First Report on the Co-Occurrence and Clustering Profiles of Cardiovascular Lifestyle Risk Factors among Adults in Burkina Faso

Kadari Cissé, Sékou Samadoulougou, Yves Coppieters, Bruno Bonnechère, Patrice Zabsonré, Fati Kirakoya-Samadoulougou and Seni Kouanda
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Kadari Cissé: Centre de Recherche en Epidémiologie, Biostatistique et Recherche Clinique, Ecole de Santé Publique, Université libre de Bruxelles (ULB), 1050 Brussels, Belgium
Sékou Samadoulougou: Evaluation Platform on Obesity Prevention, Quebec Heart and Lung Institute Research Centre, Quebec, QC G1V 4G5, Canada
Yves Coppieters: Centre de Recherche en Epidémiologie, Biostatistique et Recherche Clinique, Ecole de Santé Publique, Université libre de Bruxelles (ULB), 1050 Brussels, Belgium
Bruno Bonnechère: REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium
Patrice Zabsonré: Unité de Formation et de Recherche en Sciences de la Santé, Université Joseph Ki-Zerbo Ouagadougou, Ouagadougou 03 BP 7021, Burkina Faso
Fati Kirakoya-Samadoulougou: Centre de Recherche en Epidémiologie, Biostatistique et Recherche Clinique, Ecole de Santé Publique, Université libre de Bruxelles (ULB), 1050 Brussels, Belgium
Seni Kouanda: Département Biomédical et Santé Publique, Institut de Recherche en Sciences de la Santé, Ouagadougou 03 BP 7192, Burkina Faso

IJERPH, 2022, vol. 19, issue 14, 1-12

Abstract: The co-occurrence of cardiovascular risk factors is usually associated with a higher risk of cardiovascular disease (CVD) or cancer. This study aimed to determine the prevalence of the co-occurrence and its determinants and to identify the clustering profiles of lifestyle risk factors among the adult population in Burkina Faso. Among 4692 participants, 4377 adults from the first STEPS survey conducted in Burkina Faso were considered in this analysis. Four lifestyle risk factors (smoking, alcohol consumption, inadequate fruit and vegetable intake and low physical activity) were analysed. The clustering was evaluated using the observed/expected (O/E) ratio approach. To identify the determinants of co-occurrence, we performed a modified Poisson regression. The prevalence of the co-occurrence of two or more cardiovascular lifestyle risk factors was 46.4% (95% CI: 43.1–49.7). The main determinants of the co-occurrence were being male (adjusted prevalence ratio (aPR): 1.27 (95% CI: 1.16–1.38)), advanced age (55–64 years old: aPR: 1.45 (95% CI: 1.31–1.60)) and a high level of education (aPR: 1.29 (95% CI: 1.09–1.52)). The clustering profile for lifestyle risk factors was tobacco consumption combined with alcohol consumption (O/E: 2.77 (95% CI: 2.12–3.56)), and concurrent involvement in all four lifestyle risk factors (O/E = 1.51 (95% CI: 1.19–1.89)). This first population-based report on the co-occurrence of lifestyle risk factors calls for action to tailor health-promoting interventions to increase healthy lifestyle behaviors. The identified CVD-risk clustering should be considered as an important step in this strategy development in Burkina Faso.

Keywords: cardiovascular lifestyles risk factors; co-occurrence; clustering; Burkina Faso (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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