Behavioral Risk Factors and Non-communicable diseases in Tribal Adults: A Systematic Review

Authors

  • Vinita Jamdade
  • Suresh Kumar Ray

DOI:

https://doi.org/10.52783/jns.v14.2887

Keywords:

Tribal adults, non-communicable diseases, behavioural risk factors, tobacco use, alcohol consumption, systematic review

Abstract

Background: Non-communicable diseases (NCDs) are a significant public health concern globally, especially among tribal populations, where unique socio-cultural practices may influence the prevalence of behavioral risk factors. Understanding the relationship between these risk factors and NCDs is critical for targeted interventions.

Objectives: This systematic review aims to synthesize the existing evidence on the prevalence of behavioural risk factors—such as tobacco use, alcohol consumption, unhealthy diets, and physical inactivity—among tribal adults and their association with NCDs, including cardiovascular diseases, diabetes, and cancer.

Methods: A comprehensive search was conducted across databases such as PubMed, Scopus, and Google Scholar for studies published between 2000 and 2023. Inclusion criteria included peer-reviewed studies reporting on tribal adults (aged ≥18 years) and exploring the relationship between behavioural risk factors and NCDs. Exclusion criteria included studies with non-tribal populations and those focused on infectious diseases. Data extraction followed PRISMA guidelines, and the quality of included studies was assessed using the Newcastle-Ottawa Scale.

Results: A total of X studies met the inclusion criteria, highlighting the significant burden of behavioural risk factors among tribal populations. Tobacco use and alcohol consumption were the most prevalent risk factors, with an associated increase in the incidence of cardiovascular diseases and diabetes. Limited access to healthcare and socio-economic challenges were identified as key barriers to addressing these risk factors.

Conclusions: The review underscores the urgent need for culturally tailored public health interventions targeting behavioural risk factors in tribal populations to mitigate the rising burden of NCDs. Further research is needed to explore effective strategies for health promotion and disease prevention in these vulnerable communities.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Bhagyalaxmi, A., Atul, T., &Shikha, J. (2013). Prevalence of Risk Factors of Non-communicable Diseases in a District of Gujarat, India. Journal of Health, Population, and Nutrition, 31(1), 78. https://doi.org/10.3329/JHPN.V31I1.14752

Bhar, D., Bhattacherjee, S., & Das, D. K. (2019). Behavioral and biological risk factors of noncommunicable diseases among tribal adults of rural siliguri in Darjeeling District, West Bengal: A cross-sectional study. Indian Journal of Public Health, 63(2), 119–127. https://doi.org/10.4103/IJPH.IJPH_326_18

Bhattacharya, S., Heidler, P., &Varshney, S. (2022). Incorporating neglected non-communicable diseases into the national health program—A review. Frontiers in Public Health, 10. https://doi.org/10.3389/FPUBH.2022.1093170

Budreviciute, A., Damiati, S., Sabir, D. K., Onder, K., Schuller-Goetzburg, P., Plakys, G., Katileviciute, A., Khoja, S., &Kodzius, R. (2020). Management and Prevention Strategies for Non-communicable Diseases (NCDs) and Their Risk Factors. Frontiers in Public Health, 8, 574111. https://doi.org/10.3389/FPUBH.2020.574111/BIBTEX

Chapter 5: Collecting data | Cochrane Training. (n.d.). Retrieved August 27, 2021, from https://training.cochrane.org/handbook/current/chapter-05

Chellappa, L. R., Leelavathi, L., Indiran, M. A., &Rathinavelu, P. K. (2021). Prevalence and dependency of tobacco use among tribal gypsies in Thoothukudi district - A cross sectional study. Journal of Family Medicine and Primary Care, 10(2), 738. https://doi.org/10.4103/JFMPC.JFMPC_1344_20

Claire, S. S., Gouda, H., Schotte, K., Fayokun, R., Fu, D., Varghese, C., & Prasad, V. M. (2020). Lung health, tobacco, and related products: gaps, challenges, new threats, and suggested research. American Journal of Physiology - Lung Cellular and Molecular Physiology, 318(5), L1004. https://doi.org/10.1152/AJPLUNG.00101.2020

Cronin, P., Ryan, F., & Coughlan, M. (2008). Undertaking a literature review: a step-by-step approach. British Journal of Nursing (Mark Allen Publishing), 17(1), 38–43. https://doi.org/10.12968/BJON.2008.17.1.28059

Cumpston, M., Li, T., Page, M. J., Chandler, J., Welch, V. A., Higgins, J. P., & Thomas, J. (2019). Cochrane Database of Systematic Reviews Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. https://doi.org/10.1002/14651858.ED000142

Dolui, M., Sarkar, S., Ghosh, P., &Hossain, M. (2023). Dietary diversity and association with non-communicable diseases (NCDs) among adult men (15–54 years): A cross-sectional study using National Family and Health Survey, India. PLOS Global Public Health, 3(4). https://doi.org/10.1371/JOURNAL.PGPH.0001775

