Predictors of Blood Pressure, Cholesterol, and Cardiovascular Screening Among Saudis at Primary Healthcare Settings in Riyadh, Saudi Arabia.

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2025-05-13 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S516304

Naif M Alhawiti, Mamdouh M Shubair, Seema Mohammed Nasser, Amani Alharthy, Badr F Al-Khateeb, Fatmah Othman, Awad Alshahrani, Lubna Alnaim, Abdulmajeed Abdullah Abukhamis, Noof Alwatban, Ashraf El-Metwally

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引用次数: 0

Abstract

Purpose: This study was conducted to estimate proportion of individuals undergoing screening for cardiovascular disease (CVD) and its risk factors and to identify predictors of CVD, blood pressure, and blood cholesterol screening.

Patients and methods: This cross-sectional study was conducted in 48 primary healthcare centers in Saudi Arabia and 14,239 participants were enrolled. The analysis was performed in SPSS version 26 and adjusted odds ratios (AOR) and 95% Cis were reported.

Results: Blood pressure screening was reported by 35.3%, cholesterol screening by 9.3%, and cardiovascular screening by 3.7%. Significant positive predictors for blood pressure screening included older age (50-75 years: AOR 1.34, 95% CI: 1.20-1.50; ≥75 years: AOR 2.12, 95% CI: 1.84-2.43), being married (AOR: 1.15; 95% CI: 1.04-1.27), non-smoking (AOR: 1.97; 95% CI: 1.79-2.17), physical activity (AOR: 1.16; 95% CI: 1.05-1.28), and diabetes (AOR: 2.14; 95% CI: 1.88-2.44). For cholesterol screening, significant positive predictors were older age (≥75 years: AOR 1.89, 95% CI: 1.56-2.29), unemployment (AOR: 1.26; 95% CI: 1.10-1.45), insurance coverage (AOR: 1.52; 95% CI: 1.33-1.74), smoking (AOR: 1.32; 95% CI: 1.14-1.53), diabetes history (AOR: 1.33; 95% CI: 1.09-1.61), and hypertension (AOR: 1.66; 95% CI: 1.36-2.02). For cardiovascular screening, significant positive predictors included older age (≥75 years: AOR 1.81, 95% CI: 1.35-2.43), unemployment (AOR: 1.53; 95% CI: 1.24-1.88), insurance coverage (AOR: 1.56; 95% CI: 1.27-1.92), smoking (AOR: 1.89; 95% CI: 1.52-2.34), diabetes (AOR: 1.85; 95% CI: 1.41-2.43), and high cholesterol (AOR: 1.76; 95% CI: 1.31-2.36).

Conclusion: A very low proportion of Saudi residents have undergone blood pressure, cholesterol, and CVD screening. Common predictors of screening included older age, insurance coverage, diabetes, hypertension, physical activity, and high cholesterol levels. Low prevalence of screening is alarming, and Saudi Government needs to implement strategies that can help increase proportion of Saudi residents who receive blood pressure, cholesterol, and CVD screening.

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沙特阿拉伯利雅得初级卫生保健机构的血压、胆固醇和心血管筛查预测因子

目的：本研究旨在估计接受心血管疾病（CVD）筛查的个体比例及其危险因素，并确定CVD、血压和血胆固醇筛查的预测因子。患者和方法：本横断面研究在沙特阿拉伯的48个初级卫生保健中心进行，纳入了14,239名参与者。采用SPSS version 26进行分析，并报告校正优势比（AOR）和95% ci。结果：血压筛查占35.3%，胆固醇筛查占9.3%，心血管筛查占3.7%。血压筛查的显著阳性预测因子包括年龄较大(50-75岁：AOR 1.34, 95% CI: 1.20-1.50；≥75岁：AOR 2.12, 95% CI: 1.84-2.43)，已婚(AOR: 1.15；95% CI: 1.04-1.27)，不吸烟(AOR: 1.97；95% CI: 1.79-2.17)，体育活动(AOR: 1.16；95% CI: 1.05-1.28)和糖尿病(AOR: 2.14；95% ci: 1.88-2.44)。对于胆固醇筛查，显著阳性预测因子为年龄较大（≥75岁：AOR 1.89, 95% CI: 1.56-2.29）、失业(AOR: 1.26；95% CI: 1.10-1.45)，保险覆盖率(AOR: 1.52；95% CI: 1.33-1.74)，吸烟(AOR: 1.32；95% CI: 1.14-1.53)，糖尿病史(AOR: 1.33；95% CI: 1.09-1.61)和高血压(AOR: 1.66；95% ci: 1.36-2.02)。对于心血管筛查，显著的阳性预测因子包括年龄较大（≥75岁：AOR 1.81, 95% CI: 1.35-2.43）、失业(AOR: 1.53；95% CI: 1.24-1.88)，保险覆盖率(AOR: 1.56；95% CI: 1.27-1.92)，吸烟(AOR: 1.89；95% CI: 1.52-2.34)，糖尿病(AOR: 1.85；95% CI: 1.41-2.43)和高胆固醇(AOR: 1.76；95% ci: 1.31-2.36)。结论：沙特居民接受血压、胆固醇和心血管疾病筛查的比例非常低。筛查的常见预测因素包括年龄较大、保险范围、糖尿病、高血压、体育活动和高胆固醇水平。筛查的低流行率令人担忧，沙特政府需要实施有助于增加接受血压、胆固醇和心血管疾病筛查的沙特居民比例的战略。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.