highest and least implemented, respectively, in Africa.…”

Section: Discussionmentioning

confidence: 99%

Perspectives for the Prevention of Noncommunicable Diseases in Tanzania: Is Knowledge Translated into Practice?

Pallangyo,

Komba,

Mkojera

et al. 2024

RMHP

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Background In Tanzania, where over a third of the society is impoverished, the burden of NCDs which account for about two-fifths of all disability-adjusted life years (DALYs) and one-third of premature deaths has doubled in the past two decades. However, notwithstanding a wider realization of the escalating burden of NCDs across Tanzania, the link between NCD awareness and lifestyle practices at the population level is not well characterized. We aimed to establish the gap between NCD knowledge and healthy behaviors. Methods This multi-regional community-based cross-sectional study was conducted in 5 regions of Tanzania between September 2022 and June 2023. A 22-item standardized tool evaluating various NCD risk behaviors was used in knowledge assessment and a cut-off of ≥70% was used to denote good knowledge. Bivariate analyses were performed to compare knowledge of NCD risk factors across various NCD risk subgroups. All tests were two tailed, and the significance was set at p<0.05. Results A total of 5121 individuals were consecutively enrolled. The mean age was 47.2 years and females comprised over three-fifths (60.8%) of the participants. With regard to behavioral NCD risks, physical inactivity, unhealthy diet, smoking and alcohol consumption were present in 79.0%, 70.2%, 2.1% and 17.6% of participants, respectively. Moreover, biological risk factors, ie, excess body weight, hypertension, and diabetes were present in 68.4%, 55.8% and 13.0% of participants, respectively. The mean knowledge score was 77.1% and 70.3% of participants demonstrated good knowledge of NCD risk factors. Except for smoking, individuals who showed awareness of various NCD risk factors were found to have significant rates of risky behaviors. Conclusion Despite sufficient NCD risk knowledge, incongruent lifestyle practices persist, highlighting a crucial concern. This suggests that awareness of NCDs and their risks may influence motivation for change but may not necessarily result in lifestyle modification.

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Section: Discussionmentioning

confidence: 99%

Perspectives for the Prevention of Noncommunicable Diseases in Tanzania: Is Knowledge Translated into Practice?

Pallangyo,

Komba,

Mkojera

et al. 2024

RMHP

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“…21 Faced with inadequate knowledge of chronic diseases and barriers to a healthy lifestyle, their risks of developing chronic diseases increased. 15,37 Some of the respondents also claimed that they faced certain barriers in receiving modern treatment. Furthermore, there were some conflicting opinions between traditional and modern medicines as the treatment of the choice for NCDs.…”

Section: Discussionmentioning

confidence: 99%

“…Among the Temuan community, assimilation with the surrounding community has made them recognise the use of modern health care, which led to many of them seeking medical treatment provided by the government 11 . Nevertheless, similar to many indigenous peoples around the world, there exist a proportion of the community who are still persistently lagging in health-seeking behaviour towards modern healthcare facilities, influenced by barriers and traditional medicines used 12,13 .This situation is worrying as according to previous studies, there is an emergence of noncommunicable diseases (NCDs) together with infectious diseases in these vulnerable communities 14,15 . The increasing prevalence of NCDs is a significant concern, as these diseases require long-term care and treatments which can increase the burden of the conditions in these vulnerable communities 16 .…”

Section: Introductionmentioning

confidence: 99%

Health Seeking Behaviour Among Adult Orang Asli (Indigenous Peoples) From Rural Negeri Sembilan, Malaysia: A Mixed-Methods Study

