Worldwide Non-Communicable Diseases (NCDs) are emerging as a major public health challenge in current health scenario as leading causes of morbidity and premature death [1-3]. Globally, impact NCDs are increasing of asymmetric higher in developing countries which is threaten to public health [4]. The NCDs describes a wide range of conditions, diseases, and disorders; that are causes genetic, lifestyle, or environmental [3]. It is needed to concern for Non-Communicable Diseases (NCDs) are the worrying issue for society and national governments, as well as globally due to their high mortality rate [5]. The leading causes of death in globally are NCDs than another combined causes. NCDs are responsible for near about 41 million deaths each year, which is equivalent to 71% of all deaths [6]. Near about 80% of NCDs deaths occur in low- and middle-income countries and nearly three fourth of global NCDs related deaths take place after the age of 60 [7]. According to World Health Organization (WHO) report, NCDs are responsible 17 million deaths before the age of 70 years which is occur in low- and middle-income countries; 77% are in low- and middle-income countries. NCDs like cardiovascular diseases are account for most NCD deaths. Annually 17.9 million deaths are occurring in cardiovascular diseases; followed by cancers 9.3 million; 4.1 million chronic respiratory diseases, and diabetes 2.0 million including kidney disease deaths caused by diabetes [8].

In low and middle-income countries almost 15 million people die because of NCDs annually between the ages of 30-69 years; and over 85% premature deaths are occurred [6] cardiovascular diseases make up most NCDs deaths, followed by cancer, respiratory diseases, and then diabetes. These four categories of disease account for more than 80% of all premature NCD deaths [9]. It is estimated that NCDs are responsible around 42% and 27% are premature deaths in Ethiopia, which is occurring at the age of 70 years [10]. Bangladesh is passing through a demographic transition and an epidemiological transition and currently has a double burden of diseases [11]. In Bangladesh total deaths: 886,000 and NCDs are estimated to account for 67% of total deaths. The probability of dying between ages 30 and 70 years from the 4 main NCDs. Two third of premature deaths in adults are associated with childhood conditions and behaviors, and behavior associated with NCD risk factors is common in young people [12].

Several risk factors can increase the number of chances to develop NCDs. Non-modifiable risk factors including age, gender, genetic factors, race, and ethnicity [5]. Modifiable risk factors such as tobacco use, physical inactivity, unhealthy diet and the harmful use of alcohol, all increase the risk of NCDs [13]. Tobacco (including from the effects of exposure to second-hand smoke) and alcohol including cancer accounts for 7.2 and 3.3 million deaths every year. Annually 4.1 and 1.6 million deaths occur due to excessive salt/sodium intake, alcohol use and insufficient physical activities [13]. A study conducted in India study results showed that only 0.3% had good level of knowledge regarding the risk factors and awareness of risk factors of NCDs, and the awareness of rural adolescents was consistently lower than the urban adolescent’s [1]. Raising awareness through health education seems to be an important persistent option for modifying the mass dietary habit and tobacco consumption, exercise of the students. Specific intervention programs must be designed based on risk factors and high-risk groups for the early detection and treatment of the major NCDs [11].

Poverty is closely linked with NCDs. The rapid rise in NCDs is predicted to delay poverty reduction initiatives in low-income countries, particularly by increasing household costs associated with health care. Vulnerable and socially disadvantaged people get sicker and die sooner than people of higher social positions, because they are at greater risk of being exposed to harmful products, such as tobacco, or unhealthy dietary practices, and have limited access to health services. In low-resource settings, health-care costs for NCDs quickly drain household resources. The excessive treatment costs of NCDs including which is often lengthy and expensive, combined with loss of income, force millions of people into poverty annually and suppress development (WHO, 2021). NCDs are gradually increasing day by day for different types of new risk factors. Proper education and awareness can take crucial role to prevent NCDs. For establishing successful strategies in order to increase utilization of any health educational program and preventive services there is need to explore an extent to which potential beneficiaries are aware about the problem. This study will be helpful to modify individuals’ health behavior through providing information regarding risk factors of NCDs.

The findings of this study will have an important implication to raise awareness about the consequences regarding risk factors of NCDs not only among college students, but also their family members, teachers and community people; and will help the health care provider to establish an awareness program regarding risk factors of non-communicable diseases for further implementation. There is limited research on awareness regarding risk factors of NCDs in Bangladesh. Thus, the investigator would like to conduct a study on awareness regarding risk factors of non-communicable diseases among college students in Bangladesh.