Prevalence and determinants of heart disease in Somaliland: An analysis of the 2020 Somaliland demographic and health survey (SLDHS)

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2024-10-21 DOI:10.1016/j.cpcardiol.2024.102885

Hodo Abdikarim , Mustafe Abdillahi Ali , Abdirizak Hassan Abokor , Omer Adam Farih , Asma Mahamoud Abdillahi , Abdirashid M. Yousuf , Abdisalam Hassan Muse

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引用次数: 0

Abstract

Background

Cardiovascular diseases (CVDs) are a leading cause of death globally, particularly in low- and middle-income countries. While data on heart disease prevalence in Somaliland is limited, the 2020 Somaliland Demographic and Health Survey (SLDHS) provides a valuable opportunity to assess this critical public health issue.

Methods

This study analyzed data from the 2020 SLDHS, a nationally representative cross-sectional survey. We included 18,930 individuals after data cleaning and variable selection. Heart disease was the outcome variable, while demographic and socioeconomic factors, including age, sex, region, residence, wealth, tobacco use, diabetes, and hypertension, were analyzed as predictors using STATA version 17.

Results

The prevalence of heart disease in Somaliland was 0.7 % (95 % CI [0.6 %, 0.9 %]). Significant associations were observed with: Sool region (AOR 1.86–6.821, p = 0.000), female sex (AOR 1.086–2.508, p = 0.019), older age groups (AOR 1.182–9.621, 1.073–11.247, 1.899–19.504 and 4.126–38.282, p = 0.023, 0.038, 0.002, 0.000 respectively), rural residence (AOR 1.025–2.198, p = 0.037), tobacco use, diabetes, and hypertension.

Conclusion

This study highlights the importance of regional disparities, gender differences, and the impact of modifiable risk factors like tobacco use, diabetes, and hypertension in influencing heart disease prevalence in Somaliland. These findings emphasize the need for targeted interventions and public health strategies to address these factors and improve cardiovascular health outcomes in the region.

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索马里兰心脏病的患病率和决定因素：对 2020 年索马里兰人口与健康调查（SLDHS）的分析。

背景：心血管疾病（CVDs）是导致全球死亡的主要原因，尤其是在中低收入国家。虽然有关索马里兰心脏病发病率的数据有限，但 2020 年索马里兰人口与健康调查（SLDHS）为评估这一重要的公共卫生问题提供了宝贵的机会：本研究分析了 2020 年索马里兰人口与健康调查的数据，这是一项具有全国代表性的横断面调查。经过数据清理和变量选择，我们纳入了 18930 人。心脏病是结果变量，而人口和社会经济因素，包括年龄、性别、地区、居住地、财富、吸烟、糖尿病和高血压，则作为预测因素使用 STATA 17 版进行分析：索马里兰的心脏病发病率为 0.7%（95% CI [0.6%，0.9%]）。与下列因素有显著关联126-38.282，P= 0.023、0.038、0.002、0.000）、农村居民（AOR 1.025-2.198，P= 0.037）、吸烟、糖尿病和高血压：本研究强调了地区差异、性别差异以及烟草使用、糖尿病和高血压等可改变的风险因素在影响索马里兰心脏病发病率方面的重要性。这些发现强调，需要采取有针对性的干预措施和公共卫生战略来解决这些因素，并改善该地区的心血管健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.