Hare, M. J. L., Zhao, Y., Guthridge, S., Burgess, P., Barr, E. L. M., Ellis, E., Butler, D., Rosser, A., Falhammar, H., & Maple-Brown, L. J. (2022). Original research: Prevalence and incidence of diabetes among Aboriginal people in remote communities of the Northern Territory, Australia: a retrospective, longitudinal data-linkage study. BMJ Open, 12(5), 59716. https://doi.org/10.1136/BMJOPEN-2021-059716

Higgins, S., Pomeroy, A., Bates, L. C., Paterson, C., Barone Gibbs, B., Pontzer, H., & Stoner, L. (2022). Sedentary behavior and cardiovascular disease risk: An evolutionary perspective. Frontiers in Physiology, 13. https://doi.org/10.3389/FPHYS.2022.962791

J, B.-S. (2010). Learning how to undertake a systematic review: part 1. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 24(50), 47–55. https://doi.org/10.7748/NS2010.08.24.50.47.C7939

Jeong, N. J., Park, E., & Del Pobil, A. P. (2021). Effects of Behavioral Risk Factors and Social-Environmental Factors on Non-Communicable Diseases in South Korea: A National Survey Approach. International Journal of Environmental Research and Public Health, 18(2), 1–11. https://doi.org/10.3390/IJERPH18020612

Kumar, D., Singh, T., Vaiyam, P., Banjare, P., &Saini, S. (2022). Identifying potential community barriers for accessing health care services context to health for all in rural-tribal geographical setting in India: A systematic review. The Journal of Community Health Management, 9(4), 169–177. https://doi.org/10.18231/J.JCHM.2022.033

Kumar, M. M., Pathak, V. K., &Ruikar, M. (2020). Tribal population in India: A public health challenge and road to future. Journal of Family Medicine and Primary Care, 9(2), 508. https://doi.org/10.4103/JFMPC.JFMPC_992_19

Lipscomb, M. (n.d.). Exploring evidence-based practice : debates and challenges in nursing. 229.

Mishra, V. K., Srivastava, S., Muhammad, T., & Murthy, P. V. (2022). Relationship between tobacco use, alcohol consumption and non-communicable diseases among women in India: evidence from National Family Health Survey-2015-16. BMC Public Health, 22(1), 1–12. https://doi.org/10.1186/S12889-022-13191-Z/TABLES/4

Murmu, J., Agrawal, R., Manna, S., Pattnaik, S., Ghosal, S., Sinha, A., Acharya, A. S., Kanungo, S., &Pati, S. (2023). Social determinants of tobacco use among tribal communities in India: Evidence from the first wave of Longitudinal Ageing Study in India. PLOS ONE, 18(3). https://doi.org/10.1371/JOURNAL.PONE.0282487

Ndumwa, H. P., Kessy, A. T., Amani, D. E., Kitambala, E., Ngowi, J. E., Kapologwe, N., Njiro, B. J., Kengia, J. T., Munishi, C., Kiologwe, J., Mboya, E. A., Ubuguyu, O., Mloka, D., Salum, B., Kikula, A. I., Kamuhabwa, A., Balandya, E., Ramaiya, K., Ruggajo, P., &Sunguya, B. F. (2023). Mitigating the Rising Burden of Non-Communicable Diseases through Locally Generated Evidence-Lessons from Tanzania. Annals of Global Health, 89(1), 1–12. https://doi.org/10.5334/AOGH.4111

Oxford centre for triple value healthcare Ltd. (n.d.). Critical Appraisal Skills Programme. Retrieved August 30, 2021, from https://casp-uk.net/wp-content/uploads/2018/01/CASP-Qualitative-Checklist-2018.pdf

P, J., F, H., J, S., C, B., & M, E. (2002). Direction and impact of language bias in meta-analyses of controlled trials: empirical study. International Journal of Epidemiology, 31(1), 115–123. https://doi.org/10.1093/IJE/31.1.115

Park, J. H., Moon, J. H., Kim, H. J., Kong, M. H., & Oh, Y. H. (2020). Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean Journal of Family Medicine, 41(6), 365. https://doi.org/10.4082/KJFM.20.0165

Parry, C. D., Patra, J., &Rehm, J. (2011). Alcohol consumption and non-communicable diseases: epidemiology and policy implications. Addiction (Abingdon, England), 106(10), 1718. https://doi.org/10.1111/J.1360-0443.2011.03605.X

Pati, D., &Lorusso, L. N. (2017). How to Write a Systematic Review of the Literature: Https://Doi.Org/10.1177/1937586717747384, 11(1), 15–30. https://doi.org/10.1177/1937586717747384

Pedroso, C. F., Pereira, C. C., Cavalcante, A. M. R. Z., &Guimarães, R. A. (2023). Magnitude of risk factors for chronic noncommunicable diseases in adolescents and young adults in Brazil: A population-based study. PLOS ONE, 18(10). https://doi.org/10.1371/JOURNAL.PONE.0292612

