Self-Reported Prevalence of Chronic Non-Communicable Diseases Concerning Socioeconomic and Educational Factors: Analysis of the PURE-Ecuador Cohort.

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Global Heart Pub Date : 2025-03-13 eCollection Date: 2025-01-01 DOI:10.5334/gh.1416

Camilo Felix, Mavel Lopez-Flecher, Michelle Vega, Katherine Andrango, Selena Andrango, Juan Marcos Parise-Vasco, Jaime Angamarca-Iguago, Daniel Simancas-Racines, Patricio Lopez-Jaramillo, Shrikant Bangdiwala, Sumathy Rangarajan, Salim Yusuf

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引用次数: 0

Abstract

Background: The changing epidemiological landscape, marked by the increasing prominence of Non-Communicable Chronic Diseases (NCDs), underscores the need for studies that identify and analyze these conditions and their associated risk factors. This secondary analysis aims to describe the association between socioeconomic and educational characteristics and the prevalence of self-reported NCDs among participants in the PURE-Ecuador cohort in urban and rural populations of the Metropolitan District of Quito (MDQ), Ecuador.

Methods: This secondary analysis is part of the Prospective Urban Rural Epidemiological (PURE) study. Data were collected from February to December 2018, including 2028 participants aged 35 to 70 years from different urban and rural areas of the MDQ. Data collection utilized standardized questionnaires administered in face-to-face interviews. Pearson's chi-square tests and multivariate logistic regression were used to assess associations.

Results: The self-reported prevalence of hypertension was 16.2%, rising to 32.7% in individuals over 60 years old. The prevalence of diabetes mellitus was 6.7%, coronary heart disease 1.3%, stroke 1.6%, heart failure 1.3%, COPD 0.4%, asthma 1.3%, and cancer 1.9%. Multimorbidity affected 5.9% of participants, with the highest rates in obese and older individuals (≥60 years). Adherence to medications was high for hypertension and diabetes mellitus but varied substantially between communities.

Conclusions: The secondary analysis revealed significant disparities in the prevalence and management of NCDs in MDQ. The prevalence of self-reported NCDs in Quito, Ecuador, is significantly associated with age and body mass index (BMI). Older individuals, particularly those over 60 years, and obese participants demonstrated higher rates of NCDs and multimorbidity. While socioeconomic factors such as education and income showed some associations with NCD prevalence, these were less pronounced after adjusting for other variables. These findings highlight the importance of age-specific and obesity-focused interventions in addressing the burden of NCDs in this population.

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与社会经济和教育因素有关的慢性非传染性疾病的自述患病率：PURE-Ecuador 队列分析。

背景：以非传染性慢性疾病日益突出为特征的流行病学形势不断变化，强调有必要开展研究，确定和分析这些疾病及其相关风险因素。这项二级分析旨在描述厄瓜多尔基多大都市区（MDQ）纯厄瓜多尔队列参与者中社会经济和教育特征与自我报告的非传染性疾病患病率之间的关系。方法：该二次分析是前瞻性城乡流行病学（PURE）研究的一部分。数据于2018年2月至12月收集，包括来自MDQ不同城市和农村地区的2028名年龄在35至70岁之间的参与者。数据收集采用面对面访谈的标准化问卷。使用Pearson卡方检验和多变量逻辑回归来评估相关性。结果：60岁以上人群高血压自述患病率为16.2%，60岁以上人群高血压自述患病率为32.7%。糖尿病患病率为6.7%，冠心病患病率为1.3%，中风患病率为1.6%，心力衰竭患病率为1.3%，COPD患病率为0.4%，哮喘患病率为1.3%，癌症患病率为1.9%。5.9%的参与者患有多重疾病，其中肥胖者和老年人（≥60岁）发病率最高。高血压和糖尿病患者的药物依从性较高，但不同社区的依从性差异很大。结论：二级分析揭示了MDQ中非传染性疾病患病率和管理的显著差异。在厄瓜多尔基多，自我报告的非传染性疾病患病率与年龄和体重指数（BMI）显著相关。老年人，特别是60岁以上的老年人和肥胖参与者显示出更高的非传染性疾病和多重发病率。虽然教育和收入等社会经济因素与非传染性疾病的流行有一定的联系，但在调整了其他变量后，这些因素不那么明显。这些发现强调了针对特定年龄和肥胖的干预措施在解决这一人群的非传染性疾病负担方面的重要性。

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

Global Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

5.70

自引率

5.40%

发文量

审稿时长

5 weeks

期刊介绍： Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources. Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention. Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.