Ithnin

Nor

Juliana

et al. 2021

MJPHM

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Globally, the minority indigenous peoples have a lower health status when compared with national populations. The Orang Asli who are indigenous peoples of Peninsular Malaysia, also poses a significant challenge towards the handling of diseases. The present study sought to synthesise a coherent explanation of health-seeking behaviour among Orang Asli using a mixed-method research approach. A cross-sectional survey was conducted among 324 adult Orang Asli living in the rural district of Jelebu, in the Peninsular Malaysian state of Negeri Sembilan who conformed to the inclusion criteria. Then, 16 participants were interviewed to obtain an in-depth insight regarding their health-seeking behaviour. The findings showed that the majority of the Orang Asli utilized modern healthcare facilities and the respondents reported that the accessibility, services and medicines provided by the government were excellent. Meanwhile, 40.7% of the respondents relied on both traditional and modern treatments. The key determinants of the modern health-seeking behaviours among the Orang Asli in this study were satisfaction on modern health, barriers in getting health services, acceptance and attitude, and traditional medicine utilisation. Government, institutions and healthcare facilities have a role in ensuring that the vulnerable Orang Asli population is not left behind in receiving essential information on diseases associated with chronic and infectious diseases, including the current COVID-19 pandemic, as their action of seeking treatment remains complex and multi-layered.

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“…The communities living in rural locations give very minimal importance and priority to the routine medical screening because of their perceived good self-health [13]. An increase in NCDs' risk factors, including smoking, inactive life (sedentary or less physical activity), obesity, and poor dietary habits, was observed in Malaysians from rural areas [14].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Levels of Awareness on Malaysian Healthy Plate Concept among Rural Adults in Malaysia

Rahim

Ahmad

Man

et al. 2022

IJERPH

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Malaysian Healthy Plate was launched in 2017 as a vital component of the Malaysian Ministry of Health’s “Quarter-Quarter-Half” program. It is predicted that this concept will bring positive change to the citizen’s dietary habits; however, the residents in rural areas may experience less exposure to this campaign, or lack of understanding to the concept of Malaysian Healthy Plate. Hence, this study aims to assess factors affecting the campaign’s awareness among the rural population in Malaysia. The National Health and Morbidity Survey (NHMS) 2019 focused on Non-Communicable Diseases (NCDs). Data collection was carried out from July to September 2019. Questionnaires that pertained to awareness, knowledge, and practice were included in this nationwide survey. Data collected from adults in rural areas aged 18 years old and above were used as respondents for the statistical analysis. Complex sample multiple logistic regression analysis was conducted to determine the association between the independent variables and awareness of the Malaysian Healthy Plate concept. About four fifths (83.2%) of rural adults in Malaysia were unaware of the Malaysian Healthy Plate concept after three years of implementation. The unawareness was significantly higher in males (91.3%), adults aged above 60 years old (91.8%), adults of others ethnicity (88.5%), those without formal education (95.2%), widows/widowers/divorcees (88.1%), retirees/adults who were not working (88.4%), and household income at the bottom 40% (B40) (85.0%). Unawareness of this concept was significantly associated with male gender (aOR = 4.12; 95% CI: 3.06–5.56); age, 40–59 years (aOR = 1.46; 95% CI:1.08–1.97); without formal education (aOR = 3.47; 95% CI:1.34–9.01); working in private sector (aOR = 2.75; 95% CI: 1.59–4.77); self-employed (aOR = 2.78; 95% CI: 1.58–4.87); retirees (aOR = 2.32; 95% CI: 1.23–4.36); and unpaid workers (aOR = 2.61; 95% CI: 1.51–4.51). Awareness of the Malaysian Healthy Plate concept is associated with rural adults being males, with older age, with lower socio-economic status, without partner, and without job. This study suggests that a more effective strategy is needed to increase the awareness of the Malaysian Healthy Plate concept among rural adults.

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Knowledge, Attitude, and Practices of Non-Communicable Diseases: Comparison Between Orang Asli and Malay From Rural Area in Negeri Sembilan, Malaysia: A Comparative Study

Cited by 4 publications

References 11 publications

Perspectives for the Prevention of Noncommunicable Diseases in Tanzania: Is Knowledge Translated into Practice?

Perspectives for the Prevention of Noncommunicable Diseases in Tanzania: Is Knowledge Translated into Practice?

Health Seeking Behaviour Among Adult Orang Asli (Indigenous Peoples) From Rural Negeri Sembilan, Malaysia: A Mixed-Methods Study

Factors Influencing the Levels of Awareness on Malaysian Healthy Plate Concept among Rural Adults in Malaysia

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