The Case Study of Heart Disease at Urban and Rural Communities by Gender and Age in Indonesia in 2018 (original) (raw)
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Jurnal Ilmu Kesehatan Masyarakat, 2020
Coronary heart disease (CHD) is a leading cause of death globally with a mortality rate of nearly 17.5 million annually. Hypertension accounts for 31% of all deaths from cardiovascular disease. High blood pressure (hypertension) is one of the main risk factors for CHD which is a serious problem that needs to be addressed in Indonesia and the world. The purpose of this study was to assess the risk of hypertension in the incidence of coronary heart disease in urban and rural communities in Indonesia. This research is using a retrospective cohort study design. The data used are secondary data from the Indonesian Family Life Survey (IFLS-4 and IFLS-5 data for 2007-2014) with a total sample of 22,656 population respondents aged ≥18 years. The Cox regression multivariable method was used to estimate the risk of CHD (RR) and its 95% confidence interval. Multivariate analysis results after adjusting for cholesterol history showed that respondents with hypertension in urban communities were ...
Human Care Journal, 2020
Introduction: Cardiovascular disease (CVD) is a major cause of death and disability worldwide. The most stringent primary CVD screening guidelines in developed countries use absolute CVD risk scores or coronary heart disease, such as Framingham or SCORE (Systematic Coronary Risk Evaluation) there are two types of CVD risk factors namely modifiable risk factors and unmodified risk factors. The aim of the current study is to determine the profil of potentially modifiable and unmodified cardiovascular risk factors. Method: This research consists of 41 elderly people which aged ≥ 60 years in Guguak, Kabupaten 50 Kota, West Sumatera, Indonesia. The data taken is modifiable risk factors consisting of diseases related risk factors including blood pressure categories, lipid profile, central obesity, body mass index and lifestyle related risk factors such as smoking habit. We also take data of unmodified risk factors such as age and gender. The result: this study consists of 41 elderly peopl...
Vascular Health and Risk Management, 2022
Cardiovascular disease (CVD) is the leading cause of death worldwide and is the number one mortality cause in Indonesia. The highest percentage of its prevalence occurs in the elderly population. This research aims to assess the determinants of CVDs in the elderly population in Indonesia based on the Indonesian Family Life Survey 5 (IFLS-5), a sub-nationally representative survey data, in 2014-2015. Methods: A national cross-sectional population-based survey was conducted using multicenter data from approximately 13 provinces in Indonesia in 2014-2015. We included elderly subjects aged 60 years old and above with complete data on sociodemographic, smoking habits, obesity, dietary pattern, and physical activity and diagnosis data on hypertension, diabetes mellitus (DM), and hypercholesterolemia. Multivariate logistic regression was performed to estimate odds ratio (OR) and corresponding 95% confidence interval (95% CI) and p-value. Results: We included complete data from 2873 respondents. The determinants associated with CVDs in the elderly population in Indonesia included college background (OR 6.26 [95% CI 2.690-14.613], p < 0.001), unemployment (OR 1.88 [95% CI 1.294-2.75], p = 0.001), urban population (OR 2.11 [95% CI 1.427-3.114], p < 0.001), obesity (OR 1.59 [95% CI 0.842-3.02], p = 0.152), low and medium physical activities (OR 2.34 [95% CI 1.335-4.121], p = 0.003 and OR 2.54 [95% CI 1.449-4.486], p = 0.001, respectively), hypertension (OR 4.25 [95% CI 2.945-6.137], p < 0.001), DM (OR 2.77 [95% CI 1.683-4.591], p < 0.001), and hypercholesterolemia (OR 2.99 [95% CI 1.860-4.812], p < 0.001). Conclusion: The determinants of CVDs in the elderly population in Indonesia based on Indonesian Family Life Survey (IFLS)-5 data are hypertension, hypercholesterolemia, DM, lower physical activity, higher educational background, urban population, unemployment, and obesity. The findings of this current study highlight that more appropriate control measures such as tailored intervention by policymakers and healthcare providers for those at high risk should be initiated and implemented.
Differences in Risk Factor of Cardiovascular Disease Risk on Rural and Urban Population
Jurnal Kesehatan Masyarakat, 2017
Cardiovascular disease is a global threat. This study aimed to obtain a description of cardiovascular disease pattern among rural and urban population in Ponorogo. Two locations were chosen to represent rural and urban area through cluster sampling. Cross sectional study design was chosen with a sample size of 350 respondents. The research instrument was adopted from WHO STEPS. Difference in prevalence between the two clusters were analyzed with ?2 test, with ?=0.05. The result showed that the prevalence smoking and alcohol consumption among males were higher in rural than urban population (p= 0.04 and p=0.012 respectively). The prevalence of unhealthy fruit consumption was higher in both sexes from rural population (p =0.025 and p=0.012). Hypertension was higher among rural female compared to female living in urban area (p=0.024).
KnE Life Sciences, 2022
Coronary heart disease (CHD) causes many deaths. It is a disease of the heart that occurs due to decreased blood supply to the heart muscle. Risk factors that can trigger CHD can be grouped into two categories, namely those that cannot be modified and those that can. The risk factors that cannot be modified include heredity, age and gender, while the modifiable risk factors include smoking, hypertension, increased serum cholesterol levels, obesity and diabetes. Basic Health Research data show that in 2018, 1.5% or 15 out of 1000 Indonesians suffered from CHD. The aim of this study was to investigate the factors that influence the incidence of CHD at the RSUD Waikabubak. This was a quantitative analytical survey which used a cross-sectional approach. According to the results, CHD was significantly associated with gender (OR = 3.5, p = 0.011), smoking (OR = 3.9, p = 0.006) and hypertension (OR = 4.8, p = 0.001). Of the factors studied, hypertension had the strongest influence on the i...
