Kenya Malaria Indicator Survey 2015 DDI_KEN_2015_STEPS_v01_M Kenya National Bureau of Statistics

Division of Non communicable Diseases, Ministry of Health

Kenya National Bureau of Statistics

World Health Organization

Kenya National Bureau of Statistics 2016-05-02 Nesstar Publisher Kenya MALARIA Indicator Survey-2010 Stepwise Survey for Non Communicable Diseases Risk Factors 2015 STEPS 2015 KEN_2015_STEPS_v01_M Kenya National Bureau of Statistics Division of Non Communicable Diseases World Health Organization 2012-08-02 Nesstar Publisher National Malaria Control Programme, Ministry of Health Kenya National Bureau of Statistics ICF International Director General World Health Survey [STEP Survey] Data was collected using Personal Digital Assistants (PDAs) Kenya Sample survey data [ssd] The scope of the Kenya Stepwise Survey for Non Communicable Diseases Risk Factors 2015 includes: Demographic Information, Tobacco Use, Alcohol Consumption, Diet, Dietary Sugar Intake, Physical Activity, Work, Travel to and from places, Recreational activities, Sedentary behavior, History of Raised Blood Pressure, History of Diabetes, History of Raised Total Cholesterol, History of Cardiovascular Diseases, Lifestyle Advice, Cervical Cancer Screening, Injury, Unintentional Injury, Violence, Oral Health, Khat use, Blood Pressure, Height and Weight, Waist, Blood Glucose, Blood Lipids. Computer Assisted Personal Interview [capi] Kenya NADA Any part of this document may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged, it may not be sold or used in conjuction with commercial purposes or for profit. 2015 STEPS Data.NSDstat 0 323 Nesstar 200801 Participant ID 0 0 Cluster Name 0 0 Cluster/Centre/Village name 0 0 Location \Residence 0 0 1 Rural 2 Urban County Name 0 0 1 BARINGO 2 BOMET 3 BUNGOMA 4 BUSIA 5 ELGEYO MARAKWET 6 EMBU 7 GARISSA 8 HOMA BAY 9 ISIOLO 10 KAJIADO 11 KAKAMEGA 12 KERICHO 13 KIAMBU 14 KILIFI 15 KIRINYAGA 16 KISII 17 KISUMU 18 KITUI 19 KWALE 20 LAIKIPIA 21 LAMU 22 MACHAKOS 23 MAKUENI 24 MANDERA 25 MARSABIT 26 MERU 27 MIGORI 28 MOMBASA 29 MURANGA 30 NAIROBI 31 NAKURU 32 NANDI 33 NAROK 34 NYAMIRA 35 NYANDARUA 36 NYERI 37 SAMBURU 38 SIAYA 39 TAITA TAVETA 40 TANA RIVER 41 THARAKA-NITHI 42 TRANS-NZOIA 43 TURKANA 44 UASIN GISHU 45 VIHIGA 46 WAJIR 47 WEST POKOT Household number 0 0 Interviewer ID 0 0 Day of interview 0 0 Month of interview 0 0 Year of interview 0 0 Consent has been read and obtained 0 0 Language 0 0 Time of interview 0 0 Time of interview 0 0 Sex 0 0 What is your date of birth 0 0 What is your date of birth 0 0 What is your date of birth 0 0 What is your date of birth 0 0 Age 0 0 Years spent in School 0 0 What is the highest level of education you have completed 0 0 Ethnicity 0 0 Marital status 0 0 Main Work 0 0 1 Govt employee 2 3 Self-employed 4 Non-paid/volunteer 5 student 6 homemaker 7 retired 8 Unemployed able to work 9 Unemployed unable to work 88 Refused Adults in the household 0 0 Drinking water 0 0 11 piped into dwelling 12 piped into compound 13 piped to neighbor 14 piped to kiosk 15 public tap 21 borehole 31 protected dug well 32 unprotected dug well 41 protected spring water 42 unprotected spring water 51 rainwater collection 61 tanker-truck 71 cart with small tank/drum 81 surface water 91 bottled water 96 other Drinking water 0 0 Toilet 0 0 11 flush to sewer 12 flush to septic tank 13 flush to pit latrine 14 flush to somewhere else 15 flush to unknown 21 ventilated improved pit latrine 22 pit latrine with slab 23 open pit latrine 31 composting toilet 41 bucket 51 hanging latrine 95 no facility 96 other Toilet 0 0 Floor 0 0 11 earth/sand 12 dung 21 wood planks 22 palm/bamboo 31 parquet or polished wood 32 vinyl or asphalt strips 33 ceramic tiles 34 cement 35 carpet 96 other Floor 0 0 Roof 0 0 11 no roof 12 grass/thatch/makuti 13 dung/mud 21 mabati 22 tin