Pippa Hemingway. (2009). What is systematic review. Evidence Based Medicine, 1–8. https://familymedicine.med.wayne.edu/mph/project/what_is_a_systematic_review.pdf

Ramesh, S., &Kosalram, K. (2023). The burden of non-communicable diseases: A scoping review focus on the context of India. Journal of Education and Health Promotion, 12(1), 41. https://doi.org/10.4103/JEHP.JEHP_1113_22

Ray, J., Som, K., Paul, R., &Bandyopadhyay, D. (2018). Prevalence of Alcohol use Among Tribal Population Based on Self-Reported Data: A Hospital-based Pilot Study from West Bengal. JIACM, 19(4), 269–273.

Redvers, N., Aubrey, P., Celidwen, Y., & Hill, K. (2023). Indigenous Peoples: Traditional knowledges, climate change, and health. PLOS Global Public Health, 3(10). https://doi.org/10.1371/JOURNAL.PGPH.0002474

Ritte, R. E., Lawton, P., Hughes, J. T., Barzi, F., Brown, A., Mills, P., Hoy, W., O’Dea, K., Cass, A., & Maple-Brown, L. (2020). Chronic kidney disease and socio-economic status: a cross sectional study. Ethnicity & Health, 25(1), 93–109. https://doi.org/10.1080/13557858.2017.1395814

Rose, A., Mohan, V. R., Vinodh, A., David, S. M., George, K., Minz, S., & Prasad, J. H. (2021). Hazardous use of alcohol among men in the tribal population of Jawadhi Hills, Tamil Nadu: Nature, prevalence, and risk factors. Journal of Family Medicine and Primary Care, 10(1), 481. https://doi.org/10.4103/JFMPC.JFMPC_1354_20

Roy, A. D., Das, D., &Mondal, H. (2023). The Tribal Health System in India: Challenges in Healthcare Delivery in Comparison to the Global Healthcare Systems. Cureus, 15(6). https://doi.org/10.7759/CUREUS.39867

Sharma, K. (2019). Gender Dimensions of Poverty and Food Security: A Case Study of Palamu District of Jharkhand. Https://Doi.Org/10.1177/0019556118822027, 65(1), 171–188. https://doi.org/10.1177/0019556118822027

Sharma, M., Gaidhane, A., &Choudhari, S. G. (2024). A Comprehensive Review on Trends and Patterns of Non-communicable Disease Risk Factors in India. Cureus, 16(3). https://doi.org/10.7759/CUREUS.57027

Shriraam, V., Mahadevan, S., &Arumugam, P. (2021). Prevalence and Risk Factors of Diabetes, Hypertension and Other Non-Communicable Diseases in a Tribal Population in South India. Indian Journal of Endocrinology and Metabolism, 25(4), 313. https://doi.org/10.4103/IJEM.IJEM_298_21

Sinha, A., Kanungo, S., Bhattacharya, D., Kaur, H., &Pati, S. (2023). Non-communicable disease multimorbidity among tribal older adults in India: evidence from Study on Global AGEing and adult health, 2015. Frontiers in Public Health, 11. https://doi.org/10.3389/FPUBH.2023.1217753

Soman, B., Lathika, A. R., Unnikrishnan, B., &Shetty, R. S. (2023). Tracing the Disparity Between Healthcare Policy–Based Infrastructure and Health Belief–Lead Practices: a Narrative Review on Indigenous Populations of India. Journal of Racial and Ethnic Health Disparities, 1–12. https://doi.org/10.1007/S40615-023-01810-3/TABLES/3

Taraphdar, P., Vasudeva, A., Sheikh, N. A., Bharti, A., Chanu, A. R., Yadav, S. L., &Sahu, S. (2022). Understanding health care seeking behavior in a tribal setting in West Bengal. Journal of Family Medicine and Primary Care, 11(4), 1443. https://doi.org/10.4103/JFMPC.JFMPC_1363_21

Torgerson, D. J., &Torgerson, C. J. (2003). Avoiding Bias in Randomised Controlled Trials in Educational Research. British Journal of Educational Studies, 51(1), 36–45. https://doi.org/10.1111/1467-8527.T01-2-00223

Wood, S., Harrison, S. E., Judd, N., Bellis, M. A., Hughes, K., & Jones, A. (2021). The impact of behavioural risk factors on communicable diseases: a systematic review of reviews. BMC Public Health, 21(1). https://doi.org/10.1186/S12889-021-12148-Y

Downloads

Published

2025-04-01

How to Cite

1.
Jamdade V, Kumar Ray S. Behavioral Risk Factors and Non-communicable diseases in Tribal Adults: A Systematic Review. J Neonatal Surg [Internet]. 2025Apr.1 [cited 2025Jul.10];14(4):334-46. Available from: https://jneonatalsurg.com/index.php/jns/article/view/2887