Can urbanization, social and spatial disparities help to understand the rise of cardiometabolic risk factors in Bobo-Dioulasso? A study in a secondary city of Burkina Faso, West Africa

Zeba Augustin Nawidimbasba, Tené Yaméogo Marceline, Tougouma Somnoma Jean-Baptiste, Kassie Daouda, Fournet Florence. 2017. Can urbanization, social and spatial disparities help to understand the rise of cardiometabolic risk factors in Bobo-Dioulasso? A study in a secondary city of Burkina Faso, West Africa. International Journal of Environmental Research and Public Health, 14 (4):378, 13 p.

https://doi.org/10.3390/ijerph14040378

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Quartile : Q2, Sujet : PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH (Social Sciences) / Quartile : Q2, Sujet : PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH (Science) / Quartile : Q2, Sujet : ENVIRONMENTAL SCIENCES

Résumé : Background: Unplanned urbanization plays a key role in chronic disease growth. This population-based cross-sectional study assessed the occurrence of cardiometabolic risk factors in Bobo-Dioulasso and their association with urbanization conditions. Methods: Through spatial sampling, four Bobo-Dioulasso sub-spaces were selected for a population survey to measure the adult health status. Yéguéré, Dogona, Tounouma and Secteur 25 had very different urbanization conditions (position within the city; time of creation and healthcare structure access). The sample size was estimated at 1000 households (250 for each sub-space) in which one adult (35 to 59-year-old) was randomly selected. Finally, 860 adults were surveyed. Anthropometric, socioeconomic and clinical data were collected. Arterial blood pressure was measured and blood samples were collected to assess glycemia. Results: Weight, body mass index and waist circumference (mean values) and serum glycemia (83.4 mg/dL ± 4.62 mmol/L) were significantly higher in Tounouma, Dogona, and Secteur 25 than in Yéguéré; the poorest and most rural-like sub-space (p = 0.001). Overall, 43.2%, 40.5%, 5.3% and 60.9% of participants had overweight, hypertension, hyperglycemia and one or more cardiometabolic risk markers, respectively. Conclusions: Bobo-Dioulasso is unprepared to face this public health issue and urgent responses are needed to reduce the health risks associated with unplanned urbanization.

Mots-clés Agrovoc : santé publique, urbanisation, maladie de l'homme, maladie cardiovasculaire, processus chronique, trouble du métabolisme, facteur de risque, gestion du risque, distribution spatiale, population urbaine, ville, zone urbaine, enquête, échantillonnage