cans 31 asbestos sheet 32 concrete 33 tiles 96 other Roof 0 0 Walls 0 0 11 no walls 12 cane/palm/trunks 13 dirt 21 bamboo with mud 22 stone with mud 23 uncovered adobe 24 plywood 25 cardboard 26 reused wood 31 cement 32 stone with lime/cement 33 bricks 34 cement blocks 35 covered adobe 36 wood planks/shingles 96 other Walls 0 0 cooking fuel 0 0 1 electricity 2 LPGas 3 Natural gas 4 biogas 5 kerosene 6 coal 7 charcoal 8 wood 9 straw/shrubs/grass 10 animal dung 11 agricultural crop residue 96 other 97 no cooking Electricity 0 0 1 yes 2 no radio 0 0 1 yes 2 no TV 0 0 1 yes 2 no refrigerator 0 0 1 yes 2 no washing machine 0 0 1 yes 2 no landline phone 0 0 1 yes 2 no mobile phone 0 0 1 yes 2 no bicycle 0 0 1 yes 2 no motorcycle/scooter 0 0 1 yes 2 no watch 0 0 1 yes 2 no computer 0 0 1 yes 2 no boat with motor 0 0 Car/truck 0 0 1 Yes 2 No animal drawn cart 0 0 1 yes 2 no Household dwelling 0 0 1 Own 2 Rent 3 Squatter/stay for free/other Employed help 0 0 1 Yes 2 No Agricultural land ownership 0 0 1 yes 2 no livestock ownership 0 0 1 yes 2 no number of local cattle owned 0 0 number of exotic/grade cattle owned 0 0 number of horses/donkeys/camels owned 0 0 number of goats owned 0 0 number of sheep owned 0 0 number of chicken/goose/ducks owned 0 0 number of pigs owned 0 0 X14DN 0 0 Currently smoking 0 0 1 yes 2 no Smoking daily 0 0 1 yes 2 no Age when started smoking 0 0 Years since started smoking 0 0 Months since started smoking 0 0 Weeks since started smoking 0 0 Manufactured cigarettes 0 0 Manufactured cigarettes 0 0 Hand-rolled cigarettes 0 0 Hand-rolled cigarettes 0 0 Pipes full of tobacco (Kiko) 0 0 Pipes full of tobacco (Kiko) 0 0 Cigars, cheroots, cigarillos 0 0 Cigars, cheroots, cigarillos 0 0 Number of Shisha sessions 0 0 Number of Shisha sessions 0 0 Other 0 0 Other 0 0 Other (please specify) 0 0 Tried to stop smoking in the past year 0 0 1 yes 2 no Advised to stop smoking in the past year 0 0 1 yes 2 no 3 no visit to health care worker Smoked in the past 0 0 1 yes 2 no Smoked daily in the past 0 0 1 yes 2 no Age when stopped smoking 0 0 years since smoke cessation 0 0 months since smoke cessation 0 0 weeks since smoke cessation 0 0 currently using smokeless tobacco 0 0 1 yes 2 no currently using smokeless tobacco daily 0 0 Snuff, by mouth 0 0 Snuff, by mouth 0 0 Snuff, by nose 0 0 Snuff, by nose 0 0 Chewing tobacco e.g. kuber 0 0 Chewing tobacco e.g. kuber 0 0 Betel, quid with tobacco (pan) 0 0 Betel, quid with tobacco (pan) 0 0 Other 0 0 Other 0 0 Other (please specify) 0 0 past use of smokeless tobacco 0 0 1 yes 2 no past daily use of smokeless tobacco 0 0 1 yes 2 no indoor smoking at home in the past month 0 0 1 yes 2 no indoor smoking at work place in the past month 0 0 ever used electronic cigarette 0 0 1 yes 2 no ever consumed alcohol 0 0 1 yes 2 no consumed alcohol in the past year 0 0 1 yes 2 no stopped drinking due to health reasons 0 0 1 yes 2 no days per month consuming alcohol (in the past year) 0 0 1 30 2 21-26 3 12-20 4 4-10 5 1-3 6 less than one consumed alcohol in the past month 0 0 1 yes 2 no nb of occasions consuming alcohol in the past month 0 0 nb of standard drinks per occasion (past month) 0 0 largest nb of standard drinks in one occasion (past month) 0 0 binge drinking events in the past month 0 0 nb of drinks past Monday 0 0 nb of drinks past Tuesday 0 0 nb of drinks past Wednesday 0 0 nb of drinks past Thursday 0 0 nb of drinks past Friday 0 0 nb of drinks past Saturday 0 0 nb of drinks past Sunday 0 0 consumed illicit/untaxed alcohol in the past week (home-brew excluded) 0 0 1 yes 2 no nb of standard drinks of home-brewed spirits 0 0 nb of standard drinks of home-brewed beer or wine 0 0 nb of standard drinks of alcohol not intended for drinking 0 0 nb of standard drinks of other untaxed alcohol 0 0 nb of standard drinks of (self)imported