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Record W4406834476 · doi:10.1016/j.cegh.2025.101951

Clustering of non-communicable disease risk factors among school teachers: A cross-sectional study in Kerala, India

2025· article· en· W4406834476 on OpenAlexfundno aff
GK Mini, Sangeeth Krishna S, Anand Marthanda Pillai, P.S. Sarma, Thankappan KR

Bibliographic record

VenueClinical Epidemiology and Global Health · 2025
Typearticle
Languageen
FieldHealth Professions
TopicSchool Health and Nursing Education
Canadian institutionsnot available
FundersPublic Health Foundation of IndiaDepartment of Science and Technology, Ministry of Science and Technology, IndiaPopulation Health Research Institute
KeywordsNon-communicable diseaseCross-sectional studyCluster analysisEnvironmental healthCommunicable diseaseGeographyMedicineDiseaseStatisticsPublic healthMathematicsNursing

Abstract

fetched live from OpenAlex

Background There is limited data on non-communicable disease (NCD) risk factors among teachers in low and middle-income settings. We assessed the prevalence and clustering of NCD risk factors among school teachers in Kerala. Methods This study analyzed data from 2216 school teachers in the Thiruvananthapuram district of Kerala. The World Health Organization (WHO) STEPs questionnaire for NCD risk factor surveillance was used. We collected socio-demographic information and behavioural risk factors using STEP-1 and clinical measurements using STEP-2. We included WHO recommended four behavioural risk factors and four metabolic risk factors for analysis. Results The main risk factors were physical inactivity (76.4 %) and overweight/obesity (68.8 %). Current tobacco use was reported by 5 % of men, while 13.4 % of men and 2.6 % of women reported alcohol use. A quarter of teachers consumed than five servings of fruits and vegetables daily. Self-reported diabetes prevalence was 10.6 % and dyslipidaemia was 22.4 %. Hypertension prevalence was 18.1 %. Only 2.8 % had no risk factors, 18.9 % had one, 37.7 % had two, and 40.6 % had three or more. Among physically inactive participants, the most common co-occurring risk factor was overweight, followed by insufficient fruit and vegetable intake. For overweight participants, physical inactivity and insufficient fruit and vegetable consumption were prevalent. In hypertensives, the most common co-morbidity was being overweight, followed by physical inactivity. Conclusion A higher proportion of teachers had three or more NCD risk factors indicating the need for targeted interventions for school teachers to mitigate these risk factors to prevent NCDs.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.022
metaresearch head score (Gemma)0.025
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.023
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0220.025
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.180
GPT teacher head0.607
Teacher spread0.427 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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