PLOS ONE, 2019
Background The brunt of cardiovascular disease (CVD) burden globally now resides within low-and middle-income countries, including Indonesia. However, little is known regarding cardiovascular health in Indonesia. This study aimed to estimate the prevalence of elevated CVD risk in a specific region of Indonesia. Methods We conducted full household screening for cardiovascular risk factors among adults aged 40 years and older in 8 villages in Malang District, East Java Province, Indonesia, in 2016-2017. 10-year cardiovascular risk scores were calculated based on the World Health Organization/International Society of Hypertension's region-specific charts that use age, sex, blood pressure, diabetes status and smoking behaviour. Results Among 22,093 participants, 6,455 (29.2%) had high cardiovascular risk, defined as the presence of coronary heart disease, stroke or other atherosclerotic disease; estimated 10-year CVD risk of � 30%; or estimated 10-year CVD risk between 10% to 29% combined with a systolic blood pressure of > 140 mmHg. The prevalence of high CVD risk was greater in urban (31.6%, CI 30.7-32.5%) than in semi-urban (28.7%, CI 27.3-30.1%) and rural areas (26.2%, CI 25.2-27.2%). Only 11% and 1% of all the respondents with high CVD risk were on blood pressure lowering and statins treatment, respectively.
Comparative Study of Risk Factors of Cardiac Diseases among Urban and Rural Population
International Journal of Human Genetics, 2013
Genetically Indians seems to have a great tendency to develop heart trouble. In addition, stressful lifestyles and unhealthy diets of urban population are the reasons for heart disease. The aim of the study is to analyze the impact of different factors like lifestyle, food habits, environmental pollution and lipid level on coronary artery disease. Total 168 cases having some cardiac symptoms were included in this study. Detailed histories of cases were taken by questionnaire. Serum lipid profiles were compared between urban and rural cases. Study showed that triglycerides level (p<0.001), total Cholesterol (p<0.05) and low density lipoprotein level (p<0.001) were significantly high in urban population than rural. Presence of hypertension (52.94%) and diabetes (49.41%) were higher in urban population. The results showed that stressful unhealthy lifestyle and uncontrolled fatty diet plays a major role in coronary artery disease.
Media Keperawatan Indonesia
The aging population is predominantly predisposed to heart illness. Age is an autonomous danger factor for cardiovascular disease (CVD) in adults, but this risk is exacerbated by additional factors, including comorbidities. This study aimed to determine the prevalence of cardiovascular disease and the association between comorbidities and cardiovascular disease among late adults in Indonesia. This cross-sectional research utilizes the data national population survey from the Indonesia Family Life Survey wave 5 (2015). Multistage stratified random sampling was utilized to choose the respondents to respond to a structured questionnaire interview, laboratory test, and anthropometric measurements. Multivariable logistic regression was utilized to determine the association. The result was respondents’ age mean was 48.31 (±5.83) years. CVD prevalence was 2.36% (95% CI: 2.07 – 2.70). The final model of a multivariable analysis using multiple logistic regression indicated that CKD (adj. OR ...
The Malaysian journal of medical sciences : MJMS, 2012
Coronary heart disease (CHD) was the second leading cause of death in Malaysia in 2006. CHD has known risk factors including hypertension, diabetes mellitus, and obesity. This cross-sectional study examined the prevalence of cardiovascular risk factors among 260 participants aged 20 to 65 years in a rural community in Sarawak. The prevalences of overweight and obesity in this study were 39.6% and 11.9%, respectively. Approximately 13% of participants had hypertension, and 1.5% had a random blood sugar greater than 11.1 mmol/L. Chi-square tests showed significant associations between obesity and gender (P = 0.007), low high-density lipoprotein cholesterol and race (P = 0.05), high total cholesterol and age (P = 0.007), age and hypertension (P = 0.011), smoking and gender (P < 0.001), and smoking and income (P = 0.050). Age-adjusted logistic regression showed that women were 0.246 times more likely to be obese, that older participants (> 45 years) were 0.395 times more likely to...
The Burden of Cardiovascular Disease Attributable to Major Modifiable Risk Factors in Indonesia
Journal of epidemiology / Japan Epidemiological Association, 2016
In Indonesia, coronary heart disease (CHD) and stroke are estimated to cause more than 470 000 deaths annually. In order to inform primary prevention policies, we estimated the sex- and age-specific burden of CHD and stroke attributable to five major and modifiable vascular risk factors: cigarette smoking, hypertension, diabetes, elevated total cholesterol, and excess body weight. Population attributable risks for CHD and stroke attributable to these risk factors individually were calculated using summary statistics obtained for prevalence of each risk factor specific to sex and to two age categories (<55 and ≥55 years) from a national survey in Indonesia. Age- and sex-specific relative risks for CHD and stroke associated with each of the five risk factors were derived from prospective data from the Asia-Pacific region. Hypertension was the leading vascular risk factor, explaining 20%-25% of all CHD and 36%-42% of all strokes in both sexes and approximately one-third of all CHD a...