alcohol 0 0 days per week consuming fruit 0 0 amount of fruit consumed (servings per day when fruit consumed) 0 0 days per week consuming vegetables 0 0 amount of vegetables consumed (servings per day when fruit consumed) 0 0 frequency of adding salt to food 0 0 1 every meal 2 most meals 3 every week 4 not every week 5 never 77 don’t know frequency of using salt when cooking 0 0 1 every meal 2 most meals 3 every week 4 not every week 5 never 77 don’t know frequency of eating processed food high in salt 0 0 1 every meal 2 most meals 3 every week 4 not every week 5 never 77 don’t know consumption of salt 0 0 1 far too much 2 too much 3 enough 4 too little 5 far too little 77 don’t know How important to lower salt in your diet 0 0 1 very important 2 somewhat important 3 not important 77 don’t know Can too much salt cause health problems 0 0 1 yes 2 no 77 don’t know do you limit use of processed food 0 0 1 yes 2 no do you check food labels for salt content 0 0 1 yes 2 no do you buy low salt alternatives 0 0 1 yes 2 no do you use spices instead of salt when cooking 0 0 1 yes 2 no avoid eating food prepared outside a home 0 0 1 yes 2 no do you do other things to avoid salt 0 0 1 yes 2 no other things done to avoid salt 0 0 cooking oil or fat used 0 0 1 liquid vegetable oil 2 solid vegetable fat 3 lard or suet 4 butter or ghee 5 margarine 6 plan oil 7 coconut oil 8 other 9 none in particular 10 no fat used 77 don’t know cooking oil or fat used 0 0 meals per week not prepared at a home 0 0 how often adding sugar to beverages 0 0 1 every drink 2 every day 3 every week 4 not every week 5 never 77 don’t know days per week soda is consumed 0 0 days per week soda is consumed 0 0 nb of bottles of soda consumed (per one of those days) 0 0 nb of bottles of soda consumed (per one of those days) 0 0 frequency of consuming processed food high in sugar 0 0 1 every meal 2 most meals 3 every week 4 not every week 5 never 77 don’t know How much sugar do you consume 0 0 1 far too much 2 too much 3 enough 4 too little 5 far too little 77 don’t know Importance of lowering sugar in your diet 0 0 1 very important 2 somewhat important 3 not important 77 don’t know can too much sugar cause a health problem 0 0 1 yes 2 no do you minimise sugar used in beverages 0 0 1 yes 2 no do you limit intake of soda and sugary drinks 0 0 1 yes 2 no do you limit intake of processed foods 0 0 1 yes 2 no do you do other things to control sugar intake 0 0 1 yes 2 no do you use unrefined 0 0 1 yes 2 no things done to control sugar 0 0 do you do vigorous-intensity activities at work 0 0 1 yes 2 no days per week with vigorous work 0 0 hours spent on vigorous work (per day) 0 0 minutes spent on vigorous work (per day) 0 0 do you do moderate-intensity activities at work 0 0 1 yes 2 no days per week with moderate work 0 0 hours spent on moderate work (per day) 0 0 minutes spent on moderate work (per day) 0 0 do you walk or cycle for at least 10 min to/from places 0 0 1 yes 2 no days per week walking or cycling 0 0 hours spent on walking or cycling (per day) 0 0 minutes spent on walking or cycling (per day) 0 0 do you do vigorous-intensity activity sports 0 0 1 yes 2 no days per week with vigorous sports 0 0 hours spent on vigorous sports (per day) 0 0 minutes spent on vigorous sports (per day) 0 0 do you do moderate-intensity activity sports 0 0 1 yes 2 no days per week with moderate sports 0 0 hours spent on moderate sports (per day) 0 0 minutes spent on moderate sports (per day) 0 0 hours spent on sitting or reclining per day 0 0 minutes spent on sitting or reclining per day 0 0 health worker checked blood pressure 0 0 1 yes 2 no health worker diagnosed hypertension HTN 0 0 1 yes 2 no diagnosed with HTN in the past year 0 0 1 Yes 2 No taken prescribed medication for HTN in the past two weeks 0 0 1 yes 2 no seen a traditional