Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with adverse effects. However, NSAIDs are among the most popular pain killers and easily available over the counter. This study aimed to determine the prevalence of NSAIDs use in Malaysian adults and among those with chronic diseases such as arthritis, kidney disease, hypertension, heart disease and asthma. It also examined the factors associated with NSAIDs use. Data from the National Health Morbidity Survey (NHMS) 2011, a nation-wide survey was analysed. A total of 18231 respondents aged 18 years and above responded to this module. Multivariate logistic regression was used to investigate the association between NSAIDs use and associated factors. The overall prevalence of NSAIDs use among Malaysian adults was 14.2% (95%CI 13.3-15.1). Of the respondents, 4.2% (95%CI 3.8-4.7) took NSAIDs once daily. NSAIDs use was highly associated with those who were ever-told to have arthritis (aOR: 3.03; 95%CI 2.60-3.52) and have difficulty of performing daily activities or work (aOR: 2.06; 95%CI 1.86-2.28). Those who were ever-told to have kidney disease (aOR: 2.36; 95%CI 1.74-3.20), ever-told to have asthma (aOR: 1.36; 95%CI 1.17- 1.58), ever-told to have heart disease (aOR: 1.34; 95%CI 1.08-1.65), known hypertension (aOR: 1.22; 95%CI 1.08-1.37) also were associated with NSAIDs use. By socio-demographic profiles, NSAIDs use was positively associated with those who have government benefit scheme or private health insurance (aOR: 1.44; 95%CI 1.31-1.58), higher education level (aOR: 1.35; 95%CI 1.20-1.51), higher household income (aOR: 1.26; 95%CI 1.11-1.44, aOR: 1.12; 95%CI 1.02-1.24), currently working (aOR: 1.25; 95%CI 1.13-1.39) and female (aOR: 1.17; 95%CI 1.07-1.28). NSAIDs use was less likely among those aged 60 years and above (aOR: 0.83; 95% CI 0.72-0.97), Chinese (aOR: 0.41; 95% CI 0.36-0.47) and ‘Others’ ethnicity (aOR: 0.82; 95% CI 0.67-0.99) compared to Malay ethnicity. NSAIDs use is prevalent in Malaysian adults and associated with co-morbidities and higher socio-demographic status, thus appropriate awareness should be promoted and highlighted in the community.

Background: This study examines the effects of sociodemographic factors on participation in vigorous and moderate physical activity and how they vary across bodyweight group (underweight, normal, overweight, obese I, obese II). Methods: This study uses a nationally representative data with a sample of 10141 respondents. Bivariate and multivariate analyses are stratified by bodyweight group. The intensity of physical activity is measured using metabolic equivalent (MET). Vigorous physical activity has >6 MET, while moderate physical activity has ≤6 MET. Results: Several important findings are noteworthy. First, age has a positive impact on moderate physical activity among obese I individuals but a negative impact on moderate physical activity among obese II individuals. Second, education is significant in determining participation in all intensity levels of physical activity among obese I individuals. Third, higher income obese II individuals spend less time in vigorous physical activity than their lower income counterparts. However, higher income overweight and obese I individuals spend less time in moderate physical activity compared with those who have lower income. Fourth, overweight, obese I and obese II males spend more time in vigorous and total physical activity than their female counterparts, but they allocate less time for moderate physical activity. Conclusions: It appears that sociodemographic factors play an important role in determining participation in vigorous and moderate physical activity among overweight and obese adults. We conclude by discussing implications for policies directed towards promoting physically active lifestyle among overweight and obese adults who are unlikely to spend time in physical activity.