Social determinants of non communicable diseases in kerala

Background: global disease scenario is shifting from communicable disease to non communicable diseases. Non-communicable diseases (NCDs) have been established as a major public health and developmental challenge. The rise in the prevalence and significance of NCDs is the result of complex interaction between health, economic growth and development, and it is strongly associated with the Social determinants of health (SDH). NCDs are the causes and outcome of social and economic inequalities and NCD prevention and control programs should address the socio economic determinants comprehensively. This study seeks to understand the socio economic determinants of four major NCDs in Kerala. Methods: cross sectional study method. Study area-Kerala, Pathanamthitta district and Vechoochira village Panchayath selected conveniently .Community based cross sectional HH survey done in Total 15 wards. 10%of the total population selected proportionately from 15 wards. Every 10th house selected from voters list of 2016. Finally 730 HH identified and survey conducted. (15 June- 15 July, 2016) Results: In this study socio economic determinants and non communicable diseases (NCDs) shows significant relationship. Cardiac problems, diabetes and cancers are more reported in high income people. But Chronic Oppressive Pulmonary Diseases (COPD) is seen more among lower socioeconomic groups. Prevalence of NCDs are high in female especially housewives. . Chi-square test of independence analysis shows Ration card status, age, income, education, economic dependency etc are highly significant (p<0.005) with NCDs. Economic dependency seen more in NCD patients especially female and above 60 age group. Conclusion: Social Determinants of Health (SDH) have a significant role on Non communicable diseases. So a comprehensive NCD policy is needed to address the issue.