healer for HTN 0 0 1 yes 2 no currently taking herbal/traditional meds for HTN 0 0 1 yes 2 no health worker measured blood sugar 0 0 1 Yes 2 No health worker diagnosed diabetes DM 0 0 1 yes 2 no diagnosed with DM in the past year 0 0 1 Yes 2 No took prescribed medicine for DM in the past two weeks 0 0 1 yes 2 no currently using insulin prescribed by a health worker 0 0 1 Yes 2 No seen a traditional healer for DM 0 0 1 yes 2 no currently using traditional/herbal meds for DM 0 0 1 Yes 2 No health worker checked your cholesterol 0 0 1 yes 2 no health worker diagnosed high cholesterol 0 0 1 Yes 2 No diagnosed with high cholesterol in the past year 0 0 1 yes 2 no in the past two weeks taken meds for high cholesterol 0 0 1 Yes 2 No seen a traditional healer for high cholesterol 0 0 1 yes 2 no using traditional/herbal meds for high cholesterol 0 0 1 Yes 2 No had a stroke, angina or heart attack 0 0 1 yes 2 no use aspirin regularly 0 0 1 Yes 2 No use statins regularly 0 0 1 yes 2 no Advised to quit tobacco/not start smoking 0 0 1 Yes 2 No Advised to reduce use of alcohol 0 0 1 yes 2 no Advised to reduce salt intake 0 0 1 Yes 2 No Advised to reduce intake of fats 0 0 1 yes 2 no Advised to eat 5 servings of fruit/vegetables a day 0 0 1 Yes 2 No Advised to reduce intake of refined sugar 0 0 1 yes 2 no Advised to maintain a healthy body weight/loose weight 0 0 1 yes 2 no Advised to start or do more physical activity 0 0 1 Yes 2 No Primary source of health care 0 0 1 self-medication 2 herbal/alternative therapy 3 dispensary 4 community health worker 5 health center 6 district hospital 7 county or provincial referral hospital 8 national referral hospital 9 private clinic 10 private hospital 11 OTC/pharmacy Heard of cervical cancer screening methods 0 0 1 Yes 2 No 77 don’t know Have you ever had a cervical cancer screening test 0 0 1 yes 2 no 77 don’t know Used a seat belt when in a vehicle during the past month 0 0 1 all of the time 2 sometimes 3 never 4 not been in a vehicle 5 no seatbelt in the vehicle 77 don’t know 88 refused Used helmet when on a motorcycle or scooter during the past month 0 0 1 all of the time 2 sometimes 3 never 4 not been on a motorcycle 5 dont have a helmet 77 don’t know 88 refused Been involved in a road traffic crash during the past year 0 0 1 yes as driver 2 yes as passenger 3 yes as pedestrian 4 yes as cyclist 5 no 77 don’t know 88 refused Required medical attention due to the crash 0 0 1 yes 2 no 77 don’t know 88 refused Accidential injury in the past year 0 0 1 yes 2 no 77 don’t know 88 refused Cause of the injury 0 0 1 fall 2 burn 3 poisoning 4 cut 5 near-drowning 6 animal bite/attack 7 other 77 don’t know 88 refused Cause of injury 0 0 Place of injury 0 0 1 home 2 school 3 work place 4 road 5 farm 6 sports area 7 other 77 don’t know 88 refused place of injury 0 0 Used helmet when riding a bicycle during the past month 0 0 1 always 2 sometimes 3 never 4 did not ride a bicycle 77 don’t know 88 refused Used a designated crossing area in the past month 0 0 1 every time a road was crossed 2 sometimes 3 never 4 did not cross a road 5 no designated crossings on the roads 77 don’t know 88 refused number of times in the past month been driving after drinking alcohol 0 0 number of times in the past month been driving after drinking alcohol 0 0 number of times in the past month been driving after drinking alcohol 0 0 number of times in the past month been a passenger when driver had been drinking alcohol 0 0 number of times in the past month been a passenger when driver had been drinking alcohol 0 0 number of times in the past month been a passenger when driver had been drinking alcohol 0 0 times been injured in a violent incidence during the past year 0 0 Cause of most serious violent injury in the past year 0 0 1 Firearm 2 Other weapon 3 no weapon involved 4 other 77 don’t know 88 refused Cause of most serious violent injury in the past year 0 0 Relationship to violator 0 0 1 intimate partner 2 parent 3 other relative 4 friend, acquaintance or neighbor 5 unrelated caregiver 6 stranger 7 official authorities 8 other 77 don’t know 88 refused relationship to violator 0 0 Main reason for last dentist visit 0 0 1 consultation 2 pain 3 treatment 4 routine check-up 5 other 77 don’t know 88 refused Main reason for last dentist visit 0 0 frequency of cleaning teeth 0 0 1 never 2 once a month 3 2-3 times a month 4 once a week 5 2-6 times a week 6 once a day 7 at least twice a day Using toothpaste 0 0 1 yes 2 no toothpaste containing flouride 0 0 1 yes 2 no Using toothbrush 0 0 1 yes 2 no usng wooden toothpicks 0 0 1 yes 2 no Using plastic toothpicks 0 0 1 yes 2 no using thread 0 0 1 yes 2 no using charcoal 0 0 1 yes 2 no using chewstick 0 0 1 yes 2 no Using other 0 0 1 yes 2 no Using other 0 0 difficulty in speaking in the past year due to teeth 0 0 1 yes 2 no difficulty in chewing in the past year due to teeth 0 0 1 yes 2 no felt tense in the past year due to teeth 0 0 1 yes 2 no embarrassed about teeth in the past year 0 0 1 yes 2 no avoid smiling in the past year due to teeth 0 0 1 yes 2 no sleep often interrupted in the past year due to teeth 0 0 1 yes 2 no days not at work or school in the past year due to teeth 0 0 1 yes 2 no difficulty doing usual activities in the past year due to teeth 0 0 1 yes 2 no reduced social activities in the past year due to teeth 0 0 1 yes 2 no less tolerant in the past year due to teeth 0 0 1 yes 2 no ever chewed khat 0 0 1 yes 2 no currently chewing khat 0 0 1 yes 2 no Step2 Check 0 0 Interviewer ID 0 0 Device ID for blood pressure 0 0 First systolic reading 0 0 first diastolic reading 0 0 first reading heartbeat per minute 0 0 second systolic reading 0 0 second diastolic reading 0 0 first reading heartbeat per minute 0 0 third systolic reading 0 0 third diastolic reading 0 0 third reading heartbeat per minute 0 0 In the past two weeks, have you been treated for raised blood pressure with drugs (medication) prescribed by a doctor or other health worker 0 0 1 yes 2 no pregnant 0 0 1 yes 2 no Device IDs for height and weight 0 0 height 0 0 weight 0 0 Device IDs for height and weight 0 0 waist circumference 0 0 hip circumference 0 0 Step 3 Check 0 0 fasting 0 0 Technician ID 0 0 Device ID 0 0 Time of day blood specimen taken (24 hour clock) 0 0 Time of day blood specimen taken (24 hour clock) 0 0 Fasting blood glucose 0 0 Taken insulin today 0 0 Hdl cholesterol 0 0 taken cholesterol lowering medicines during the past two weeks 0 0 1 yes 2 no Interview begins 0 0 Interview ends 0 0 Time taken to interview 0 0 Device ID 0 0 Age groups 0 0 Age in single years 0 0 Sex 0 0 If valid in epi info 0 0 PSU 0 0 wstep1 0 0 wstep2 0 0 wstep3 0 0 stratum 0 0 wealth 0 0 residence 0 0 education level 0 0 number of natural teeth 0 0 1 none 2 1 to 9 3 10 to 19 4 20 to 27 5 28 or more 77 don’t know 88 refused state of teeth 0 0 1 excellent 2 very good 3 good 4 average 5 poor 6 very poor 77 don’t know 88 refused state of gums 0 0 1 excellent 2 very good 3 good 4 average 5 poor 6 very poor 77 don’t know 88 refused any removable dentures 0 0 An upper jaw denture 0 0 1 Yes 2 No A lower jaw denture 0 0 1 Yes 2 No During the past 12 months, did your teeth or mouth cause any pain or discomfort 0 0 1 Yes 2 No What did you do last time you had pain 0 0 1 traditional healer 2 dispensary 3 public medical center or hospital 4 private medical center or hospital 5 private dental clinic 6 pharmacy 7 self medication 8 did not do anything 9 did other things 77 don’t know 88 refused what did you do last time you had pain 0 0 Last saw a dentist 0 0 1 Less than 6 months 2 6-12 months 3 1-2 years 4 2-5 years 5 5 or more years 6 never saw a dentist